ASTHO President's Challenge Initiatives

A yearly initiative of ASTHO to improve population health through the work of state public health agencies.


Join your colleagues and participate in various discussion topics on my.ASTHO, ASTHO's collaboration and discussion platform. ASTHO members can access the platform here »

Find your state health agency and health official


  • The Historic Opportunity COVID-19 Presents to Address Health Equity

    The disparities experienced during the COVID pandemic have brought a national focus to health equity in our nation. The attention and resources currently being provided to help address health inequities provide an opportunity that I have never experienced in my public health career. There are still challenges, but we have an opportunity to build momentum for the first time in decades if we can focus on implementing evidence-based strategies, demonstrating change and documenting our progress.

  • Recent Federal Actions Spur Changes to Children's Blood Lead Level Screenings and Response

    The COVID-19 pandemic introduced new challenges for screening children’s blood lead levels, as screening rates across the country dropped during stay-at-home orders. A substantive federal policy change and provisions in the Infrastructure Investment and Jobs Act are significantly changing the landscape for reporting and reducing childhood lead poisoning. Read what states are doing in this week’s health policy update.

  • Interagency Collaboration to Improve Business Processes in the U.S. Virgin Islands

    A groundbreaking “all-of-government” approach is getting underway in the United States Virgin Islands (USVI) to more efficiently manage and expend federal grant funding for social determinants of health and overall population health improvement. The initiative follows findings that public health agencies encounter redundant, multi-layered review and approval processes that hamper their ability to efficiently procure needed goods and services that address long standing and emerging public health needs. Moreover, such processes hinder the ability to quickly stand up critical programs and respond to public health emergencies.