Strategies

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

18 Strategies
Clear all

Clean diesel technology fleet transition programs

Replace or retrofit diesel buses or other vehicles to operate with clean diesel technology
Evidence Rating:
Scientifically Supported

Community Conditions

  • Air, water and land
  • Climate

Competitive pricing for healthy foods

Assign higher costs to non-nutritious foods than nutritious foods via incentives, subsidies, or price discounts for healthy foods and beverages or disincentives or price increases for unhealthy choices
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise
  • Climate

Societal Rules

  • Institutional practices

Complete Streets & streetscape design initiatives

Enhance streetscapes with greater sidewalk coverage and walkway connectivity, street crossing safety features, traffic calming measures, and other design elements
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Civic and community resources
  • Climate

Societal Rules

  • Institutional practices

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

Conservation tillage practices

Encourage methods of soil cultivation that keep at least one-third of cultivated soil covered with the previous year’s crop residue (e.g., mulch till, ridge till, strip till, or no-till)
Evidence Rating:
Scientifically Supported

Community Conditions

  • Air, water and land
  • Climate

Electric vehicle initiatives

Replace internal combustion engine vehicles with all-electric vehicles through financial incentives, regulations, and multi-component initiatives
Evidence Rating:
Scientifically Supported

Community Conditions

  • Air, water and land
  • Climate

Societal Rules

  • Laws and policies
  • Budgets

Fruit & vegetable incentive programs

Offer participants with low incomes matching funds to purchase healthy foods, especially fresh fruits and vegetables; often called bonus dollars, market bucks, produce coupons, or nutrition incentives
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise
  • Climate

Healthy school lunch initiatives

Modify the school lunch food environment or school lunch schedules by increasing the convenience of healthy foods, providing healthy options, or ensuring students have enough time to eat
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise
  • Climate

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

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Air, water and land
  • Civic and community resources
  • Climate

Societal Rules

  • Laws and policies

Nutrient management plans

Support site-specific plans for crop production that match nutrient applications to crop needs, typically with agricultural best management practices
Evidence Rating:
Scientifically Supported

Community Conditions

  • Air, water and land
  • Climate

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

Community Conditions

  • Diet and exercise
  • Civic and community resources
  • Climate

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

Community Conditions

  • Housing and transportation
  • Civic and community resources
  • Climate

Societal Rules

  • Budgets
  • Worldviews, culture and norms

Rain gardens & other bioretention systems

Establish bioretention systems (e.g., rain gardens, bioretention cells, green roofs, planter boxes, bioswales, etc.) to make city landscapes more permeable to help control stormwater
Evidence Rating:
Scientifically Supported

Community Conditions

  • Air, water and land
  • Climate

Safe Routes to Schools

Promote walking and biking to school through education, incentives, and environmental changes; often called SRTS
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

School fruit & vegetable gardens

Establish designated areas where students can garden with guidance, often with nutrition and food preparation lessons and opportunities for taste tasting and hands-on learning
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise
  • Climate

School nutrition standards

Regulate the quality of food that can be sold to students through the National School Lunch Program (NSLP), à la carte options, vending machines, etc.
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise
  • Climate

Societal Rules

  • Laws and policies

Walking school buses

Arrange active transportation with a fixed route, designated stops, and pick up times when children can walk to school with adult chaperones
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

Zoning regulation and land use policy reforms

Reform zoning regulations to remove exclusionary zoning codes, address physical environment aesthetics and safety, street continuity and connectivity, residential density, and mixed-use development, etc.
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Air, water and land
  • Climate

Societal Rules

  • Laws and policies