Strategies

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 education on basic budgeting, bank use, credit management, bankruptcy, credit building and counseling, homeownership, retirement, divorce, etc.

Expand incentives such as scholarships and loans with service requirements and loan repayment or forgiveness programs for health care providers who practice in rural or other underserved areas

Offer payments, credits toward health insurance premiums, or other financial rewards to encourage employees to lose weight, eat more healthily, quit smoking, engage in physical activity, etc.

Offer employees control over an aspect of their schedule through arrangements such as flex time, flex hours, compressed work weeks, or self-scheduled shift work

Offer opportunities for group purchase and distribution of selected grocery items, generally at a reduced price

Support businesses or organizations that aggregate, distribute, and market local and regional food products (e.g., fresh fruits and vegetables, meat, dairy, grains, and prepared items)

Gather food left in fields after a primary harvest, food in fields where harvesting is not profitable, or excess produce from orchards, packing houses, urban agriculture sites, etc.

Offer samples of fresh fruits and vegetables in cafeterias, nutrition classes, school gardens, or workplace well-being meetings, often as part of a multi-faceted nutrition intervention

Provide employment-based services for non-custodial fathers who pay child support and experience a job loss or a decrease in income

Provide prenatal care in a group setting, integrating health assessment, education, and support

Teach parenting skills in a group setting using a standardized curriculum, often based on behavioral or cognitive-behavioral approaches and focused on parents of at-risk children

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

Increase patients’ health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy

Provide home visiting services to families who are at risk for adverse childhood experiences, starting prenatally or right after birth and continuing for three to five years

Encourage convenience stores, corner stores, or gas station markets to carry fresh produce and other healthier food options

Combine hunger relief efforts with nutrition information and healthy eating opportunities, often with on-site cooking demonstrations, recipe tastings, produce display stands, etc.

Provide more fresh fruits and vegetables, smaller portions, low fat, and reduced sodium or reduced sugar food options and other healthy foods at catered events

Train volunteers, professionals, or paraprofessionals to help residents assess and reduce environmental home health risks and recommend low cost changes (e.g., improved ventilation, integrated pest management, etc.)

Increase healthy options in vending machines by reducing the price of healthy choices, increasing the number of healthy choices compared to unhealthy choices, etc.

Provided high quality preschool with home visiting to African-American children from families with low incomes with an emphasis on active learning in Ypsilanti, Michigan

Coordinate efforts to reduce risky sexual behavior among adolescents with work, vocational training, or sports

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

Educate families about safe tap water temperatures during prenatal or well-baby visits at clinic or home visits; often with home safety checks or provision of home water temperature safety equipment

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

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

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

Inform adolescents, young adults, and parents about HPV and its consequences, as well as the benefits of vaccination, via videos, printed materials, online content, or in-person efforts

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

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

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

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

Provide pregnant or parenting teens with services based upon their needs (e.g., counseling, connections to health care or social services, academic support, etc.) in school or community settings

Establish policies, plans, and programs that meet the needs of all residents of a community, especially children and older adults, and promote interaction and cooperation between individuals of different generations

Establish a relationship between an older adult and a child, adolescent, or college student through social interactions or a variety of educational and art activities

Use websites, computer programs, and other electronic means to provide information, strategies, or behavioral support to tobacco users who want to quit, sometimes with counseling or pharmacotherapy

Support use of in-vehicle devices that alert novice teen drivers when they have high g-force events (e.g., rapid acceleration, braking, or turning) and allow families to review driving performance

Expand use of J-1 physician visa waivers for foreign national physicians who have trained in the U.S. and will serve patients in designated Health Professional Shortage Areas (HPSAs)

Offer flexible working arrangements, allowing the duties of a single full-time position to be covered by two part-time employees

Organize workers to bargain collectively for improved wages, benefits, and working conditions

Clean, remove, replace, or cover lead contaminated soil with non-contaminated soil, mulch, sod, grass, or concrete

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

Replace lead plumbing material such as pipes, service lines, fittings, solder, flux, and fixtures with non-lead plumbing material

Increase access to LARCs through cost reduction, comprehensive birth control counseling, provider training, efforts to ensure availability at local clinics, etc.

Increase wages and benefits for personal or home care workers, nurse aides, and others who provide direct care to patients in long-term care (LTC) settings

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

Use traditional and digital media to disseminate information about safe sex

Use mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on the negative consequences of alcohol-impaired driving

Use broad media-based efforts to educate large groups of current and potential tobacco users about the dangers of tobacco use

Use television, radio, print, and social media efforts to increase awareness of underage drinking and its consequences