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Public health in the United States is
guided by a set of three principles known as the Core Functions of Public
Health. The three Core Functions (assessment, policy development, and
assurance) define the roles of federal, state and local public health
systems. All public health agencies are responsible for assessing the
status of public health in their communities, developing policies to
address public health needs, and assuring public health needs are met.
Historically, public health professionals
have worked largely behind-the-scenes to improve the health and safety of
American communities. Today, public health and its leaders are in the
spotlight. Strengthening public health systems and organizations is an
enterprise of unprecedented interest. We in public health must capitalize
on this interest by seeking new opportunities to assess and improve the
ways we deliver public health services in our states and our communities.
The Core Functions and Essential Public
Health Services provide the fundamental framework for the National Public
Health Performance Standards Program (NPHPSP), by describing the public
health activities that should be undertaken in all communities. The Core
Public Health Functions Steering Committee developed the framework for the
Essential Services in 1994. This steering committee included
representatives from US Public Health Service agencies and other major
public health organizations. The Essential Services provide a working
definition of public health and a guiding framework for the
responsibilities of local public health systems.
Mobilizing for Action through Planning and
Partnerships, MAPP, is a strategic health planning model developed by the
National Association of City and County Health Officials, the Centers for
Disease Control to compliment and support the National Public Health
Performance Standards Program - The Core Functions and Ten Essential
Services of Public Health. The skills sets of MAPP provide a framework for
public health professionals to practice in accordance with the Core
Functions and Ten Essential Services.
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