This document outlines a collaborative initiative to improve children's health in rural northeast Iowa through policy, systems, and environmental changes. The initiative focuses on three key strategies: [1] improving school environments to support healthy eating and active living, [2] strengthening the local food system, and [3] increasing opportunities for active transportation and physical activity. Activities include developing school wellness teams, promoting farm to school programs, and supporting infrastructure for walking and biking to school. The goal is to create sustainable changes through community engagement, education, and multi-sector partnerships.