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HEALTHY PEOPLE 2010
Improving the Public Health Infrastructure
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Goal:
Assure the public health infrastructure at the Federal, state, and local levels has the
capacity to provide essential public health services to the citizens of the nation.
Healthy People 2000 did not have a specific focus
area on the public health infrastructure. In Healthy People 2000, Objective
8.14 indirectly addressed the public health infrastructure--AIncrease to at least
90% the proportion of people who are served by a local health department that is
effectively carrying out the core functions of public health.@ The core
functions of public health were defined in the 1988 IOM report as assessment,
policy development and assurance. This objective, while not continued in
Healthy People 2010, has been the basis for all infrastructure objectives listed
below. Efforts to better define, achieve, and measure this objective have
contributed to a more complete description of the public health infrastructure and
to more detailed and expanded public health infrastructure goals for HP
2010.
This chapter was developed as a collaborative effort
by over 100 persons representing Federal agencies; national, state and local public
health officials and organizations; academia; foundations; elected health officials
(e.g., local boards of health); and other interested groups who worked collectively to
define and understand the public health infrastructure. The objectives
detailed below identify specific areas needed to strengthen the public health
infrastructure.
As this chapter is a new area, most of the objectives
are developmental. Sources of data for measuring achievement will need to
be developed. Many data systems currently collect some information on the
public health infrastructure, but by the year 2005, data collection systems will be in
place to measure the objectives.
Publications:
The Principles of Community Engagement
The Principles of Community Engagement guidance document is designed to link theory
and principles of effective community engagement to the practice of community
health decisionmaking and community action. This guidance will assist community
leaders and CDC/ATSDR programs to articulate and apply key principles that must
be addressed while planning and implementing a community engagement activity in
areas such as planning, service implementation, or policy advocacy. By
understanding principles of community engagement, local leaders will be better
prepared to use existing community mobilization and participatory planning models
that currently exist. Eight CDC CIOs, and ATSDR have participated in this project.
This steering committee partnership was created to promote the useability of the
guidance document in all CDC and ATSDR community efforts. The collaborating
CIOs are PHPPO, NIP, NCID, NCHSTP, EPO, NCIP, NCEH, and NCCDPHP.
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This page last reviewed: July 1, 2003
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