Public Health Case Studies

Howitt is faculty co-director of the school’s Program on Crisis Leadership and senior adviser of its Ash Center for Democratic Governance and Innovation. A: In the United States, the greatest challenge is unevenness in capacity from one jurisdiction to another. David Giles is associate director of and senior research associate at the Program on Crisis Leadership.

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In part, this stems from budget issues, but also from shortfalls of expert and experienced public health personnel.

Many major cities and other areas have extremely good emergency capacity, but some cities, smaller communities and rural areas are not as well served.

EPHI was created from one primary precursor organization, the Ethiopian Health and Nutrition Research Institute (EHNRI), but is the final result of nearly 90 years of evolving public health institute arrangements in Ethiopia.

In Morocco, NPHI functions are dispersed among three agencies.

The research provides important insight on key challenges, how the effort was implemented, financial consideration, outcomes and lessons learned through two case studies of staff-sharing arrangements in New Jersey and Minnesota.

The report also highlights two areas of focus that are critical as local leaders consider sharing staff across jurisdictions: building the business case for cross-jurisdictional sharing and evaluating the success of the arrangement.The Public Health: Research into Policy project supported the Images of Care and Dying CRASSH series (2016-2017), which explored the difficult feelings and dilemmas presented by end of life care that are felt in the lived experiences of clinicians.Each seminar examined issues of end of life care through the lens of film, and featured guest speakers bringing together policy and academia.Several of the case studies in our book – notably those about Ebola, H1N1 and West Nile virus – show how critical those intergovernmental ties are.A: This is still a critical public health issue – and one that could be extraordinarily dangerous worldwide should a new, highly lethal, highly contagious infectious disease appear.Each national public health institute is different and develops in a unique way.To understand the factors that supported the successful creation and growth of our member NPHIs, IANPHI talked to the leaders of several institutes to understand how their NPHIs had been created – why are NPHIs formed, key ingredients to their successes, and barriers to greater impact.And we hope that everyone can appreciate our collective potential for impact on public health and wellbeing.The Public Health: Research into Policy Project has worked with the Palliative and End of Life Care Research Group at CIPH to add capacity to their policy engagement work. Professor of Public Management at the Kennedy School and faculty co-director of its Program on Crisis Leadership.To compensate for any local capacity gaps, it is important to have effective “vertical” and “horizontal” cooperation – that is, across individual communities or counties and from local to state and federal governments.


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