10 Essential Public Health Services

The 10 Essential Public Health Services (EPHS) describe the public health activities that all communities should undertake. For the past 25 years, the EPHS have served as a well-recognized framework for carrying out the mission of public health. The EPHS framework was originally released in 1994 and more recently updated in 2020. The revised version is intended to bring the framework in line with current and future public health practice.

The 10 Essential Public Health Services (EPHS) describe the public health activities that all communities should undertake.  For the past 25 years, the EPHS have served as a well-recognized framework for carrying out the mission of public health.  The EPHS framework was originally released in 1994 and more recently updated in 2020.  The revised version is intended to bring the framework in line with current and future public health practice.

The revised EPHS framework was released on September 9, 2020, as a result of a collaborative effort by the Public Health National Center for Innovationsexternal icon (PHNCI) and the de Beaumont Foundationexternal icon, who convened a task force of public health experts, leaders, and practitioners and engaged the public health community in activities to inform the changes. The task force also included experts from federal agencies, including CDC, which were instrumental in establishing and supporting the original EPHS framework.  Details about the process to update the EPHS can be found on the PHNCI websiteexternal icon, along with accompanying materials.

Essential Public Health Services (Revised, 2020)

The 10 Essential Public Health Services provide a framework for public health to protect and promote the health of all people in all communities.

  1. Assess and monitor population health status, factors that influence health, and community needs and assets
  2. Investigate, diagnose, and address health problems and hazards affecting the population
  3. Communicate effectively to inform and educate people about health, factors that influence it, and how to improve it
  4. Strengthen, support, and mobilize communities and partnerships to improve health
  5. Create, champion, and implement policies, plans, and laws that impact health
  6. Utilize legal and regulatory actions designed to improve and protect the public’s health
  7. Assure an effective system that enables equitable access to the individual services and care needed to be healthy
  8. Build and support a diverse and skilled public health workforce
  9. Improve and innovate public health functions through ongoing evaluation, research, and continuous quality improvement
  10. Build and maintain a strong organizational infrastructure for public health

EPHS Launch Event

On September 9, 2020, the de Beaumont Foundation and Public Health National Center for Innovations hosted a virtual launch for the revised 10 Essential Public Health Services. View the complete launch event recording below. Listen to remarks from José T. Montero, MD, MHCDS, Director of CDC’s Center for State, Tribal, Local, and Territorial Support, at 55:45. (The video is best viewed on Microsoft Edge, Google Chrome, or Safari browsers.)

Resources

10 Essential Public Health Services – Full
Provides a detailed description of each Essential Public Health Service

10 Essential Public Health Services – One Pager
Provides a brief one-page summary of the 10 Essential Public Health Services

10 Essential Public Health Services – Graphics
Contains downloadable graphics for promotion

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The National Public Health Performance Standards program supports efforts to ensure that the Essential Services are provided across the public health system. The program provides tools for state and local public health systems and public health governing bodies to assess capacity and performance.

Page last reviewed: September 22, 2020