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NALBOH'S Six Functions of Public Health Governance

NALBOH worked with the Centers for Disease Control and Prevention (CDC), other partners, and experts from the field to identify, review, and develop a model of Six Functions of Public Health Governance. The release of the six Governance Functions is a landmark moment in public health. The boards that govern health departments can now assess their own activities against a standard, and non-governing advisory boards can better understand their important role in the governance process.

NALBOH co-founder and Interim CEO Ned Baker, who has championed the important role of boards of health for almost 25 years, commented, “Defining the Governance Functions is groundbreaking for the future of public health. These six functions are to public health governance what the three Core Functions and ten Essential Services have been to public health."  

All public health governing entities are responsible for some aspects of each function. No one function is more important than another.

The Six Functions Include:
1. Policy Development
2. Resource Stewardship
3. Legal Authority
4. Partner Engagement
5. Continuous Improvement
6. Oversight


Governing entity
The board, commission, council, individual, or other body legally accountable for ensuring the Six Functions of Public Health Governance in a jurisdiction. 

Governance Functions (The Six Functions of Public Health Governance)
The identified functions for which a public health governing entity is responsible. The Six Functions of Public Health Governance are policy development, resource stewardship, legal authority, partner engagement, continuous improvement, and oversight.

View Governance Functions PDF document

NALBOH's Board Training Resources

Board Evaluation Checklist

NALBOH Self-Evaluation Form