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Chronic Disease Prevention

In the Spotlight

Brief cover The Policy Evidence Assessment Report: Community Health Worker Policy Components document summarizes the evidence bases for community health worker (CHW) policies. While we know these frontline public health workers can be an important tool in reducing chronic illness and health care costs, there are several barriers to their effectiveness that can be improved through policy and systems changes and interventions.

This report identifies 14 CHW policy components and assesses them based on the strength of supporting evidence (defined as emerging, promising, and best). The examined components include team-base care, chronic care, and scope of practice, among others. While the majority of the components were ranked as best, those categorized as promising and emerging hold great potential for the field - and reveal that further study is needed.  More »

NACCHO's Chronic Disease Prevention Team is working with the goal of engaging and enhancing local health department's ability to expand evidence- and practice-based chronic disease prevention activities in their communities and promote change at the policy, systems, and environmental levels in order to reduce the burden of chronic diseases.  

Chronic Disease Advisory Group

The Healthy Living and Prevention Workgroup, comprised of local health officials and programmatic staff with chronic disease policy and/or built environment expertise, is the advisory group for NACCHO's chronic disease projects. The workgroup (1) helps define NACCHO's chronic disease priorities and policies; (2) provides guidance on how NACCHO can best assist LHDs to address these priorities; and (3) provides guidance on federal/national chronic disease initiatives. Regular communication with the workgroup is essential to informing NACCHO's work and the work of NACCHO's partners.

Connect with the Chronic Disease TeamConnect with the Chronic Disease Team

NACCHO welcomes requests for chronic disease prevention planning and technical assistance from any local public health department, please send your requests to

Our current projects include the following:

Webinars and Trainings

Million Hearts Lessons from the Field: Improving Quality and Accuracy in Blood Pressure Monitoring

October 28, 2014 2:00-3:15 EST

Million Hearts is a national Centers for Disease Control and Prevention initiative to prevent one million heart attacks and strokes by 2017. This webinar will provide an overview of evidenced-based hypertension protocols developed by and used in four local health departments in the United States as one of the key strategies for impacting cardiovascular disease prevention. APHN provides consultation on the role and contribution of the PHN, evidenced base resources as well as case studies of public health nurses impacting cardiovascular disease.

Learning Objectives:

  • Identify factors involved in proper blood pressure measurement in screening for hypertension.
  • State the roles of community/public health nurses in blood pressure measurement.
  • List evidenced-based protocols develop and being used in practice.
  • Increase awareness and understanding of local efforts to implement the Million Hearts initiative in cardiovascular disease prevention.
Click here to register for the webinar 

Strengthening the Community Prevention Landscape: New CDC Grants and the Road Forward

November 13, 2014 2:00 PM to 3:30 PM Eastern

Recently, the Centers for Disease Control and Prevention (CDC) announced six new funding awards to prevent chronic disease and spur health promotion. The funding awards offer a variety of stakeholders —including public health departments, national and community based organizations, community coalitions, school districts, local housing and transportation authorities, and American Indian tribes —the opportunity to continue building healthier, more equitable communities. Please join us for a Web Forum co-hosted by the American Public Health Association, Prevention Institute, Public Health Institute and Trust for America's Health to learn more about these grants and plans going forward. During the Web Forum attendees will learn about:
  • Goals for the new grants from CDC leadership;
  • Strategies and efforts to continue building a system of prevention and community-clinical integration;and
  • Ways to advance equity through community engagement and partnerships.

Web Forum participants will also hear from new grantees about their plans. These plans provide insight into robust communication with key audiences (including policymakers), ways partners can engage in the work, and the continuing importance of public and private partnerships. 

NACCHO Webinar - Implementing Health in All Policies at the Local Level: Experiences from Local Health Departments

Many communities face a variety of complex issues that significantly impact health, which are often driven by multiple factors outside the public health or healthcare sectors. Health in All Policies (HiAP) offers an approach that seeks to address complex challenges and improve the health of all people by incorporating health considerations into decision-making processes and emphasizing the need to collaborate across sectors to achieve common goals and innovatively tackle problems. 

The webinar showcased the implementation of HiAP in three U.S. cities - Houston, Baltimore City, and San Diego - and aimed to discuss:

  • How local health departments and their partners are implementing HiAP approaches in their communities
  • Successful strategies and tactics to implement HiAP

Lessons learned and pearls of wisdom from their experiences engaging in this work to improve the health of communities using a multiple determinants of health framework

New Content on Evidence-Based Public Health Available in NACCHO University

NACCHO is pleased to release its new podcast titled, A Public Health with Impact: The Path to What Works. The podcast features Brandie Adams-Piphus, MPH, NACCHO Senior Program Analyst who describes the role of the local health department in advancing evidence-based public health and helpful resources. This podcast is designed to increase local health officials' awareness of their role in using evidence-based public health practice to prevent chronic disease and keep people healthier. View the podcast here.

New Resources

CDPublicationsChronic Disease Publications List 

NACCHO Chronic Disease Team develops innovative publications with strong member involvement to ensure a practice-relevant approach. The Chronic Disease Prevention Publications List is a compilation of the publications related to chronic disease, cancer, diabetes and tobacco prevention. Click here to access the document.

New NACCHO Resource: Local Health Departments’ Chronic Disease Prevention Activities: Findings from 2013 National Profile of Local Health Departments Study

In 2013, NACCHO surveyed local health departments (LHDs) across the United States to provide a comprehensive picture of LHD structures, workforce, financing, governance, activities, and services. NACCHO published the survey findings in the 2013 National Profile of Local Health Departments (Profile). This research brief highlights the results of the 2013 Profile that are relevant to LHDs’ chronic disease prevention activities. Click here to access the document