Meet Our CEO

Sandra Marrero-Ashford, MPH, MPA, MA

Chief Executive Officer & Architect, Health Betterment Initiative

I am the Chief Executive Officer and architect of Health Betterment Initiative (HBI), a nonprofit organization delivering mobile, community-based health programs across the DC–Maryland–Virginia region. I created the name Health Betterment Initiative and led the organization’s evolution from a disease-specific effort into a comprehensive, prevention- and access-centered model designed to bring real healthcare services directly to people, especially those who are least likely to receive them otherwise.

Health Betterment Initiative began with a simple but powerful idea: bring blood tests to the community.

From the start, our work has centered on providing the same types of laboratory tests a person would typically receive at their first primary care visit, including diabetes screening, complete blood counts (CBC), and other essential markers of health. Many of the individuals we serve have never had these tests before, or have not had them in years. By bringing laboratory-based testing directly to the community, we remove one of the most significant barriers to care: access.

This model remains at the heart of everything we do.

Across public health, education, emergency response, insurance navigation, and systems design, my focus remains consistent: build structures people can actually use, adapt them as needs evolve, and ensure they continue to serve communities over time.

Health Betterment Initiative brings as much prevention, awareness, testing, education, and support to people as possible, without waiting, without judgment, and without outsourcing responsibility. And yes, we have fun doing it. Because health, when done right, can be empowering, human, and hopeful.

Sandra Marrero Ashford, MPH
CEO, Health Betterment Initiative

Transforming HBI Through Community, Innovation & Trust

Under the leadership of CEO and Architect Sandra Marrero-Ashford, Health Betterment Initiative has evolved from a disease-specific organization into a whole-person, community-centered health model. Her leadership has focused on bringing HBI closer to the communities it serves while embracing new approaches that strengthen access, trust, and connection to care.

  • Whole-Person Health: Expanded HBI beyond infectious disease to address interconnected health and social barriers.
  • Community-Driven Outreach: Brought outreach in high-need environments in-house to strengthen relationships, continuity, and accountability.
  • HBI Pro: Created a peer-based program designed to engage and support LGBTQIA+ communities through teams that reflect and understand their experiences.
  • AI & Data Innovation: Integrated artificial intelligence and data-driven tools to empower Community Health Workers, identify emerging needs, improve outreach, and strengthen connections to care.

Together, these advancements reflect Sandra’s vision for an HBI that is responsive, inclusive, innovative, and deeply rooted in community.