Overall, 83 percent of the respondent organizations were aware of the initiative. All of the responding states, 84 percent of the local health organizations, and 60 percent of the tribal health organizations reported awareness of the initiative. Tribes were statistically less likely to be aware of the initiative compared to both local and state health organizations
The HP2010 initiative was viewed by users as highly relevant. The initiative scored slightly lower on a similar scale for effectiveness. HP2010 users were asked to select the most useful aspect of the program to the organization. Both states and localities cited the specific health objectives as the most useful aspect, with the overarching program goals ranking second. Tribes differed significantly, citing the participatory goal setting process more frequently than any other aspect.
The Healthy People initiative was used for program development and expansion at all different types of responding organizations. The types of program activities were diverse, but varied little depending on an organization’s type, size, or location. Sixty-five percent of state users (n=26) reported planning programs specifically around one or more of HP2010’s focus areas or objectives. This was significantly higher than the 42 percent of local users (n=33) and 27 percent of tribal users (n=3). The states reported using HP2010 objectives as elements in the organization’s strategic planning and goal-setting for various departments and program areas. Local and tribal users cited examples of program planning around focus areas more frequently than key objectives.
HP2010 users provided feedback about the barriers to greater implementation of the initiative at their organization. The lack of implementation materials was the only barrier cited that relates to the initiative itself. More users reported organizational issues as barriers. Over 70 percent of users at the state, local, and tribal level cited a lack of financial resources, staff resources, and competing priorities as barriers. State users differed from local and tribal users, both of whom cited a lack of buy-in from primary decision makers as a barrier (p≤.05).
Non-users of HP2010 in the sample were comprised entirely of local and tribal respondents, and they were more often from smaller organizations. The most frequently cited barriers by non-users relate to organizational issues such as resources, competing priorities, and lack of buy-in from decision-makers. However, a lack of implementation guidance and the amount of initiative materials (too few or too many) also received over a 60 percent response.