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This chapter in a larger book on systems change dives into Human Impact Partners’s experiences centering racial justice and power-sharing at the heart of their work in public health. It offers guidance on developing shared understandings of oppressive structures and systems, relationship development, and centering the voices of people most impacted by systems in need of change.

A large school district in Cincinnati partnered with their local health department and children’s hospital to develop mitigation procedures as children returned to school. These mitigation procedures successfully limited school-based spread of COVID-19 by combining best practices in rapid testing, contact tracing, and early isolation. Procedures were regularly revisited and updated in an iterative process to respond to new information and circumstances.

Lead Local was a collaborative research project between Human Impact Partners and the Right to the City Alliance. The research focused on community power-building and its potential to address social inequities that drive health outcomes. This project was not specific to COVID-19, but its findings apply to disease response and resiliency. It found that community power-building must be central to decision-making processes for true transformation.

This article discusses what is needed to establish and improve evidence-based decision making competencies in local public health departments. It identifies five domains of “administrative evidence-based practices” to help local health departments: leadership, workforce development, organizational culture and climate, partnerships, and financial transparency. It offers guidance on implementing evidence-based decision making practices.

The article stresses the importance of leveraging the Medical Reserve Corps when responding to pandemics and other mass public health events. During the COVID-19 pandemic, these community volunteers allowed local public health agencies to quickly scale to respond to this crisis.

This proposed policy statement identifies a rethinking the public health workforce structure as a means to promote health equity. Guidance includes the use of community-based advisory boards, salary assessments to better understand challenges related to compensation, the elevation of lived experience, accreditation evaluation using equity metrics, and leadership training in community-centered and community-responsive public health approaches.

This analysis summarizes responses from the 2021 Public Health Workforce Interests and Needs Survey to gain insight into governmental public health workers’ needs and experiences. Public health workers continue to be on the frontline of the COVID-19 pandemic and recruiting and retaining workers is an important element of an effective emergency response. Pride in public health and teamwork were identified as positive aspects of the job, while burnout and unappreciation were cited as negative aspects.

Challenges related to workforce capacity have existed throughout the COVID-19 pandemic. These shortages are especially acute and problematic for settings with high disease burdens such as nursing facilities. Strategies for expanding public health capacity within nursing homes and more broadly include increased training and retention of experienced staff.

Mask mandates in states beginning in 2020 had a significant impact on COVID-19-related hospitalizations. This study recommends revisiting mask mandates as new variants of COVID-19 spread and pressures return to the healthcare system.

This analysis evaluates the effectiveness of non-pharmaceutical interventions on COVID-19 transmission across states. Non-pharmaceutical interventions evaluated include the reopening of restaurants and bars, wearing facial masks in public, and lockdowns.