Kern County: Geography of Inequity and Opportunities for Action was commissioned by Sierra Health Foundation on behalf of the San Joaquin Valley Health Fund, with funding from The California Endowment, and prepared by the UC Davis Center for Regional Change. Through stakeholder interviews and analysis of secondary data, we document the systemic disparities created by a history of wealth concentrated in the hands of those who control access to Kern County’s vast agricultural and industrial resources. To address these challenges, the report also identifies policy opportunities in education, land use, health and the environment, and presents case examples of organizations that are working in Kern County communities to organize residents to bring about sustainable change.