A few miles from downtown Honolulu, the Kalihi Valley is Hawai`i’s gateway for new immigrants from Asia and the Pacific. Some 93% of Kalihi Valley’s population is of Asian American and Pacific Island ancestry; 38% is foreign- born. The Valley has the state’s highest percentage of non-English or limited-English speakers. Kalihi Valley’s Asian American, Native Hawaiian, and Pacific Islander residents have created a dynamic social fabric, constantly adapting to the challenges of accessing health care, housing, food, and social services.