Analysis of Local Health Department Factors that Accelerate Population-Based Intervention Implementation and Support Success

Year: 2011
Funding: NNPHI PHS2 Award
Status: Completed

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The main hypothesis of this project is that increased local public health capacity and performance (as measured by authority level of the top local public health official, maturity of organizational quality improvement, and readiness for accreditation) improves local health department (LHD) performance on intervention strategies (e.g., ability to meet stated goals, depth of implementation, and sustainability of interventions). This research is embedded within a study of evidence-based policy, systems, and environmental change strategies conducted by 100% of local health departments in Minnesota (MN) as part of the implementation of MN health reform legislation. The MN initiative focuses on strategies that have demonstrated success in promoting healthy nutrition, increasing opportunities for physical activity, reducing tobacco use, and promoting healthy behaviors in the workplace. This study is a natural progression from research already underway in MN related to LHD structure, capacity, and financing, as part of the MN Practice-Based Research Network (PBRN). The MN model studied here is similar to that of major new CDC initiatives like the Community Transformation Grants and Communities Putting Prevention to Work program. Thus, identification of LHD factors that are associated with improved performance on community-based interventions could inform other state and local health departments as they work to promote policy, system, and environmental changes.



Tools & Other Resources



Elizabeth Gyllstrom & Bill Riley
Minnesota Department of Health

Research Areas