Coping with the Uncertainty Facing the Public Health Workforce

By Kirsten Rodgers

The public health workforce is experiencing unprecedented challenges at the federal, state, and local levels. Over the past several years, these professionals have faced increasing demands due to health crises, funding instability, and political scrutiny. The COVID-19 pandemic magnified the cracks in the system, leaving many agencies struggling to maintain their workforce while continuing to serve their communities. As a result, public health professionals are experiencing burnout, workforce shortages, and diminished capacity to address emerging health threats. Now, we are experiencing massive cuts in funding, which is leaving the health workforce and the public more vulnerable.

A State of Uncertainty

One of the most significant challenges is the ongoing workforce shortage. Many public health departments have seen a mass exodus of workers due to exhaustion, low wages, and limited career growth opportunities. The depleting workforce has placed immense pressure on remaining employees, forcing them to take on larger workloads with fewer resources. A 2021 report by the de Beaumont Foundation found that state and local health departments need at least 80,000 additional employees to meet basic public health functions. This staffing crisis hampers agencies’ ability to respond effectively to public health emergencies, chronic disease prevention, and community health initiatives. So, why have we seen such broad layoffs within the health sector over the last two months?  The answer has nothing to do with protecting our nation’s health and everything to do with politics.

Politics have been the driving force behind the turbulent “health of our nation’s public health systems.” The pressing issue is the lack of sustainable funding for public health programs. Unlike other areas of healthcare that receive consistent financial investments, public health funding is often reactive—spiking during emergencies and declining once crises subside. This cyclical funding model prevents agencies from making long-term investments in workforce development, infrastructure, and data modernization. Many state and local health departments rely heavily on federal grants, which can be restrictive and unpredictable, making it difficult to plan for sustainable public health interventions. With unprecedented federal cuts in funding, public health will experience a ripple effect of funding shortages in addition to the state and local pullbacks in funding we have seen over the past few weeks.  This will make it even more difficult to recruit and retain the staff needed to protect our communities from infectious disease outbreaks and chronic disease.

Additionally, public health workers continue to face increased political and public scrutiny. The pandemic politicized many aspects of public health, leading to mistrust, harassment, and even threats against professionals in the field. Public health leaders have been forced to navigate misinformation, public backlash, and legislative efforts that limit their authority to implement health policies. This hostile environment has contributed to low morale, prompting many experienced professionals to leave the field altogether, further exacerbating workforce shortages.

Despite these hardships, the public health workforce remains committed to protecting and improving community health. However, addressing these challenges requires urgent action, including increased investment in workforce development, stable funding mechanisms, and stronger protections for public health professionals. Without systemic reforms, the nation risks further weakening its public health infrastructure, leaving communities vulnerable to future crises. Strengthening this workforce is not just an investment in healthcare—it is an investment in the well-being and resilience of society as a whole.

Finding Strength and Opportunity in Challenging Times

The current public health workforce crisis presents significant challenges for those entering the field, but professionals can take proactive steps to build resilience and find opportunities for meaningful work. One of the most critical strategies is to remain flexible in job searches, considering a range of roles in public health, healthcare systems, nonprofit organizations, and research institutions. Many entry-level positions may not align perfectly with long-term career goals, but they can provide essential experience, networking opportunities, and skill-building. Seeking out fellowships, internships, and contract-based roles can also be a valuable way to gain exposure and demonstrate commitment to the field while waiting for more permanent positions.

Professionals seeking work should prioritize skill development and continuous learning to stay competitive in an evolving job market. Public health is increasingly interdisciplinary, requiring proficiency in data analysis, program evaluation, health communication, and policy development. Taking advantage of free or low-cost online training courses and programs through organizations like the Centers for Disease Control and Prevention (CDC), the Association of State and Territorial Health Officials (ASTHO), or public health training centers can strengthen a candidate’s resume. Additionally, obtaining relevant certifications, such as Certified Health Education Specialist (CHES) or Project Management Professional (PMP), can provide an edge in the hiring process.

Networking remains one of the most powerful tools for job seekers in public health. Connecting with professionals on LinkedIn, attending industry conferences, and participating in public health webinars can help young professionals stay informed about hiring trends and make valuable connections. Finally, job seekers should remain persistent and adaptable—while the public health workforce is facing hardships, it is also in urgent need of dedicated professionals who are willing to step up and help rebuild the field.

Above all, professionals in public health and healthcare must engage in self-care. Ensure that you take time to recharge, pursue personal passions, and manage stress is just as important as professional growth. Whether it's reconnecting with family, picking up a new hobby, or simply resting, prioritizing well-being will help professionals return to their work with renewed energy and purpose. The road ahead may be uncertain, but the resilience and dedication of the public health workforce will ensure that communities continue to receive the care and support they need.

For those affected by recent federal funding freezes and workforce cuts, now is the time to focus on professional development and personal well-being. Investing in new skills—whether in leadership, data analysis, or health policy—can position professionals for future opportunities when funding stabilizes. Networking remains essential; engaging with peers, mentors, and industry groups can provide insight into emerging trends and potential career paths. This period of uncertainty does not have to be one of stagnation—it can be a time of preparation for the next wave of opportunities.