Subject(s)
Disaster Planning , Public Health Administration , Quality of Health Care , Humans , KansasABSTRACT
BACKGROUND: Building the capacity of local health departments (LHDs) in the use of health data is critical. Unlike community-based health agencies or private healthcare providers, LHDs serve as public health officials for their communities. Thus, LHDs' ability to use technology, electronically access and distribute up-to-date health information, and to measure population-based health outcomes for their communities is crucial. PROCEDURES: Using feedback obtained from various sources, groundwork efforts in Kansas indicated that few LHDs had the skills to utilize and interpret immunization data in a way that would allow them to effectively assess, screen, treat, and monitor infectious diseases in their communities. In response to the need for a well-trained LHD workforce, and using a community-based participatory research (CBPR) approach, team members developed and delivered training to enhance immunization data skills among LHDs. The goal of the training was to improve LHDs' capacity to identify, obtain, analyze and present immunization data. RESULTS: Training was provided to LHD staff representing 46 counties. Satisfaction survey results indicated the overwhelming majority of participants found the training beneficial. Results indicated that approximately 93% acquired new knowledge and skills they could apply to their jobs. DISCUSSION: The project renders a model for providing ongoing trainings in stepwise fashion to a particular workforce. The willingness of the project partners to be innovative and inclusive in addressing the training needs of the state's public health professionals is noted. Similar training should be considered for other public health programmatic areas.
Subject(s)
Community Health Services , Efficiency, Organizational , Immunization Programs/organization & administration , Program Development , Public Health Practice , Residence Characteristics , Adult , Community-Based Participatory Research , Curriculum , Education, Public Health Professional , Female , Health Care Surveys , Humans , Immunization Programs/statistics & numerical data , Kansas , Male , Middle Aged , Models, Theoretical , Patient Acceptance of Health Care , Personal SatisfactionABSTRACT
INTRODUCTION: Funding increases after September 11, 2001 have provided impetus to improve public health emergency preparedness plans. Training of local health department staff and coordination between counties are important components of these plans. Electronic media have been used to facilitate dissemination of training, and a need for evaluation has been identified. METHODS: Public Health Investigation (PHI) was conducted in 6 Kansas counties during February 2005 in an electronic, in-office format. The quantitative evaluation consisted of pre- and postsurveys. Questions measured self-reported improvements in 4 areas: surge capacity, coordination between counties, risk communication, and protocols and procedures. RESULTS: Although all 4 areas showed improvement, 2 showed statistically significant improvement. At the postsurvey, participants reported significantly improved abilities to (1) participate in a coordinated, multidisciplinary response to an infectious disease outbreak (P = .003) and (2) identify the need for and implement surge capacity (P = .017). CONCLUSIONS: Increased collaboration between counties and partner agencies may be the greatest strength of PHI, a multi-county, real-time exercise. This format strengthens regional bonds and is cost-effective. The PHI may be a useful model for other states wishing to use a regional approach for training, thereby strengthening regional bonds.
