Local Health Department Research

NACCHO regularly collects data to gain a better understanding of the local public health infrastructure and practice. Our research and evaluation studies provide the most up-to-date information on local health departments in the United States.

Profile report cover

Public Health Infrastructure

National Profile of Local Health Departments

The Profile study represents the largest, most reliable data source on local health departments.

Public Health Infrastructure

National Profile of Local Health Departments

Public Health Infrastructure

Forces of Change

The Forces of Change assesses the impact of a variety of public health trends affecting change in local health departments.

Public Health Infrastructure

Forces of Change

Public Health Infrastructure

2022 National Profile of LHDs Study Report

This chartbook provides a compendium of results from the 2022 Profile study, which describes LHD infrastructure and practice.

Public Health Infrastructure

2022 National Profile of LHDs Study Report

Public Health Infrastructure

The Local Public Health Landscape during the COVID-19 Era

This infographic features data on LHD capacity and activities throughout the pandemic.

Public Health Infrastructure

The Local Public Health Landscape during the COVID-19 Era

Public Health Infrastructure

2020 Forces of Change Survey Report

This report provides results from the 2020 Forces of Change survey of the mid-pandemic capacity and capabilities of LHDs.

Public Health Infrastructure

2020 Forces of Change Survey Report

Public Health Infrastructure

2022 National Profile of LHDs Study Report

This chartbook provides a compendium of results from the 2022 Profile study, which describes LHD infrastructure and practice.

Public Health Infrastructure

2022 National Profile of LHDs Study Report

Public Health Infrastructure

Getting to the Good Place

This infographic highlights the strengths and gaps the 79 LHD respondents reported in the 2022 Local Public Health Ethics Capacity Assessment survey.

Public Health Infrastructure

Getting to the Good Place

Public Health Infrastructure

New LHO Training Needs Assessment Report

This report shares findings about the content areas and learning formats most effective for new LHOs' skills development.

Public Health Infrastructure

New LHO Training Needs Assessment Report

Public Health Infrastructure

Adaptive Leadership Evaluation Report

This report shares key findings from a five-year retrospective evaluation of NACCHO's Adaptive Leadership program.

Public Health Infrastructure

Adaptive Leadership Evaluation Report

Public Health Infrastructure

2017 Forces of Change Survey Report

This report shares findings about Zika response activities, multi-sectoral partnerships, and workforce recruitment efforts.

Public Health Infrastructure

2017 Forces of Change Survey Report

Public Health Infrastructure

Leadership Characteristics by LHD Size and Rurality

This infographic describes the demographic characteristics of top executives among small, medium, and large LHDs.

Public Health Infrastructure

Leadership Characteristics by LHD Size and Rurality

Public Health Infrastructure

2022 National Profile of LHDs Study Report

This chartbook provides a compendium of results from the 2022 Profile study, which describes LHD infrastructure and practice.

Public Health Infrastructure

2022 National Profile of LHDs Study Report

Public Health Infrastructure

2018 Forces of Change Survey Report

This report describes overdose prevention, population health, flu preparedness, informatics, and environmental health activities.

Public Health Infrastructure

2018 Forces of Change Survey Report

Public Health Preparedness

2017 Epidemiology Capacity Assessment

This report from NACCHO and CSTE describes the numeric and functional applied public health epidemiology capacity among LHDs.

Public Health Preparedness

2017 Epidemiology Capacity Assessment

Invited Papers and Other Publications

  • Opportunities to support secondary data access needs among local health departments (JPHMP, JPHMP Direct)
  • Heterogeneity and interoperability in local public health information systems (JPHMP)

Public Health Infrastructure

National Profile of Local Health Departments

The Profile study represents the largest, most reliable data source on local health departments.

Public Health Infrastructure

National Profile of Local Health Departments

Public Health Preparedness

Preparedness Profile

This national survey gathers information about preparedness trends and issues at LHDs to inform priorities at the local, state, and national levels.

Public Health Preparedness

Preparedness Profile

Public Health Preparedness

Network Profile of the Medical Reserve Corps

This report presents the newest data on Medical Reserve Corps unit funding, partnerships, composition, activities, and capabilities.

Public Health Preparedness

Network Profile of the Medical Reserve Corps

Public Health Infrastructure

2022 National Profile of LHDs Study Report

This chartbook provides a compendium of results from the 2022 Profile study, which describes LHD infrastructure and practice.

Public Health Infrastructure

2022 National Profile of LHDs Study Report

Public Health Infrastructure

Resilience Catalysts in Public Health Infographic

This infographic describes the key findings from the national evaluation of the Resilience Catalysts in Public Health program.

Public Health Infrastructure

Resilience Catalysts in Public Health Infographic

Public Health Preparedness

2022 Preparedness Profile Study Report

This report provides a compendium of results from the 2022 Preparedness Profile study, which describes public health preparedness capacity.

Public Health Preparedness

2022 Preparedness Profile Study Report

Community Health

Health Equity Integration in Overdose Prevention Report

This report summarizes existing barriers and facilitators agencies face advancing health equity in their overdose prevention or response efforts.

Community Health

Health Equity Integration in Overdose Prevention Report

Public Health Infrastructure

2020 Forces of Change Survey Report

This report provides results from the 2020 Forces of Change survey of the mid-pandemic capacity and capabilities of LHDs.

Public Health Infrastructure

2020 Forces of Change Survey Report

Community Health

2018 Health and Disability Assessment Report

This report shares findings from an assessment about the practices, awareness, and inclusion of people with disabilities within LHD programs.

Community Health

2018 Health and Disability Assessment Report

Community Health

COVID-19 Impact on Pregnant and Postpartum Consumers Report

This report describes the impacts of COVID-19 on reproductive health decision-making and mental health during pregnancy.

Community Health

COVID-19 Impact on Pregnant and Postpartum Consumers Report

Public Health Infrastructure

2020 Forces of Change Survey Report

This report provides results from the 2020 Forces of Change survey of the mid-pandemic capacity and capabilities of LHDs.

Public Health Infrastructure

2020 Forces of Change Survey Report

Public Health Preparedness

The Role of LHDs in Pandemic Response

This infographic illustrates the capacity of LHDs to respond to a pandemic like COVID-19 using data from the Profile and Preparedness Profile studies.

Public Health Preparedness

The Role of LHDs in Pandemic Response

Community Health

Addressing the Intersection of Suicide, Overdose, and ACEs

This interactive visualization describes LHD capacities to address suicide, overdose, and adverse childhood experiences (ACEs).

Community Health

Addressing the Intersection of Suicide, Overdose, and ACEs

Community Health

2021 Overdose Prevention and Response Survey Report

This report summarizes data from a 2021 assessment about LHDs' capacity and activities to prevent and respond to the overdose epidemic.

Community Health

2021 Overdose Prevention and Response Survey Report

Public Health Infrastructure

2018 Forces of Change Survey Report

This report describes overdose prevention, population health, flu preparedness, informatics, and environmental health activities.

Public Health Infrastructure

2018 Forces of Change Survey Report

Environmental Health

RPS Mentorship Retrospective Evaluation

This fact sheet describes a 10-year retrospective evaluation of our Retail Food Program Standards (RPS) Mentorship program.

Environmental Health

RPS Mentorship Retrospective Evaluation

Environmental Health

2020 Vector Control Assessment Report

This report provides an overview of mosquito and tick-related activities at the local level since the assessment’s first iteration in 2017.

Environmental Health

2020 Vector Control Assessment Report

Environmental Health

All the Buzz about Local Vector Control Programs

This infographic highlights data from the 2020 assessment about vector surveillance and control capacity at the local level.

Environmental Health

All the Buzz about Local Vector Control Programs

Community Health

2023 Immunization Profile Study Report

This chartbook provides a compendium of results from a 2023 survey of LHD infrastructure and activities to address vaccine preventable diseases.

Community Health

2023 Immunization Profile Study Report

Community Health

COVID-19 Impact on Pregnant and Postpartum Consumers Report

This report describes the impacts of COVID-19 on reproductive health decision-making and mental health during pregnancy.

Community Health

COVID-19 Impact on Pregnant and Postpartum Consumers Report

Community Health

Tobacco Control Efforts in Rural America Report

This report highlights findings from a 2019 environmental scan of tobacco prevention and control activities among LHDs in rural communities.

Community Health

Tobacco Control Efforts in Rural America Report

Community Health

Physical Activity Programs and Policies Survey Report

This report describes the facilitators, challenges, lessons learned and resource needs of LHDs that are engaged in promoting physical activity.

Community Health

Physical Activity Programs and Policies Survey Report

Community Health

2019 HAI and AR Assessment Findings

This infographic describing the landscape of healthcare-associated infection (HAI) and antibiotic resistance (AR) activities conducted by LHDs.

Community Health

2019 HAI and AR Assessment Findings

Public Health Infrastructure

2017 Forces of Change Survey Report

This report shares findings about Zika response activities, multi-sectoral partnerships, and workforce recruitment efforts.

Public Health Infrastructure

2017 Forces of Change Survey Report

For more information about our various research projects, please reach out to our Research and Evaluation team at [email protected].

Research and Evaluation

Aaron Alford

Senior Director, Research & Evaluation

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Research and Evaluation

Timothy McCall

Director of Research

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Research and Evaluation

Debra Dekker

Director of Evaluation

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Research and Evaluation

Kellie Hall

Director of Data Communications

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Research and Evaluation

Krishna Patel

Lead Survey & Research Analyst

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Research and Evaluation

Daniel Pagan

Lead Analyst of Evaluation Methodology and Analytics

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Research and Evaluation

Margaret Cunningham

Lead Research Analyst

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Research and Evaluation

Rashel Rabinovich

Senior R & E Specialist

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Research and Evaluation

Janet Brown

Senior R&E Specialist

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Research and Evaluation

Lisseth Guerra

Senior Research & Evaluation Specialist

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Research and Evaluation

David Okereke

Senior R&E Specialist

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Research and Evaluation

Ninma Fearon

Sr. R&E Evaluation Specialist

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Research and Evaluation

Gwen Davis

Sr. R&E Specialist, Data Communication

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Research and Evaluation

Chloe Garofalini

Research & Evaluation specialist

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Research and Evaluation

Joi Lee

Research & Evaluation Specialist

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Research and Evaluation

Melissa Corporan

Research & Evaluation Specialist

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Research and Evaluation

Kassandra Ramsdell

R&E Specialist

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Public Health Preparedness Program

Khusbu Patel

Program Analyst, MRC

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