Attempts by One Local Health Department to Provide Only Essential Public Health Services

2012 ◽  
Vol 18 (2) ◽  
pp. 126-131 ◽  
Author(s):  
J. Matthew Richardson ◽  
J. Rush Pierce ◽  
Nuha Lackan
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Department ◽  
Local Health Department ◽  
Local Health ◽  
Public Health Services ◽  
Essential Public Health Services

scholarly journals Development of the PHAST model: generating standard public health services data and evidence for decision-making

2017 ◽  
Vol 25 (4) ◽  
pp. 428-434 ◽  
Author(s):  
Betty Bekemeier ◽  
Seungeun Park
Keyword(s):  
Public Health ◽  
Data Collection ◽  
Health Services ◽  
Health Department ◽  
Local Health Department ◽  
Dissemination And Implementation ◽  
Local Health ◽  
Public Health Services ◽  
Local Data ◽  
State And Local

Abstract Objective Standardized data regarding the distribution, quality, reach, and variation in public health services provided at the community level and in wide use across states and communities do not exist. This leaves a major gap in our nation’s understanding of the value of prevention activities and, in particular, the contributions of our government public health agencies charged with assuring community health promotion and protection. Public health and community leaders, therefore, are eager for accessible and comparable data regarding preventive services that can inform policy decisions about where to invest resources. Methods We used literature review and a practice-based approach, employing an iterative process to identify factors that facilitate data provision among public health practitioners. Results This paper describes the model, systematically developed by our research team and with input from practice partners, that guides our process toward maximizing the uptake and integration of these standardized measures into state and local data collection systems. Discussion The model we developed, using a dissemination and implementation science framework, is intended to foster greater interest in and accountability for data collection around local health department services and to facilitate spatial exploration and statistical analysis of local health department service distribution, change, and performance. Conclusion Our model is the first of its kind to thoroughly develop a means to guide research and practice in realizing the National Academy of Medicine’s recommendation for developing systems to measure and track state and local public health system contributions to population health.

Quantifying Disaster Impacts on Local Public Health Agency’s Leadership, Staffing, and Provision of Essential Public Health Services

2021 ◽  
pp. 1-6
Author(s):  
Lauren A. Clay ◽  
Kahler W. Stone ◽  
Jennifer A. Horney
Keyword(s):  
Public Health ◽  
Health Services ◽  
Disaster Response ◽  
Professional Staff ◽  
Local Health ◽  
Public Health Services ◽  
Local Public Health ◽  
Incident Command ◽  
Essential Public Health Services ◽  
The Impact

Abstract Objective: The objective of this study is to assess the impact that natural disaster response has on local health departments’ (LHD) ability to continue to provide essential public health services. Methods: A web-based survey was sent to all North Carolina Local Health Directors. The survey asked respondents to report on LHD functioning following Hurricanes Florence (2018) and Dorian (2019). Results: After Hurricane Florence, the positions who most frequently had regular duties postponed or interrupted were leadership (15 of 48; 31.3%), and professional staff (e.g., nursing and epidemiology: 11 of 48; 22.9%). Staffing shelters for all phases – from disaster response through long-term recovery – was identified as a burden by LHDs, particularly for nursing staff. Approximately 66.6% of LHD jurisdictions opened an Emergency Operations Center (EOC) or activated Incident Command System in response to both hurricanes. If an EOC was activated, the LHD was statistically, significantly more likely to report that normal duties had been interrupted across every domain assessed. Conclusions: The ability of LHDs to perform regular activities and provide essential public health services is impacted by their obligations to support disaster response. Better metrics are needed to measure the impacts to estimate indirect public health impacts of disasters.

scholarly journals Performance and Priorities: A Cross-sectional Study of Local Health Department Approaches to Essential Public Health Services

2019 ◽  
Vol 135 (1) ◽  
pp. 97-106 ◽  
Author(s):  
Megan Wallace ◽  
Joshua Sharfstein ◽  
Justin Lessler
Keyword(s):  
Public Health ◽  
Health Services ◽  
Local Health ◽  
Health Departments ◽  
Local Health Departments ◽  
Public Health Services ◽  
Cross Sectional ◽  
Local Public Health ◽  
Essential Public Health Services ◽  
Per Capita

Objectives: Despite a push for increased local public health capacity, no clear baseline for performance of local health departments (LHDs) exists. The objectives of this study were to quantify the self-reported performance of LHDs on the 10 Essential Public Health Services (EPHSs) and describe the relationships between performance and characteristics of LHDs. Methods: We used data on 2000 LHDs from the 2013 National Profile of Local Health Departments survey to develop principal components analysis–based scores to evaluate each LHD on the performance of EPHSs. Scores ranged from 0 to 100. LHDs that performed no activities within an EPHS had a score of 0, and LHDs that performed all activities within an EPHS had a score of 100. We explored the relationships between EPHS scores and LHD characteristics by using multivariate linear regression and cluster analysis. Results: Performance scores varied greatly by LHDs and EPHSs; however, LHDs typically scored <50, indicating that they performed fewer than half of the activities evaluated. LHDs that served larger populations (vs smaller populations) and LHDs that had higher per-capita funding (vs lower per-capita funding) had higher EPHS scores. We identified 6 EPHS performance score–based LHD clusters, which suggests similarities in which EPHSs LHDs focused on. Conclusions: Our results suggest weaknesses in many LHDs’ fulfillment of the EPHSs, particularly in low-population and low-funding settings. LHDs should be given the resources to increase capacity and ensure the EPHSs are met in communities.

scholarly journals Public Health Center (Puskesmas) Efficiency Level In Semarang Regency Year 2014

2018 ◽  
Vol 6 (3) ◽  
pp. 306-312
Author(s):  
Eko Setiawan ◽  
Y. Titik Haryati
Keyword(s):  
Public Health ◽  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Medical Personnel ◽  
Health Department ◽  
Health Centers ◽  
Local Health Department ◽  
Local Health

Public health centers is a technical implementation unit of Local Health Department which is responsible for conducting health efforts forh the whole society and as a first-rate health services that directly reach the whole community to achieve a healthy and prosperous society.The purpose of this study is to determine the ability of Community Health Center in managing the resources and how wide the coverage range of the Community Health Centre in district of Semarang.This study using vaariable input and output.The input which is used is consisting of four variables, they are: the number of medical personnel, the number of non-medical personnel, financing sourced from regional government budget and the number of integrated service post.. While the outputvariables are the health services towards toddlers, the immunization coverage, the number of outpatient visits and coverage of births assisted by health personnel The data used was secondary data obtained from Local Health Department in district of Semarang, Central Bureau of Statistics and other sources.From the calculation of DEA, the results are, in 18 Community Health Centers are technically efficient and 8 Community Health Centers are technically inefficient.Unit public health centers that have efficient will be comparison for puskesmas that not efficient. For public health centers inefficient technically can improve efficiency value by raising output based on the calculation on DEA. Suggested the results of the efficiency with the dea can be used as an alternative to assess the efficiency of public health centers in kabupaten semarang regularly and as one input to assess, monitor and improved performance public health centers.

scholarly journals The impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study

2021 ◽  
Author(s):  
Kristina W. Kintziger ◽  
Kahler W. Stone ◽  
Meredith Jagger ◽  
Jennifer A. Horney
Keyword(s):  
Public Health ◽  
Health Services ◽  
Cross Sectional Study ◽  
Health Departments ◽  
Public Health Services ◽  
Cross Sectional ◽  
Career Plans ◽  
Public Health Departments ◽  
Essential Public Health Services ◽  
The U.S

Abstract Background Funding and staff formerly dedicated to routine public health tasks (e.g., responding to communicable and non-communicable diseases, investigating foodborne outbreaks, conducting routine surveillance) and services (e.g., environmental health, substance abuse, maternal-child health) may no longer be available in many public health departments due to the COVID-19 response. The objective of this study was to assess the extent to which staffing for essential public health services has been redirected to the COVID-19 response. Methods This is a cross-sectional study using a survey distributed through the Qualtrics platform. Individuals (N = 298) working in public health across governmental and academic public health departments in the U.S. during the ongoing COVID-19 pandemic response were surveyed. Survey items measured multiple domains including professional experience (i.e., training, years of experience, content expertise, job functions), mental and physical health status (i.e., generalized anxiety, depression, burnout), and career plans (i.e., pre-pandemic vs. current career plans). Results The total number of content expertise areas and programmatic functions covered by individual public health workers increased between January and September of 2020, with 26% (73 of 282) of respondents reporting an increase in both. The total number of respondents working in infectious disease and preparedness remained constant, while declines were reported in program evaluation (-36%) and health education (-27%) and increases were reported in disease investigation (+ 35%). Conclusions The provision of many essential public health functions and tasks have been limited or eliminated while the U.S. public health workforce responds to the COVID-19 pandemic. These findings highlight opportunities for funding and professional development of public health systems, both during and after the COVID-19 response, to help ensure the continuity of essential public health services, staffing sustainability, and preparedness for future public health emergencies in the U.S. Trial registration: Not applicable.

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