Strategies

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

Increase green space through new parks or open spaces, renovation or enhancement of under-used recreation areas, rehabilitation of vacant lots, brownfields, etc.

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

Encourage convenience stores, corner stores, or gas station markets to carry fresh produce and other healthier food options

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

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 and caregivers about lead exposure pathways from contaminated dust, soil, water, and air as well as the irreversible health consequences of lead exposure

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 outdoor 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)

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

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

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

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

Increase wages and benefits for personal or home care workers, nurse aides, and others who provide direct care to patients in long-term care (LTC) settings

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

Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system

Regulate mental health insurance to increase access to mental health services, including treatment for substance use disorders

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

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

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

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

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

Combine educational, environmental, and behavioral activities that increase physical activity and improve nutrition (e.g., nutrition education, aerobic/strength training, dietary prescriptions, etc.) in various settings

Deliver educational, behavioral, environmental, and other obesity prevention efforts (e.g., education classes, enhanced physical education, healthy food promotion, family outreach, etc.) in schools

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

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

Implement programs that continue education, mentoring, and support for novice nurses following graduation

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

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

Offer young children opportunities to eat healthy foods and engage in physical activity by providing fresh fruits and vegetables, incorporating physical activity into daily classroom routines, etc.

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

Use internet-based shopping sites to supply refrigerated, frozen, and non-perishable groceries for residential ordering and delivery

Offer time during the school day for children to play in the gym, often during lunch period; shared use agreements can expand open gym opportunities to community members outside school hours

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

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

Incorporate classroom-based physical activities, such as classroom energizers, into academic lessons or as a break, usually for elementary students

Modify local environments to support physical activity, increase access to new or existing facilities for physical activity, or build new facilities