Rural Project Examples: Wellness, health promotion, and disease prevention
Promising Examples
School-Based Health Center Dental Outreach
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.
Communities that Care Coalition
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.
Healthy Early Learning Project (HELP)
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.
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.
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
High Rockies Harm Reduction
Updated/reviewed October 2026
- Need: To reduce drug overdose deaths and the spread of infectious diseases in rural Colorado.
- Intervention: This program provides harm reduction and peer support to people who use drugs and to their loved ones.
- Results: This program provided Narcan training to 465 individuals and distributed 2,333 doses of naloxone and 1,813 fentanyl test strips in 2025.
Auburn University Rural Health Initiative
Updated/reviewed June 2026
- Need: To expand healthcare access in rural Alabama communities.
- Intervention: The Auburn University Rural Health Initiative is working with communities across Alabama to develop a healthcare model that includes primary care, substance use disorder treatment and mental health treatment via state-of-the-art telehealth technologies, coupled with health and wellness programs and services provided by faculty and students.
- Results: To date, there are five telehealth care stations open, located in LaFayette, Boligee, Akron, Catherine, and Gainesville, Alabama. These stations have impacted over 8,207 individuals, with 284 community events, 3,565 patient consultations, and 50 new health ambassadors.
Cold Water Safety Children and Youth Educator Program
Updated/reviewed April 2026
- Need: Drowning was a leading cause of death for children in Alaska.
- Intervention: Cold Water Safety and Survival for Educators workshops were developed in 1998, with help from a 4-year federal grant, to train educators to provide education and hands-on skills for school children and members of the public.
- Results: The safety program was integrated into about 79% of Alaskan school curriculum and schools in other states, helping to train hundreds of educators and thousands of children on the importance of cold water safety.
Building Resilient Families Project
Added March 2026
- Need: To help Federally Qualified Health Centers (FQHCs) and home visiting programs reduce smoking rates in rural Yuba County, California.
- Intervention: A five-year initiative helped FQHCs with integrating tobacco user identification and cessation referral protocols and helped home visiting programs with tobacco screening and family wellness education.
- Results: FQHCs and family-serving agencies achieved systems-level change through comprehensive tobacco-free policies, human resources procedures, and client screening protocols.
For examples from other sources, see:
