Strategies: Rural Health

Evidence-informed programs, policies, and system changes to support rural communities in addressing their priorities and ensuring health and well-being for every community member. These solutions focus on strengthening current infrastructure, as well as employment, education, housing, and access to care.

45 Strategies

Community land trusts

Purchase the land a home is on to lease to homeowners with low and middle incomes and require homeowners to sell the home back to the trust or to another resident with low income upon moving
Evidence Rating:
Some Evidence

Community Conditions

  • Housing and transportation
  • Air, water and land
  • Civic and community resources

Societal Rules

  • Institutional practices

Community organizing in public health

Advance public health by using community organizing methods, such as developing leadership, campaigning, and building power to influence decisions, agendas, and worldviews, by collaborating with community organizing groups to use these methods, or both
Evidence Rating:
Expert Opinion

Community Conditions

  • Civic and community resources

Societal Rules

  • Laws and policies

Community supported agriculture (CSA)

Establish partnerships between farmers and consumers in which consumers purchase a share of a farm’s products in advance
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources

Composting

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
Evidence Rating:
Scientifically Supported

Community Conditions

  • Air, water and land
  • Climate

Early childhood home visiting programs

Provide at-risk expectant parents and families with young children with information, support, and training regarding child health, development, and care from prenatal stages through early childhood via trained home visitors
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Early Head Start (EHS)

Provide child care, parent education, physical health and mental health services, and other family supports to pregnant women and parents with low incomes and children from birth to age three
Evidence Rating:
Scientifically Supported

Community Conditions

  • Education

Societal Rules

  • Budgets

Farmers markets

Support multiple vendor markets where producers sell goods such as fresh fruit and vegetables, meat, dairy items, and prepared foods directly to consumers
Evidence Rating:
Some Evidence

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources

Federally qualified health centers (FQHCs)

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)
Evidence Rating:
Scientifically Supported

Community Conditions

  • Clinical care

Societal Rules

  • Laws and policies

Financial incentives for health professionals serving underserved areas

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
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care

Societal Rules

  • Budgets

Food hubs

Support businesses or organizations that aggregate, distribute, and market local and regional food products (e.g., fresh fruits and vegetables, meat, dairy, grains, and prepared items)
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources