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NACCHO's 2018 Forces of Change Findings Now Available

Tuesday, November 13, 2018  
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NACCHO's 2018 Forces of Change Findings Now Available

November 13, 2018

Thank you for all your support in helping NACCHO complete the 2018 Forces of Change survey. Today, we released the findings on NACCHO's website, highlighting the challenges and opportunities that local health departments (LHDs) face as the public health environments evolves. Your support was critical in achieving sufficient participation from LHDs—we couldn't have done it without your help!

Visit to view a report of the findings and learn more!

Findings show that, although the economic situation is slowly improving for many LHDs, workforce capacity challenges persist. One-third of LHDs reported experiencing job losses in 2017. LHDs also faced with challenges associated with emerging public health threats, such as the use of opioids, increased severity of influenza seasons, and impacts of climate change. LHDs are adapting to these changing priorities by shifting towards a population health approach. For example, many LHDs reported addressing issues related to food insecurity, family supports, and community infrastructure. An additional factor supporting public health transformation is informatics capacity, which enables LHDs to collect, analyze, and communicate data across health systems to effectively respond to the dynamic health needs in their communities.

We encourage you to share these findings as you advocate at the state and local levels. If you need additional information, please contact us at

Thank you again for making this study possible and for all that you do for public health!


The NACCHO Research and Evaluation Team