Rural Project Examples Addressing Population health

Added March 2026

Need: To help North Dakotans with health challenges bridge financial gaps to promote independence and improve quality of life.
Intervention: North Dakota Association for the Disabled (NDAD) offers direct financial assistance, prescription medications, home modification, vehicle accessibility, and other resources to reduce out-of-pocket costs for essential medical needs.
Results: In 2025, NDAD loaned 6,005 pieces of healthcare equipment to 3,141 people for a savings of $576,634 and awarded $250,742 in funding to 30 organizations to assist individuals with disabilities or at-risk individuals.

Added February 2026

Need: To improve hypertension in rural Iowa patients.
Intervention: Promise Community Health Center offers team-based care to help patients manage hypertension.
Results: The center increased its hypertension control rate from 73% in 2022 to 84% in 2024.

Updated/reviewed February 2026

Need: To educate people in rural Virginia who either have diabetes or are considered at high risk for developing it.
Intervention: Teleconferencing technology is used to offer diabetes education programs to people with diabetes or those at high risk for developing it. Health professionals are also indirectly trained in diabetes care and management.
Results: Participants reported better prevention practices and/or self-management of diabetes after being thoroughly educated about this condition.

Updated/reviewed January 2026

Need: To promote mental health and prevent substance use disorders in rural Oregon, Washington, Idaho, and Alaska.
Intervention: Coast to Forest strengthened local capacity through training, technical assistance, education, and community partnerships.
Results: Since the project's launch in 2020, it trained over 800 individuals across the Pacific Northwest in Mental Health First Aid, developed 100 county-level resource guides, organized a series of Community Conversations in five rural Oregon counties, and more.

Updated/reviewed January 2026

Need: To improve people's health in a rural 16-county region in Illinois.
Intervention: A coalition of local health departments and healthcare facilities coordinates regional efforts, which are implemented locally by health community coalitions.
Results: HSIDN has created toolkits, developed resource guides, and provided wellness trainings, among other initiatives.

Updated/reviewed January 2026

Need: Rural cancer survivors report lower levels of physical activity and higher rates of psychosocial distress compared to their urban counterparts.
Intervention: Researchers collaborated with a rural-serving organization in northeast Texas to test a 3-month intervention which enhanced an existing exercise program with behavioral health education, yoga, and home-based exercise components.
Results: Program participants were twice as likely to report meeting physical activity recommendations at post-intervention than participants in a control group and reported significant reductions in psychosocial distress.

Updated/reviewed January 2026

Need: In 2006, Pennsylvania agricultural producers and farmworker population needed guidance for Environmental Protection Agency agricultural pesticide safety compliance.
Intervention: In collaboration with Pennsylvania State University agriculture and pesticide experts, the Pennsylvania Office of Rural Health developed a comprehensive education and technical assistance outreach program with materials — including videos — to provide updated compliance information in a language- and custom-appropriate format.
Results: Continuing today with funding through the Pennsylvania Department of Agriculture, the program is delivered by a Worker Protection Standard (WPS) Specialist who provides the following: WPS technical and compliance assistance to nearly 2,000 farms, greenhouses, nurseries, orchards and other agricultural production sites and conference and event presentations and exhibits reaching thousands.

Updated/reviewed November 2025

Need: To create initiatives in rural Pennsylvania communities to address locally-identified health disparities.
Intervention: Healthy Adams County was created by Adams County residents to promote community-wide health.
Results: Community task forces have been formed to address healthcare access, female cancers, food policies, behavioral health, children's health & nutrition, domestic violence/sexual assault, and other community-identified needs.

Updated/reviewed November 2025

Need: Improved health outcomes for Monadnock Region, a rural area of New Hampshire.
Intervention: A wide-scale effort across multiple sectors is aiming to improve health outcomes throughout the region.
Results: Community health trends have been tracked over time, and progress on goals such as increasing the number of residents with healthcare coverage, opportunities for physical activity, access to healthy foods, and smoking cessation has been made.

Updated/reviewed November 2025

Need: To support pregnant and parenting women with a history of substance use, mental health, or co-occurring disorders in rural areas of Montana.
Intervention: One Health, a consortium of Federally Qualified Health Centers (FQHCs), developed a team of "recovery doulas" – individuals who are dual-certified as doulas and peer-support specialists. The One Health recovery doula program offers group and individual services to women and their partners from pregnancy through the first years of parenthood.
Results: A team of four recovery doulas (or doulas-in-training) employed by One Health offer services in 8 rural eastern Montana counties. One Health has also successfully trained and certified 35 Peer Recovery Doulas statewide through their Peer Recovery Doula certification curriculum.

Rural Project Examples: Population health