Articles Regarding Local Health Districts and
Integration of Local Health Departments (LHDs)
  • After the consolidation of LHDs in Ohio, the total per capita expenditures decreased by more than 16 percent, while county health officials found that local public health services improved during the same time (Hoornbeek, et al., American Journal of Public Health, 2014).
  • LHDs of larger jurisdictions (i.e., greater than 100,000 population) are more likely to engage in activities aimed at reducing health disparities such as providing local data, supporting community efforts, training staff, educating officials, and prioritizing resources/programs (Shah & Sheahan, International Journal of Environmental Research and Public Health, 2016).
  • LHDs covering a wider jurisdiction with larger population sizes (i.e., greater than 500,000 population) are more likely to ensure access to care, including medical and behavioral services (Luo, et al., American Journal of Preventive Medicine, 2013).