Strategies

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

23 Strategies
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Alternative fuels initiatives

Support alternative fuel and vehicle use via financial incentives (e.g., tax benefits, rebates, etc.), mandates (e.g., consumption targets or renewable fuel standards), research and development investments, etc.
Evidence Rating:
Expert Opinion

Community Conditions

  • Air, water and land
  • Climate

Societal Rules

  • Laws and policies

Bicycle & pedestrian master plans

Establish a framework to increase walking and biking trails and improve connectivity of non-auto paths and trails in a particular area
Evidence Rating:
Some Evidence

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

Societal Rules

  • Institutional practices
  • Governance

CAFO regulations

Establish local regulations for confined animal feeding operations (CAFOs) that address location, size, facility management, and pollution contributions to complement U.S. EPA regulations
Evidence Rating:
Expert Opinion

Community Conditions

  • Air, water and land
  • Climate

Societal Rules

  • Laws and policies

Carpool & rideshare programs

Help participants share transportation via informal arrangements between individuals, formally arranged ridesharing programs, or other ride-matching services
Evidence Rating:
Expert Opinion

Community Conditions

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

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

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

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

Individual incentives for public transportation

Offer incentives such as free or discounted bus, rail, or transit passes, reimbursements, partial payments, or pre-tax payroll deductions to encourage individuals’ use of existing public transit
Evidence Rating:
Some Evidence

Community Conditions

  • Housing and transportation
  • 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

Multi-component workplace supports for active commuting

Provide physical infrastructure (e.g., bike parking or showers), educational or social support (e.g., walking groups), and financial incentives that support active commuting
Evidence Rating:
Some Evidence

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

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

Community Conditions

  • Diet and exercise
  • Civic and community resources
  • 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

Plastic bag bans

Prohibit the manufacture, use, and provision of single-use plastic bags, either partially or completely, and provide education and outreach to raise consumer awareness and support of bans
Evidence Rating:
Some Evidence

Community Conditions

  • Air, water and land
  • Climate

Societal Rules

  • Laws and policies

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

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

Scrap programs for old vehicles

Provide incentives to trade in old cars or light duty trucks with low fuel efficiency and high emissions and buy new vehicles with higher efficiency and lower emissions; also called scrappage or vehicle early retirement programs
Evidence Rating:
Expert Opinion

Community Conditions

  • Air, water and land
  • Climate

Telemedicine

Deliver consultative, diagnostic, and treatment services remotely, especially for patients who live in areas with limited access to care or who experience transportation or mobility barriers; sometimes called telehealth
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care
  • Climate

Societal Rules

  • Institutional practices

Telemental health services

Provide mental health care services (e.g., psychotherapy or counseling) via telephone or videoconference
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care
  • Climate

Societal Rules

  • Institutional practices

Vehicle anti-idling initiatives

Implement anti-idling policies and awareness campaigns to reduce engine idling for passenger vehicles, school buses, and/or equipment and truck fleets
Evidence Rating:
Some Evidence

Community Conditions

  • Air, water and land
  • Climate

Societal Rules

  • Laws and policies

Vehicle inspection & maintenance (I/M) programs

Require scheduled testing of vehicles’ tailpipe and evaporative emissions; federally mandated in areas with particularly poor air quality
Evidence Rating:
Some Evidence

Community Conditions

  • Air, water and land
  • Climate

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