Building capacity of environmental health services at the local and national levels with the 10-essential-services framework.

The authors present a case study on the use of the 10-essential-services framework to build capacity in a local environmental health agency. The framework can be applied to conduct an environmental health assessment, make organizational change, and expand environmental health capacity at the local level in a way that has a national impact. Examples of environmental health capacity-building efforts include vector surveillance, community education and outreach, workforce development, and research. The case study highlights the lessons learned from use of the 10-essential-services framework to improve environmental health services in Multnomah County, Oregon.