Up for the task? Local health authorities and communal health in Germany

Abstract

Abstract Aim Public health depends on effective structures at all administrative levels. Focusing on the case of Germany, this study assesses the capabilities of local health authorities and how these organisations fulfil their role within the communal health structures. Subject and methods German local health authorities; Explorative online survey. Results Local health authorities face some organisational deficiencies (mostly in expertise) in living up to their role within communal health structures. Despite these challenges, they do engage in exchange with municipalities and get involved in programmes and public health surveillance. Conclusion To strengthen public health and increase the effectiveness of health administrative structures, it would be wise to provide the necessary resources at the local level and to reassess the scope and mandate of local health authorities.