Rural Public Health Agencies – Resources

The State of Rural Public Health: Enduring Needs in a New Decade
Examines changes in rural/urban disparities over a 40-year period, including differences in life expectancy, social determinants of health, challenges facing local health departments (LHDs), and more. Discusses factors contributing to disparities and provides recommendations to support LHDs and improve public health in rural communities. Supplement contains figures depicting county-level data on life expectancy at birth as well as rural/urban differences in spending at LHDs and transfers to local governments.
Additional links: Supplement
Author(s): Jonathon Leider, Michael Meit, J. Mac McCullough, et al.
Citation: American Journal of Public Health, 110(9), 1283-1290
Date: 08/2020
Type: Document
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The Role of Public Health in COVID-19 Emergency Response Efforts From a Rural Health Perspective
Examines the difficulties rural communities face in responding to the COVID-19 pandemic, especially in the southeastern region of the U.S. Discusses the COVID-19 Community Vulnerability Index, a tool that analyzes epidemiological factors, socioeconomic status, and other indicators to determine which communities are at an increased risk of COVID-19.
Author(s): Sandra Melvin, Corey Wiggins, Nakeitra Burse, Erica Thompson, Mauda Monger
Citation: Preventing Chronic Disease, 17
Date: 07/2020
Type: Document
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The Growing Divide in the Composition of Public Health Delivery Systems in US Rural and Urban Communities, 2014–2018
Analyzes data from the National Longitudinal Survey of Public Health Systems to examine rural-urban differences in the scope of public health delivery system activities and organizational networks from 2014-2018. Provides geographic breakdowns on various characteristics, including poverty, unemployment, trends for public health activities, and more.
Author(s): Kelsey M. Owsley, Mika K. Hamer, Glen P. Mays
Citation: American Journal of Public Health, 110(Suppl 2), S204-S210
Date: 07/2020
Type: Document
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Public Health Response to the Initiation and Spread of Pandemic COVID-19 in the United States, February 24–April 21, 2020
Identifies factors that contributed to the spread of COVID-19 in early 2020. Discusses transmission due to travel, large gatherings (including a funeral in rural Georgia), high-risk workplaces such as rural meatpacking facilities, densely populated areas, and unrecognized transmission related to limited testing and asymptomatic and presymptomatic spread.
Author(s): Anne Schuchat
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(18), 551-556
Date: 05/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Opportunities for Rural Organizations to Become Host Sites for the Public Health Associates Program
A recorded webinar discussing the Public Health Associates Program (PHAP), a training program offered by the Centers for Disease Control and Prevention (CDC), and how the program can serve rural communities. Features a presentation by a representative from the CDC who breaks down the mission and structure of the PHAP program.
Additional links: Audio Recording, Presentation Slides, Webinar Transcript
Date: 03/2020
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Funding and Service Delivery in Rural and Urban Local US Health Departments in 2010 and 2016
Uses nationally representative data from 2010 and 2016 to explore rural/urban differences in local health department (LHD) funding and service delivery. Includes data and statistics on LHD characteristics, sources of revenue, and types of services provided by LHDs, with information broken down by rurality.
Author(s): Kate Beatty, Megan Heffernan, Nathan Hale, Michael Meit
Citation: American Journal of Public Health, 110(9), 1293-1299
Date: 2020
Type: Document
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Taney County Health Department: Accreditation and Holding to a Higher Standard
Describes how Missouri's Taney County Health Department has used voluntary national and state accreditation to help meet their county's public health needs. Offers tips for other rural public health departments considering accreditation.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Understanding Rural Health Departments: Do They Have Unique Accreditation Needs?
Discusses how governance, organizational size, and other factors impact rural local health departments' ability to pursue voluntary accreditation.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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It's Possible: Voluntary Accreditation for Rural Public Health Departments
Provides an overview of the public health department accreditation process. Discusses service differences between rural and urban public health departments. Offers advice for rural departments pursuing accreditation.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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A Rising Tide: Increasing Rural Local Health Department Capacity to Address the Social Determinants of Health
Describes unique challenges faced by rural local health departments (LHDs), as well as assets such as community connectivity and trusted local institutions. Explores the ways in which partnerships, leadership, community engagement, data and evaluation, and community health improvement planning function as foundational elements in addressing social determinants of health in rural communities.
Author(s): Karla Feeser, Melissa Mayer, Ashley Edmiston
Date: 07/2019
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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