Our Work

CWORPH is the home of the nation's first HRSA/CDC Public Health Workforce Research Center and the site of numerous other innovative research projects related to public health workforce.

Our research

HRSA/CDC Public Health Workforce Research Center

The Public Health Health Workforce Research Center (PHWRC) is a joint initiative between the U.S. Centers for Disease Control and Prevention (CDC) and Health Services Research Administration (HRSA).  This cooperative agreement provides funding over 5 years (2022-2027) for research focused on:

  1. Evaluating the role(s) of public health occupations in delivering programs, including essential or foundational public health services, across populations.
  2. Investigating public health workforce composition, data, needs, sufficiency, and distribution including both governmental (i.e., federal, state, local, tribal, territorial) and non-governmental entities.
  3. Assessing public health workforce development methods including but not limited to recruitment and training models and the outlook and analytics for workforce needs.
  4. Conducting and evaluating public health workforce implementation scientific research, including identifying evidence-informed strategies and interventions. CWORPH Principal Investigators collaborate with partners to conduct 8-10 studies per year, with guidance and direction from both CDC and HRSA.

Summaries of Year 1 PHWRC Projects (2022-2023)

Summaries of Year 2 PHWRC Projects (2023-2024)

Summaries of Year 3 PHWRC Projects (2024-2025)

Summaries of Year 4 PHWRC Projects (2025-2026)

Past CWORPH Webinars

View All PHWRC Products

 

The Public Health Workforce Research Center is supported by the Centers for Diseases Control and Prevention (CDC) and the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by CDC, HRSA, HHS or the U.S. Government.

Enumeration of the Public Health Workforce

For decades, public health practitioners, policy-makers, and, at times, the public, have asked how many people work in public health. These numbers are important to set a baseline to inform and evaluate workforce infrastructure-building efforts. Yet, the federal government has never systematically answered this question; enumerations of the governmental public health workforce have long been left to non-profits, academics, and others in the field. The reasons for this are many but ultimately reduce to:

  1. Lack of licensure data for public health officials.
  2. Disagreement over how to define the taxonomies of public health workers. Public health has attempted to resolve these two issues since 1908, when the first “limited enumeration” of the field was undertaken.

 

The latest effort, Enumeration 2024, is a collaboration with the Public Health Accreditation Board (PHAB) that aims to build upon recommendations for addressing data challenges while moving forward the methods for enumerating local, state, and federal governmental health employees. The purpose of this project is to expand on previous enumerations by providing three distinct enumeration efforts: 

  1. Total counts enumeration of the full governmental public health workforce
  2. Occupation-specific enumeration. 
  3. Analyses and enumeration of public health nurses using novel data.

 

Enumeration of the Public Health Workforce

 

CDC National Partners Cooperative Agreement

CWORPH is funded through the Centers for Disease Control and Prevention (CDC) National Partners Cooperative Agreement, which supports analysis and evaluation related to local governmental public health issues, particularly workforce recruitment and retention. Current projects include a focus on Capacity and Cost Assessments, Community Health Workers, and Burnout.

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Small but Essential: Understanding Rural Public Health Workforce Challenges and Strengths From the 2024 Public Health Workforce Interests and Needs Survey

While there is a growing recognition of the need to consider rurality in public health, our understanding of the rural local public health workforce nationally remains narrow, in part due to gaps in available data and analyses.  Notably, variation in how rurality is defined represents a longstanding challenge for both public health research and practice, especially in public health, where jurisdictional boundaries differ. However, data on the rural public health workforce are increasingly available. National data from the Public Health Workforce Interests and Needs Survey (PH WINS) are pivotal in characterizing the local public health workforce, yet data specific to small and rural LHDs were limited until recently. In the most recent iteration of PH WINS in 2024, agencies of all sizes across the country were eligible to participate, making this the first national dataset representing the rural public health workforce.

The purpose of the current study is to use PH WINS 2024 data to provide the first national description of the rural local public health workforce across the United States, with a focus on demographic, educational, and positional characteristics, as well as intentions to stay or leave their organizations.

Related podcast here!

Considering PH WINS Findings Within the Context of the Overall US Labor Market

The January/February 2023 Journal of Public Health Management and Practice Supplement (Vol. 29, Issue S1)1 presents findings from the 2021 Public Health Workforce Interests and Needs Survey (PH WINS). The supplement provides insight into governmental public health workforce dynamics.  This commentary serves as an introduction providing insight into how the findings compare to broader US labor market trends and potential implications in light of current labor market uncertainty.

The Public Health Workforce Beyond Government Health Departments: Proposing a New Definition

Although the public health workforce is acknowledged to be much broader, research on the workforce focuses almost exclusively on local, state, tribal, or territorial governmental health departments. Previous constructs of the public health workforce in the United States have acknowledged that individuals in many sectors contribute to public health, including “those who work for official public health agencies at all levels of government, community-based and voluntary organizations with a health promotion focus, the public health-related staff of hospitals and health care systems, and a range of others in private industry, government, and the voluntary sector.

This article proposes a new, intersectional definition of the public health workforce in the United States based on services provided.

Use of Artificial Intelligence in Talent Acquisition Processes

Artificial Intelligence (AI) technology is rapidly changing the way Human Resources (HR) professionals perform their jobs. Changes to HR technology in talent acquisition, or recruitment, processes are being implemented across myriad industries. These processes may include the building of job descriptions, candidate sourcing, job application, resume scanning and ranking, and interview planning and scheduling. This review explores the benefits and challenges of Artificial Intelligence use in Human Resources, with a focus on recruitment processes.

Estimating the Potential Supply of Newly Trained Data Scientists for Government Public Health Employment

In 2024, the Centers for Disease Control and Prevention and the Council of State and Territorial Epidemiologists suggested approaches, including upskilling and recruitment/hiring, to strengthen the workforce capacity in public health data science. We estimated the number of recently graduated data scientists who might be eligible for and potentially hirable into government public health jobs as a step toward filling data gaps in workforce planning.

The Role of Nontraditional Benefits in Recruitment and Retention for Public Health Workers Age 35 and Under

Governmental public health workers age 35 or younger have been shown to experience lower retention rates than older workers. Salaries are often a factor in retention, but because health departments sometimes face restrictions in improving salaries, health departments might explore offering nontraditional benefits to attract and retain workers.  This study analyzes data from the 2024 Public Health Workforce Interests and Needs Survey (PH WINS) to determine whether nontraditional benefits are more highly valued by younger workers than older workers.

Recent trends in US government healthcare & behavioral health workforce departures

Healthcare and behavioral health professionals employed by local, state, and federal governments are essential to maintaining public health infrastructure, ensuring access to care, and responding to emergencies. Despite their importance, limited research has examined how recent policy, budgetary, and labor market changes are influencing their employment stability and retention within government sectors. This study used longitudinal data from the Current Population Survey (2015-2025) to examine employment transitions among government-employed healthcare and behavioral health workers.

Building the Capacity of Community-Oriented Occupations: Describing the Workforce in State and Local Health Departments

Community-oriented workers are essential to the delivery of population-based services across state and local health department systems, as they are often the frontline providers of culturally responsive care, outreach, and health education in underserved communities. This infographic describes the distribution, employment trends, and other data related to these workers in state and local health departments.

 

Local-Level Need, Supply, and Priority Areas for Public Health Nurses

Public health nurses (PHNs) are one of the largest public health occupation groups, bringing important expertise to the activities of public health; however, their roles and distribution differ across the country. The objective of this study was to estimate the relative need for, supply of, and priority areas for PHNs at the county level.