AFPHS 6Cs Training and Implementation Guide
Overview
Welcome to the Age-Friendly Public Health Systems 6Cs Framework Training and Implementation Guide (6Cs Guide). This guide is designed to increase your knowledge and expertise in understanding the public health roles in improving and supporting older adult health and well-being at all levels, with the goal of creating a jurisdictional-wide action plan for implementing policies and programs that align with the Framework. The 6Cs Guide was developed by Trust for America’s Health (TFAH) in partnership with the Association for State and Territorial Health Officials (ASTHO), the National Association of County and City Health Officials (NACCHO), and the National Network of Public Health Institutes (NNPHI). TFAH’s Age-Friendly Public Health Systems work is supported with generous funding from The John A. Hartford Foundation.
The 6Cs Guide provides background information and context, learning objectives, and training activities organized into modules that align with the 6Cs Framework. Each module includes either a Competence Check (Modules 1-3) or a practice activity to provide opportunities for both reflection on your learning as well as practical application of your knowledge. Within the six modules, you will also find recommendations for partnerships, data collection, state and community-wide assessment, and considerations for alignment with other frameworks (e.g., the 10 Essential Public Health Services). It also includes a special supplement on operationalizing equity, with tools and resources for improving the processes and building capacity to support all people across the life course. TFAH and our partners hope the 6Cs Guide will provide a step-by-step, comprehensive system for advancing public health’s role in older adult health and well-being in your jurisdiction.
The 6Cs Guide is a powerful tool designed for anyone interested in building expertise in healthy aging—especially through a public health lens. As Megan Wolfe, Senior Policy Development Manager, explains:
“The Guide can be used by anyone who wants to build expertise in healthy aging, especially from a public health perspective. Our vision is that entire health department staffs will use it, but it’s also perfect for individuals or small teams to work through together.”
Whether you’re part of a large organization or working independently, the 6Cs Guide offers practical insights and strategies to support healthier aging in communities.
The July 2025 AFPHS training offers an overview of the 6Cs Guide, along with an in-depth presentation on the Operationalizing Equity Supplement.
The AFPHS 6Cs Training and Implementation Guide was developed by Trust for America’s Health with funding from The John A. Hartford Foundation and in partnership with:
