These stories feature model programs and successful rural projects that can serve as a
source of ideas. Some of the projects or programs may no longer be active. Read about the
criteria and evidence-base
for programs included.
Need: Population-based rates of adult vaccinations and cancer screenings are low. Delivery rates are lower still in low-income and minority communities.
Intervention: SPARC was established to develop and test new community-wide strategies to increase the delivery of clinical preventive services.
Results: Across the United States in both rural and urban communities, SPARC programs, which broaden the delivery of potentially life-saving preventive services, have been successfully launched, improving residents' health.
Need: Agencies in Schoharie County, New York were seeing a widespread trend of Adverse Childhood Experiences (ACEs) in children and families they served.
Intervention: The Schoharie ACEs Team was formed as a way to educate rural communities about ACEs, the brain science behind it, and ways to build resiliency.
Results: The ACEs Team has put on 4 half-day educational conferences and 10 trainings for various groups across the region, trained 3 school districts on trauma-informed care, and provided resources for families exposed to trauma.
Need: Two rural upstate New York counties struggled to provide necessary public health leadership and services amid a fluid environment with rising costs and funding limitations.
Intervention: The Genesee County and Orleans County health departments began a cross jurisdictional sharing relationship that integrated select functions and services, beginning with sharing a director and deputy director.
Results: By sharing personnel and functions, management personnel costs have been cut in half and both counties have saved over $1 million for the counties combined.