Strategies

Policies and programs that work

105 Strategies

Behavioral interventions to prevent HIV and other STIs

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

Breastfeeding promotion programs

Provide education, information, counseling, and support for breastfeeding to women throughout pre- and post-natal care
Scientifically Supported
  • Diet and Exercise

CenteringPregnancy

Provide prenatal care in a group setting, integrating health assessment, education, and support
Scientifically Supported
  • Access to Care

Chronic disease management programs

Implement multi-component efforts that include coordination of health services by multidisciplinary teams of health care professionals, patient self-management, and patient education
Scientifically Supported
  • Quality of Care

Chronic disease self-management (CDSM) programs

Provide educational and behavioral interventions that support patients’ ability to actively manage their condition(s) in everyday life
Scientifically Supported
  • Quality of Care

College-based obesity prevention educational interventions

Support multi-component educational interventions for college students that address nutrition, physical activity, and healthy weight management; often with environmental modifications
Some Evidence
  • Diet and Exercise

Community health workers

Engage professional or lay health workers to provide education, referral and follow-up, case management, home visiting, etc. for those at high risk for poor health outcomes; also called promotores de salud
Some Evidence
  • Access to Care

Community water fluoridation

Adjust and monitor fluoride in public water supplies to reach and retain optimal fluoride concentrations
Scientifically Supported
  • Access to Care

Community-wide physical activity campaigns

Engage a variety of partners in a highly visible, multi-component effort to increase physical activity, often with efforts to address cardiovascular disease risk factors
Some Evidence
  • Diet and Exercise

Condom availability programs

Provide condoms free of charge or at a reduced cost in community and school-based settings
Scientifically Supported
  • Sexual Activity

Crisis lines

Provide free and confidential counseling and service referrals via telephone-based conversation, web-based chat, or text message to individuals in crisis, particularly those with severe mental health concerns
Some Evidence
  • Family and Social Support

Designated driver promotion programs

Encourage use of designated drivers via population-based mass media campaigns, incentive programs based in drinking establishments, and other efforts
Insufficient Evidence
  • Alcohol and Drug Use

Early childhood home visiting programs

Provide at-risk expectant parents and families with young children with information, support, and training regarding child health, development, and care from prenatal stages through early childhood via trained home visitors
Scientifically Supported
  • Community Safety
  • Family and Social Support

Exercise prescriptions

Provide patients with prescriptions for exercise plans, often accompanied by progress checks at office visits, counseling, activity logs, and exercise testing
Scientifically Supported
  • Diet and Exercise

Expedited partner therapy for treatable STIs

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)
Scientifically Supported
  • Sexual Activity

Faith community nursing

Position registered nurses within a parish or similar faith community, or in a health care system to serve as a liaison to congregations; also called parish nursing or congregational nursing
Expert Opinion
  • Access to Care

Father involvement programs

Support fathers’ active involvement in child rearing via various father-focused or family-focused interventions
Some Evidence
  • Family and Social Support

Federally qualified health centers (FQHCs)

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)
Scientifically Supported
  • Access to Care

Fruit & vegetable taste testing

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
Some Evidence
  • Diet and Exercise

Georgia Fatherhood Program

Provide employment-based services for non-custodial fathers who pay child support and experience a job loss or a decrease in income
Insufficient Evidence
  • Family and Social Support

Group-based parenting programs

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
Scientifically Supported
  • Family and Social Support

Health insurance enrollment outreach & support

Provide health insurance outreach and support to assist individuals whose employers do not offer affordable coverage, who are self-employed, or who are unemployed
Some Evidence
  • Access to Care

Health literacy interventions

Increase patients’ health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy
Some Evidence
  • Access to Care
  • Quality of Care

Healthy Families America (HFA)

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
Some Evidence
  • Family and Social Support

Healthy food initiatives in food pantries

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

Healthy foods at catered events

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
Expert Opinion
  • Diet and Exercise

Healthy home environment assessments

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

HIV/STI partner notification by providers

Elicit information about sex or needle-sharing partners from STI-positive patients, then notify partners of risk, testing, and services; also called contact tracing, or partner counseling and referral services
Scientifically Supported
  • Sexual Activity

Home water temperature safety education

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
Scientifically Supported
  • Community Safety

Household lead control education interventions

Inform parents about lead exposure pathways and cleaning and hygiene techniques and undertake minor repairs or specialized cleaning
Evidence of Ineffectiveness
  • Housing and Transit

Human papillomavirus (HPV) vaccine education

Inform young women and men about HPV and its consequences as well as the benefits of vaccination via telephone, writing, video, or in-person efforts
Insufficient Evidence
  • Sexual Activity

Intensive case management for pregnant & parenting teens

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
Some Evidence
  • Sexual Activity

Internet-based tobacco cessation interventions

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
Scientifically Supported
  • Tobacco Use

J-1 physician visa waivers

Expand use of J-1 physician visa waivers for foreign-born physicians who have trained in the US and will serve patients in designated Health Professional Shortage Areas (HPSAs)
Insufficient Evidence
  • Access to Care

Lead contaminated soil abatement

Clean, remove, replace, or cover lead contaminated soil with non-contaminated soil, mulch, sod, grass, or concrete
Expert Opinion
  • Air and Water Quality

Lead paint abatement programs

Eliminate lead-based paint and contaminated dust by removing or encapsulating lead paint, or removing lead painted fixtures and surfaces
Scientifically Supported
  • Housing and Transit

Lead pipe & plumbing material replacement

Replace lead plumbing material such as pipes, service lines, fittings, solder, flux, and fixtures with non-lead plumbing material
Expert Opinion
  • Air and Water Quality

Long-acting reversible contraception access

Increase access to LARCs through cost reduction, comprehensive birth control counseling, provider training, efforts to ensure availability at local clinics, etc.
Some Evidence
  • Access to Care
  • Sexual Activity

Magnolia Project

Provide prenatal and interconception care, family planning and case management services, and group-based education to eligible women via Healthy Start
Expert Opinion
  • Access to Care

Mass media campaigns against alcohol-impaired driving

Use mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on fear of arrest or injury to self, others, or property
Scientifically Supported
  • Alcohol and Drug Use

Mass media campaigns against tobacco use

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