A State-Based Analysis of Public Health Preparedness Programs in the United States
| Autor: | Art Clawson, Daniel Shodell, Samata Kodolikar, Leslie M. Beitsch, Robert G. Brooks, Nir Menachemi, Tim Stephens |
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| Rok vydání: | 2006 |
| Předmět: |
Program evaluation
medicine.medical_specialty Poison control Disaster Planning Public administration Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Environmental health Medicine 030212 general & internal medicine 030505 public health business.industry Research Public health Public Health Environmental and Occupational Health United States Preparedness Workforce Organizational structure 0305 other medical science business Public Health Administration Program Evaluation State Government |
| Zdroj: | Public Health Reports. 121:737-745 |
| ISSN: | 1468-2877 0033-3549 |
| Popis: | Objectives. Given the national effort to respond to the challenge of terrorism post-9/11, this study examined the organizational structure of state public health preparedness programs across the country, their administration, and the personnel and resources supported through federal cooperative agreements and state funds. Methods. In Fall 2004, the Association of State and Territorial Health Officials surveyed state public health preparedness directors of all 50 states and territories of the United States regarding the organizational structure, administration, personnel, and resources of the state public health preparedness programs. Results. Individuals representing 45 states and the District of Columbia responded to the web-based questionnaire for a response rate of 88.2%. States tended to subdivide their organizations into regions for preparedness purposes. More than half the established preparedness regions (53.8%) were created post-9/11. Preparedness program directors frequently reported directly to either the state health official (40.0%) or a deputy state health official (33.3%). Responsibility for both the Centers for Disease Control and Prevention (CDC) and Health Resources and Services Administration (HRSA) cooperative agreements was predominantly vested in one person (73.3%). Federal resources were found to support needed preparedness workforce (CDC mean=117.1 full-time equivalents [FTEs]; HRSA mean=10.6 FTEs). In addition, 36.6% of the states also contributed to the public health preparedness budget. Conclusions. This study of state public health agency preparedness provides new information about state-level organizational structure, administration, and support of preparedness programs. It offers the first comprehensive insights into the approaches states have adopted to build infrastructure and develop capacity through CDC and HRSA funding streams. |
| Databáze: | OpenAIRE |
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