Abstract
STATE HEALTH DEPARTMENTS’ MISSION AND STRATEGIES State health departments have traditionally worked in many areas of public health, including injury prevention (1). The public health approach toward injury and disease prevention directs programs to examine surveillance data and then design, implement, and evaluate strategies to address problems, such as falls among older adults (1, 2). The emphasis is to select evidencebased strategies that have been successfully tested in research settings and translated into programs that are readily available for implementation. Fall prevention among older adults has been acknowledged as a priority topic area, and one for which evidence-based strategies have been identified (1, 3).
Highlights
PUBLIC HEALTHEach of the three states decided that instead of directly providing programing by statelevel agencies, they would partner with local organizations to build infrastructure, change policies, and increase delivery and sustainability of the evidence-based programs
STATE HEALTH DEPARTMENTS’ MISSION AND STRATEGIES State health departments have traditionally worked in many areas of public health, including injury prevention [1]
Each state ensured that internal support for the program was integrated within the structure and function of the state health department
Summary
Each of the three states decided that instead of directly providing programing by statelevel agencies, they would partner with local organizations to build infrastructure, change policies, and increase delivery and sustainability of the evidence-based programs This commentary shares the experience from our three states after 2.5 years of efforts to build clinical and community prevention efforts to reduce falls in older adults. The state health departments made it a priority to assist the local partners with embedding the evidence-based programs within their organizational structure This entailed building a state infrastructure for instructor training, helping partners see and develop their roles in falls prevention, and providing the technical expertise to share marketing strategies so partners could ensure their programs effectively reach the older adult audience.
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