Public Health Finance

The sustainability of the governmental public health system depends on the financial health of state and local public health agencies. This is a challenge because public health programs and services are often provided in fiscally strapped environments (e.g., government revenue declines, budget reductions, economic recessions, unfunded mandates). NACCHO's research and engagement with local health departments (LHDs) across the country provides a national perspective on the local public health financial situation. This website provides resources to help LHDs sharpen their big picture understanding of local public health finance and enhance their individual organizational financial health.

Innovation Snapshots

NACCHO conducted a systematic literature review to uncover various ways in which local health departments and their partners use innovative financing approaches to address their community health needs, or to address limited funding. Additionally, NACCHO conducted key informant interviews with local health departments nationwide to develop a deeper understanding of these methods and gather case examples of each.

The Innovation Snapshots below describe the benefits, considerations, and case examples of the funding mechanisms.

501(c)(3) Backbones for Community Health Coalitions

Cross-jurisdictional Sharing

Community Based Organizations

Blending and Braiding Funding

Participatory Budgeting

Local Foundations

Webinar Series

To learn more about these innovations, participate in the Public Health Innovative Funding Mechanisms Webinar Series:

  • December 9, 2021: 501(c)(3), Community Based Organizations & Cross-jurisdictional Sharing - Recording
  • January 14, 2022: Blending and Braiding - Recording
  • February 10, 2022: Participatory Budgeting & Local Foundations - Recording

With support from the Centers for Disease Control and Prevention (CDC), NACCHO worked with JP Leider, PhD and Jason Orr, MPH to conduct interviews and develop case studies of three local health departments to understand how the federal grants and cooperative agreements from the CDC make their way to local health departments across the country. These case studies discuss the importance of characterizing requirements and synthesize learnings on delivering upon agreements and the impacts of facilitating and impeding requirements.

A multi-county health department in the Southeast region of the United States, serving a largely rural population greater than 200,000.

A midwest region of the United States, serving a semi-urban population greater than 200,000.

A local health department serving an urban population greater than one million.

Elearning course pic

Public Health Infrastructure

eLearning courses and programs to build financial knowledge

eLearning courses and programs to build financial knowledge and skills to support public health

Public Health Infrastructure

eLearning courses and programs to build financial knowledge

Public Health Infrastructure

What is a UCOA?

This website offers consistent financial reporting that helps make the evidence-based case for public health funding decisions.

Public Health Infrastructure

What is a UCOA?

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For more information on public health finance, you can email phisteam@naccho.org.

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