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Demonstration Site Case Studies

It is difficult to visualize a community process of developing, organizing, and implementing a plan. Most people would have trouble picturing how all of the structured conversations, surveys, research tasks, committee meetings, evaluations, and reports would unfold.

In 2001, NACCHO selected nine communities to serve as demonstration sites for the newly developed MAPP process. The sites represented diverse population sizes, jurisdictions, local health department structures, and geographical characteristics. The MAPP demonstration site process, now officially ended, was designed to demonstrate and test the use of the MAPP process.

NACCHO was able to follow six of the nine original communities through all of the MAPP phases. The case studies depict how these health departments and the communities they serve fit MAPP to their own circumstances. The hope is that a variety of public health practitioners—local health department directors, planning directors, state health department executives, local government officials, or community leaders—will find this collection of case studies useful if they decide to incorporate MAPP into their efforts.

The following documents describe each community's background, experience, and the process it went through using MAPP. The case studies also provide links to resources used and lessons learned. For more information about any of the communities, please contact

Demonstration Sites
Columbus Health Department, OH

The Columbus Health Department in conjunction with a core group representing the business, faith, and public health communities led the MAPP process in four neighborhoods.

Lee County Health Department, FL
Among other MAPP experiences, Lee County provides guidance on using the recommended National Public Health Performance Standards local instrument for the local public health system assessment.
Mendocino County Public Health Department, CA
Mendocino County implemented MAPP in three different communities. Their MAPP process worked to address each community goal within the context of the county-level MAPP process.
Metropolitan Nashville/Davidson County Health Department, TN
Nashville is an excellent example of leveraging leadership support and marketing MAPP within the health department. 
Northern Kentucky District Health Department, KY
The Northern Kentucky experience offers insight on how to integrate MAPP with other planning efforts. 
San Antonio Metropolitan Health District, TX
San Antonio implemented MAPP city-wide, integrated the PACE-EH process in the Goals and Strategies phase and used ToP facilitation techniques.