Findings from the 2008 National Profile ofLocal Health Departments Study

North Carolina LocalHealth Departments

National Profile of Local Health Departments Study• The National Profile of Local Health

Departments is a survey of local health department (LHD) infrastructure and activities

• NACCHO sends the Profile questionnaire to every LHD in the U.S.– Completed by 83% of all LHDs – Completed by 98% of North Carolina

LHDs

• Data are self-reported by LHDs and not independently verified by NACCHO

• Source of all data in this presentation

North Carolina Local Health Departments

• 85 Local Health Departments

• Most LHDs (93%) serve county or combined city-county jurisdictions– 7% serve multi county, district,

region jurisdictions

• All North Carolina LHDs (100%) have a Local Board of Health

Distribution of LHDs by Size of Population Served

Distribution of Total AnnualLHD Expenditures

Median LHD Expenditures by Size of Population Served

Percentage of Total LHD Revenues from Various Sources

Mean Per Capita LHD Revenues from Selected Sources

Characteristics of LHDs’ Top Executives

Percentage of LHDsEmploying Selected Occupations

Manager/Director

Nurse

Clerical Staff

Environmental Health Specialist (Sanitarian)

Health Educator

NutritionistEmergency

Preparedness Coordinator

Behavioral HealthProfessional

Physician

InformationSystems Specialist

Other EnvironmentalHealth Scientist

Public Information Specialist

Epidemiologist

“Typical” Staffing Patternsfor North Carolina LHDs

Median Full-Time Equivalents (FTEs)for Selected Population Sizes

Median FTEs for All Staffand Selected Occupations

by Size of Population Served

Top Activities & ServicesProvided by North Carolina LHDs

Activities & ServicesProvided More Frequently in North Carolina

compared Nationally

Activities & ServicesProvided Less Frequently in North Carolina

compared Nationally

Community Health Assessmentand Improvement Plan

in past three years

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The 2008 Profile was made possible through funding from theCenters for Disease Control and Prevention and the Robert Wood Johnson Foundation.