Evidence-Based Public Health

Evidence-Based Public Health Implementation Toolkit

The Evidence-Based Public Health Implementation Toolkit provides a collection of resources and tools aimed at helping state and territorial health agencies implement and build on their existing evidence-based public health (EBPH) policies and practices. The toolkit contains an overview of the seven-step EBPH framework (executive summary), its application in state and local public health (presented in state case studies and action sheets), tools for state analysis, and links to evidence-based resources.

Intended Audiences

These documents are designed to address the different needs of state and territorial health agency stakeholders, including:

  • State and territorial health officers, agency directors, or other senior governmental officials may find the executive overviews and fact sheets of particular interest.
  • Chronic disease directors and other programmatic staff will find the fact sheets, issue briefs, state analysis guides, and resource materials useful in understanding and gaining more in-depth knowledge about particular EBPH concepts, resources, and action steps.
  • The current issue updates are intended to help all audiences learn about the latest developments and opportunities to implement EBPH policies and practices.

Executive Summary

Brief snapshot of key EBPH concepts and issues

State Case Studies

ASTHO developed evidence-based public health case studies from six states to demonstrate a wide range of evidence-based strategies for addressing complex public health problems. While their approaches and objectives vary, the six states use a common framework to develop evidence-based interventions that respond to local needs, shown below.
Evidence-Based Public Health Framework - Ross Brownson

In addition, the states rely on tools such as evidence-based recommendations from the Community Preventive Services Task Force contained in The Guide to Community Preventive Services (The Community Guide) to address a wide range of public health challenges.

Although the states face different problems, certain themes and lessons learned emerged:

  • Engaging partners-within the state or territorial health agency or external partners such as community-based organizations, other state agencies, employers, physician groups, and others-is essential for stretching resources and promoting sustainability.
  • Small interventions can make a difference. In addition to addressing a specific problem (e.g., physical inactivity in the workforce), small initiatives can foster partnerships, educate stakeholders, and pave the way for expanded use of evidence-based policies and practices.
  • EBPH resources, such as the seven-step EBPH framework and The Community Guide, provide an objective process for convening partners in multiple sectors, working together to prioritize problems and solutions, and implementing an action plan.
  • Workforce development and training in EBPH is critical. A trained workforce, even if it's a small group of staff members in the beginning, can promote the use of evidence-based practices across program areas, as well as train state and local health departments to apply evidence-based interventions.

State Analysis Guides

Guides to assist states in identifying and analyzing their current and potential EBPH policies and practices