Rural Project Examples Addressing Populations - Rural Health Information Hub

Updated/reviewed June 2025

Need: To improve maternal and birth outcomes in rural and underserved areas by increasing the number of family medicine physicians in these areas who have high-quality, evidence-based obstetrical care skills.
Intervention: The STRETCH-OB program trains a select number of family medicine residents at the University of Illinois College of Medicine Rockford each year to provide high-quality maternity care, including surgical obstetrical care.
Results: Four STRETCH-OB residents have graduated as of June 2025 and all have cesarean section privileges in their practice.

Updated/reviewed June 2025

Need: To create a safe space for youth and young adults, ages 14 to 25, in rural eastern Kentucky.
Intervention: The Sapling Center provides independent living skills education and offers a wide array of services as well as fun activities in a supportive environment.
Results: The 5 Sapling Center locations serve 50-75 teens and young adults every day.

Updated/reviewed June 2025

Need: Union Parish, a rural county in Louisiana, continues to experience elevated rates of youth suicide, bullying, mental health challenges, and risk behaviors, as confirmed by a 2024 Community Health Needs Assessment (CHNA).
Intervention: Union General Hospital, a Critical Access Hospital, started a program to educate students grade 4 through 12 on the negative effects of bullying, to foster positive social behavior, and to provide mental health support through school-based interventions.
Results: Over 3,500 students have learned how to recognize, report, and respond to bullying. The program's integration with broader community health priorities has strengthened mental health, reduced suicide attempts, and improved awareness of youth risk behaviors.

Updated/reviewed April 2025

Need: Lack of access to oral healthcare for children from limited-income families in the rural and urban areas of South Dakota.
Intervention: Delta Dental of South Dakota launched the Delta Dental Mobile Program in 2004 to expand access to oral healthcare services to children throughout the rural state.
Results: The Delta Dental Mobile Program has provided over $44 million in dental care to more than 73,000 South Dakota children.

Updated/reviewed April 2025

Need: To reduce teen dating violence in middle schools, high schools, and youth organizations by promoting healthy relationship behaviors and fostering a culture of respect among adolescents.
Intervention: Jana's Campaign offers prevention programs, including curricular and co-curricular activities, to highlight the 'red flags' and underlying causes of unhealthy dating relationships.
Results: Since 2013, 677 middle and high schools and more than 102,350 students in Kansas, Nebraska, Colorado, Missouri, Oklahoma, Texas, Oregon, Montana, and Washington State have benefited from these programs.

Updated/reviewed April 2025

Need: Neonatal Intensive Care Units (NICUs) across the state of South Carolina were purchasing breast milk from out-of-state milk banks for preterm infants.
Intervention: The Mother's Milk Bank of South Carolina (MMBSC) opened 25 sites in South Carolina for breast milk to be donated, safely pasteurized, and delivered to NICUs across the state.
Results: Over 24,320,167 ounces of milk have been donated to MMBSC depot sites and over 14,932,920 ounces of milk have been delivered to South Carolina NICUs.

Updated/reviewed January 2025

Need: To increase access to healthy foods in two rural Nevada counties.
Intervention: HCC and the Rural Health and Nutrition Initiative (RHNI) run food pantries, assist with community and school gardens, and have a farmers market during the summer.
Results: The three food pantries together serve about 3,600 people and distribute over 100,000 pounds of food each month.

Added December 2024

Need: To provide basic pregnancy-related and preventive health services to women in the Texas Rio Grande Valley.
Intervention: A mobile clinic travels to different communities and provides basic preventive care, contraception, and pregnancy testing and ultrasounds.
Results: Since the program began, clinical staff have provided services to nearly 6,000 women.

Updated/reviewed December 2024

Need: To bring low-cost water and sanitation improvements to homes in tribal villages in Alaska without access to piped water or sewer systems.
Intervention: The Portable Alternative Sanitation System (PASS) treats hauled water, provides for handwashing with clean water, and disposes waste without traditional piping.
Results: Residents in the pilot project reported that PASS was cleaner and healthier than the self-haul method.

Updated/reviewed December 2024

Need: To develop teen leaders, build self-confidence, and lower teen pregnancy rates in Marlboro County, South Carolina.
Intervention: Tea Time with Teens brings together community leaders, mothers, and daughters to build life skills and make healthy decisions. In addition, the program sponsors a middle school club and has an extension program for young women.
Results: Since 2009, the program has been educating teens on making healthy choices and adults on having meaningful conversations with teens.

Rural Project Examples: Populations