Term of Award

Fall 2018

Degree Name

Doctor of Public Health (Dr.P.H.)

Document Type and Release Option

Dissertation (open access)

Copyright Statement / License for Reuse

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


College of Public Health

Committee Chair

Gulzar Shah

Committee Member 1

William Mase

Committee Member 2

Jingjing Yin

Committee Member 4 Email



Local health departments engage in community health assessment, community health improvement plan, strategic planning to systematically monitor health, identify risk factors, and to set strategic priorities to improve population health outcomes. Successful completion of these three processes within the last five years is also paramount as they are required for accreditation by the Public Health Accreditation Board. The main purpose of this study was to analyze characteristics of local health departments that are associated with completion of community health assessment, community health improvement plan, strategic planning, and accreditation processes. This cross-sectional study drew data from the 2016 NACCHO profile of local health departments. Results revealed that health educator, female top executive, full-time work status, having higher number of full-time equivalents, higher per capita expenditure, and completion of all three processes were strongly associated with completion of these four processes. The findings suggest that public health officials should be more strategic thinkers in their planning processes and decision makings in areas of policy, environmental, and system changes.

OCLC Number


Research Data and Supplementary Material