Rural Health
Resources by Topic: Infrastructure
Delta Regional Authority - 25 Years of Impact, 2000-2025
Discusses the Delta Regional Authority's strategic investments, programming, and initiatives from 2000-2025. Focuses on critical and human infrastructure, public works, capacity building, workforce opportunities and health system improvements in rural areas, and more.
Date: 08/2026
Sponsoring organization: Delta Regional Authority
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Discusses the Delta Regional Authority's strategic investments, programming, and initiatives from 2000-2025. Focuses on critical and human infrastructure, public works, capacity building, workforce opportunities and health system improvements in rural areas, and more.
Date: 08/2026
Sponsoring organization: Delta Regional Authority
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Underground Power Lines in Pennsylvania
Reviews the structure of the electrical grid and the reliability of electric service in Pennsylvania. Discusses common causes of outages, financial and health impacts associated with outages, and the impact of severe weather on the electric grid. Mentions rural throughout.
Additional links: Summary
Author(s): Bryan W. DeWalt, Jae Wan Ahn, Karen Maynard, Richard Hoey, Wendy L. Baker
Date: 08/2026
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Reviews the structure of the electrical grid and the reliability of electric service in Pennsylvania. Discusses common causes of outages, financial and health impacts associated with outages, and the impact of severe weather on the electric grid. Mentions rural throughout.
Additional links: Summary
Author(s): Bryan W. DeWalt, Jae Wan Ahn, Karen Maynard, Richard Hoey, Wendy L. Baker
Date: 08/2026
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Most USDA, Rural Development Program Funding from 2000 Through 2024 Was Dedicated to Single Family Housing
Offers a pie chart breakdown of funding shares for the U.S. Department of Agriculture's Rural Development programs between 2000 and 2024.
Author(s): Anil Rupasingha, James C. Davis
Date: 08/2026
Sponsoring organization: USDA Economic Research Service
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Offers a pie chart breakdown of funding shares for the U.S. Department of Agriculture's Rural Development programs between 2000 and 2024.
Author(s): Anil Rupasingha, James C. Davis
Date: 08/2026
Sponsoring organization: USDA Economic Research Service
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Federally Supported Projects and Programs for Wastewater, Drinking Water, and Water Supply Infrastructure
Provides an overview of federally-funded water infrastructure projects, including those in rural areas, as well as programs that provide community support for these types of projects and related activities. Includes information on the federal cost-share, average amount of assistance, fiscal year 2021 funding level, and fiscal year 2026 appropriations highlights for each program.
Date: 08/2026
Sponsoring organization: Congressional Research Service
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Provides an overview of federally-funded water infrastructure projects, including those in rural areas, as well as programs that provide community support for these types of projects and related activities. Includes information on the federal cost-share, average amount of assistance, fiscal year 2021 funding level, and fiscal year 2026 appropriations highlights for each program.
Date: 08/2026
Sponsoring organization: Congressional Research Service
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Rural Water Infrastructure: Better Agency Coordination Could Help Unserved Communities Address Their Needs
Discusses issues related to rural water infrastructure, including what the U.S. Department of Agriculture (USDA) and the U.S. Environmental Protection Agency (EPA) know about rural communities not served by drinking water or wastewater utilities. Describes USDA and EPA programs that can provide financial and technical assistance to rural communities for water infrastructure, how the agencies prioritize these communities, and challenges rural unserved communities face in accessing financial and technical assistance from USDA and EPA. Offers recommendations to USDA and EPA regarding increasing access to water infrastructure funding and technical assistance.
Additional links: Full Report
Date: 06/2026
Sponsoring organization: Government Accountability Office
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Discusses issues related to rural water infrastructure, including what the U.S. Department of Agriculture (USDA) and the U.S. Environmental Protection Agency (EPA) know about rural communities not served by drinking water or wastewater utilities. Describes USDA and EPA programs that can provide financial and technical assistance to rural communities for water infrastructure, how the agencies prioritize these communities, and challenges rural unserved communities face in accessing financial and technical assistance from USDA and EPA. Offers recommendations to USDA and EPA regarding increasing access to water infrastructure funding and technical assistance.
Additional links: Full Report
Date: 06/2026
Sponsoring organization: Government Accountability Office
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Assessing Homeowner Perspectives and Barriers to Maintenance of On-Lot Septic Systems in Rural Pennsylvania
Results of a study surveying septic system users in Pennsylvania in 2024 and 2025 to assess whether residents follow current maintenance guidelines, to examine barriers and needs for proper maintenance, and to evaluate water contaminants in private water sources. Features statistics including age of systems, pumping frequency, and contaminant detection frequencies of water samples, including drinking water.
Additional links: Legislative Brief
Author(s): Faith A. Kibuye, Andy Yencha, Susan Boser
Date: 06/2026
Sponsoring organization: Center for Rural Pennsylvania
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Results of a study surveying septic system users in Pennsylvania in 2024 and 2025 to assess whether residents follow current maintenance guidelines, to examine barriers and needs for proper maintenance, and to evaluate water contaminants in private water sources. Features statistics including age of systems, pumping frequency, and contaminant detection frequencies of water samples, including drinking water.
Additional links: Legislative Brief
Author(s): Faith A. Kibuye, Andy Yencha, Susan Boser
Date: 06/2026
Sponsoring organization: Center for Rural Pennsylvania
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Wisconsin State Health Assessment 2025
Provides an overview of population health in Wisconsin, focusing on demographics, social determinants of health, health behaviors, health outcomes, and community health infrastructure. Includes rural versus urban and county-level data points and discusses key health issues in Wisconsin.
Date: 05/2026
Sponsoring organization: Wisconsin Department of Health Services
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Provides an overview of population health in Wisconsin, focusing on demographics, social determinants of health, health behaviors, health outcomes, and community health infrastructure. Includes rural versus urban and county-level data points and discusses key health issues in Wisconsin.
Date: 05/2026
Sponsoring organization: Wisconsin Department of Health Services
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States Find Innovative Ways to Support Rural and Small Water Systems
Discusses strategies that state have implemented to provide clean and affordable water to rural communities. Highlights maintenance costs of small water systems, funding challenges, and provides successful practices for states to support local water systems.
Date: 05/2026
Sponsoring organization: Pew
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Discusses strategies that state have implemented to provide clean and affordable water to rural communities. Highlights maintenance costs of small water systems, funding challenges, and provides successful practices for states to support local water systems.
Date: 05/2026
Sponsoring organization: Pew
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Controlled, Before-and-After Analysis and Pre–Post Surveys to Assess the Effects of a Community-Wide Sanitation System on Environmental Contamination, Infection Risk and Well-Being in Alabama's Black Belt: Study Protocol
A study protocol focused on implementation of a community-wide sanitation system in a rural area of Alabama. Utilizes controlled, before-and-after (CBA) data collection of pathogens and bacteria to analyze impact of sanitation systems on public health and well-being.
Author(s): Olivia A. Harmon, Megan E. J. Lott, David A. Holcomb, et al.
Citation: BMJ Open, 16(4), e108477
Date: 04/2026
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A study protocol focused on implementation of a community-wide sanitation system in a rural area of Alabama. Utilizes controlled, before-and-after (CBA) data collection of pathogens and bacteria to analyze impact of sanitation systems on public health and well-being.
Author(s): Olivia A. Harmon, Megan E. J. Lott, David A. Holcomb, et al.
Citation: BMJ Open, 16(4), e108477
Date: 04/2026
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Implementation of Change Club Action Plans to Promote Built Environment Change in Rural Communities
Examines implementation of policy, systems, and environmental (PSE) strategies to improve public health infrastructure in rural areas. Analyzes implementation of the Cooperative Extension-led Change Club (CC) community project in rural areas of Texas and New York which focuses on improving PSE interventions and built environments.
Author(s): Meredith L. Graham, Emma C. Lewis, Deyaun L. Villarreal, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 23, 49
Date: 03/2026
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Examines implementation of policy, systems, and environmental (PSE) strategies to improve public health infrastructure in rural areas. Analyzes implementation of the Cooperative Extension-led Change Club (CC) community project in rural areas of Texas and New York which focuses on improving PSE interventions and built environments.
Author(s): Meredith L. Graham, Emma C. Lewis, Deyaun L. Villarreal, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 23, 49
Date: 03/2026
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