Hu Guo-qing, Rao Ke-qin, Sun Zhen-qiu, Yu Ren-he
Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha 410078, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2008 Oct;33(10):947-51.
To assess the capacity for logistics, public education, and training in managing public health emergency in China at present.
Four provinces were selected using stratified sampling. All the municipalities of these 4 provinces were assessed using the 9th and 10th subscales (logistics, public education and training) of Preparedness and response capacity questionnaire for public health emergencies for provincial or municipal governments developed by the Center for Health Statistics and Information, Ministry of Health of China.
Sixty of the 66 questionnaires (90.91%) were collected. Among the 60 investigated municipalities, 80% established a specific agency to take charge of emergency material storage, management and allocation, 65% developed standard for material storage, 35% developed standard of places for material storage, 25% built regulation for testing, maintaining, and updating the emergency materials regularly, 45% arranged budget for routine payment, 27% established standard of emergency fund, and 28% set up the procedure to initiate emergency fund. The average of standard score of subscale 9 was 43.33 (95% confidence interval, 35.6551.01). 25% of the 60 municipalities conducted assessment for training in the past 2 years, 53% developed plan for emergency personnel training, 20% developed effectiveness assessment regulation of emergency personnel training, 80% assigned a specific agency to be responsible for public education, and 23% established regulation for public education. The average of standard score of subscale 10 was 47.43 (95% confidence interval, 40.6954.17).
Serious problems are found in logistics, public education, and training for public health emergency management in China. Measures should be taken immediately by the central and local government to improve these capacities.
评估目前中国在应对突发公共卫生事件时的后勤保障、公众教育及培训能力。
采用分层抽样选取4个省份。运用中国卫生部卫生统计信息中心编制的省级或市级政府突发公共卫生事件应对能力调查问卷的第9和第10子量表(后勤保障、公众教育和培训),对这4个省份的所有市进行评估。
共收集到66份问卷中的60份(90.91%)。在60个被调查的市中,80%设立了负责应急物资储备、管理和调配的专门机构,65%制定了物资储备标准,35%制定了物资储存场所标准,25%建立了应急物资定期检测、维护和更新制度,45%安排了日常经费预算,27%制定了应急资金标准,28%制定了启动应急资金的程序。第9子量表的标准分平均值为43.33(95%置信区间,35.65~51.01)。60个市中有25%在过去2年进行了培训评估,53%制定了应急人员培训计划,20%制定了应急人员培训效果评估制度,80%指定了负责公众教育的专门机构,23%建立了公众教育制度。第10子量表的标准分平均值为47.43(95%置信区间,40.69~54.17)。
中国在突发公共卫生事件管理的后勤保障、公众教育和培训方面存在严重问题。中央和地方政府应立即采取措施提高这些能力。