Local vs. State vs. Fed Roles
Collecting vital statistics, running public health laboratory, licensing health professionals, regulating health facilities, office of medical examiner
State Health Department Roles
Includes governmental public health's oversight responsibility for ensuring a successful system
Assurance
1: to solve and identify community health problems
Monitor Health
6. Protect and ensure safety
Enforce Laws
Health care provider for those without insurance
Safety Net
Department of Health and Human Services...Justified by Commerce Clause
what are the agencies within
Federal Public Health Agencies
CDC, EPA, FDA, IHS, HRSA,ATSDR, SAMSHA
Assessment
2. Health problems and hazards in community
Diagnose and Investigate
7. Needed personal health services and ensure provisions
Link People
Docs w/o Boarders, American Red Cross, World Bank, UNICEF/UNAIDS
Non-governmental organizations
Also called local authority model, where authority is delegated from the state to local health departments
Home Rule Model
Developing evidence based recommendations to guide implementation
Policy Development
3. health issues
Inform, educate, empower
8. Public and private healthcare
Ensure a competent workforce
How to Tackle Problems: Steps in order
1. Identify Community at Risk 2. Describe relevant community characteristics 3. Prioritize health concerns 4. Undertake Action 5. Identify effective intervention strategies 6. Evaluate Impact
Immunizations, surveillance and initial investigation of outbreaks, inspecting and licensing of restaurants, public health preparedness and response to disasters
Local Health Departments
Under which branch of public health
4. to identify and solve health problems
Mobilize community partnerships
9. Effectiveness, accessibility, availability and quality of health services
Evaluate
Largest funding of public health
World Bank
Branch Office Model
Goal
Imply that cannot be delegated to just one agency... work together
5. Support individual and community health efforts
Develop policies
Research
Community Based Participatory Research and Community-Oriented Public Health