In 1999, the National Association of County and City Health Officials (NACCHO), a national, Washington-based organization of local health officials, conducted a national survey of local public health agencies in order to profile local public health infrastructure.
Project staff disseminated project findings in a report, Local Public Health Infrastructure: A Chartbook and online. (See the Bibliography.) Findings include:
- Sixty percent of local public health agencies are county-based; 69 percent of all agencies serve jurisdictions with a population of less than 50,000.
- The median annual local public health agency expenditure in constant 1999 dollars was $621,100.
- The most common programs and services provided by local public health agencies include:
- Adult and child immunizations.
- Communicable disease control.
- Community assessment.
- Community outreach and education.
- Environmental health services.
- Epidemiology and surveillance.
- Food safety.
- Health education.
- Restaurant inspections.
- Tuberculosis testing.
- Currently, the greatest workforce needs are consistent across local public health agencies, and include public health nurses, environmental scientists and specialists, administrative support, health educators and epidemiologists.
- Overall, local public health agencies cited funding as one of the biggest challenges facing them.
The Robert Wood Johnson Foundation (RWJF) supported this project from 1997 to 2001 through a grant of $357,792.
While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.
RWJF examines the types of competitive foods - foods and beverages schools offer outside of meal programs - available in our nation's school...
Recent studies have demonstrated a connection between low-socioeconomic status and poor health in children. This study builds upon previous ...
This study examined the impact that race has on the prevalence of self-reported diabetes for Hispanic and non-Hispanic people. Data from the...
In this article, the authors consider the social, structural and symbolic effects of the recent and rapid spread of legal gambling in the Un...
Immigrants and their children are one of the fastest growing components of the U.S. population. One in five Americans under the age of 18 is...
Most studies investigating links between social capital and health have relied on work by Robert Putnam who conceptualized social capital as...
The present article considered cardiovascular patients' adherence to physicians' medication recommendations. Nonadherence was defined as fol...
This study examined the prevalence of attention-deficit/hyperactivity disorder (ADHD) among children in the United States. Also of interest ...
The current article explored risk factors for iron deficiency for toddlers in the United States with a focus on Hispanic toddlers. Data from...
The research presented in this article compared the density and concentration of pro-tobacco media messages in African-American and White ma...
This article describes efforts to use information on influenza burden and vaccine efficacy to estimate how influenza vaccine recommendations...