The purpose of this study is to contribute to a more
thorough understanding of how public health governance
affects how states structure and organize the delivery of
public health services, and how this, in turn, influences
the strategies adopted for meeting community public
health needs in rural areas. Using a case study approach,
the study examined three themes: 1) lines of reporting
and accountability among public health entities, 2)
provision of public health services, and 3) public health
funding for localities. This work suggests that it would
be of value to develop a comprehensive profile of state'
public health systems, which would include specific
aspects of each state's public health infrastructure, as
well as community population and health statistics.
Report available on request by contacting the Center.