Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.

Challenges and Opportunities for Strengthening the US Public Health Infrastructure

National Network of Public Health Institutes

Release Date:

Summary Report/Recommendations

Organizational Change/ Development
Economic Stability
Tools Included
Outside U.S.

Infrastructure Support

This report recommends changing work policies to support employee wellness at public health agencies. Public health infrastructure is often hard to maintain due to high turnover and burnout, especially during times of crisis like COVID-19. Work policies such as flexible schedules and remote work have been shown to increase employee well-being. It also recommends the establishment of cross-jurisdictional sharing arrangements to share key staff between public health departments, e.g., epidemiologists. This can serve as a solution to chronic underfunding of public health agencies at the federal level.

Resource Details

Outcomes of Interest

Capacity Building, Improve Organizational Infrastructure

Priority Population(s)

Setting(s) of Implementation


Geographic Area of Implementation

Implementation Period