Residents in rural communities face persistent and complex health challenges, including access to care, transportation barriers, workforce shortages, aging infrastructure, and outdated technology. Nearly 80% of rural communities are considered medically underserved, and ongoing rural hospital closures continue to threaten access to essential health services. In response, ASTHO members are leading innovative, cross-sector strategies to strengthen rural health systems, preserve access to care, and improve population health outcomes.

ASTHO and CDC have partnered to provide rural public health leaders with essential tools and information needed to advance health in rural communities. Featuring interactive training modules, a mapping tool, recordings, and more, these resources highlight key considerations for leading public health in rural areas.

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Recording Available: ASTHO Members Discuss Rural Health Improvement Strategies During Deskside Media Briefing

In November 2025 ASTHO convened members from Iowa, Maine, and Mississippi to discuss rural health.

From ASTHO's Chief Medical Officer, Susan Kansagra, MD, MBA.

Understanding and Applying for the Rural Health Transformation Program

Find funding criteria and distribution details for the Rural Health Transformation Grant, and explore collaboration and tactical considerations for your application.

Federal Health Policy Update.

Federal, State, and Stakeholder Perspectives on the Rural Health Transformation Fund

Explore perspectives on the Rural Health Transformation Fund, shared at a discussion hosted by ASTHO and Cornerstore Government Affairs teams.

Public Health Review Morning Edition.

Bridging the Rural Health Gap: Building Capacity, Workforce, and Connection

Public Health Review Morning Edition episode 1118 discusses the Rural Health Academy, a growing initiative designed to strengthen the capacity of state and local health leaders as they work to close public health gaps for rural communities.

Public Health Review Morning Edition.

From Rural Dollars to Dinner Plates: Turning Big Federal Policy Into Real Health Gains

Public Health Review Morning Edition episode 1072 looks at two sweeping developments and the on-the-ground work required to make them matter.

Partnership and Collaboration Resources

Check out these additional resources from our partners supporting rural health.