Gamboa-Maldonado Thelma, Marshak Helen Hopp, Sinclair Ryan, Montgomery Susanne, Dyjack David T
Department of Global Health, Loma Linda University, School of Public Health, CA 92350, USA.
J Environ Health. 2012 Sep;75(2):24-9.
Partnerships among local public environmental health (EH), emergency preparedness and response (EPR) programs, and the communities they serve have great potential to build community environmental health emergency preparedness (EHEP) capacity. In the study described in this article, the beliefs and organizational practices pertaining to community EHEP outreach and capacity were explored through key informant (KI) interviews (N = 14) with a sample of governmental EH and EPR administrators and top-level managers from Riverside and San Bernardino counties in Southern California. The results indicate that KIs were highly confident in their workforces' efficacy, ability, willingness, and motivation to directly engage local communities in EHEP. Best practices to combat organizational and systematic barriers to community EHEP outreach were identified. Based on the authors' results, training in participatory methods is needed to bridge technical knowledge in emergency management to daily practice. The lessons learned will form the basis of future interventions aimed to prepare EH and EPR professions to implement community-focused emergency preparedness strategies.
当地公共环境卫生（EH）、应急准备与响应（EPR）项目与其所服务的社区之间的伙伴关系，在建设社区环境卫生应急准备（EHEP）能力方面具有巨大潜力。在本文所述的研究中，通过对南加州里弗赛德县和圣贝纳迪诺县的政府EH和EPR管理人员以及高层管理人员样本进行关键信息提供者（KI）访谈（N = 14），探讨了与社区EHEP外展和能力相关的信念及组织实践。结果表明，关键信息提供者对其员工在直接让当地社区参与EHEP方面的效力、能力、意愿和动机高度自信。确定了克服社区EHEP外展的组织和系统障碍的最佳实践。根据作者的研究结果，需要进行参与式方法培训，以将应急管理方面的技术知识与日常实践相联系。所吸取的经验教训将构成未来干预措施的基础，旨在让EH和EPR专业人员做好准备，以实施以社区为重点的应急准备策略。
