Dr Pauline Aweto | Course Director
Mastering Public Health: Competencies for Career Success
Public Health is a dynamic and multidisciplinary field dedicated to improving population health and reducing health inequalities. It encompasses everything from disease prevention and health promotion to policy development and global health advocacy. As the world grapples with challenges such as pandemics, climate change, and widening health disparities, the demand for skilled Public Health professionals continues to rise (World Health Organization, 2021).
Here in the UK, the Government, in July 2025, released the NHS 10-year plan, titled “Fit for the Future,” which aims to shift hospital-based care to neighbourhood services, with emphasis on prevention over treatment and health equity. This positions Public Health approaches and interventions at the heart of the future of the NHS. This article examines the diverse career pathways within Public Health and outlines the essential competencies students must develop, from foundational skills to emerging interdisciplinary proficiencies. It concludes by emphasising the importance of values, purpose, professionalism, passion, and personal experience as vital tools in the transition from academic study to professional practice.
Graduates of Public Health enter a world where their expertise becomes a bridge between science, policy, and community wellbeing. Their careers often unfold in spaces where the rigour of epidemiological analysis informs the design of health interventions, and where policy decisions are shaped not just by numbers, but by the lived realities of diverse populations (Greenhalgh et al., 2019). These professionals find themselves embedded in systems that demand both technical proficiency and human insight. Whether they are evaluating the cost-effectiveness of health programmes, crafting communication strategies to combat misinformation, or advising on the ethical dimensions of emerging health technologies, their work is inherently interdisciplinary (Beauchamp & Childress, 2013). They may be involved in shaping national health strategies, such as those outlined in the NHS’s long-term plans, which increasingly prioritise prevention, digital innovation, and community-based care (NHS England, 2025). In these roles, Public Health graduates contribute to reimagining service delivery, moving from hospital-centric models to neighbourhood-level engagement, and from reactive treatment to proactive health promotion (The King's Fund, 2025). Their impact is felt across borders and sectors. Some work within international organisations, addressing global health challenges like infectious disease outbreaks, maternal health disparities, and climate-related health risks (Watts et al., 2021). Others operate within local authorities, designing interventions tailored to specific communities, often with a focus on health equity and non-health social determinants of health.
Increasingly, Public Health professionals are collaborating in a wide range of sectors to address complex issues such as digital health access, environmental sustainability, and the integration of AI in health systems (Krieger, 2020). They may also contribute to academic research, generating evidence that informs practice and policy, or work within NGOs and advocacy groups, amplifying the voices of marginalised populations. Regardless of the setting, their roles demand adaptability, cultural competence, problem solving, decision-making, multi-sectoral collaboration, and a commitment to ethical practice. In the evolving landscape of Public Health, certain skills stand out as essential for professionals aiming to make a meaningful impact. Foremost among these is critical thinking, which underpins the ability to interpret complex data, evaluate interventions, and make evidence-based decisions in dynamic environments (Greenhalgh et al., 2019). Closely tied to this is epidemiological and statistical literacy proficiency in analysing health trends, understanding disease patterns, and applying biostatistical tools to inform policy and practice. Effective communication skills follow closely, not just in disseminating findings, but in crafting culturally sensitive messages that resonate with diverse populations and promote health literacy. As Public Health increasingly intersects with social justice, cultural competence becomes vital, enabling professionals to engage communities respectfully and effectively (Betancourt et al., 2016). Policy analysis and advocacy are also crucial, enabling practitioners to navigate political systems and advocate for equitable health reforms. Beyond these foundational competencies, the ability to lead and manage projects is indispensable. Public Health professionals often coordinate multi-sectoral initiatives, requiring strategic planning, budgeting, and team leadership (PMI, 2021). Ethical reasoning and professionalism are equally important, especially when balancing individual rights with population-level outcomes (Beauchamp & Childress, 2013). As digital health tools proliferate, digital literacy, including data visualisation, has become a core skill (Krieger, 2020).
In the dynamic landscape of Public Health, the transition from classroom to career is not merely a shift in setting; it is a transformation of identity. As emerging professionals step into the field, it is their values, sense of purpose, and unwavering professionalism that anchor them amid complexity. Passion fuels resilience, while each individual's journey, rooted in and shaped by lived and work experiences, adds depth and authenticity to their practice. Behaviour and attitude, often overlooked, become the silent forces that influence trust, collaboration, and impact. Together, these elements form a powerful toolkit not found in textbooks but cultivated through reflection, humility, and action. In embracing them, they do not just prepare for a career; they prepare to lead, serve, and shape the future of Public Health.
References
Greenhalgh, T., Howick, J. & Maskrey, N. (2019). Evidence-based medicine: a movement in crisis? BMJ, 348, g3725.
Krieger, N. (2020). Health equity and the fallacy of treating causes of population health as if they sum to 100%. American Journal of Public Health, 110(5), pp.628–629.
NHS England (2025). Fit for the Future: 10 Year Health Plan for England.
The King's Fund (2025). Truly Fit for the Future? The 10 Year Health Plan Explained.
Watts, N. et al. (2021). The 2021 report of the Lancet Countdown on health and climate change: code red for a healthy future. The Lancet, 398(10311), pp.1619–1662.