American Public Health Association
800 I Street, NW • Washington, DC 20001-3710
(202) 777-APHA • Fax: (202) 777-2534
comments@apha.org • http://www.apha.org

The Instruments

The instruments can serve as valuable tools in determining current performance and capacity, identifying areas for system improvement, strengthening state and local partnerships and assuring that a strong public health system is in place to respond effectively to both day-to-day public health issues and to public health emergencies.  

There are three NPHPSP instruments:

  1. The State Public Health System Performance Assessment Instrument focuses on the state public health system, including state public health agencies and other partners that contribute to public health services at the state level.
  2. The Local Public Health System Performance Assessment Instrument focuses on the local public health system or all entities that contribute to public health within a community. This system includes all public, private, and voluntary entities, as well as individuals and informal associations.
  3. The Local Public Health Governance Performance Assessment Instrument focuses on the governing body, i.e. boards of health or commissioners, ultimately accountable for public health at the local level.