Date of Award


Document Type


Degree Name

Master of Public Administration (MPA)

Program Name

Public Administration

Capstone Instructor

Dr. Elizabeth Keavney


This thesis measures the correlation between the policy and service integration of assessing health, mobilizing community partnership, developing health policy and program evaluation, and health outcomes as measured by the County Health Rankings and Roadmaps for rural local public health agencies. West Virginia provides the primary data, and Iowa and Missouri are tested as controls. Simple scoring methods are utilized to quantitatively describe integration of the four Essential Public Health Services and health outcomes. Basic Pearson correlations is used to measure the relationship between variables. Contrary to expectation for public health discipline best practice, the study demonstrates negative correlation values. This outcome requires both policy recommendations outside the standard public health paradigm and further research to understand effective and efficient public health service delivery options for rural localities.



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