Local Health Department Research

NACCHO regularly collects data to gain a better understanding of the local public health infrastructure and practice. Our research and evaluation studies provide the most up-to-date information on local health departments in the United States.

Profile report cover

Research

National Profile of Local Health Departments

The Profile study represents the largest, most reliable data source on local health departments.

Research

National Profile of Local Health Departments

Research

Forces of Change

The Forces of Change assesses the impact of a variety of public health trends affecting change in local health departments.

Research

Forces of Change

Research

2022 National Profile of LHDs Study Report

This chartbook provides a compendium of national results from the 2022 Profile study, which describes LHD infrastructure and practice.

Research

2022 National Profile of LHDs Study Report

Public Health Preparedness

The Local Public Health Landscape during COVID-19

This infographic features data from the 2022 Profile study and 2020 Forces of Change survey on LHD capacity throughout the pandemic.

Public Health Preparedness

The Local Public Health Landscape during COVID-19

Community Health

2020 Forces of Change Survey Report

This chartbook has national data on the mid-pandemic capacity of LHDs, including harassment of leaders, response capabilities, and recovery efforts.

Community Health

2020 Forces of Change Survey Report

Research

2022 National Profile of LHDs Study Report

This chartbook provides a compendium of national results from the 2022 Profile study, which describes LHD infrastructure and practice.

Research

2022 National Profile of LHDs Study Report

Public Health Infrastructure

Getting to the Good Place

This infographic highlights the strengths and gaps the 79 LHD respondents reported in the 2022 Local Public Health Ethics Capacity Assessment survey.

Public Health Infrastructure

Getting to the Good Place

Public Health Infrastructure

New LHO Training Needs Assessment Report

This report shares findings about the content areas and learning formats most effective for new LHOs' skills development.

Public Health Infrastructure

New LHO Training Needs Assessment Report

Research

Adaptive Leadership Evaluation Report

This report shares key findings from a five-year retrospective evaluation of NACCHO's Adaptive Leadership program.

Research

Adaptive Leadership Evaluation Report

Research

2017 Forces of Change Survey Report

This report shares national data and findings about Zika response activities, multi-sectoral partnerships, and workforce recruitment efforts.

Research

2017 Forces of Change Survey Report

Community Health

Leadership Characteristics by LHD Size and Rurality

This infographic describes 2016 Profile study data on the demographic characteristics of top executives among small, medium, and large LHDs.

Community Health

Leadership Characteristics by LHD Size and Rurality

Public Health Infrastructure

2024 Informatics Profile Study Report

This chartbook provides a compendium of results from a 2024 survey of LHD infrastructure and activities related to informatics.

Public Health Infrastructure

2024 Informatics Profile Study Report

Research

2023 Forces of Change Survey Report

This chartbook has national data about community health workers, social determinants of health, violence prevention, and data modernization.

Research

2023 Forces of Change Survey Report

Research

2022 National Profile of LHDs Study Report

This chartbook provides a compendium of national results from the 2022 Profile study, which describes LHD infrastructure and practice.

Research

2022 National Profile of LHDs Study Report

Invited Papers and Other Publications

  • Modernizing public health: Insights into local health departments' data and informatics efforts (NACCHO Voice)
  • Opportunities to support secondary data access needs among local health departments (JPHMP, JPHMP Direct)
  • Heterogeneity and interoperability in local public health information systems (JPHMP)

Research

National Profile of Local Health Departments

The Profile study represents the largest, most reliable data source on local health departments.

Research

National Profile of Local Health Departments

Public Health Preparedness

Preparedness Profile

This national survey gathers information about preparedness trends and issues at LHDs to inform priorities at the local, state, and national levels.

Public Health Preparedness

Preparedness Profile

Public Health Preparedness

Network Profile of the Medical Reserve Corps

This report presents the newest data on Medical Reserve Corps unit funding, partnerships, composition, activities, and capabilities.

Public Health Preparedness

Network Profile of the Medical Reserve Corps

Research

2022 National Profile of LHDs Study Report

This chartbook provides a compendium of national results from the 2022 Profile study, which describes LHD infrastructure and practice.

Research

2022 National Profile of LHDs Study Report

Public Health Preparedness

Resilience Catalysts in Public Health Infographic

This infographic describes the key findings from the national evaluation of the Resilience Catalysts in Public Health program.

Public Health Preparedness

Resilience Catalysts in Public Health Infographic

Public Health Preparedness

2022 Preparedness Profile Study Report

This report provides a compendium of results from the 2022 Preparedness Profile study, which describes public health preparedness capacity.

Public Health Preparedness

2022 Preparedness Profile Study Report

Community Health

Health Equity Integration in Overdose Prevention Report

This report summarizes existing barriers and facilitators agencies face advancing health equity in their overdose prevention or response efforts.

Community Health

Health Equity Integration in Overdose Prevention Report

Community Health

2020 Forces of Change Survey Report

This chartbook has national data on the mid-pandemic capacity of LHDs, including harassment of leaders, response capabilities, and recovery efforts.

Community Health

2020 Forces of Change Survey Report

Community Health

2018 Health and Disability Assessment Report

This report shares findings from an assessment about the practices, awareness, and inclusion of people with disabilities within LHD programs.

Community Health

2018 Health and Disability Assessment Report

Public Health Preparedness

COVID-19 Impact on Pregnant and Postpartum Consumers Report

This report describes the impacts of COVID-19 on reproductive health decision-making and mental health during pregnancy.

Public Health Preparedness

COVID-19 Impact on Pregnant and Postpartum Consumers Report

Community Health

2020 Forces of Change Survey Report

This chartbook has national data on the mid-pandemic capacity of LHDs, including harassment of leaders, response capabilities, and recovery efforts.

Community Health

2020 Forces of Change Survey Report

Public Health Preparedness

The Role of LHDs in Pandemic Response

This infographic illustrates the capacity of LHDs to respond to a pandemic like COVID-19 using data from the Profile and Preparedness Profile studies.

Public Health Preparedness

The Role of LHDs in Pandemic Response

Community Health

Addressing the Intersection of Suicide, Overdose, and ACEs

This interactive visualization describes LHD capacities to address suicide, overdose, and adverse childhood experiences (ACEs).

Community Health

Addressing the Intersection of Suicide, Overdose, and ACEs

Community Health

2021 Overdose Prevention and Response Survey Report

This report summarizes data from a 2021 assessment about LHDs' capacity and activities to prevent and respond to the overdose epidemic.

Community Health

2021 Overdose Prevention and Response Survey Report

Community Health

2018 Forces of Change Survey Report

This chartbook has national data on overdose prevention, population health, flu preparedness, informatics, and environmental health activities.

Community Health

2018 Forces of Change Survey Report

Environmental Health

2023 Are We Ready Survey Report

This report highlights findings from a 2023 survey about LHD capacity and activities to address climate change.

Environmental Health

2023 Are We Ready Survey Report

Research

RPS Mentorship Retrospective Evaluation

This fact sheet describes a 10-year retrospective evaluation of our Retail Food Program Standards (RPS) Mentorship program.

Research

RPS Mentorship Retrospective Evaluation

Environmental Health

All the Buzz about Local Vector Control Programs

This infographic highlights data from the 2020 assessment about vector surveillance and control capacity at the local level.

Environmental Health

All the Buzz about Local Vector Control Programs

Community Health

2023 Immunization Profile Study Report

This chartbook provides a compendium of results from a 2023 survey of LHD infrastructure and activities to address vaccine preventable diseases.

Community Health

2023 Immunization Profile Study Report

Community Health

Boosting Community Immunity

This infographic highlights findings from the 2023 Immunization Profile Study of LHD immunization program activities, challenges, and priorities.

Community Health

Boosting Community Immunity

Research

2023 Forces of Change Survey Report

This chartbook has national data about community health workers, social determinants of health, violence prevention, and data modernization.

Research

2023 Forces of Change Survey Report

Community Health

The State of Local Family Healthy Weight Programs

This infographic summarizes a 2023 assessment of LHD capacity to implement lifestyle management services, such as family healthy weight programs.

Community Health

The State of Local Family Healthy Weight Programs

Public Health Preparedness

COVID-19 Impact on Pregnant and Postpartum Consumers Report

This report describes the impacts of COVID-19 on reproductive health decision-making and mental health during pregnancy.

Public Health Preparedness

COVID-19 Impact on Pregnant and Postpartum Consumers Report

Community Health

Tobacco Control Efforts in Rural America Report

This report highlights findings from a 2019 environmental scan of tobacco prevention and control activities among LHDs in rural communities.

Community Health

Tobacco Control Efforts in Rural America Report

Community Health

Physical Activity Programs and Policies Survey Report

This report describes the facilitators, challenges, lessons learned and resource needs of LHDs that are engaged in promoting physical activity.

Community Health

Physical Activity Programs and Policies Survey Report

Community Health

2019 HAI and AR Assessment Findings

This infographic describing the landscape of healthcare-associated infection (HAI) and antibiotic resistance (AR) activities conducted by LHDs.

Community Health

2019 HAI and AR Assessment Findings

Research

2017 Forces of Change Survey Report

This report shares national data and findings about Zika response activities, multi-sectoral partnerships, and workforce recruitment efforts.

Research

2017 Forces of Change Survey Report

For more information about our various research projects, please reach out to our Research and Evaluation team at [email protected].

Public Health Programs

Aaron Alford

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Public Health Programs

Timothy McCall

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Public Health Programs

Debra Dekker

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Public Health Programs

Kellie Hall

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Public Health Programs

Krishna Patel

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Public Health Programs

Daniel Pagan

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Public Health Programs

Margaret Cunningham

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Public Health Programs

Janet Brown

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Public Health Programs

Lisseth Guerra

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Public Health Programs

Gwen Davis

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Public Health Programs

Chloe Garofalini

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