Access to Rural Public Health Services

‚ÄčNORC conducted a series of semi-structured interviews with state and local public health stakeholders in five states that had been identified as having jurisdictions not covered by local public health.  A detailed case study of one of the states that had achieved success in expanding access to public health services in rural jurisdictions was also conducted in order to identify strategies for overcoming these barriers in order to establish and maintain local governmental public health infrastructure. Key findings relate to community-level barriers to establishing and maintaining public health infrastructure and describe recommendations to help public health systems partners overcome barriers in order to improve the health and quality of life for rural residents.