About the National Data
Baseline: 67.2 percent of local public health jurisdictions had developed or participated in developing a health improvement plan in 2016
Target: 71.8 percent
Percentage point improvement
A critical aspect of public health infrastructure assessment is monitoring the status of health improvement plans at the State and local level. A health improvement plan is a long-term, systematic effort to address health problems on the basis of the results of a community needs assessment. This plan is used by health and other governmental education and human service agencies, in collaboration with community partners, to set priorities and coordinate and target resources.
The National Profile of Local Health Departments study (NACCHO Profile) is the most comprehensive source of information on the infrastructure and programs of local health departments in the U.S. All local health departments in the U.S. are surveyed about their organization, responsibilities, workforce, funding, and other topics. The NACCHO Profile study has been periodically collecting data from local health departments (LHDs) since 1989 and completed its eight wave in 2016.
The NACCHO Profile defines a local health department (LHD) as an administrative or service unit of local or state government concerned with health and carrying out some responsibility for the health of a jurisdiction smaller than the state. The Profile surveys are fielded through an email sent to the top agency executive of every eligible LHD. The email included a link to a web-based questionnaire, preloaded with information specific to the LHD. Paper questionnaires were available upon request for a subset of small LHDs. A core set of questions is sent to all LHDs.
The NACCHO Profile study defines community health improvement plan as a long-term, systematic effort to address health problems. This plan is used by health and other government education and human service agencies, in collaboration with community partners, to set priorities and coordinate and target resources.
Local health agencies that responded "Yes, within the last three years" or "Yes, more than three but less than five years ago" to the survey question "Has your LHD participated in developing a health improvement plan for your community?" were counted in the numerator.
1. Effect size h=0.1 was chosen to correspond with 10% improvement from a baseline of 50%.