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Rural Health Information Hub

Rural Project Examples: Population health

Effective Examples

funded by the Federal Office of Rural Health Policy funded by the Health Resources Services Administration

Updated/reviewed April 2025

  • Need: To increase access to medical screening for miners in New Mexico.
  • Intervention: A mobile screening clinic with telemedicine capability screens miners for respiratory and other conditions.
  • Results: In a survey, 92% of miners reported their care as very good, while the other 8% reported it as good. The program has expanded to three other states.

Updated/reviewed March 2025

  • Need: To develop sustainable, community-wide prevention methods for cardiovascular diseases in order to change behaviors and healthcare outcomes in rural Maine.
  • Intervention: Local community groups and Franklin Memorial Hospital staff studied mortality and hospitalization rates for 40 years in this rural, low-income area of Farmington to seek intervention methods that could address cardiovascular diseases.
  • Results: A decline in cardiovascular-related mortality rates and improved prevention methods for hypertension, high cholesterol, and smoking.

Updated/reviewed March 2025

  • Need: Due to West Virginia's high ranking for its use of smokeless tobacco, prevention and cessation education efforts were needed.
  • Intervention: Development and implementation of the Spit It Out-West Virginia program.
  • Results: Supported by a 2008-2010 grant allowing the program to be delivered to hundreds of people, 5 workplaces became tobacco free. The program continues to be delivered across the state and reaches hundreds with its face-to-face presentations and thousands with its specific media prevention and cessation messages.
funded by the Federal Office of Rural Health Policy

Updated/reviewed August 2024

  • Need: Expand healthcare access for the more remote residents of 3 frontier counties in north central Idaho.
  • Intervention: With early federal grant-funding, a consortium of healthcare providers and community agencies used a hybrid Community Health Worker model to augment traditional healthcare delivery services in order to offer a comprehensive set of health-related interventions to frontier area residents.
  • Results: With additional private grant funding, success continued to build into the current model of an established and separate CHW division within the health system's population health department.
funded by the Federal Office of Rural Health Policy

Updated/reviewed February 2024

  • Need: To improve awareness of behavioral and mental health issues by students in rural, east central Mississippi.
  • Intervention: An intensive community mental health outreach program was implemented for students in rural Mississippi.
  • Results: As of 2018 and on a yearly basis, 6,000 7th and 8th grade students receive mental health education on a variety of topics which improves their ability to recognize mental health issues, high risk behaviors, and manage their own choices.
funded by the Federal Office of Rural Health Policy

Updated/reviewed November 2018

  • Need: To reduce obesity among adults in rural east central Ohio.
  • Intervention: Fit for Life Replication Project for Expansion was developed to make it possible to lose weight through practicing healthier lifestyle behaviors.
  • Results: Out of the 443 adults who have completed the program, 81% experienced weight loss, a tangible result of the program's overarching goal to enhance levels of health and fitness.

Promising Examples

funded by the Federal Office of Rural Health Policy

Updated/reviewed January 2026

  • Need: Improve the oral health of children age 3-17 in rural areas of Louisiana.
  • Intervention: Leveraging 2012-2018 federal grant support, participating Federally Qualified Health Centers with school-based nurse practitioners were trained in oral health assessments and fluoride varnish application. When needed, dental referrals were also made. Interventions were tracked by dental case managers.
  • Results: After grant cycle completion, these oral health interventions are now fully integrated into routine school-based care health examinations with intervention data included in required annual reporting.

Updated/reviewed September 2025

  • Need: To improve the health and well-being of young people in the rural area of Massachusetts's Franklin County and North Quabbin, and to reduce youth drug and alcohol use.
  • Intervention: A community-based prevention coalition was formed to improve youth health and well-being and reduce youth drug and alcohol use. The coalition brings together stakeholders from across the community and uses the Communities That Care evidence-based community planning system.
  • Results: CTC has seen significant reductions in substance abuse among local youth in the 30 rural towns they serve.

Updated/reviewed September 2025

  • Need: To increase healthy eating and physical activity levels in Fairfield County, South Carolina.
  • Intervention: Community health advisors trained church committees and delivered telephone-based technical assistance to improve opportunities, guidelines, messages, and pastor support for physical activity and healthy eating.
  • Results: In a 2018 study, churchgoers reported seeing more opportunities for physical activity as well as more messages and pastor support for physical activity and healthy eating. Intervention churches also had fewer inactive churchgoers, compared to control churches.
funded by the Federal Office of Rural Health Policy

Updated/reviewed September 2025

  • Need: An ongoing health need to alleviate early childhood obesity in the rural Kansas counties of Marshall and Nemaha.
  • Intervention: 5 distinct physical and nutritional programs were introduced to 9 preschool sites through the overarching Healthy Early Learning Project (HELP).
  • Results: HELP comprehensively increased children's physical activity and healthy food consumption and established a sustainable presence at each preschool site.