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Findings from the 2008 National Profile of Local Health Departments Study

Findings from the 2008 National Profile of Local Health Departments Study. “Big City” Local Health Departments. National Profile of Local Health Departments Study. The National Profile of Local Health Departments is a survey of local health department (LHD) infrastructure and activities

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Findings from the 2008 National Profile of Local Health Departments Study

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  1. Findings from the 2008 National Profile ofLocal Health Departments Study “Big City” LocalHealth Departments

  2. National Profile of Local Health Departments Study • The National Profile of Local Health Departments is a survey of local health department (LHD) infrastructure and activities • NACCHO sends the Profile questionnaire to every LHD in the U.S. • Completed by 83% of all LHDs in 2008 • Data are self-reported by LHDs and not independently verified by NACCHO • Source of all data in this presentation is from 2008 findings

  3. “Big City” Local Health Departments • Defined for the purpose of this report as LHDs that serve a city of 350,000 or more • Based on 2008 Census estimates • 49 LHDs meet the “Big City” definition • 47 Big City LHDs included in this analysis • 1 Big City LHD did not respond to the 2008 Profile questionnaire • District of Columbia omitted because of unique status • Big City LHDs serve a variety of jurisdictions • 36% serve combined city-county jurisdictions • 34% serve county jurisdictions • 28% serve city jurisdictions • 2% serve multi-county, district or regional jurisdictions • Many Big City LHDs (62%) have a Local Board of Health

  4. Big City LHDs Included in Analysis

  5. Distribution of Big City LHDs by Size of Population Served

  6. Distribution of Big City LHDs by Total Annual Expenditures

  7. Big City LHDs: Mean and Median LHD Expenditures by Size of Population Served

  8. Mean Percentage of Total LHD Revenues:Big City and Nationallyfrom Various Sources *List does not represent all sources of revenue

  9. Mean and Median Per Capita Revenues: Big City and Nationally from Selected Sources

  10. Characteristics of LHDs’ Top Executives: Big City and Nationally

  11. Percentage of Big City LHDsEmploying Selected Occupations

  12. FTEs * Employed by Big City LHDs: Median and Median per 100,000 Population for All Staff and Selected Occupations *FTE=Full-time Equivalent **Environmental health professional includes EH specialists (Sanitarian) and Other EH scientists

  13. FTEs Employed by Big City LHDs: Median and Median per 100,000 Population for Selected Occupations

  14. Top Activities & ServicesProvided by Big City LHDs

  15. Activities & ServicesProvided MoreFrequently by Big City LHDsCompared Nationally

  16. Activities & ServicesProvided LessFrequently in Big City LHDsCompared Nationally

  17. Emergency Preparedness Activities in Big City LHDs

  18. Addressing Health Disparities in Big City LHDs

  19. Percentage of Big City LHDs Performing Community Health Assessment and Improvement Planning in Past Three Years

  20. For more information, email:ProfileTeam@naccho.org Mission The mission of the National Association of County and City Health Officials is to be a leader, catalyst, and voice for local health departments in order to ensure the conditions that promote health and equity, combat disease, and improve the quality and length of all lives. The 2008 Profile was made possible through funding from the Centers for Disease Control and Prevention and the Robert Wood Johnson Foundation. 

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