TRENDS

PEDIATRICS ◽  
1951 ◽  
Vol 7 (2) ◽  
pp. 259-261

A MONTH ago in this column, we drew attention to the status of the Local Public Health Units Bill as it stood in early December in the 81st Congress. We have been watching with special interest the further course of this Bill in view of its direct relationship to the oft' expressed objective of the Academy to extend child health services into areas of need. One of the needs most clearly demonstrated by the Academy's study results from the inequity of health services in rural and isolated areas in comparison with metropolitan areas. The Local Public Health Units Bill proposes to stimulate the development of local health departments, one of the recognized functions of which would be an extension of maternal and child health services. The support which this Bill has received and the fate of this Bill in the 81st Congress may be summarized by the following quotations: In his presidential address, presented at the Fourth Annual Clinical Session of the AMA in Cleveland, December 5 to 8, Dr. E. L. Henderson said: "The American Medical Association has long believed that the existence of effective and properly operated public health units is basic to the maintenance and improvement of the health of the people. As early as 1883, a report was made at the annual meeting of the Association covering a survey conducted to ascertain what states and counties had health departments.

2019 ◽  
Vol 135 (1) ◽  
pp. 97-106 ◽  
Author(s):  
Megan Wallace ◽  
Joshua Sharfstein ◽  
Justin Lessler

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.


Author(s):  
Julie M. Carter ◽  
Patricia D. Koman ◽  
Lorraine Cameron ◽  
Aaron Ferguson ◽  
Patrick Jacuzzo ◽  
...  

AbstractClimate change affects Michigan’s public health in several primary ways, including increased incidences of vector-borne, waterborne, heat-related, and respiratory illness. Because local health departments (LHDs) play a central role in surveillance and preventative health services, they are among the first institutions to contend with the local impacts of climate change. To assess current perceptions among Michigan public health officials, an online survey was conducted in partnership with the Michigan Association for Local Public Health (MALPH). Most of the Michigan respondents (62%, n = 34) agreed that their jurisdictions have experienced climate change in the last 20 years, and 77% agreed that climate change will impact their jurisdictions in the coming 20 years. However, only 35% (n = 34) of Michigan officials agreed that climate change is a priority in their departments. About one quarter (25%, n = 34) of Michigan LHD respondents did not know about the level of expertise of either the state and federal agencies, responsible for assisting them with information and programs related to climate change and health. Uncertainty regarding the resources available to them may hinder LHDs from developing necessary preparedness, so meeting this need could bolster the public health response to climate change.


2018 ◽  
Vol 6 (2) ◽  
pp. 126-139
Author(s):  
Rosilawati Rosilawati

This study aims to determine whether there is a significant influence between maternal and child health services on improving community health. This research is quantitative, as for the population and samples taken as many as 78 respondents with a randomly stratified random sampling. Instrument research data uses three types of tools, namely questionnaires using the Likers scale model. The questionnaire was prepared with the construction of various data analysis theories carried out at the level of 95%. The results were significant as long as the hypothesis existed. So that the results of this study tell that the variables of maternal and child health services can influence the level of public health.


Sign in / Sign up

Export Citation Format

Share Document