Research On The Influencing Factors Of Beforhand Plans Of Public Health Emergencies By Communities And Its Compiling Procedure

OBJECTIVE: Study the state of the beforehand plans of public health emergencies formulated by communities in Chongqing and the influencing factors; offer the compiling procedure to facilitate communities to formulate the effective beforehand plans in our country.METHODS:1 In-depth interview: By in-depth interviews with some CDCs', BOHs'and communities'public health managers about 15 people, to learn the state of the beforehand plans for communities and the influencing factors of its formulating and reality, and provided clues for quantitative investigation.2 Questionnaire survey: Framed the questionnaire one by the result of qualitative analysis and relative documents, there were 703 commnities of 27counties from three levals about central city, suburb and far cunties, were investigated about the state of the beforehand plans for communities and the influencing factors. Framed the questionnaire two, there were 123 people from 40 counties of Chongqing were investigated about the suggestions of the compiling procedure. All the data were input by EPIData, analyzed by SAS8.0 use a chi square analysis and Logistic regression analysis.3 Scene survey: According to the compiling procedure, collected relative data about Huayan town in Jiulongpo district, raised the main content of its special beforehand plans.RESULTS: Until Oct 2007,the rate of the communities investigated that had formulated the plan was 31.07%±3.68% ,the percentage of the plan that was effective was 27.13%±6.27% and the percentage in all investigated communities was 8.43%±2.16%. The rate of formulating of central city was higher than the other two(х2=29.22,P<0.0001), and the rate of the two leval had no absolutely difference(х2=3.61,P>0.05);the percentage of the effective plans in the formulated plans of the three levals had no absolutely diffrence(х2=2.37,P>0.05).The logistic regression showed that the importance order of the influencing factors of formulating was fund, relative policy, reconstruction of leader, professional men; the importance order of the influencing factors of effective was expert participation, accroding some procedure, plan drilling and recondition.There were 99.2% people thought a series of steps were needed to formulate the plan, including forming leader group, describing community, affirming dangers, describing dangers, ranking dangers and writing plan.CONCLUSION: The state of the beforehand plans complied by communities in Chongqing was not so good, most of the communities had not made the plan corresponded their feature. Therefore, it is necessary to raise emergency fund for community, formulate correlate policies, enhance leaders'emergency awareness, and develop emergency training for community to facilitate communities to formulate their corresponding beforehand plans according the compiling procedure.