Assessment of the Uses and Users of Healthier US and Healthy People 2010. Non-Users of the Initiatives


As noted earlier, localities, tribes and health organizations with fewer FTEs or serving a small population were significantly less likely to use HealthierUS. Much like the barriers noted by users of HealthierUS, the 60 non-users cited the lack of staff resources (97%), financial resources (93%), and competing priorities (92%) as the top reasons why their organization does not use HealthierUS. Exhibit 17 shows the full list of barriers to use cited by the survey’s HealthierUS non-users.


% Reporting

Exhibit 17: HealthierUS Non-User Barriers

Don't agree with priorities


Too little material


Too much material


Lack of buy-in


Lack of implementation guidance


Competing priorities


Insufficient financial resources


Insufficient  staff resources


Some other barriers offered by non-users in the free-text fields included a belief that the initiative is too duplicative of programs already in place (n=8), that the organization is too unfamiliar with the initiative to consider implementation (n=7), the initiative is not in-line with the organization’s current priorities (n=3), the organization applied for, but did not receive, a Steps to a HealthierUS grant (n=3), and the initiative has not been evaluated or validated (n=2).

Despite these barriers, non-users generally felt that the program’s four priority areas are an appropriate focus (43%). Forty-six percent of non-users did not have an opinion about the focus, and 9 percent felt it is too broad while 1 percent felt HealthierUS is too narrowly focused. Of the 26 non-users with an opinion about whether HealthierUS is lacking in some way, 57 percent responded in the affirmative. When asked how the program is lacking and what HHS could do to encourage more progress toward the HealthierUS goals, one third of the respondents said that HHS needs to do more outreach and education about the program, not just to state, local, and tribal health departments, but also to state and local policymakers. A quarter of the respondents suggested that HHS do more to coordinate with state, local, and tribal programs already in place, such as statewide Healthy People programs, to identify opportunities for collaborations between HHS and other health departments. Twenty-two percent of the non-users suggested that HHS think of other funding mechanisms besides the grant program to fund HealthierUS initiatives. Specific suggestions included sending money through the states, funding community-based organizations, and funding healthcare providers or research institutions. Just fewer than 20 percent of respondents commented on the need for HHS to consolidate its portfolio of disease prevention and health promotion activities to provide a clear set of priorities, goals, and methods to achieve them.

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"HUS-HP Users Assessment 9-29-05 (3).pdf" (pdf, 731.33Kb)

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"Appendix 1 - Healthy People Final Quex.pdf" (pdf, 262.13Kb)

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