Strategies

Use individual-, group-, and community-level interventions to provide education, support, and training that can affect social norms about HIV and other STIs

Replace or retrofit diesel buses or other vehicles to operate with clean diesel technology

Combine information about HPV and the benefits of vaccination with efforts to support vaccine series completion (e.g., patient and parent education or reminders, physician education, etc.) in clinic-based settings

Adjust and monitor fluoride levels in public water supplies to reach and retain optimal fluoride concentrations

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

Address the needs of teenage mothers via clinic-based programs that provide health care and family planning services as well as case management, counseling, and other supports

Provide information about contraception and protection against sexually transmitted infections (STIs) in classroom or community settings

Provide condoms free of charge or at a reduced cost in community and school-based settings

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)

Provide tailored health information and assistance with decision making, behavior change, and emotional support via digital interactive programs

Replace internal combustion engine vehicles with all-electric vehicles through financial incentives, regulations, and multi-component initiatives

Provide prescriptions or medications to patients diagnosed with treatable STIs to give to their partners without provider visits; also called patient-delivered partner therapy (PDPT)

Increase support for non-profit health care organizations and deliver comprehensive care to uninsured, underinsured, and vulnerable patients regardless of ability to pay; often called community health centers (CHCs)

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

Notify partners exposed to an STI of their risk, encourage testing, and refer to services; also called contact tracing, or partner counseling and referral services

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

Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system

Regulate mental health insurance to increase access to mental health services, including treatment for substance use disorders

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

Use pervious concrete, porous asphalt, permeable interlocking pavers, open-jointed blocks or cells, or other permeable pavement in individual or commercial development efforts; also called porous or pervious pavement

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

Expand medical school training and learning experiences focused on the skills necessary to practice successfully in rural areas

Provide sealants, fluoride treatment, screening, and other preventive dental care on school grounds via partnerships with dental professionals

Provide health care services on school premises to attending elementary, middle, and high school students; physical and mental health services provided by teams of nurses, nurse practitioners, and physicians

Provide reminders, education, or self-management assistance for health conditions, especially chronic diseases, via text message