Strategies

Establish a break from the school day, typically before lunch, that involves planned, inclusive, actively supervised games or activities; also called semi-structured, or structured recess

Use individual-, group-, and community-level interventions to provide education, support, and training that can affect social norms about HIV and other STIs

Provide education, information, counseling, and support for breastfeeding to women throughout pre- and post-natal care

Restrict child-focused advertising for unhealthy foods and beverages via bans on unhealthy food and drink ads during children’s TV programs, product placement in children’s movies, etc.

Support multi-component educational interventions for college students that address nutrition, physical activity, and healthy weight management; often with environmental modifications

Engage professional or lay health workers to provide education, referral and follow-up, case management, home visiting, etc. for those who experience barriers in accessing health care; also called promotoras(es) de salud or community health representatives

Adjust and monitor fluoride levels in public water supplies to reach and retain optimal fluoride concentrations

Support HPV vaccination through multi-component community interventions, including education, outreach, navigation support, and vaccine provision

Engage a variety of partners in a highly visible, multi-component effort to increase physical activity, often with efforts to address cardiovascular disease risk factors

Assign higher costs to non-nutritious foods than nutritious foods via incentives, subsidies, or price discounts for healthy foods and beverages or disincentives or price increases for unhealthy choices

Address the needs of teenage parents via clinic-based programs that provide health care and family planning services as well as case management, counseling, and other supports

Provide information about contraception and protection against sexually transmitted infections (STIs) in classroom or community settings

Provide condoms free of charge or at a reduced cost in community and school-based settings

Provide tailored health information and assistance with decision making, behavior change, and emotional support via digital interactive programs

Provide patients with prescriptions for exercise plans, often accompanied by progress checks at office visits, counseling, activity logs, and exercise testing

Provide prescriptions or medications to patients diagnosed with treatable STIs to give to their partners without provider visits; also called patient-delivered partner therapy (PDPT)

Provide chances for kids and adolescents to be active and play sports at various skill levels via structured or unstructured after and before school athletic activities

Position registered nurses within a parish or similar faith community, or in a health care system to serve as a liaison to congregations; also called parish nursing or congregational nursing

Increase family members’ support for physical activity, often via educational sessions on health, goal-setting, problem-solving, or family behavioral management

Incorporate locally grown foods into school meals and snacks, often with visits from food producers, cooking classes, nutrition and waste reduction efforts, and school gardens

Increase support for non-profit health care organizations and deliver comprehensive care to uninsured, underinsured, and vulnerable patients regardless of ability to pay; often called community health centers (CHCs)

Expand incentives such as scholarships and loans with service requirements and loan repayment or forgiveness programs for health care providers who practice in rural or other underserved areas

Offer loan repayment, tuition assistance, competitive academic salaries, etc. to students who teach in nursing programs after completing an advanced degree

Offer samples of fresh fruits and vegetables in cafeterias, nutrition classes, school gardens, or workplace well-being meetings, often as part of a multi-faceted nutrition intervention

Provide prenatal care in a group setting, integrating health assessment, education, and support

Provide outreach and support to assist those whose employers do not offer affordable coverage, who are self-employed, or who are unemployed

Increase patients’ health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy

Combine hunger relief efforts with nutrition information and healthy eating opportunities, often with on-site cooking demonstrations, recipe tastings, produce display stands, etc.

Provide more fresh fruits and vegetables, smaller portions, low fat, and reduced sodium or reduced sugar food options and other healthy foods at catered events

Train volunteers, professionals, or paraprofessionals to help residents assess and reduce environmental home health risks and recommend low cost changes (e.g., improved ventilation, integrated pest management, etc.)

Modify the school lunch food environment or school lunch schedules by increasing the convenience of healthy foods, providing healthy options, or ensuring students have enough time to eat

Increase healthy options in vending machines by reducing the price of healthy choices, increasing the number of healthy choices compared to unhealthy choices, etc.

Coordinate efforts to reduce risky sexual behavior among adolescents with work, vocational training, or sports

Notify partners exposed to an STI of their risk, encourage testing, and refer to services; also called contact tracing, or partner counseling and referral services

Assign homework or extra credit activities for physical education (PE) or health classes that require students to be physically active outside of school

Inform parents about lead exposure pathways and cleaning and hygiene techniques and undertake minor repairs or specialized cleaning

Inform adolescents, young adults, and parents about HPV and its consequences, as well as the benefits of vaccination, via videos, printed materials, online content, or in-person efforts

Teach behavioral skills that can help individuals incorporate physical activity into their daily routines

Support a four-tiered approach to indoor pest control that minimizes potential hazards to people, property, and the environment

Provide pregnant or parenting teens with services based upon their needs (e.g., counseling, connections to health care or social services, academic support, etc.) in school or community settings

Expand use of J-1 physician visa waivers for foreign national physicians who have trained in the U.S. and will serve patients in designated Health Professional Shortage Areas (HPSAs)

Eliminate lead-based paint and contaminated dust by removing or encapsulating lead paint, or removing lead painted fixtures and surfaces

Increase access to LARCs through cost reduction, comprehensive birth control counseling, provider training, efforts to ensure availability at local clinics, etc.

Use traditional and digital media to disseminate information about safe sex

Provide messages that support physical activity to large and broad audiences using television, social media, radio, billboards, newspapers, and other print media

Pair new nurses with more experienced nurses who act as a resource and provide support as the new nurse establishes her or himself professionally

Deliver health care services and support to individuals with mental health concerns via mobile devices using text messaging or mobile applications (apps)

Support fresh food carts or vehicles that travel to neighborhoods on a set schedule to sell fresh fruits and vegetables

Offer reproductive health services (e.g., pregnancy tests, prenatal and postpartum care, gynecological exams, STI screenings, etc.), health education, and social service referrals via medically equipped vans

Support initiatives that combine multiple components such as education, skills building, and contraceptive promotion to reduce pregnancy among youth