Strategies

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

126 Strategies
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Individual Development Accounts (IDAs)

Support subsidized asset accumulation programs in which deposits by participants with low and moderate incomes are matched by program sponsors; withdrawals must be used for qualified expenses to retain matching funds

Evidence Rating:
Some Evidence
  • Income

Integrated pest management for indoor use

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

Evidence Rating:
Scientifically Supported
  • Housing and Transit

K-12 school finance reforms

Change state-level school finance systems to increase funding for school districts serving large populations of students from low income backgrounds, students of color, and students with disabilities, special needs, or limited English skills

Evidence Rating:
Scientifically Supported
  • Education

Knowledge is Power Program (KIPP) in middle schools

Emphasize high expectations for all students, parent and student commitment, empowered principals, and regular student assessments that inform continuous improvement in a lengthened school-year and school-day

Evidence Rating:
Scientifically Supported
  • Education

Labor unions

Organize workers to bargain collectively for improved wages, benefits, and working conditions

Evidence Rating:
Scientifically Supported
  • Employment
  • Employment

Land banking

Acquire, hold, manage, and develop properties such as vacant lots, abandoned buildings, or foreclosures, and transition them to productive uses, often affordable housing developments

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

Land return for tribal restitution

Return the rights to land, property, and resources to Native people as part of policies and initiatives that promote tribal sovereignty

Evidence Rating:
Expert Opinion
  • Income
  • Family and Social Support

Later middle and high school start times

Delay school start times for middle and high schools to better align with adolescent sleep-wake cycles; often until 8:30 a.m. or later

Evidence Rating:
Scientifically Supported
  • Education

Lead contaminated soil abatement

Clean, remove, replace, or cover lead contaminated soil with non-contaminated soil, mulch, sod, grass, or concrete

Evidence Rating:
Expert Opinion
  • Air and Water Quality

Lead paint abatement programs

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

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Lead pipe & plumbing material replacement

Replace lead plumbing material such as pipes, service lines, fittings, solder, flux, and fixtures with non-lead plumbing material

Evidence Rating:
Expert Opinion
  • Air and Water Quality

Legal support for tenants in eviction proceedings

Provide legal representation for tenants with low incomes in eviction proceedings or offer limited legal assistance to prepare tenants to represent themselves in court

Evidence Rating:
Some Evidence
  • Housing and Transit

Living wage laws

Establish locally mandated wages that are higher than state or federal minimum wage levels

Evidence Rating:
Some Evidence
  • Income

Low Income Home Energy Assistance Program (LIHEAP)

Provide funds to households with low incomes to meet home energy needs, especially for households with children, older adults, or individuals with disabilities

Evidence Rating:
Expert Opinion
  • Housing and Transit

Low Income Housing Tax Credits (LIHTCs)

Provide funding via tax credits at the state and local level to support development and rehabilitation costs of low income rental housing

Evidence Rating:
Some Evidence
  • Housing and Transit

Matched dollar incentives for saving tax refunds

Support programs that provide matched dollar incentives for low or moderate income individuals to place some or all of their tax refund in a savings account

Evidence Rating:
Some Evidence
  • Income

Microfinance & microenterprise

Support programs that provide small loans, usually to individuals with lower incomes, to start or expand a small business, often with business development training and other technical assistance

Evidence Rating:
Expert Opinion
  • Income

Minimum wage increases

Increase the lowest hourly, daily, or monthly compensation that employers may legally pay to workers

Evidence Rating:
Mixed Evidence
  • Income

Mixed-use development

Support a combination of land uses (e.g., residential, commercial, recreational) in development initiatives, often through zoning regulations or Smart Growth initiatives

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

Multi-component groundwater management programs

Protect underground water resources via regular groundwater monitoring, education about risks to groundwater, water quotas and taxes, and other efforts

Evidence Rating:
Some Evidence
  • Air and Water Quality

New Hope Project

Provided work supports for low income individuals and families (e.g., job search assistance, transitional jobs, subsidized child care, health insurance, etc.); participants worked at least 30 hours/week

Evidence Rating:
Some Evidence
  • Income

No Excuses charter school model

Focus heavily on reading and math achievement, enforce high behavioral expectations through a formal discipline system, lengthen instructional time, and increase feedback on teacher performance

Evidence Rating:
Scientifically Supported
  • Education

Nutrient management plans

Support site-specific plans for crop production that match nutrient applications to crop needs, typically with agricultural best management practices

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

On-site child care

Provide employees with child care options at work; care may be provided free of charge, partially subsidized as part of an employee benefit package, or offered at market rates

Evidence Rating:
Insufficient Evidence
  • Employment

Out of town bypasses

Establish roads that avoid built-up areas such as towns, cities, or commercial/business districts

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Community Safety

Paid family leave

Provide employees with paid time off for circumstances such as a recent birth or adoption, a parent or spouse with a serious medical condition, or a sick child

Evidence Rating:
Scientifically Supported
  • Employment

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

Payday loan regulations

Regulate short-term loans that must be repaid by a borrower’s next pay day via bans, caps on maximum interest rates and loan amounts, or require minimum loan terms and credit cost

Evidence Rating:
Mixed Evidence
  • Income

Permeable pavement projects

Use pervious concrete, porous asphalt, permeable interlocking pavers, open-jointed blocks or cells, or other permeable pavement in individual or commercial development efforts; also called porous or pervious pavement

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

Plastic bag bans

Prohibit the manufacture, use, and provision of single-use plastic bags, either partially or completely, and provide education and outreach to raise consumer awareness and support of bans

Evidence Rating:
Some Evidence
  • Air and Water Quality

Preschool education programs

Provide center-based programs that support cognitive and social-emotional growth among children who are not old enough to enter formal schooling

Evidence Rating:
Scientifically Supported
  • Education

Preschool programs with family support services

Provide center-based programs that support cognitive and social development among young children from families with low incomes, with supports such as home visiting or parental education

Evidence Rating:
Scientifically Supported
  • Education

Promise Academy Charter Schools

Create a school culture of high behavioral and academic expectations, with intense tutoring, increased teacher performance feedback, lengthened instruction time, and health care services

Evidence Rating:
Some Evidence
  • Education

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 transportation systems

Introduce or expand transportation options that are available to the public and run on a scheduled timetable (e.g., buses, trains, ferries, rapid transit, etc.)

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Publicly funded pre-kindergarten programs

Provide publicly funded pre-kindergarten (pre-K) education to 3- and 4-year-olds, through large-scale or universal efforts

Evidence Rating:
Scientifically Supported
  • Education

Radon mitigation programs

Prevent radon from entering occupied buildings and reduce existing indoor air radon levels via soil depressurization, home or room pressurization, heat recovery ventilation, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

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

Rain gardens & other bioretention systems

Establish bioretention systems (e.g., rain gardens, bioretention cells, green roofs, planter boxes, bioswales, etc.) to make city landscapes more permeable to help control stormwater

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

Rapid re-housing programs

Transition families and individuals experiencing homelessness into permanent housing quickly, often with supports such as short-term financial assistance, case management, landlord negotiations, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Reach Out and Read

Partner with doctors, nurse practitioners, and other medical professionals to incorporate literacy support into regular well-child visits, especially in lower income communities

Evidence Rating:
Scientifically Supported
  • Education

Refundable child and dependent care tax credit

Offer a refundable tax credit to working families with qualifying children or other dependents that receive care outside the home (e.g., a spouse with disabilities)

Evidence Rating:
Expert Opinion
  • Income

Rent regulation policies

Establish tenant protections via regulations to the housing rental market such as limits on rent increases and eviction protections for tenants with low incomes; typically via rent stabilization

Evidence Rating:
Expert Opinion
  • Housing and Transit

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

Safe Routes to Schools

Promote walking and biking to school through education, incentives, and environmental changes; often called SRTS

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise