A holistic and sustainable approach to public health staffing and workforce development

Public health in the United States faces a continuous cycle of “neglect, panic, repeat.” As seen with 9/11, H1N1, and COVID-19, public health emergencies create a flurry of attention and resources, but once the crisis passes, focus quickly shifts to other matters until the next emergency, when the c...

Full description

Saved in:
Bibliographic Details
Main Authors: Paulani Mui, Ruth Maiorana, Beth Resnick
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1493858/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832592433874993152
author Paulani Mui
Ruth Maiorana
Beth Resnick
author_facet Paulani Mui
Ruth Maiorana
Beth Resnick
author_sort Paulani Mui
collection DOAJ
description Public health in the United States faces a continuous cycle of “neglect, panic, repeat.” As seen with 9/11, H1N1, and COVID-19, public health emergencies create a flurry of attention and resources, but once the crisis passes, focus quickly shifts to other matters until the next emergency, when the cycle repeats. This leaves the nation's public health system chronically under-resourced and ill-equipped to respond, resulting in a strained workforce that must remain nimble. Maintaining responsiveness to community needs requires a sustainable system with adequate worker supports. This perspective discusses findings from an assessment of short-term COVID-19 investments on long-term U.S. public health workforce needs, highlighting the need for a holistic approach to staffing and workforce development. Temporary staffing addressed immediate response needs, but presented challenges such as difficulties transitioning temporary staff into permanent roles and cohesively integrating temporary staff into ongoing agency operations, which often inadvertently increased administrative burdens on existing staff, exacerbating burnout and dampening morale. Ensuring a sustainable workforce necessitates innovative recruitment and retention strategies. Recommended strategies include holistic recruitment efforts in collaboration with community and academic partners, enhanced leadership training, staff compensation reviews, flexible work arrangements, and worker wellbeing initiatives. These findings guided the creation of the Putting Our People First Discussion Guide to empower agencies to engage workers in collective dialogue to improve workforce mental health, wellbeing, and retention. Bolstering a culture of worker wellbeing and retention alongside sustained funding and infrastructure is critical for the nation's public health agencies to effectively address current and future challenges.
format Article
id doaj-art-bef838cbf83d466a89704542426a18c3
institution Kabale University
issn 2296-2565
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj-art-bef838cbf83d466a89704542426a18c32025-01-21T08:36:52ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011310.3389/fpubh.2025.14938581493858A holistic and sustainable approach to public health staffing and workforce developmentPaulani Mui0Ruth Maiorana1Beth Resnick2Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United StatesMaryland Association of County Health Officers, Baltimore, MD, United StatesDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United StatesPublic health in the United States faces a continuous cycle of “neglect, panic, repeat.” As seen with 9/11, H1N1, and COVID-19, public health emergencies create a flurry of attention and resources, but once the crisis passes, focus quickly shifts to other matters until the next emergency, when the cycle repeats. This leaves the nation's public health system chronically under-resourced and ill-equipped to respond, resulting in a strained workforce that must remain nimble. Maintaining responsiveness to community needs requires a sustainable system with adequate worker supports. This perspective discusses findings from an assessment of short-term COVID-19 investments on long-term U.S. public health workforce needs, highlighting the need for a holistic approach to staffing and workforce development. Temporary staffing addressed immediate response needs, but presented challenges such as difficulties transitioning temporary staff into permanent roles and cohesively integrating temporary staff into ongoing agency operations, which often inadvertently increased administrative burdens on existing staff, exacerbating burnout and dampening morale. Ensuring a sustainable workforce necessitates innovative recruitment and retention strategies. Recommended strategies include holistic recruitment efforts in collaboration with community and academic partners, enhanced leadership training, staff compensation reviews, flexible work arrangements, and worker wellbeing initiatives. These findings guided the creation of the Putting Our People First Discussion Guide to empower agencies to engage workers in collective dialogue to improve workforce mental health, wellbeing, and retention. Bolstering a culture of worker wellbeing and retention alongside sustained funding and infrastructure is critical for the nation's public health agencies to effectively address current and future challenges.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1493858/fullpublic health workforcestaffingretentionrecruitmentworker wellbeing
spellingShingle Paulani Mui
Ruth Maiorana
Beth Resnick
A holistic and sustainable approach to public health staffing and workforce development
Frontiers in Public Health
public health workforce
staffing
retention
recruitment
worker wellbeing
title A holistic and sustainable approach to public health staffing and workforce development
title_full A holistic and sustainable approach to public health staffing and workforce development
title_fullStr A holistic and sustainable approach to public health staffing and workforce development
title_full_unstemmed A holistic and sustainable approach to public health staffing and workforce development
title_short A holistic and sustainable approach to public health staffing and workforce development
title_sort holistic and sustainable approach to public health staffing and workforce development
topic public health workforce
staffing
retention
recruitment
worker wellbeing
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1493858/full
work_keys_str_mv AT paulanimui aholisticandsustainableapproachtopublichealthstaffingandworkforcedevelopment
AT ruthmaiorana aholisticandsustainableapproachtopublichealthstaffingandworkforcedevelopment
AT bethresnick aholisticandsustainableapproachtopublichealthstaffingandworkforcedevelopment
AT paulanimui holisticandsustainableapproachtopublichealthstaffingandworkforcedevelopment
AT ruthmaiorana holisticandsustainableapproachtopublichealthstaffingandworkforcedevelopment
AT bethresnick holisticandsustainableapproachtopublichealthstaffingandworkforcedevelopment