Study Of Influence Factors And Coping Capacity On Middle And Primary School Public Health Emergency

ObjectiveThrough the inventory survey of coping capacity on middle and primary schoolpublic health emergency and the study of emergency plan,to understand the status ofemergency management level，risk cognitive level,the training and drills level and thestatus of emergency plan of school public health emergency，to find out the existingproblems and countermeasures and to provide scientific basis for preventing andcontrolling school public health emergency.Methods1. Survey of coping capacity on middle and primary school public healthemergencyBy self-designed questionnaire in ability of school public health emergencyresponse as survey,400schools of7provinces were investigated.After eliminatinginvalid questionnaire,a total of recycling effective questionnaire were375，the recoverywas93.8%.EpiData3.1was adopted to establish the database，and PASW Statistics18software package for data statistical analysis.Each index was described by frequencyand constituent ratio.Use t-test, Pearson test for statistical inference.All kinds ofinspection of the level was alpha=0.05. The average scores and total average pointswere calculated.The mean and standard deviation was used to describe.2.Research on emergency plan of middle and primary schoolsAccording to the national social economic development level,various provinceswere divided into economically developed, the medium and the less developed threelayers.Based on the network search order,we downloaded100emergency plan ofmiddle and primary schools.From13aspects of emergency plan contents were analyzed.The different plans are compared and classified.Use Pearson test for statisticalinference.Result1. Of the375schools,most schools had enacted emergency plan on public healthemergency,had established emergency command system,emergency managementsystem and the corresponding early warning mechanism.The main emergencymanagement defects were the lack of professional human resources and the faultiness oftesting equipment.More than half school considered that there exists some problem inemergency resource (such as medicine) store.Almost half schools answered that theirschool organized health education activity usually.Most schools considered that when apublic health emergency event happen,they can have a good cooperation with otheragencies.The average total point of emergency management dimension was26.99.Asignificant difference was found in the perfect degree of crisis management system andin frequency of health education activity in different type of school.High school do bestin both aspects.But the primary schools’ total points were the highest,the difference wasstatistically significant.2. In the teachers’ risk cognitive level,16.6%of all person-time considered that thepublic health emergency is absolutely impossible,37.0%considered that impossibility，41.8%considered that might be happen，3.4%considered that will happen，and1.1%considered that will definitely happen.The average total score of the teachers’ riskcognitive level was44.03.The score of pandemic influenza was the highest,and thelowest was the radiation accident.Teachers’ risk cognitive level was related to gender,school type and the title.There was no significant difference between different agegroups.3.In the last six months,212schools had accepted safety knowledge training forteachers by superior organization.228schools had organized safety knowledge trainingfor teachers and266had organized safety knowledge training for students in the last sixmonths. In the last six months,250schools had conducted full-scale drills of publichealth emergency event. A significant difference was found in above-mentioned training and full-scale drills in different type of school.The primary schools’ total points werethe highest.4.Of the100schools,63schools’emergency plan concluded more than five indexesthat of requirements.And the other were less than five indexes.None of the schools haddrilling project for public health emergency.There was no statistical difference betweenurban schools and rural schools in content index of emergency response plan,and thesame with the difference between primary and secondary schools except the index ofjob responsibilities and tasks.Conclusion1. Of the375schools,most schools had enacted emergency plan on public healthemergency,had established emergency command system,emergency managementsystem and the corresponding early warning mechanism.But there still exists problemsin professional human resources and testing equipment.These instructions that school isstill not doing enough in the emergency management.2.The lack of deep understanding about school public health emergencyinstructions that teachers’ risk cognitive level was lower,and remains to be furtherimproved.3.Most schools had accepted training and drills for school public health emergencyin the past half year,but we need to pay more attention to those schools which had neverconducted any training and drills for school public health emergency.4.Most emergency response plans on school public health emergency are notcomprehensive and unscientific,not targeted and lack of practicality. None of theemergency response plans had emergency drilling program.The schools should makepertinent and practical response plans, so as to improve emergency response ability ofschools.