State funding supports the critical work of local public health agencies – our front line of prevention. The state’s portion of public health funding accounts for only 21% of total funding. The rest comes from federal sources and other funds like grants. Federal funding for public health is on the decline, yet the need for investment remains at the local level. A stable state funding model that prioritizes local public health is necessary to modernize and support Iowa’s public health infrastructure.
This is a priority because…
- In 2018, the State’s allocation for public health was only $15.68 per person.
- 70% of adults have unhealthy weight; 26,000 youth use tobacco products; violence killed 571 people in 2017i. Racial and ethnic minorities carry the disproportionate burden of illness and disease.
- Local public health agencies are best equipped to determine and manage the health risks most affecting their communities.
Iowa has among the highest rates of obesity, teen tobacco use, and excessive drinking—all behaviors that diminish the health of Iowans, reduce productivity in our communities and workforce, and create an economic burden in our state. All of these issues can be addressed When local public health agencies are supported to focus on prevention and population-level prevention policies and activities.