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Updated: Jun 15, 2025
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Evaluating County Health Department Infrastructure Changes Intended to Improve Access to Federal Funding for
Emily Peterson Johnson1, Jessica Cargill1, Erin Appelt1
1Emily Peterson Johnson, Jessica Cargill, and Rachelle Johnsson Chiang are with the Texas Health Institute, Austin. Erin Appelt and Alexis Arlak are with the Maricopa County Department of Public Health, Phoenix, AZ.
Abstract:
In 2021, the Maricopa County Department of Public Health in Maricopa County, Arizona, modified its subcontracting process to engage more community-based organizations that serve populations disproportionately affected by COVID-19. The change allowed subrecipients to receive 40% of grant funding up front. An evaluation found that providing up-front funding engaged smaller-budget organizations. However, factors such as administrative requirements and formal policies associated with government partnerships limited the perceived benefits of up-front funding. These findings are relevant for entities seeking to improve access to federal funding. (Am J Public Health. 2024;114(S7):S562-S565. https://doi.org/10.2105/AJPH.2024.307740).
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