Strategies

What Works for Health includes evidence-informed strategies to create communities where everyone can thrive.

89 Strategies
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Multi-component workplace supports for active commuting

Provide physical infrastructure (e.g., bike parking or showers), educational or social support (e.g., walking groups), and financial incentives that support active commuting

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Diet and Exercise

Neighborhood associations

Establish voluntary formal groups of residents who work together to create a unified voice, enhance living conditions in their neighborhood, and address neighborhood concerns

Evidence Rating:
Expert Opinion
  • Family and Social Support

New grocery stores in underserved areas

Attract new grocery stores that sell a variety of fresh foods, baked goods, packaged, and frozen items to underserved areas via financing initiatives, tax incentives, or zoning regulation

Evidence Rating:
Some Evidence
  • Diet and Exercise

Nurse-friendly work environments

Improve work environments for nurses via establishment of strong nursing leadership, organizational support, etc.

Evidence Rating:
Expert Opinion
  • Access to Care
  • Quality of Care

Nutrition prescriptions

Provide prescriptions with healthy eating goals for patients and families, often accompanied by progress checks at office visits; can include partnerships with local farmers markets via FVRx programs

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Open Streets

Allow community members to gather, socialize, walk, run, bike, skate, etc. on streets temporarily to closed to motorized traffic; also called Ciclovía programs

Evidence Rating:
Expert Opinion
  • Diet and Exercise
  • Family and Social Support

Outdoor experiential education

Support outdoor pursuits and adventure-based activities that emphasize inter- and intra-personal growth through overcoming obstacles (e.g., challenge courses, wilderness excursions, etc.)

Evidence Rating:
Some Evidence
  • Family and Social Support

Paid sick leave laws

Require employers in an affected jurisdiction to provide paid time off for employees to use when ill or injured

Evidence Rating:
Some Evidence
  • Employment

Parents as Teachers (PAT)

Support home visits that teach parents about early childhood development and effective parenting strategies, with child development screenings, parental meetings, and links to community resources

Evidence Rating:
Some Evidence
  • Education

Point-of-purchase prompts for healthy foods

Place motivational signs on posters, front of package labels, or shelf labels near fruits, vegetables, and other items that encourage individuals to purchase healthier food options

Evidence Rating:
Some Evidence
  • Diet and Exercise

Proper drug disposal programs

Establish programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use
  • Air and Water Quality

Public deliberations

Bring people with diverse values and perspectives together to engage in facilitated, inclusive, and informed dialogues about a topic of public concern. Examples include Citizens’ Initiative Reviews, deliberative polling, citizen juries, and citizen’s assemblies.

Evidence Rating:
Some Evidence
  • Family and Social Support

Rain barrels

Use ready-made or home constructed barrel systems to collect and store rainwater from rooftops that would otherwise flow to storm drains and streams

Evidence Rating:
Some Evidence
  • Air and Water Quality

Responsible beverage server training (RBS/RBST)

Educate owners, managers, servers, and sellers at alcohol establishments about strategies to avoid illegally selling alcohol to underage youth or intoxicated patrons

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Restaurant nutrition labeling

Provide nutrition information on menus and signboards at restaurants and other food outlets

Evidence Rating:
Some Evidence
  • Diet and Exercise

Retail clinics

Establish clinics in retail stores that provide basic services for minor illnesses (e.g., sore throats or skin conditions) and procedures (e.g., immunizations, pregnancy testing, routine lab tests); also known as retail pharmacy, walk-in, or convenient care clinics

Evidence Rating:
Expert Opinion
  • Access to Care

Rural transportation services

Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc.

Evidence Rating:
Expert Opinion
  • Access to Care
  • Housing and Transit

Scrap programs for old vehicles

Provide incentives to trade in old cars or light duty trucks with low fuel efficiency and high emissions and buy new vehicles with higher efficiency and lower emissions; also called scrappage or vehicle early retirement programs

Evidence Rating:
Expert Opinion
  • Air and Water Quality

Sector-based workforce initiatives

Provide industry-focused education and job training based on the needs of regional employers within specific sectors

Evidence Rating:
Some Evidence
  • Employment

Service-enriched housing

Provide permanent, basic rental housing with social services available on-site or by referral, usually for families with low incomes, older adults, veterans, or people with disabilities

Evidence Rating:
Some Evidence
  • Housing and Transit

Shared use agreements

Create contracts that support community access to existing public, private, or nonprofit facilities before or after business hours; also called joint use, open use, or community use agreements

Evidence Rating:
Some Evidence
  • Diet and Exercise

Smoke-free policies for multi-unit housing

Implement private sector rules or public sector regulations that prohibit smoking in and around multi-unit housing

Evidence Rating:
Expert Opinion
  • Tobacco Use

Smoke-free policies for outdoor areas

Implement private sector rules or public sector regulations that prohibit smoking outdoors or restrict it to designated areas

Evidence Rating:
Some Evidence
  • Tobacco Use

Social media for civic participation

Support individual and group use of internet-based tools to receive news, communicate or share information, collaborate on ideas, mobilize networks, and make collective decisions

Evidence Rating:
Some Evidence
  • Family and Social Support

Summer youth employment programs

Provide short-term employment opportunities for youth, especially those from disadvantaged backgrounds

Evidence Rating:
Some Evidence
  • Community Safety
  • Employment

Tax increment financing (TIF) for affordable housing

Create designated tax districts that generate revenue to invest in affordable housing initiatives, blight remediation, and economic development efforts

Evidence Rating:
Expert Opinion
  • Housing and Transit

Telecommuting

Allow employees to work outside a central office, using technology to interact with others inside and outside the organization; also called remote work, telework, or flexible working arrangements

Evidence Rating:
Some Evidence
  • Employment

Tobacco retailer licensing

Require retailers to purchase licenses to sell tobacco products; retailers must follow all tobacco control laws to keep licenses

Evidence Rating:
Expert Opinion
  • Tobacco Use

Tobacco retailer location restrictions

Set the number, type, proximity, and density of tobacco retailers, especially near homes and schools, via state or local zoning, licensing restrictions, or other regulations

Evidence Rating:
Expert Opinion
  • Tobacco Use

Treatment Foster Care

Place youth with mental, emotional, and behavioral health challenges in foster families that provide a structured, nurturing, therapeutic environment; also called Therapeutic Foster Care (TFC)

Evidence Rating:
Some Evidence
  • Community Safety

Urban agriculture

Support food-producing and income-earning activities in urban environments (e.g., edible landscapes, front yard or rooftop gardens, window farming, hydroponics, livestock, etc.)

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Value-based purchasing (VBP)

Use the purchasing power of employers and groups of insured individuals to create incentives and disincentives for health care providers to deliver high quality, high value care

Evidence Rating:
Some Evidence
  • Quality of Care

Vehicle anti-idling initiatives

Implement anti-idling policies and awareness campaigns to reduce engine idling for passenger vehicles, school buses, and/or equipment and truck fleets

Evidence Rating:
Some Evidence
  • Air and Water Quality

Workplace supports for breastfeeding

Support breastfeeding via private, well-equipped lactation spaces in workplaces, along with breastfeeding breaks, flexible schedules, professional lactation support, etc.

Evidence Rating:
Some Evidence
  • Diet and Exercise

Youth apprenticeship initiatives

Provide participating high school students with professional opportunities that combine academic and on-the-job training or mentorship

Evidence Rating:
Expert Opinion
  • Employment

Youth leadership programs

Provide youth with leadership building opportunities, often through social activities such as advocacy groups, peer education, youth-led participatory research, and local government youth advisory councils and boards

Evidence Rating:
Some Evidence
  • Family and Social Support