Healthy People 2000 Citizens Chart the Course (1990) / Chapter Skim
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3 Implementing the Objectives at State and Local Levels
3 Implementing the Objectives at State and Local Levels
Pages 15-27
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From page 15... ...
Their comments summed up experience with the objectives at state and local levels, and focused especially on the relationship between the national objectives and the Model Standards for Community Preventive Health Seances, an effort of a coalition of public health professional organizations.t Testifiers also addressed other issues that can be summed up as the need for cooperation with the general public, with communities, and with the private sector, on a state and regional basis, as well as with the federal government. Strong pleas were made for more federal funding in support of state and local health department programs aimed at achieving the objectives.
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The state health department will develop a list of the major health problems in each county that account for the most potential years of life lost. Each local health department will prioritize its major public health risk hazards and develop health promot~on and disease prevention plans.
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(#020) The Model Standards The 1990 Objectives are not the only federal approach to improving health promotion and disease prevention.
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such as Carol Spain of the Health Officers Association of California, suggest that the national objectives and the Model Standards be better integrated. The Year 2000 Health Objectives need to go further by actually integrating the relevant Model Standards in the appropriate sections of the year 2000 document.
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(#026) Many witnesses testified that state and local health departments lack the resources necessary to implement the national objectives.
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"In order to give this proposed program the momentum it deserves," says Scott, An initial funding base of $1 per person, or about $250 million per year should be allocated to the state health departments based on the size of their state populations and the quality of their national health objectives plan." Scott suggests that the Centers for Disease Control administer the process Because of its excellent track record of working collaboratively and constructively with state health departments." (#461J A number of witnesses testified that some of the 20 Healthy People 2000: Citizens Chart the Course funding problems could be solved by tying currently existing federal funding programs to the national objectives. The preventive health and health services block grant program, funds for community health centers, and Medicare and Medicaid were all discussed.
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From page 21... ...
The APHA calls for strong public participation in the objectives process. There is a need to involve the general public in health promotion and disease prevention, in order to enable individuals to determine for themselves the means to achieve optimal health.
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The New England Conference for Disease Prevention, Health Protection and Health Promotion (NECON) , which Yaffe chairs, is a coalition of six New England public health departments; four schools of public health; federal health agencies in the region; various departments of the schools of medicine and allied health professions; educators; legislators; and representatives from industry, labor, and voluntary organizations.
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From page 23... ...
has encouraged coalitions by business and industry to foster a community environment" for health promotion and disease prevention. For example, the HIAA's Center for Corporate Public Involvement "sought to influence the AIDS public debate by increased public/private sector collaboration and through the expansion of industry resources to combat the epidemic." Schramm says that 21 community organizations received funds for AIDS information and education and for support programs from HIAA and the American Council of Life Insurance member companies through a challenge grant program.
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From page 24... ...
(#473) At the local level, "one would ideally have a local office to gather, tabulate, interpret, and disseminate those data needed to track the community's progress, or lack thereof, relative to the various objectives for the nation," according to Joel Nitzkin, Director of the Monroe County Health Department in New York.
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This requires establishing a technical resources office at the national level to provide technical assistance and training to states and local areas involved in using the national objectives and the Model Standards. This office could (1)
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280 Goldston, Stephen; University of California, Los Angeles 309 Eriksen, Michael; University of Texas Health Science Center at Houston 315 Berg, Alfred; University of Washington 320 Nicola, Bud; Seattle-King County Department of Public Health 328 Milne, Thomas; Southwest Washington Health District 340 Lipsher, Julian; Hawaii State Department of Health 355 Jacobson, Miriam; Washington Business Group on Health 364 Frissell, Nelson; City-County Health Department, Casper, Wyoming 365 Biers, Richard; Kansas City Health Department 375 Lawrence, David; Kaiser Foundation Health Plan of Colorado 387 Richards, N Mark; Pennsylvania Department of Health 405 Myers, Jr., Woodrow; Indiana State Board of Health 419 O'Malley, Patrick and Johnston, Lloyd; University of Michigan 432 Rader, Herbert; The Salvation Army in the United States 26 Healthy People 2000: Citizens Chart the Course
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From page 27... ...
527 Freedman, Mary Anne; Association for Vital Records and Health Statistics 542 Weiner, Lyn and Morse, Barbara A; Boston University 572 Williams, Corinne; California Dietetic Association 619 Schramm, Carl; Health Insurance Association of America 629 Kinsman, Katherine; South Dakota Department of Health 671 Hullet, Sandral; West Alabama Health Services 679 Hayes-Bautista, David; University of California, Los Angeles 683 Watanabe, Michael; Asian Pacific Planning Council (Los Angeles) 698 Lafferty, William; Washington State Department of Public Health 709 Rockwell, Bruce; The Colorado Trust 747 Grieder, Karen; Texas Association of Community Health Centers 750 Richland, Jud; Association of State and Territorial Health Officials 756 Reeves, Philip; American Public Health Association 786 Roemer, Milton; University of California, Los Angeles Implementing the Objectives at State and Local Levels 27
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