Strategies

Expand the role of allied dental professionals (e.g., hygienists, therapists, etc.) via changes to statute, dentist supervision requirements, etc.

Support alternative fuel and vehicle use via financial incentives (e.g., tax benefits, rebates, etc.), mandates (e.g., consumption targets or renewable fuel standards), research and development investments, etc.

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

Establish local regulations for confined animal feeding operations (CAFOs) that address location, size, facility management, and pollution contributions to complement U.S. EPA regulations

Help participants share transportation via informal arrangements between individuals, formally arranged ridesharing programs, or other ride-matching services

Replace or retrofit diesel buses or other vehicles to operate with clean diesel technology

Combine information about HPV and the benefits of vaccination with efforts to support vaccine series completion (e.g., patient and parent education or reminders, physician education, etc.) in clinic-based settings

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

Use aerobic, natural decomposition to divert food and yard waste from landfills and create a nutrient-rich soil amendment product on an individual or large scale

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

Support the federal-state partnership that pays participating landowners an annual rental rate for removing environmentally sensitive land from production and introducing conservation practices on the land.

Encourage methods of soil cultivation that keep at least one-third of cultivated soil covered with the previous year’s crop residue (e.g., mulch till, ridge till, strip till, or no-till)

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

Replace internal combustion engine vehicles with all-electric vehicles through financial incentives, regulations, and multi-component initiatives

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)

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 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

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

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

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

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)

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 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

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

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

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

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

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

Provide women with information about the risks and benefits of behaviors that affect their health before, during, and after pregnancy