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Programs and Activities

NACCHO is the national organization representing local health departments (LHDs). NACCHO supports efforts that protect and improve the health of all people and all communities by promoting national policy, developing resources and programs, seeking health equity, and supporting effective local public health practice and systems. NACCHO provides resources, tools, and assistance to LHDs in the following focus areas:

 icon57_phis   The Public Health Infrastructure and Systems program helps LHDs perform their core functions and essential services.

The Community Health program helps LHDs promote health and prevent disease.


The Environmental Health program helps LHDs promote human health and safe environments by focusing on the relationship between people and their environments.

 icon57_phpreparedness   The Public Health Preparedness program helps LHDs enhance their readiness to respond to emergencies.
In the Spotlight

The CHA/CHIP Resource Center provides practical, customizable tools and resources to all local health departments (LHDs) in a central and publicly accessible location. The resource center is intended to support LHDs and their partners in completing community health improvement processes, including the conduct of a community health assessment (CHA) and the development of a community health improvement plan (CHIP), for the purpose of improving the health of local communities. More »

Making Strategic Decisions About Service Delivery: An Action Tool for Assessment and Transitioning
publication strategic decisions

The National Association of County and City Health Officials (NACCHO) developed the workbook, entitled MakingStrategic Decisions About Service Delivery: An Action Tool for Assessment and Transitioning, with support from the Health Resources and Services Administration (HRSA), Bureau of Primary Health Care (BPHC) and Maternal and Child Health Bureau (MCHB). This workbook may be the first attempt to help local public health agencies (LPHAs) make strategic decisions about the provision of clinical services. Changes in the healthcare environment resulting from Medicaid managed care, cost, and quality concerns, and other factors have raised the question of whether LPHAs should be getting out of the business of clinical service delivery. This workbook guides LPHAsthrough a stepwise decision-making process derived from assessments of the health agency and the community. More »