Background Paper

No. 77

Governmental Public Health: An Overview of State and Local Public Health Agencies
August 18, 2010


Eileen Salinsky, Consultant


The Patient Protection and Affordable Care Act significantly expands federal support for community prevention and public health. This paper describes the governmental public health infrastructure at both the state and local level in terms of organizational structure, activities, financing, workforce, partnerships, and performance improvement efforts.

Related Materials

See the related "Public Health Emergency Preparedness: Fundamentals of the 'System'” (Background Paper, April 3, 2002).

Also available from the Forum: "High Hopes: Public Health Approaches to Reducing the Need for Health Care" (Background Paper No. 78); "The Primary Care Safety Net: Strained, Transitioning, Critical" (Background Paper No. 79, September 28, 2010); "Focus on Reform: Public Health Provisions" (June 25, 2010); "Getting Real: Data Sources, the Evidence Base, and Strategies for Improving the Health of Communities" (Forum Session, September 24, 2010); "Unusual Suspects: Focusing on Nonmedical Determinants to Improve the Nation's Health" (Forum Session, November 5, 2010); and "Health Impact Assessments: What, Why, How, Who, Where?" (Forum Session, December 3, 2010).

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