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

Health insurance enrollment outreach & support

Provide outreach and support to assist those whose employers do not offer affordable coverage, who are self-employed, or who are unemployed
Evidence Rating:
Scientifically Supported

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices
  • Laws and policies

Healthy food initiatives in food pantries

Combine hunger relief efforts with nutrition information and healthy eating opportunities, often with on-site cooking demonstrations, recipe tastings, produce display stands, etc.
Evidence Rating:
Some Evidence

Community Conditions

  • Diet and exercise
  • Climate

Housing rehabilitation loan & grant programs

Provide funding, primarily to families with low or middle incomes, to repair, improve, or modernize dwellings and remove health or safety hazards
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation

K-12 school finance reforms

Change state-level school finance systems to increase funding for school districts serving large populations of students from low income backgrounds, students of color, and students with disabilities, special needs, or limited English skills
Evidence Rating:
Scientifically Supported

Community Conditions

  • Education

Societal Rules

  • Laws and policies
  • Budgets

Labor unions

Organize workers to bargain collectively for improved wages, benefits, and working conditions
Evidence Rating:
Scientifically Supported

Community Conditions

  • Income, employment and wealth
  • Civic and community resources

Societal Rules

  • Institutional practices
  • Governance
  • Worldviews, culture and norms

Land banking

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

Community Conditions

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

Societal Rules

  • Institutional practices

Land return for tribal restitution

Return the rights to land, property, and resources to Native people as part of policies and initiatives that promote tribal sovereignty
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth
  • Civic and community resources

Societal Rules

  • Laws and policies

Mobile reproductive health clinics

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
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices

Multi-component groundwater management programs

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

Community Conditions

  • Air, water and land

Naloxone education & distribution programs

Distribute Naloxone to trained community members and first responders to reverse opioid overdoses
Evidence Rating:
Scientifically Supported

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies