What does it take to strengthen public health systems nationwide and why does flexible funding matter? In this PHIG Impact Report, we’re joined by SzePui Hughes, Senior Director of Public Health Workforce and Infrastructure at ASTHO to unpack the Public Health Infrastructure Grant (PHIG) and ASTHO’s role as a national partner.  We’ll discuss how health departments are using PHIG funding to modernize data systems, expand community-based services, and build a more resilient workforce, while adapting to shifting priorities and pressures. SzePui shares key trends health leaders are raising, from peer learning and leadership development to long-term sustainability, and highlights real-world success stories from states and local agencies.

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This is Public Health Review
Morning Edition for Tuesday,

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January 21st, 2026.
I'm John Sheehan for the

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Association of State and
Territorial Health Officials.

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Today, another edition of the
FIG Impact report.

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We're joined by Asto's Senior
Director of Public Health,

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Workforce and Infrastructure,
Sepoy Hughes, to unpack the

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Public Health Infrastructure
Grant, or FIG, which is entering

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its fourth year, and Asto's role
as a national partner.

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We'll discuss how health
departments are using FIG

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funding to modernize data
systems, expand community based

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services, and build a more
resilient workforce while

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adapting to shifting priorities
and pressures.

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ASTA serves as one of the three
national partners funded through

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the Public Health Infrastructure
Grant or FIG, and this means

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that we lead a broad range of
capacity building initiatives

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and activities to support all of
our members and other FIG

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supported health departments.
Collectively, we all have a goal

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to strengthen public health
infrastructure across the nation

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and the flexibility of FIG
allows our organizations to

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reach our intended health
outcomes by building on evidence

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based strategies as well as
innovating with new and

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promising practices.
Since the beginning of the

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grant, we at ASTO have made it
our goal to support health

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departments in achieving their
long term FIG goals.

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Agencies and jurisdictions may
have different emerging needs at

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any particular moment in time,
and our strong relationships

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with state and territorial
health officials and their

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leadership teams have allowed us
to effectively tailor our

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support and quickly adapt to
shifting priorities.

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Along with the other national
partners, National Network of

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Public Health Institutes and the
Public Health Accreditation

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Board, we also provide technical
assistance to health departments

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in states, territories and
freely associated states, as

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well as FIG funded big cities
and counties to help them

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strengthen their data
modernization workforce and

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foundational capabilities.
ASTO also has an extended

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network of trusted partners that
we rely on to quickly connect

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health department staff to
specialized subject matter

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experts.
And one other important role for

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us at ASTO is to lead the
strategy and development of

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communication activities to tell
the story of FIG across health

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departments and their partners.
With three years of FIG

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supported work under their
belts, FIG recipients now have

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so many successes, innovations,
and lessons learned to share

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with each other and other
important audiences.

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Our goal is to work with health
departments, national partners,

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and CDC to amplify these stories
of impact and showcase the value

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of this flexible funding and its
direct effect on organizations

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and the communities that they
serve.

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And I'll want to come back to
some of those successes in a

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minute.
But first, could you, could you

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let us know sort of some of the
priorities that you're hearing

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about from agencies sort of
around the country and what is

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what is Asto's role in helping
those helping turn those

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priorities into into into
action?

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Well, I think it's no surprise
to everyone that health

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department leaders are really
dealing with so many competing

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priorities these days,
compounded by the shifting

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economic and political
landscape.

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At the same time, there are
opportunities to consider new

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partnerships, streamline the way
that we work, and shape the

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future of public health.
We're hearing that health

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department staff continue to
place high value on the

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connection opportunities that
allow them to discuss challenges

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and learn from their peers and
similar roles.

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Over the years, ASTO has built a
strong framework for leadership

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development through peer
connection offering such as our

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Executive Leadership Forum,
Bring together senior deputies,

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chief financial officers,
workforce directors, data

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modernization leads, legislative
liaisons, and so many more to

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really strategize and consider
additional perspectives for

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decision making.
ASTO also supports peer networks

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and learning communities for key
FIG staff, including principal

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investigators, workforce
directors, grants managers, and

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communications leads to gather
ideas, resources, and other

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perspectives to inform their
work.

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Another thing that's top of mind
for many FIG recipients is the

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need to address sustainability
at their organization.

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This could mean sustainability
in different ways, whether it's

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securing future funding to
maintain operations, ensuring

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continuity of services with
shifting priorities, maintaining

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the public health workforce,
just to name a few.

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ASTO has developed a
sustainability framework that

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can inform planning activities
across all health department

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areas.
We're weaving these concepts

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into our technical assistance
efforts as well as our capacity

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building resources and really
look forward to highlighting

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this work in the coming year.
And could could you highlight

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some successes and some uses of
the funds that have really had

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impact?
Yes, given all of the tremendous

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work that health departments
have done in the past three

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years, there are a lot of
stories of progress and impact

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to the local community.
ASTO currently hosts over 150

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success stories in a variety of
formats on our FIG Partners

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website and we know that there
are many more stories that

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recipients and partners are
planning to share.

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One example, the Illinois
Department of Public Health

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leveraged its FIG funding to
expand its cloud based data

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infrastructure.
These improvements allowed

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Illinois to develop tools to
serve the community, including a

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dashboard to support public
health teens in monitoring and

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responding to heat wave risks.
The health department also

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launched A measles outbreak
dashboard using machine learning

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to help anticipate and monitor
potential outbreak patterns in

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real time for Illinois schools.
Another example, in Wake County,

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North Carolina, the health
department has successfully used

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its FIG funds to expand
community based services and

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meet people where they are.
They set up a mobile unit to

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deliver essential health
services, including chronic

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disease screening and
vaccinations, to communities

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that typically experience
barriers to access to care such

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as transportation or cost.
Wake County also empowered

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trusted local partners such as
grassroots and faith-based

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organizations and Barber shops
to reach residents more

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effectively.
These are just a couple of

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examples of the important and
creative progress achieved by

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our dedicated public health
colleagues, and I encourage

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everyone to view the collection
of stories on

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phinfrastructure.org.
That's really a pretty

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wide-ranging set of examples,
you know, going from cloud

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computing to to mobile services,
that's as you say that's

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indicative of the flexible
funding nature of it.

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It's and that's really
impressive that so many

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initiatives were were sparked by
it.

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Are there are there specific
priorities or or initiatives or

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directions that you see ASTO
kind of focusing on going into

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year 4?
Well, ASTO and the national

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partners will continue to
support health departments to

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achieve their goals in building
public health infrastructure.

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Our technical assistance and
capacity building resources are

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really designed to help public
health leaders strengthen their

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organization's culture, systems,
and operations for the life of

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FIG and beyond.
So moving forward in year 4 of

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this grant, ASTO is really
excited to help tell the story

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of public health agencies and
how their resilience and

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resourcefulness are really
essential to helping communities

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thrive.
Telling the story of FIG is

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really about telling the story
of how health departments are

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moving the needle towards having
an infrastructure that leads to

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improving health outcomes,
including things like increasing

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efficiencies to deliver services
to their local communities and

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leveraging partnerships,
including those in other

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sectors, to accelerate progress
and improve outcomes.

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The past three years of FIG has
reinforced what we have

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understood to be an essential
public health message for all

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audiences.
Investing in flexible funding to

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build public health
infrastructure will ultimately

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protect and save lives by
ensuring that people, structures

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and systems are in place to
quickly respond during times of

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emergency and to continue
providing essential services to

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improve the health of all
communities.

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Sepoy Hughes, thanks so much.
Thank you for the opportunity,

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John.
Sepoy Hughes is senior director

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of public health, workforce and
infrastructure at ASTO.

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This has been another edition of
the FIG Impact Report.

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I'm John Sheehan with Public
Health Review, Morning Edition

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from the Association of State
and Territorial Health

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Officials.