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Rural Health Information Hub

Rural Public Health Agencies – Resources

Selected recent or important resources focusing on Rural Public Health Agencies.

Competencies, Training Needs, and Turnover Among Rural Compared With Urban Local Public Health Practitioners: 2021 Public Health Workforce Interests and Needs Survey
Analyzes the rural and urban differences in 29,751 public health workers surveyed regarding competencies, training needs, and workplace stressors. Discusses COVID-19 impacts on public health work.
Author(s): Paula M. Kett, Betty Bekemeier, Davis G. Patterson, Kay Schaffer
Citation: American Journal of Public Health, 113(6), 689-699
Date: 06/2023
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Global to Local Toolkit: Adapting Global Interventions for Local Public Health
A toolkit that discusses strategies for adapting evidence-based, global interventions in public health to local health departments (LHDs) in the United States. Provides an overview of a case study from a predominately rural LHD that used global strategies to address the behavioral workforce shortage in their area. Includes resources and tools for planning and networking.
Additional links: Are You Prepared to Go Global-to-Local? Checklist, Global-to-Local Partner Identification Tool
Date: 06/2023
Sponsoring organization: National Association of County and City Health Officials
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Interruptions in Routine Blood Pressure Screening Services Among Local Health Departments During the COVID-19 Pandemic
Examines interruptions related to preventative chronic disease interventions in local health departments (LHDs) during the COVID-19 pandemic. Provides results from 820 LHDs responding to the Forces of Change (FoC) survey from November 2020 to March 2021 regarding blood pressure screenings, staff capacity, and chronic disease priorities during the pandemic. Includes breakdowns of LHD data by type of governance, Census region, and size of LHD, including those serving fewer than 50,000 people.
Author(s): Margaret C. Cunningham, Jordan Royster, Timothy C. McCall
Citation: Journal of Public Health Management and Practice, 29(1),108-111
Date: 01/2023
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A Population Health Workforce to Meet 21st Century Challenges and Opportunities: Proceedings of a Workshop
Proceedings from a February 28, 2022 workshop exploring challenges faced by public health workers during the COVID-19 pandemic, renewed policymaker attention, and expenditures directed to supporting the public health workforce. Intended to showcase the training, roles of, and setting for population health workers. Includes information focused on tribal communities in chapters 3 and 4.
Author(s): Roundtable on Population Health Improvement
Date: 2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Cancer Clinical Trials: Federal Actions and Selected Non-Federal Practices to Facilitate Diversity of Patients
Examines actions taken by federal agencies to increase diverse population enrollment in cancer clinical trials as well as practices by non-federal cancer centers to facilitate diverse enrollment. Discusses strategies such as collaboration, reducing barriers, data standardization, training, utilization of community ambassadors, and more. Focuses on inclusion of underrepresented groups such as racial/ethnic minorities, young adults, older adults, those with low incomes, women, American Indian and Alaska Native (AI/AN) persons, and people living in rural communities.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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HAI/AR Rural, Frontier, and Small LHDs Exploratory Survey and In-Depth Interview Analysis & Resources
Provides information related to Healthcare-Associated Infections (HAIs), Antimicrobial Resistance (AMR), and Antimicrobial Stewardship (AMS) issues in rural, frontier, and small local health departments (LHDs). Includes links to survey results regarding HAIs, AMR, and AMS initiatives; report on HAIs, AMR, and AMS-focused interviews held with LHDs and other rural partners; infographics to explain results of respective survey and report; and a 6-part blog series covering HAIs, AMR, and AMS issues.
Author(s): Jaclyn Abramson
Date: 12/2022
Sponsoring organization: National Association of County and City Health Officials
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Exploring Multi-Sector Collaboration: A Playbook for New Rural Healthcare Models of Investment
A webinar recording highlighting a May 2022 report discussing how healthcare organizations can collaborate with economic stakeholders to improve population health. Discusses how to build partnership models by exploring case studies that use upstream health interventions in rural areas.
Author(s): Samantha Borow, Colleen Flynn, Ashley Hernandez, Rebecca Lemmons
Date: 11/2022
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Best of ARM: Evaluating Engagement in Multisector Community Health Networks: The Case of Tribal Organizations
Highlights a study on public health systems' engagement with tribal organizations. Aims to quantify the interactions between public health systems and tribal organizations in tribal communities where tribal facilities are present. Details the factors that contribute to more engagement with tribal organizations and make suggestions to promote collaboration.
Author(s): Kelsey M. Owsley, Kyla L. Bauer, Glen P. Mays
Citation: Health Services Research, 57(5), 1077-1086
Date: 10/2022
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Reimagining and Reinvesting in Rural Hospital Markets
Commentary examining the hospital infrastructure needed in rural areas and how rural hospitals can be financed. Discusses current issues related to rural hospital services and how public health policy and infrastructure can impact the health of rural citizens.
Author(s): Caitlin Carroll, Arrianna Planey, Katy B. Kozhimannil
Citation: Health Services Research, 57(5), 1001-1005
Date: 10/2022
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Rural Local Health Department Partnership in Healthcare Associated Infections (HAI), Antimicrobial Resistance (AMR) and Antimicrobial Stewardship (AMS): In-Depth Interviews Report
Reports on an assessment of rural, frontier, and small local health departments (LHDs) and their engagement with Healthcare Associated Infections (HAI), Antimicrobial Resistance (AMR), and Antimicrobial Stewardship (AMS) initiatives. Provides performance information on LHDs engaged in initiatives to address HAI, AMR, and AMS, barriers preventing LHDs from engaging in initiatives, and overall workforce development and capacity of LHDs. Discusses the May 2022 interviews of 11 LHD representatives and 2 non-local health departments and includes results and recommendations.
Additional links: Infographic
Date: 07/2022
Sponsoring organizations: Health Communications Consultants, Inc., National Association of County and City Health Officials
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 3/20/2025