Strategies

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

131 Strategies
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HOME Investment Partnership Program

Provide grants to states and localities to fund activities that build, buy, or rehabilitate affordable housing for rent or homeownership, or provide direct rental assistance to households with low incomes

Evidence Rating:
Expert Opinion
  • Housing and Transit

Homework or extra credit for PE class

Assign homework or extra credit activities for physical education (PE) or health classes that require students to be physically active outside of school

Evidence Rating:
Some Evidence
  • Diet and Exercise

Household lead control education interventions

Inform parents about lead exposure pathways and cleaning and hygiene techniques and undertake minor repairs or specialized cleaning

Evidence Rating:
Evidence of Ineffectiveness
  • Housing and Transit

Housing Choice Voucher Program (Section 8)

Provide eligible families with low and very low incomes with vouchers to help cover the costs of rental housing; also called Section 8

Evidence Rating:
Some Evidence
  • Housing and Transit

Housing First

Provide rapid access to permanent housing and support (e.g., crisis intervention, needs assessment, case management), usually for chronically homeless individuals with persistent mental illness or substance abuse issues

Evidence Rating:
Scientifically Supported
  • Housing and Transit

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
  • Housing and Transit

Housing reparations

Apologize for discriminatory housing policies; increase subsidies, financing, and paths to homeownership for people of color; and invest in systematically disadvantaged neighborhoods

Evidence Rating:
Expert Opinion
  • Income
  • Housing and Transit

Housing trust funds

Support funds that help create or maintain affordable housing, subsidize rental housing, and assist homebuyers with low incomes and non-profit housing developers

Evidence Rating:
Expert Opinion
  • Housing and Transit

Inclusionary zoning & housing policies

Require developers to reserve a proportion of housing units for residents with low incomes via mandatory requirements or incentives, such as density bonuses

Evidence Rating:
Some Evidence
  • Housing and Transit

Individually-adapted physical activity programs

Teach behavioral skills that can help individuals incorporate physical activity into their daily routines

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Integrated pest management for indoor use

Support a four-tiered approach to indoor pest control that minimizes potential hazards to people, property, and the environment

Evidence Rating:
Scientifically Supported
  • Housing and Transit

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
  • Education

Knowledge is Power Program (KIPP) in middle schools

Emphasize high expectations for all students, parent and student commitment, empowered principals, and regular student assessments that inform continuous improvement in a lengthened school-year and school-day

Evidence Rating:
Scientifically Supported
  • Education

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
  • Housing and Transit
  • Diet and Exercise

Later middle and high school start times

Delay school start times for middle and high schools to better align with adolescent sleep-wake cycles; often until after 8:30 or 9:00 a.m.

Evidence Rating:
Some Evidence
  • Education

Lead paint abatement programs

Eliminate lead-based paint and contaminated dust by removing or encapsulating lead paint, or removing lead painted fixtures and surfaces

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Legal support for tenants in eviction proceedings

Provide legal representation for tenants with low incomes in eviction proceedings or offer limited legal assistance to prepare tenants to represent themselves in court

Evidence Rating:
Some Evidence
  • Housing and Transit

Low Income Home Energy Assistance Program (LIHEAP)

Provide funds to households with low incomes to meet home energy needs, especially for households with children, older adults, or individuals with disabilities

Evidence Rating:
Expert Opinion
  • Housing and Transit

Low Income Housing Tax Credits (LIHTCs)

Provide funding via tax credits at the state and local level to support development and rehabilitation costs of low income rental housing

Evidence Rating:
Some Evidence
  • Housing and Transit

Mass media campaigns for physical activity

Provide messages that support physical activity to large and broad audiences using television, social media, radio, billboards, newspapers, and other print media

Evidence Rating:
Insufficient Evidence
  • Diet and Exercise

Mixed-use development

Support a combination of land uses (e.g., residential, commercial, recreational) in development initiatives, often through zoning regulations or Smart Growth initiatives

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

Mobile produce markets

Support fresh food carts or vehicles that travel to neighborhoods on a set schedule to sell fresh fruits and vegetables

Evidence Rating:
Some Evidence
  • Diet and Exercise

Multi-component obesity prevention interventions

Combine educational, environmental, and behavioral activities that increase physical activity and improve nutrition (e.g., nutrition education, aerobic/strength training, dietary prescriptions, etc.) in various settings

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

New grocery stores in underserved areas

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

Evidence Rating:
Some Evidence
  • Diet and Exercise

No Excuses charter school model

Focus heavily on reading and math achievement, enforce high behavioral expectations through a formal discipline system, lengthen instructional time, and increase feedback on teacher performance

Evidence Rating:
Scientifically Supported
  • Education

Nutrition prescriptions

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

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Open gym time

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

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Open Streets

Allow community members to gather, socialize, walk, run, bike, skate, etc. on streets temporarily to closed to motorized traffic; also called Ciclovía programs

Evidence Rating:
Expert Opinion
  • Diet and Exercise
  • Family and Social Support

Out of town bypasses

Establish roads that avoid built-up areas such as towns, cities, or commercial/business districts

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Community Safety

Parents as Teachers (PAT)

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

Evidence Rating:
Some Evidence
  • Education

Physically active classrooms

Incorporate classroom-based physical activities, such as classroom energizers, into academic lessons or as a break, usually for elementary students

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Places for physical activity

Modify local environments to support physical activity, increase access to new or existing facilities for physical activity, or build new facilities

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Point-of-decision prompts for physical activity

Place motivational signs on or near stairwells, elevators, and escalators that encourage individuals to use stairs

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Preschool education programs

Provide center-based programs that support cognitive and social-emotional growth among children who are not old enough to enter formal schooling

Evidence Rating:
Scientifically Supported
  • Education

Preschool programs with family support services

Provide center-based programs that support cognitive and social development among young children from families with low incomes, with supports such as home visiting or parental education

Evidence Rating:
Scientifically Supported
  • Education

Promise Academy Charter Schools

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

Evidence Rating:
Some Evidence
  • Education

Public transportation systems

Introduce or expand transportation options that are available to the public and run on a scheduled timetable (e.g., buses, trains, ferries, rapid transit, etc.)

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Publicly funded pre-kindergarten programs

Provide publicly funded pre-kindergarten (pre-K) education to 3- and 4-year-olds, through large-scale or universal efforts

Evidence Rating:
Scientifically Supported
  • Education

Radon mitigation programs

Prevent radon from entering occupied buildings and reduce existing indoor air radon levels via soil depressurization, home or room pressurization, heat recovery ventilation, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Rapid re-housing programs

Transition families and individuals experiencing homelessness into permanent housing quickly, often with supports such as short-term financial assistance, case management, landlord negotiations, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Reach Out and Read

Partner with doctors, nurse practitioners, and other medical professionals to incorporate literacy support into regular well-child visits, especially in lower income communities

Evidence Rating:
Scientifically Supported
  • Education

Rent regulation policies

Establish tenant protections via regulations to the housing rental market such as limits on rent increases and eviction protections for tenants with low incomes; typically via rent stabilization

Evidence Rating:
Expert Opinion
  • Housing and Transit

Restaurant nutrition labeling

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

Evidence Rating:
Some Evidence
  • Diet and Exercise

Rural transportation services

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.

Evidence Rating:
Expert Opinion
  • Access to Care
  • Housing and Transit

Safe Routes to Schools

Promote walking and biking to school through education, incentives, and environmental changes; often called SRTS

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

School and district level zero tolerance policies

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)

Evidence Rating:
Evidence of Ineffectiveness
  • Education

School breakfast programs

Support programs to provide students with a nutritious breakfast in the cafeteria, from grab and go carts in hallways, or in classrooms

Evidence Rating:
Scientifically Supported
  • Education
  • Diet and Exercise