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Dimensions of the Social
Environment: Public Health
Overview
This dimension includes assessment of the implementation of core
public health functions of assessment, policy development, and assurance
at the local level (Turnlock and Handler 1997; Institute of Medicine
1988). We focus on three primary areas of interest. First, there are a
variety of programs aimed at prevention, early detection, and optimal
management of a range of health problems. Local public health
departments may provide these services directly or oversee their
implementation by other organizations, both governmental and private
sector. The next category concerns development, regulation, and
enforcement of standards, which has become a salient issue because
provision of traditional public health services is increasingly being
privatized (Beauchamp 1997). Thirdly, funding issues including budget
allocations and financial arrangements for service provision are of
interest in gauging the priority given to public health issues in the
community.
This table describes the components and indicators of the public health
dimension. Three public health governmental components are identified:
- Programs
- Regulations/Enforcement
- Funding
Within each component, several indicators are identified, and for each
indicator at least one data set is listed.
| Components and Indicators |
Data Sources and Notes |
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1. Programs |
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Screening, nutrition, family planning, chronic disease control, home
visiting, outreach, school–based clinics/education, substance abuse
prevention, domestic violence program, mental health services |
Local Health Department Infrastructure Study*
This survey addressed the paucity of current data on the U.S. public
health infrastructure. Respondents' state identification only
obtainable if user agrees to terms and conditions of a Restricted Data
Use Agreement. Data available through the Inter–University Consortium
for Political and Social Research; Stata file. |
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Programs: Immunization |
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Percent of children aged 19–35 months completely immunized, by
race/ethnicity |
National
Immunization Program
From this Web site page, select National Immunization Survey (NIS);
select NIS Data Tables; downloadable tables in Excel or HTML for
states and select counties. |
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2. Regulation/Enforcement |
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Sanitation, health/food inspection, health violations |
Local Health Department Infrastructure Study* |
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3. Funding: Budget allocations |
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Local health department expenditures |
Local Health Department Infrastructure Study* |
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Governmental expenditures on health |
Census of Governments
From this Web site page,
select your year of interest; select Vol. 4, No. 3, Finances of County
Governments, or No. 4, Finances of Municipal and Township Governments. Downloadable spreadsheet or
comma–separated–value files available. |
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Funding: Private sector provision of public health services |
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Percent of total local health department budget from private sources |
Local Health Department Infrastructure Study* |
*Links to non–Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at this link.
Date last reviewed:
04/24/2008
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion |
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