Rural Public Health Agencies – Models and Innovations
These stories feature model programs and successful rural projects that can serve as a source of ideas and provide lessons others have learned. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.
Updated/reviewed September 2020
- Need: To prevent new cases of HIV in rural Iowa.
- Intervention: TelePrEP provides preventive care via telehealth and prescription delivery.
- Results: Between February 2017 and August 2020, TelePrEP received 456 referrals, with 403 patients completing an initial visit.
Other Project Examples
Updated/reviewed August 2020
- Need: To increase access to healthcare throughout Alabama.
- Intervention: The Alabama Department of Public Health (ADPH) has created telehealth communications at county health departments.
- Results: ADPH telehealth services are currently available in 65 of 66 county health departments.
Updated/reviewed December 2019
- Need: Public health departments in Colorado's rural San Luis Valley region desired to share public health services to improve health outcomes in the region.
- Intervention: Six counties joined in a public health cross-jurisdictional sharing arrangement. The partnership has served as a forum for sharing and evaluating opportunities to improve health access and core public health services.
- Results: The partnership has enabled health departments to share expertise and develop regional projects to provide a broader range of public health services.
Updated/reviewed November 2019
- Need: Oral healthcare for low-income adults and children unable to obtain dental care in the Mid-Ohio Valley of West Virginia.
- Intervention: Public health dental hygienists act as gatekeepers, screening low-income clients and placing them with area dental providers who volunteer from their private practices to provide needed dental treatment.
- Results: Reduces the number of emergency department visits for dental pain and infections and provides a safety net for those unable to afford dental treatment.
Updated/reviewed April 2019
- Need: To expand public health and human services to adults living in rural West Central Missouri.
- Intervention: The Health Care Collaborative of Rural Missouri's Network organizes Project Connect events, a 1-day public health event that offers free public health and human services to underserved adults.
- Results: In 2018 alone, Project Connect events provided a total of 8,870 incidents of services to guests, a $302,000 value.
Updated/reviewed January 2019
- 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.
Updated/reviewed October 2018
- Need: To lessen the impact of chronic disease and associated complications in North Carolina.
- Intervention: Partners in Health and Wholeness, an initiative of the NC Council of Churches, is a faith-based program that integrates healthy living within congregations while offering financial support to launch or expand health initiatives.
- Results: Since its founding in 2009, over 500 churches have become a part of the PHW, many in rural areas, and over 375 mini-grants have been awarded to congregations.
Last Updated: 9/16/2020