Leveraging Finances for Public Health System Improvement

Bekemeier, Betty; Riley, Catharine; Berkowitz, Bobbie

doi:10.1097/01.phh.0000296142.79423.e8

Cited by 3 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…That study also showed that states were able to leverage $2 for every $1 of CDC funding, demonstrating the effectiveness of CDC resources in state-level obesity prevention efforts ( 8 ). These findings are similar to those from other obesity prevention infrastructure initiatives that demonstrated the effectiveness of partnerships in leveraging additional funding ( 9 ). Other program evaluations describe the critical role of state health departments in supporting and strengthening community-based obesity prevention by providing technical assistance, resources, and evaluation ( 10 ).…”

Section: Introductionsupporting

confidence: 83%

Evaluating Public Health Resources: What Happens When Funding Disappears?

Freedman¹,

Kuester²,

Jernigan³

2013

Prev. Chronic Dis.

View full text Add to dashboard Cite

IntroductionAlthough various factors affect the sustainability of public health programs, funding levels can influence many aspects of program continuity. Program evaluation in public health typically does not assess the progress of initiatives after discontinuation of funding. The objective of this study was to describe the effect of funding loss following expiration of a 5-year federal grant awarded to state health departments for development of statewide obesity prevention partnerships.MethodsThe study used qualitative methods involving semistructured key informant interviews with state health departments. Data were analyzed using thematic analysis for effect of funding loss on staffing, programs, partnerships, and implementation of state plans.ResultsMany of the programs that continued to run after the grant expired operated at reduced capacity, either reaching fewer people or conducting fewer program activities for the same population. Although many states were able to leverage funding from other sources, this shift in funding source often resulted in priorities changing to meet new funding requirements. Evaluation capacity suffered in all states. Nearly all states reported losing infrastructure and capacity to communicate widely with partners. All states reported a severe or complete loss of their ability to provide training and technical assistance to partners. Despite these reduced capacities, states reported several key resources that facilitated continued work on the state plan.ConclusionsDecisions regarding continuation of funding are often dependent on budget constraints, evidence of success, and perceived ability to succeed in the future. Evaluating public health funding decisions may help guide development of best practice strategies for supporting long-term program success.

show abstract

Section: Introductionsupporting

confidence: 83%

Evaluating Public Health Resources: What Happens When Funding Disappears?

Freedman¹,

Kuester²,

Jernigan³

2013

Prev. Chronic Dis.

View full text Add to dashboard Cite

show abstract

“…8 Survey findings indicated that grantees leveraged, on average, six times the total investment provided by the RWJF to the 17 Turning Point states participating in this research and that these funds came from numerous public and private sources. This preliminary inquiry demonstrated that several states had leveraged significant resources and initiated in-terest in conducting a more formal study.…”

Section: The Turning Point Initiativementioning

confidence: 99%

Making the Case

Bekemeier

Riley

Padgett

et al. 2007

Journal of Public Health Management and Practice

Self Cite

View full text Add to dashboard Cite

Leveraging funds to sustain the efforts of a grant-funded initiative is often an explicit, or implicit, expectation in philanthropy. However, the magnitude of funds leveraged and the factors that facilitate success in leveraging are rarely researched. An example of one of these grant-funded initiatives is the National Turning Point Initiative. Twenty-one states received funding from The Robert Wood Johnson Foundation as part of this initiative to establish and implement strategic goals for achieving significant statewide public health system improvement through diverse, cross-sector partnerships. Leaders from 17 of these 21 states participated in a two-phased study regarding the leveraging of additional funds for their public health infrastructure improvement activities. This article reports on the second phase of the study. In this phase, key informant interviews were conducted to examine how leveraging of resources occurred as part of this large national initiative. Findings indicate that the combination of a comprehensive planning process and a broad-based partnership was crucial in securing resources to expand their efforts. The ability to strategically respond to unexpected events and opportunities also helped states use their plans and partnerships to "make the case" for additional resources to improve their public health infrastructure.

show abstract

The Structure and Organization of Local and State Public Health Agencies in the U.S.

Hyde

Shortell

2012

American Journal of Preventive Medicine

View full text Add to dashboard Cite

Leveraging Finances for Public Health System Improvement

Cited by 3 publications

References 10 publications

Evaluating Public Health Resources: What Happens When Funding Disappears?

Evaluating Public Health Resources: What Happens When Funding Disappears?

Making the Case

The Structure and Organization of Local and State Public Health Agencies in the U.S.

Contact Info

Product

Resources

About