Strategies

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

130 Strategies
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School-community liaisons

Provide students from public schools, from low income backgrounds, or who have a high risk of dropping out and their families with information about social services and health care supports; also called community resource or family and community liaisons

Evidence Rating:
Insufficient Evidence
  • Education

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

Seller & server minimum age

Require a minimum age for sellers in off-premise locations that sell alcohol and servers and bartenders in on-premise locations

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use

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

Small elementary classes

Reduce the number of students in elementary school classrooms

Evidence Rating:
Some Evidence
  • Education

Smart Start North Carolina

Provide comprehensive early childhood services, including high quality educational child care, health, and family support to address local needs

Evidence Rating:
Some Evidence
  • Education

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 host laws

Adopt laws that hold private property owners who provide alcohol to minors or obviously intoxicated individuals on their property liable if someone is killed or injured as a result

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use

Summer youth employment programs

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

Evidence Rating:
Some Evidence
  • Community Safety
  • Employment

Synthetic progesterone (17P) access

Ensure appropriate access to 17P, a synthetic version of the hormone progesterone, by identifying high-risk women, reducing barriers to treatment receipt and completion, coordinating care, etc.

Evidence Rating:
Expert Opinion
  • Access to Care

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

Telemedicine

Deliver consultative, diagnostic, and treatment services remotely, especially for patients who live in areas with limited access to care or who experience transportation or mobility barriers; sometimes called telehealth

Evidence Rating:
Some Evidence
  • Access to Care

Telemental health services

Provide mental health care services (e.g., psychotherapy or counseling) via telephone or videoconference

Evidence Rating:
Some Evidence
  • Access to Care

Tobacco cessation contests

Encourage participants to quit using tobacco by a set date or during a specific time period and give successful participants a chance to win financial rewards or other prizes; often called Quit & Win contests

Evidence Rating:
Insufficient Evidence
  • Tobacco Use

Tobacco marketing restrictions

Limit promotion, placement, flavoring, or pricing of tobacco products via regulation

Evidence Rating:
Some Evidence
  • Tobacco Use

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

Trauma-informed schools

Adopt a multi-tiered approach within schools to address the needs of trauma-exposed youth, including school-wide changes, screenings, and individual intensive support

Evidence Rating:
Some Evidence
  • Education

Unhealthy snack taxes

Increase the price of snack products high in sugar and fat by adding an excise or sales tax

Evidence Rating:
Some Evidence
  • Diet and Exercise

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

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

Vehicle inspection & maintenance (I/M) programs

Require scheduled testing of vehicles’ tailpipe and evaporative emissions; federally mandated in areas with particularly poor air quality

Evidence Rating:
Some Evidence
  • Air and Water Quality

WIC & Senior Farmers' Market Nutrition Programs

Support Farmers’ Market Nutrition Programs, which provide WIC and Senior Nutrition Program participants with vouchers for fresh, unprepared, locally grown fruits and vegetables

Evidence Rating:
Some Evidence
  • Diet and Exercise

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 civics education

Teach students attitudes, skills, knowledge, and behavior needed to participate in and contribute to a democracy

Evidence Rating:
Some Evidence
  • Family and Social Support
  • Education

Zoning regulations for fast food

Limit or ban fast food outlets in areas of a city, restrict the number or density of outlets, or regulate distance between fast food outlets and other sites (e.g., schools)

Evidence Rating:
Expert Opinion
  • Diet and Exercise