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A Cross-Sectional Study on China’s Public Health Emergency Personnel’s Field Coping-Capacity: Need, Influencing Factors, and Improvement Options

Published online by Cambridge University Press:  22 July 2019

Miaomiao Zhao ,
Baohua Liu ,
Lan Wang ,
Qunhong Wu ,
Zheng Kang ,
Yanhua Hao ,
Daniel Amporfro  and
Lijun Gao
Miaomiao Zhao
Affiliation:
Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, China
Baohua Liu
Affiliation:
Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, China
Lan Wang
Affiliation:
Department of Science Education, EYE&ENT Hospital of Fudan University, Shanghai, China
Qunhong Wu*
Affiliation:
Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, China The Innovation Center for Social Risk Governance in Health, Shanghai, China
Zheng Kang*
Affiliation:
Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, China
Yanhua Hao
Affiliation:
Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, China The Innovation Center for Social Risk Governance in Health, Shanghai, China
Daniel Amporfro
Affiliation:
Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, China
Lijun Gao
Affiliation:
Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, China
*
Correspondence and reprint requests to Qunhong Wu, Harbin Medical University, 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150086, China (e-mail: [email protected]) or Zheng Kang, Harbin Medical University, 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150086, China (e-mail: [email protected]).
Correspondence and reprint requests to Qunhong Wu, Harbin Medical University, 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150086, China (e-mail: [email protected]) or Zheng Kang, Harbin Medical University, 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150086, China (e-mail: [email protected]).
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Abstract

Objective:

This study aimed to identify the important capacities that were most urgently needed during emergency response and factors associated with the Centers for Disease Control and Prevention (CDC) professionals’ field coping-capacity for public health emergency.

Methods:

Professional workers (N = 1854) from 40 CDC institutions were chosen using the stratified cluster random sampling method in all 13 municipalities of Heilongjiang Province, China. Descriptive analysis and multivariate logistic regression were used.

Results:

Of 10 key capacities, the 3 that were most urgently needed during emergency response fieldwork as identified by respondents were crisis communication capacity, personal protection capacity, and laboratory detection capacity. Overall, 38.1% of respondents self-rated as “poor” on their coping-capacity. The logistic regression found that proficiency in emergency preparedness planning, more practical experiences in emergency response, effectiveness in training and drills, a higher education level, and a higher professional position were significantly associated with the individual’s field coping-capacity.

Conclusion:

This study identified CDC professionals’ most urgent capacity need and the obstructive factors and highlighted the importance of enhancing the capacity in crisis communication, personal protection, and laboratory detection. Intervention should be targeted at sufficient fund, formalized, and effective emergency training and drills, more operational technical guidance, and all-around supervision and evaluation.

Keywords

Centers for Disease Control and Prevention (CDC)Chinaemergency responsepublic health emergency
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 2 , April 2020 , pp. 192 - 200
Copyright
© 2019 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Ebola situation reports. Published March 30, 2016. http://apps.who.int/ebola/ebola-situation-reports. Accessed March 16, 2018.Google Scholar
Freedman, AM, Mindlin, M, Morley, C, et al. Addressing the gap between public health emergency planning and incident response: lessons learned from the 2009 H1N1 outbreak in San Diego County. Disaster Health. 2013;1(1):13-20.CrossRefGoogle ScholarPubMed
Gulland, A.Zika virus is a global public health emergency, declares WHO. BMJ. 2016;352:i657.CrossRefGoogle ScholarPubMed
Hu, G, Rao, K, Sun, Z.A preliminary framework to measure public health emergency response capacity. J Public Health. 2006;14(1):43-47.CrossRefGoogle Scholar
Gao, L, Jing, J, Cheng, F.From assistance to communitas: changing of China’s position of global health governance from Ebola outbreak in Africa. Chin J Health Policy. 2016;9(01):45-51. (in Chinese)Google Scholar
Liu Yandong attended the symposium on Sino-US Ebola and global health security. Published June 25, 2015. http://www.xinhuanet.com/2015-06/24/c_127946636.htm. Accessed May 21, 2018.Google Scholar
Wang, C, Xiang, H, Xu, Y, et al. Improving emergency preparedness capability of rural public health personnel in China. Public Health. 2010;124:339-344.10.1016/j.puhe.2010.02.020CrossRefGoogle ScholarPubMed
Tan, Y, Liang, J, Luo, X, Lu, J.A cross-sectional study on the emergency response of the Centers for Disease Control and Prevention of Zhongshan city. J Trop Med. 2011;11(10):1186-1189. (in Chinese)Google Scholar
Wu, D, Hu, D, Sun, M, et al. CDC emergency response capacity and current state of public health emergency in China. Chin J Health Policy. 2014;7(7):30-37. (in Chinese)Google Scholar
Heilongjiang Province People’s Government. Published January 2017. http://www.hlj.gov.cn/sq/. Accessed January 12, 2019.Google Scholar
Yan, S, Wang, X, An, Y, Gao, Y.Epidemiological analysis of public health emergencies in Heilongjiang Province from 2004 to 2012. Chin J Public Health Manag. 2013;29(2):228-230. (in Chinese)Google Scholar
Cioffi, JP, Lichtveld, MY, Tilson, H.A research agenda for public health workforce development. J Public Health Manag Pract. 2004;10(3):186-192.Google ScholarPubMed
Lachlan, KA, Spence, PR, Eith, CA. Risk, Crisis, and Emergency Communication in Developing Countries: Identifying the Needs of Urban Populations. Strategic Urban Health Communication. New York: Okigbo C; 2014:65-76.Google Scholar
Oh, HS, Uhm, D.Occupational exposure to infection risk and use of personal protective equipment by emergency medical personnel in the Republic of Korea. Am J Infect Control. 2016;44(6):647-651.Google ScholarPubMed
Verbeek, JH, Ijaz, S, Mischke, C, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database Syst Rev. 2016;4:CD011621.Google ScholarPubMed
Zellmer, C, Van Hoof, S, Safdar, N.Variation in health care worker removal of personal protective equipment. Am J Infect Control. 2015;43(7):750-751.Google ScholarPubMed
John, A, Tomas, ME, Cadnum, JL, et al. Are health care personnel trained in correct use of personal protective equipment? Am J Infect Control. 2016;44(7):840-842.10.1016/j.ajic.2016.03.031CrossRefGoogle ScholarPubMed
MacIntyre, CR, Chughtai, AA, Seale, H, et al. Uncertainty, risk analysis and change for Ebola personal protective equipment guidelines. Int J Nurs Stud. 2015;52(5):899-903.Google ScholarPubMed
WHO. International Health Regulations (2005), Third edition. Published 2008. https://apps.who.int/iris/bitstream/handle/10665/43883/9789241580410_eng.pdf?sequence=1. Accessed May 24, 2018.Google Scholar
Witt-Kushner, J, Astles, JR, Ridderhof, JC, et al. Core functions and capabilities of state public health laboratories: a report of the Association of Public Health Laboratories. MMWR Recomm Rep. 2002;51(RR-14):1-8.Google ScholarPubMed
Xie, H.Problems and countermeasures in the construction of CDC laboratory. For All Health (Academic Edition). 2014;6:322-323. (in Chinese)Google Scholar
Yang, X, Zhu, Y.Emergency response and emergency preparedness planning compilation for public emergency. Occup Health Emerg Rescue. 2010;28:214-217. (in Chinese)Google Scholar
WHO. Community emergency preparedness: a manual for managers and policy-makers. Geneva: World Health Organization, 1999. Published 1999. http://apps.who.int/iris/bitstream/handle/10665/42083/9241545194.pdf;sequence=1. Accessed March 11, 2018.Google Scholar
Shan, C.Practice and thinking on the construction of emergency response plan system in China. China Emerg Manage. 2012;04:16-17. (in Chinese)Google Scholar
Randolph, SA.Emergency preparedness plan. Workplace Health Saf. 2015;63(7):324.Google ScholarPubMed
Slepski, LA.Emergency preparedness and professional competency among health care providers during Hurricanes Katrina and Rita: pilot study results. Disaster Manage Response. 2007;4(5):99-110.10.1016/j.dmr.2007.08.001CrossRefGoogle Scholar
Bernstein, JA.Beyond public health emergency legal preparedness: rethinking best practices. J Law Med Ethics. 2013;41(Suppl 1):13-16.Google ScholarPubMed
Oyemakinde, A, Nguku, P, Babirye, R, et al. Building a public health workforce in Nigeria through experiential training. Pan Afr Med J. 2014;18(Suppl 1):1. doi: 10.11694/pamj.supp.2014.18.1.4920.Google ScholarPubMed
Ning, N, Wu, Q, Li, B, et al. Investigation and analysis on current status of emergency training to staffs of Centers for Disease Control and Prevention in Heilongjiang Province. Chin Health Econ. 2008;27(9):66-69. (in Chinese)Google Scholar
Dong, Z, Song, J.Reflection on the construction and improvement of China’s emergency plan system. China Emerg Manage. 2014;11:17-21. (in Chinese)Google Scholar
Lin, T, Wu, Q, Xu, Y, et al. Study on status of human resource of emergency public health response in Heilongjiang health inspection institutions. Chin Health Resources. 2009;12(02):91-93. (in Chinese)Google Scholar
Ning, N, Wu, Q, Shang, J.Analyzing the status of emergency drill in Centers for Disease Control and Prevention of Heilongjiang Province. Chin Health Serv Manag. 2010;05:351-353. (in Chinese)Google Scholar
Liang, H, Ma, Y, Qing, X, Hu, Z.Health emergency personnel training: problems of and solutions to effectiveness evaluation. Chin Rural Health Serv Admin. 2014;34(04):386-388. (in Chinese)Google Scholar
Freedman, AM, Simmons, S, Lloyd, LM, et al. Public health training center evaluation: a framework for using logic models to improve practice and educate the public health workforce. Health Promot Pract. 2014;15(1 Suppl):80S-88S. doi: 10.1177/1524839913509271.Google ScholarPubMed
Yuan, Y. How to improve the emergency handling ability of health supervision team. 2015;30:11-13. (in Chinese)Google Scholar