Rural Project Examples: Population health
Promising Examples
Health Extension Regional Offices (HEROs)
Updated/reviewed May 2024
- Need: People in rural New Mexico often found it difficult to find and utilize needed resources from the University of New Mexico Health Sciences Center (UNMHSC).
- Intervention: UNMHSC created Health Extension Regional Offices (HEROs), in which HERO agents live in the communities they serve, help identify health and social needs, and link them with UNMHSC and other university resources.
- Results: In their regions, HERO agents' activities have been wide-ranging, including recruiting physicians, mobilizing research funds to address local priorities, working on economic development, training laypeople in Mental Health First Aid, and helping local institutions access UNMHSC resources.
Northeast Louisiana Regional Pre-Diabetes Prevention Program

Updated/reviewed March 2024
- Need: To prevent or slow the progression of diabetes for at-risk residents in Rural Northeast Louisiana.
- Intervention: The North Louisiana Regional Alliance developed a program that offered screenings, education, and an intense course for participants throughout the Northeast Louisiana region to lower the risk of diabetes.
- Results: The program saw an overall decrease in blood sugar levels in residents who participated in their initiatives.
ALProHealth
Updated/reviewed March 2023
- Need: To improve access to healthy food and physical activity in rural Alabama.
- Intervention: Researchers hold focus groups with community members to identify issues of the most concern and then help them implement appropriate interventions like installing playground equipment.
- Results: From 2014 to 2018, 14 coalitions implemented 101 interventions in 16 communities.
Contingency Management Smoking Cessation in Appalachia
Updated/reviewed June 2022
- Need: To reduce smoking rates of pregnant women and adolescents in Appalachian regions of eastern Kentucky and Ohio.
- Intervention: A web-based smoking cessation program that offered monetary incentives to reducing smoking.
- Results: Participants significantly reduced smoking rates or quit altogether.
School-Based Health Center Dental Outreach

Updated/reviewed July 2020
- Need: To improve the oral health status of children ages 3 to 17 living in rural areas of Louisiana.
- Intervention: School-based nurse practitioners perform oral health assessments, apply fluoride varnishes when indicated, and make dental referrals, with completion rates of the latter tracked by dental case managers.
- Results: Significant numbers of school children are receiving oral health examinations, fluoride varnish applications, and receiving care coordination to improve numbers of completed dental appointments.
Youth4Health

Updated/reviewed December 2019
- Need: To educate youth about obesity and healthy lifestyle choices.
- Intervention: An educational program about healthy living was implemented in Lincoln and Claiborne Parishes in Louisiana for youth ages 9-18.
- Results: Youth4Health program produced greater awareness and participation in healthier lifestyles by target youth and their families, as well as church congregations.
Other Project Examples
Rural Firefighters Delivering Agricultural Safety and Health (RF-DASH)
Updated/reviewed October 2025
- Need: To reduce injuries in agricultural communities and improve emergency responders' preparedness when called to farms and ranches.
- Intervention: RF-DASH equips rural fire/EMS personnel and others with agricultural health and safety knowledge and tools to pre-plan for agricultural emergencies as well as assess and then mitigate agricultural hazards.
- Results: Over 250 firefighters and EMTs have received training to become RF-DASH trainers.
Win With Wellness

Updated/reviewed October 2025
- Need: To reduce risk of obesity and chronic disease in rural northwest Illinois.
- Intervention: Win With Wellness (WWW) collaborated with community organizations and worksites to improve physical activity and eating behaviors and reduce weight among adults using a multi-component approach.
- Results: From 2015 to 2018, the two participating counties initiated 28 Take Off Pounds Sensibly (TOPS) groups with 367 participants. In the second round of funding, WWW recruited 183 participants for 9 TOPS groups and 8 community Heart-to-Heart sites.
Schools as a Hub for Health
Updated/reviewed September 2025
- Need: To improve health outcomes in rural Appalachian Ohio.
- Intervention: Schools as a Hub for Health promoted holistic wellness for the whole community by creating or bringing in programs that support physical, mental, and social health.
- Results: The project gained administrator buy-in and facilitated the development of a variety of health-focused school-based programs.
It's a Girl Thing: Making Proud Choices
Updated/reviewed June 2025
- Need: Teen pregnancy, sexually transmitted diseases, and mental health challenges in adolescent girls were concerns for members of Union Parish, Louisiana.
- Intervention: Union General Hospital, a Critical Access Hospital, created the program It's a Girl Thing: Making Proud Choices to teach prevention, self-confidence, personal responsibility, and mental well-being to teen girls.
- Results: Teen pregnancy rates in Union Parish have dropped by more than 40% since the start of the program, significantly exceeding the program's initial goal of 5%. Graduation rates have also increased. The addition of Together We Can Be Bully Free as an integral part of It's a Girl Thing has further expanded mental health support for participants.
For examples from other sources, see: