Term of Award

Fall 2021

Degree Name

Doctor of Public Health in Public Health Leadership (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

Jeffery Jones


Objective: The purpose of this study is to examine the perceptions of the local board of health chairpersons in Georgia on their engagement in six governance functions and examining the challenges faced and facilitators perceived by local boards of health in performing the governance functions properly. Methods: For this descriptive mixed method study design, a survey was administered to all local board of health chairpersons and key informant interviews were conducted with a small selection of board of health chairpersons. Descriptive statistics were produced for recoded survey data variables and themes from qualitative data collected through the surveys and interviews were identified. Results: The electronic survey had a 26% response rate and there were 5 chairpersons that participated in the key informant interviews. Most respondents were male (67%) and white (76%) and reported highest involvement in Policy Development but lowest involvement in Oversight and Partner Engagement. Conclusion: Overall the study identified low effectiveness scores, along with several barriers and facilitators that are perceived by local boards. In order to improve the effectiveness of local boards of health in Georgia it is recommended to improve training processes, encourage or require public health accreditation, and conduct a review of the current laws and processes that are currently being utilized by local boards of health in GA.

OCLC Number


Research Data and Supplementary Material