| "Try to establish a disease control and prevention system covering both cities and countries within three years" is the strategy goal set by the Party central Committee and State Department for the construction of public health in the new period. The laboratory equipment and test capacity building is an important constituent part of public health system; it is the capacity foundation for CDC to direct the work of disease control and prevention in scientic and normalization way. The aim of our study was to find out the situations of the hygiene test resources allocation and test capacities in CDCs in Zibo completely, and to have a plan for the construction of test resources allocation and test capacities in CDCs in Zibo. By improving test service abilities and technical levels, the CDCs at all levels can assume the responsibilities assigned by the law of "the Law on Prevention and Control of Infectious Disease", "Regulation of Emergency Public. Health Situations" and "Food Safety Law". So we determined to carry out the investigation of the situations of laboratory equipment resources allocation and test capacities in CDCs in Zibo.Using a census questionnaire investigation method, we investigated 8 district (county) CDCs and Zibo CDC. Complete survey was made on the aspects of the basic information, institution qualification, assets revenue and expenditure, human resources, base facilities construction, instrumentation allocation and test capacity. Descriptive epidemiology method was used to find out problems in laboratory constructions in CDC and to propose suggestions and solution strategies.Major results:(1)Basic information:The Epidemic Disease Prevention Station in Huantai is a budget management by remainder public welfare enterprose and hasn't finished the system reform. The other eight CDCs are full budget management public welfare enterproses and have finished the reform. (2)Institution revenue and expenditure: The financial appropriation accounted for 90.0% and 89.5% of the total expenditure of city CDC in 2007 and 2008 respectively, but essential expenditure accounted for 86.3% and 88.0% of the total expenditure. The financial appropriation accounted for 69.8% and 75.6% of the total expenditure of county CDCs in 2007 and 2008 respectively, but essential expenditure covered 92.4% and 90.2% of the total expenditure. The financial inputs were seriously insufficient. Affected by that, in 2007 and 2008, all units inputs for business building construction was zero and for instrumentation was few:city CDC input for instrumentation accounted for 10.7% and 1.9% of total expenditure while county CDCs input for instrumentation accounted for 2.21% and 2.25% of total expenditure. (3)Human resources:all CDCs had problem of over establishment in personnel amount but with low abilities in the work, however, the laboratory personnel was deficient. The distribution of specialty, professional title and educational background were imbalance. Personnel match was not reasonable. (4)Laboratory area: in both city CDC and county CDC, many problems existed, such as the smalll construction scale and the unreasonable proportion between laboratory area and the whole building.(5)Laboratory qualification situations:city CDC laboratory had obtained enough certifications to fulfill the needs of work. However, county CDC did not obtained enough certification and the awareness of law and quality were need to be strengthened. (6)Instrumentation allocation:To end of 2008, allocation rates of instrumentation of group A, group B and group C in city CDC laboratory were 73.7%,63.9%,15.5% respectively,the rates in county CDC were 48.7%,42.4%, and 16.2% respectively. The instrumentations in city or county CDC laboratory were obviously insufficent both in category and quantity. Some were too old and some were in bad operation conditions. (7)Test capacity:the rates of group A and group B test items that carried out in city CDC were 59.3% and 20.3% respectively while the rates in county CDC were 45.8% and 14.9% respectively.The test capacity in both level CDC were insufficient and the difference of test capacity was great between different kind of test tasks.Conclusion:Institutions for disease control and prevention at all levels in Zibo city could not meet the referent standard issued from Ministry of Health both on laboratoryequipment allocation and test capacity. Many things need to do in the laboratory construction.Solutions and suggestions:(1)Increasing the financial inputs for CDCs. (2)Strengthen the reform of personnel system and distribution system. Favourable policy should be made to attract high qualified personnel. Ability construction should be strengthened and in-service staff should be trained so as to improve the professional quality and technical level of the technologist. (3)The government departments should make full use of the existing hygiene test resource and capacity of CDCs. (4)We suggested that the departments who formulate the standard further detail the test ability request according to region features and adjust the equipment allocation standard according to test methods in time. |
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