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The Changing public health landscape : findings from the 2017 Forces of Change Survey
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November 2017
[PDF-991.50 KB]
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Description:Since 2008, the National Association of County and City Health Officials (NACCHO) has periodically surveyed local health departments (LHDs) to assess the impact of the Great Recession.
NACCHO recently expanded the survey to address more generally the forces that affect change in LHDs, including the emergence of new infectious diseases and a growing need for collaboration across sectors.
The Forces of Change survey helps to identify infrastructure challenges, as well as opportunities to strengthen public health capacity.
An analysis of local health department staffing level and budget changes over the past year, as well as a description of expected budget decreases over the next year.
A description of the presence of the Zika virus across various types of jurisdictions, including an analysis of local health department activities related to Zika prevention and response efforts.
An analysis of local health department participation in, as well as barriers to, partnerships that address tobacco use, opioid abuse, safe and healthy housing, and K-12 education.
A description of the workforce recruitment challenges local health departments experience, including the positions that are difficult to fill and the most common barriers to hiring qualified candidates.
Funding for this project was provided by the Centers for Disease Control and Prevention (under cooperative agreement 1U38OT000172-05) and the Robert Wood Johnson Foundation® in Princeton, New Jersey.
2017-Forces-of-Change-Main-Report1.pdf
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