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Rural Health Information Hub

Schools as a Hub for Health

  • Need: To improve health outcomes in rural Appalachian Ohio.
  • Intervention: Schools as a Hub for Health promotes holistic wellness for the whole community by creating or bringing in programs that support physical, mental, and social health.
  • Results: The project has gained administrator buy-in and was featured in a December 2016 County Health Rankings & Roadmaps webinar.


Athens County Creating Healthy Communities logo

Schools as a Hub for Health, created by the Athens County Creating Healthy Communities Coalition, is a learning community with multiple partners focusing on physical, mental, and social aspects of health. When local organizations were trying to find the best way to reach the county's population, they decided that schools could be the central location to provide community health programming and address health factors. School hubs target not only the students but also teachers, parents, and the larger community.

Project coordinators saw strengths in what the schools were already doing to address community needs, like providing dental sealants and offering healthier concessions options. The hub creates a space where schools can learn what other schools are doing, and coalition members can provide resources to help school districts overcome barriers preventing them from replicating other districts' programs.

The Athens County Creating Healthy Communities Coalition is made up of around 20 key community partners and an additional 10-15 associated organizations. The coalition works to make "the healthy choice the easy choice" by creating policy, systems, and environmental changes to eliminate tobacco use and increase access to healthy food and opportunities for physical activity.

The coalition was created by the Athens City-County Health Department through an Ohio Department of Health cardiovascular grant in 2001 and continues to be funded by the state department's Creating Healthy Communities grant.

Services offered

The five school districts offer programs such as:


For this project, the biggest result seen so far is buy-in from the superintendents. Project coordinators say it was a huge accomplishment to have the superintendents sit down in the same room and discuss the strengths of their programs.

In the future, coordinators hope that the schools replicate one another's health programs and learn from one another, creating a hub-for-health environment.


Through discussions with school superintendents and staff, various barriers were identified that have kept them from being able to move forward with their health goals and program ideas:

  • Finding sufficient funding for projects
  • Finding enough time to train staff, coordinate their schedules, and implement the programs
  • Getting people to schools so they can help with the programs (transportation issues)
  • Recruiting staff to participate in programming, since their schedules are already busy
  • Finding enough space for initiatives to take place
  • Trying to take on too much at once (mission overreach)


The project began by surveying local organizations to determine which services were being offered in the schools and which projects were successful. Next, project coordinators brought the results of those surveys to school superintendents and scheduled an individual conference call with each superintendent to discuss the project, review the survey results, and determine each superintendent's level of commitment to the project.

Coordinators also discussed the superintendents' current projects and future goals as well as barriers for health programming in schools. This discussion allowed coordinators to familiarize themselves with schools' improvement plans so they could align their goals with the administrators' goals.

When they met with administrators, coordinators made sure to:

  • Set a clear agenda for the meeting
  • Value the administrators' time
  • Allow superintendents to share their strengths
  • Recognize that health may not be the administrators' top priority for their schools
  • Help superintendents determine their own goals without being prescriptive

The ultimate goal of this project is for school districts to share with other schools the projects they are working on and the successes they have had in order to help them replicate the programs. A proposed way of accomplishing this is to get "health" as an agenda item on the superintendents' meetings to help facilitate cross-dialogue.

Contact Information

Meredith Erlewine, Creating Healthy Communities Coordinator
Athens City-County Health Department

Children and youth
Community and faith-based initiatives
Wellness, health promotion, and disease prevention

States served

Date added
March 3, 2017

Date updated or reviewed
May 23, 2023

Suggested citation: Rural Health Information Hub, 2023. Schools as a Hub for Health [online]. Rural Health Information Hub. Available at: [Accessed 18 June 2024]

Please contact the models and innovations contact directly for the most complete and current information about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural community should consider whether a particular project or approach is a good match for their community’s needs and capacity. While it is sometimes possible to adapt program components to match your resources, keep in mind that changes to the program design may impact results.