Strategies: Structural Determinants of Health

Evidence-informed strategies to addresses the structural determinants of health. These solutions focus on building power and changing laws, policies, budgets and worldviews to improve the conditions that shape health.

37 Strategies

Baby bonds

Establish publicly funded investment accounts for every newborn, accessible at age 18
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Budgets

Broadband initiatives for unserved and underserved areas

Expand broadband availability and adoption in unserved and underserved areas through initiatives that address infrastructure and cost barriers
Evidence Rating:
Some Evidence

Community Conditions

  • Income, employment and wealth
  • Civic and community resources

Societal Rules

  • Laws and policies

Child care subsidies

Provide financial assistance to working parents, or parents attending school, to pay for child care
Evidence Rating:
Scientifically Supported

Community Conditions

  • Income, employment and wealth

Societal Rules

  • Budgets

Community Development Block Grants (CDBGs)

Provide funding for local community development activities such as affordable housing, anti-poverty programs, and infrastructure development
Evidence Rating:
Some Evidence

Community Conditions

  • Housing and transportation
  • Civic and community resources

Societal Rules

  • Budgets

Community Development Financial Institutions

Support financial institutions providing services to underserved and disadvantaged communities
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth
  • Civic and community resources

Societal Rules

  • Institutional practices

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

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

Firearm licensing laws

Require a potential purchaser to obtain a permit or license before purchasing a firearm
Evidence Rating:
Scientifically Supported

Community Conditions

  • Safety and social support

Societal Rules

  • Laws and policies

Good Samaritan drug overdose laws

Provide immunity from arrest, charges, or prosecution for drug possession or paraphernalia when individuals experiencing or witnessing drug overdose summon emergency services
Evidence Rating:
Expert Opinion

Community Conditions

  • Alcohol and drug use

Societal Rules

  • Laws and policies