Strategies

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

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.

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

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

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

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

Support quality improvement efforts in early child care and preschool via financial incentives, standards, processes to monitor standards and ensure compliance, etc.

Use databases, housed in state agencies, to track prescribing and dispensing of Schedule II, III, IV, and V drugs and other controlled substances

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

Establish programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly

Use ready-made or home constructed barrel systems to collect and store rainwater from rooftops that would otherwise flow to storm drains and streams

Establish plans consistent with personal values and current life circumstances that set goals related to having or not having children; goals often change over time

Educate owners, managers, servers, and sellers at alcohol establishments about strategies to avoid illegally selling alcohol to underage youth or intoxicated patrons

Provide nutrition information on menus and signboards at restaurants and other food outlets

Repeal government control over retail sales of alcoholic beverages, allowing commercial retailing of those beverages

Establish clinics in retail stores that provide basic services for minor illnesses (e.g., sore throats or skin conditions) and procedures (e.g., immunizations, pregnancy testing, routine lab tests); also known as retail pharmacy, walk-in, or convenient care clinics

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.

Require school officials to apply predetermined consequences for certain infractions, regardless of situational context or circumstances; consequences are usually severe (e.g., suspension or expulsion)

Limit access to competitive foods and beverages in schools via restrictions on foods that are not provided through the National School Lunch Program and School Breakfast Program.

Prohibit the sale of unhealthy foods such as sugar sweetened beverages, candy, and other non-nutritious snacks at school fundraisers, often as part of a broader nutrition policy

Address nutrition in schools via educational (e.g., classroom or curricula-wide efforts, peer training, etc.), environmental (e.g., school menus, classroom snacks, etc.), and other approaches

Help students process trauma exposure and develop coping skills through individual or small group counseling with mental health professionals or school staff with trauma-specific training

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

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

Reduce the number of students in elementary school classrooms

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

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

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.

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

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

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

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

Support food-producing and income-earning activities in urban environments (e.g., edible landscapes, front yard or rooftop gardens, window farming, hydroponics, livestock, etc.)

Implement anti-idling policies and awareness campaigns to reduce engine idling for passenger vehicles, school buses, and/or equipment and truck fleets

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

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

Support breastfeeding via private, well-equipped lactation spaces in workplaces, along with breastfeeding breaks, flexible schedules, professional lactation support, etc.

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

Allow residents to keep chickens and bees within city or municipality limits

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)