1Office of Public Health Practice,New York State Department of Health,1006 Corning Tower,ESP,Albany,NY 12237,USA.
3Division of Nutrition,New York State Department of Health,Albany,NY,USA.
Public Health Nutr. 2018 May;21(7):1388-1398. doi: 10.1017/S1368980017003846. Epub 2018 Jan 10.
Services provided by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) were interrupted in 2012 when Superstorm Sandy struck New York State (NYS). The present study evaluates the impact on WIC providers.
A focus group, telephone interviews and anonymous online survey were conducted. Qualitative data were analysed by coding transcribed text into key words and identifying major and minor themes for strengths, challenges and recommendations using national public health preparedness capabilities. Survey responses were analysed quantitatively; reported challenges were classified by preparedness capability.
The focus group was held at a 2014 regional WIC meeting. Interviews and a survey were conducted via telephone in 2014 and online in 2015, respectively.
WIC staff representing New York City and three NYS counties.
In the focus group (n 12) and interviews (n 6), 'emergency operations coordination' was the most cited capability as a strength, 'environmental health protection' (against environmental hazards) as a challenge and 'flexibility' (on rules and procedures) as a recommendation. In the survey (n 24), the capability 'information sharing' was most often cited as a challenge. Most staff (66·6 %) reported their programmes were at least somewhat prepared for future weather-related disasters. Only 16·7 % indicated having practiced a work-related emergency response plan since Sandy. Staff who practiced an emergency response plan were more likely to indicate they were prepared (P < 0·05).
The study identified WIC programme areas requiring preparedness improvements. The research methodology can be utilized to assess the continuity of other public health services during disasters.
2012 年,“妇女、婴儿和儿童特别补充营养计划”(WIC)在纽约州(NYS)遭遇桑迪超级风暴时中断了服务。本研究评估了这对 WIC 服务提供者的影响。
进行了焦点小组、电话访谈和匿名在线调查。通过将转录文本编码为关键词,并使用国家公共卫生准备能力识别优势、挑战和建议的主要和次要主题,对定性数据进行分析。通过分析报告的挑战对准备能力进行分类,对调查回复进行定量分析。
焦点小组在 2014 年的一次区域 WIC 会议上举行。访谈和调查分别于 2014 年通过电话和 2015 年在线进行。
代表纽约市和纽约州三个县的 WIC 工作人员。
在焦点小组(n=12)和访谈(n=6)中,“应急行动协调”是最常被引用的优势能力,“环境卫生保护”(针对环境危害)是挑战,“灵活性”(针对规则和程序)是建议。在调查(n=24)中,“信息共享”能力是最常被报告的挑战。大多数工作人员(66.6%)表示,他们的项目至少在一定程度上为未来与天气有关的灾害做好了准备。只有 16.7%的人表示自桑迪以来曾实践过与工作相关的应急响应计划。实践应急响应计划的工作人员更有可能表示他们已经做好了准备(P<0.05)。
本研究确定了 WIC 项目领域需要改进准备工作的地方。该研究方法可用于评估其他公共卫生服务在灾害期间的连续性。