Findings from the 2008 National Profile ofLocal Health Departments Study

Missouri 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 90% of Missouri LHDs

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

• Source of all data in this presentation

Missouri Local Health Departments

• 103 Local Health Departments

• Nearly all LHDs (95%) serve county or combined city-county jurisdictions

• Most Missouri LHDs (84%) 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

* Low item response rate for Missouri LHDs

Percentage of LHDsEmploying Selected Occupations

Nurse

Manager/Director

Environmental HealthSpecialist (Sanitarian)

Clerical Staff

Nutritionist

Emergency Preparedness

Coordinator

Health Educator

Epidemiologist

Physician

Public Information Specialist

Behavioral Health Professional*

Information Systems Specialist*

Other Environmental Health Scientist*

* Low item response rate for Missouri LHDs

“Typical” Staffing Patternsfor Missouri 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 Missouri LHDs

Activities & ServicesProvided More Frequently in Missouri

compared Nationally

Activities & ServicesProvided Less Frequently in Missouri

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.