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ASTHO is committed to supporting public health agencies as they work to reduce the climbing rates of maternal mortality and morbidity in the United States.

Information and resources regarding PRAMS, an ongoing, site-specific, population-based surveillance project.

Public Health Preparedness Advancing Public Health Preparedness Access ASTHO’s public health preparedness expertise to best equip your team to anticipate, respond to, and help communities recover from health emergencies. ASTHO helps strengthens the nation's preparedness for emergencies by identifying and prioritizing the needs of state and territorial public health agencies. We forge partnerships with national, state, local, territorial, academic, and non-governmental organizations, and in turn, these relationships enhance the work of ASTHO members in times of crisis. ASTHO’s core focus areas include emergency response, public health preparedness, health care system preparedness, radiation readiness, homeland security, disability integration, and the integration of preparedness into other areas of public health. Related website: Radiationready.org website

ASTHO works to help public health agencies prepare for significant public health emergencies, such as pandemics, and develop comprehensive emergency response strategies.

ASTHO helps improve public health agencies’ performance and infrastructure by offering resources and tools for performance management, quality improvement, and accreditation.

National Public Health Performance Standards The National Public Health Performance Standards (NPHPS) are based on the Ten Essential Public Health Services, and are designed to assist state and local public health systems, and local governance entities in assessing and improving their public health systems or boards of health. The State Public Health System Assessment Instrument focuses on the state public health system, which includes state public health agencies and other partners that contribute to public health services at the state level. NPHPS Assessment The State Public Health System Performance Assessment measures the capacity and infrastructure of state public health systems and helps states to recognize where improvements can be made. Resources Background and benefits of the NPHPS Assessment Instrument (PDF) Implementation Guide Facilitator Guide Glossary Additional supporting resources website

From Plan to Action: Tools to Support Public Health Implementation Public Health Implementation Tools Use this suite of public health implementation tools to bridge gaps and turn strategy into action. Plans are only as powerful as their follow-through. Too often, implementation gets overlooked or delayed due to unclear roles, timelines, or next steps. This suite of resources is designed to help public health teams bridge those gaps and turn strategies into action. Whether you’re developing organizational plans, program strategies, or collaborative initiatives, if you’re involved in setting goals and want to ensure effective implementation, these resources are for you. Your team can use them individually or together, depending on your specific needs. Each tool offers flexible guidance, practical templates, and coaching prompts to help your team: Turn broad goals into clear, actionable steps. Clarify roles, responsibilities, and decision-making authority. Strengthen collaborative structures and build trust. Reinforce accountability in supportive and sustainable ways. Reflect and act within your own context. Need support or have feedback to share? The ASTHO Performance Improvement team is here to help. Reach out to us at performanceimprovement@astho.org for technical assistance, questions, or to share feedback so we can continue to strengthen and improve these public health implementation tools. Operationalizing Goals to Maximize Public Health Planning This resource helps translate high-level strategies into clear actions with simple planning tools. Best for: When a plan exists but implementation is unclear or stalled. Access Operationalizing Goals Defining Clear Roles and Responsibilities for Effective Public Health Plans This tool aids teams in clarifying who is responsible, how decisions are made, and how follow-through is reinforced. Best for: Teams navigating cross-functional or shared implementation work. Access Defining Clear Roles and Responsibilities Creating Successful Collaboration Structures in Public Health Initiatives This resource offers tools to assess and strengthen partnerships, advisory bodies, and backbones. Best for: Collaborative efforts needing clear structure and partner engagement. Access Creating Successful Collaboration Structures OE22-2203 PHIG article no

Funding is one of the greatest challenges that public health departments face; ASTHO provides resources to most effectively utilize funding to meet the needs of jurisdictions.

This brief explores how state and territorial health agencies can engage people who provide social support for individuals and families with hypertension.

States and territories can reduce adverse childhood experiences through evidence-based primary prevention strategies designed to reduce risk factors.

While the COVID-19 response has strained tobacco prevention and control efforts, the pandemic has afforded health officials unique opportunities to retool their tobacco prevention response. This brief spotlights new findings on tobacco use and COVID-19, opportunities for tobacco prevention during the pandemic, guidance for communicating risk, and recommendations for engaging state health officials.

This brief discusses what peer support is, how it is financed, and how incorporating peer support services into federally qualified health centers can be an especially successful strategy for delivering care to safety-net populations.

To ensure that establishments were abiding by food safety rules during the COVID-19 pandemic and to protect the health of professionals who inspect these facilities, multiple state health agencies implemented virtual inspection protocols.

This brief outlines key considerations for state health departments to address the increase in overdose-related deaths during the postpartum period.

This brief highlights how both states are using the Health in All Policies framework to address systemic racism and social inequity between populations of different racial and ethnic groups.

This brief discusses the roles state primary care offices (PCOs) have in addressing primary care transformation.

The unintended consequences of substance use disorder policies can be significant for women and families impacted by substance use disorders (SUD).

This infographic outlines recommendations for how PQCs can promote breastfeeding through quality improvement strategies, and includes examples of three state PQCs that have improved policies, procedures, and practices to better support breastfeeding in hospitals.

ASTHO, with support from CDC, launched the first cohort of the Linking Pregnancy Risk Assessment Monitoring System and Clinical Outcomes Data Multi-Jurisdiction Learning Community in October 2021. This brief examines themes that emerged from conversations in the learning community about the challenges encountered during data linking activities and discussed lessons they learned.

In an effort to bolster COVID-19 response efforts, state and territorial health agencies looked to update or implement new digital tools and technologies. In response, ASTHO developed a COVID-19 Technology & Digital Tools Inventory to increase awareness of the technologies in use at health agencies across the country.