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Trends in Local Health Department Programming and Funding

Explore the latest data trends in local health department programming and funding from NACCHO’s national surveys. Learn about shifts in programs, workforce, and budget cuts impacting public health initiatives.

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Trends in Local Health Department Programming and Funding

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  1. <?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><AllResponses /> <?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>255,255,0</gridFillColor><gridOpacity>50%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Red</insertObjectUsingColor><showResults>Yes</showResults><teamColors>Use PowerPoint Color Scheme</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>All Slides</showControlBar><defaultCorrectPointValue>0</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName></Settings> <?xml version="1.0"?><AllAnswers /> Trends in Local Health Department Programming and FundingResults from NACCHO’s National Profile of Local Health Departments and Job Losses and Program Cuts Surveys Sarah Newman, MPH Research and Evaluation Analyst Jan Wilhoit Program Manager

  2. Presentation Outline • What is NACCHO? • Overview of NACCHO’s Data Collection: National Profile of Local Health Departments Survey and Job Losses and Program Cuts Survey • Trends in Local Health Departments • - Programs and Activities • - Workforce • - Budget Cuts • Discussion

  3. What is NACCHO? • Local health departments are the first level of defense protecting the country’s health. • NACCHO is the national non-profit membership association representing the nation’s 2,800 local health departments. • - Leader, partner, catalyst, and voice for local health departments • NACCHO supports local health departments by making information, practical field-tested tools, and innovative model practices easily accessible.

  4. NACCHO Data Collection • National Profile of Local Health Departments • Examines funding, staffing, governance, and activities of local health departments • NACCHO has conducted 7 National Profile of Local Health Department Studies: 1989-1990, 1992, 1996, 2005, 2008, 2010, 2013 • Response rates ranged from 79-83% • Job Losses and Program Cuts Survey • Developed in response to the economic downturn in 2008 • NACCHO has conducted 8 Waves of the survey since 2008 • Response rates ranged from 63-82% (excluding Wave 1)

  5. Trends in Local Health Department Programming

  6. Percent of Local Health Departments Providing Population-Based Primary Prevention Services (2013) Source: 2013 National Profile of Local Health Departments

  7. Percent of Local Health Departments Providing Select Clinical Services (2005 to 2013) Source: 2005, 2008, 2010, and 2013 National Profiles of Local Health Departments

  8. Percent of Local Health Departments Involved in Outreach and Enrollment for Medical Insurance (2005 to 2013) Source: 2005, 2008, 2010, and 2013 National Profiles of Local Health Departments

  9. Percent of Local Health Departments with Program Cuts in at Least One Area (2008 to 2012) Source: NACCHO’s Job Losses and Program Cuts Surveys

  10. Percent of Local Health Departments that Reduced or Eliminated Programs (2011 to 2012) Source: NACCHO’s Job Losses and Program Cuts Surveys

  11. Percent of Local Health Departments that Reduced or Eliminated Programs (2011 to 2012) Source: NACCHO’s Job Losses and Program Cuts Surveys

  12. Percent of Local Health Departments that Reduced or Eliminated Programs (2011 to 2012) Source: NACCHO’s Job Losses and Program Cuts Surveys

  13. Percent of Local Health Departments Reporting Cuts in Clinical Health Services (2009 to 2012) Source: NACCHO’s Job Losses and Program Cuts Surveys

  14. Trends in Local Health Department Workforce

  15. Occupations of Local Health Department Employees (2013) Source: 2013 National Profile of Local Health Departments

  16. Occupations of Local Health Department Employees (2013) Source: 2013 National Profile of Local Health Departments

  17. Occupations of Local Health Department Employees (2013) Source: 2013 National Profile of Local Health Departments

  18. Percent of Local Health Departments Employing Public Health Physicians (1989 to 2013) Source: 1989, 2005, 2008, 2010, and 2013 National Profiles of Local Health Departments

  19. Median Number of Public Health Physicians Employed in Local Health Departments (2013) Source: 2013 National Profile of Local Health Departments

  20. Median Number of Public Health Physicians Employed in Local Health Departments (2013) Source: 2013 National Profile of Local Health Departments

  21. Median Number of Public Health Physicians Employed in Local Health Departments (2013) Source: 2013 National Profile of Local Health Departments

  22. Local Health Department Workforce Losses (2008 to 2012) Source: NACCHO’s Job Losses and Program Cuts Surveys

  23. Percent of Local Health Departments Losing Workforce Capacity (2010 to 2012) Source: NACCHO’s Job Losses and Program Cuts Surveys

  24. Changes in Size of the Local Health Department Workforce (2008 to 2013) Source: 2008 and 2013 National Profiles of Local Health Departments

  25. Changes in Size of the Local Health Department Workforce (2008 to 2013) Source: 2008 and 2013 National Profiles of Local Health Departments

  26. Changes in Size of the Local Health Department Workforce (2008 to 2013) Source: 2008 and 2013 National Profiles of Local Health Departments

  27. Changes in Size of the Local Health Department Workforce (2008 to 2013) Source: 2008 and 2013 National Profiles of Local Health Departments

  28. Changes in Size of the Local Health Department Workforce (2008 to 2013) Source: 2008 and 2013 National Profiles of Local Health Departments

  29. Changes in Size of the Local Health Department Workforce (2008 to 2013) Source: 2008 and 2013 National Profiles of Local Health Departments

  30. Trends in Local Health Department Budgets

  31. Percent of Local Health Departments Reporting Lower Budgets (2008 to 2013) Source: NACCHO’s Job Losses and Program Cuts Surveys

  32. Percent of Local Health Departments with Lower Budget than Previous Year (2009) • More than half of local health departments reported budget cuts in 13 states

  33. Percent of Local Health Departments with Lower Budget than Previous Year (Late 2010) • More than half of local health departments reported budget cuts in 17 states

  34. Percent of Local Health Departments with Lower Budget than Previous Year (2011) • More than half of local health departments reported budget cuts in 15 states

  35. Percent of Local Health Departments with Lower Budget than Previous Year (2012) • More than half of local health departments reported budget cuts in 5 states

  36. Conclusion • Local health departments provide essential programs and services to protect the health of the communities they serve. • Effects of the economic downturn has remained with local health departments long after other sectors have seen improvement. • Local health departments will only be able to better serve their communities by expanding programs, not merely avoiding further cuts.

  37. Questions? Comments? • For more information about the National Profile Study of Local Health Departments, please visit our website: http://www.naccho.org/profile, or email us at profileteam@naccho.org

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