From: Perspectives on program mis-implementation among U.S. local public health departments
Characteristic | Overall N = 376a % | Reported programs END that should have continued | Reported programs CONTINUE that should have ended | ||||
---|---|---|---|---|---|---|---|
Often or Always (n = 106, 30.0%) % | Sometimes, Rarely, or Never (n = 247, 70.0%) % | Chi-square P-Value | Often or Always (n = 57, 16.4%) % | Sometimes, Rarely, or Never (n = 290, 83.6%) % | Chi-square P-Value | ||
Participants | |||||||
Position | 0.87 | 0.52 | |||||
Agency leadership | 46.4 | 46.2 | 48.6 | 43.9 | 49.0 | ||
Program manager | 45.6 | 47.2 | 44.1 | 45.6 | 44.5 | ||
Technical or other | 8.0 | 6.6 | 7.3 | 10.5 | 6.6 | ||
Graduate degree in any field | 58.2 | 51.9 | 62.0 | 0.08 | 68.4 | 57.9 | 0.14 |
Public health graduate degree | 31.8 | 28.3 | 34.3 | 0.27 | 43.9 | 31.2 | 0.07 |
Nursing degree or license | 29.1 | 34.9 | 26.4 | 0.11 | 21.1 | 29.5 | 0.20 |
Female | 83.2 | 84.8 | 83.2 | 0.72 | 87.5 | 82.6 | 0.36 |
Age ≥ 50 years | 43.7 | 41.5 | 45.1 | 0.53 | 31.6 | 45.3 | 0.06 |
Years worked in current position | 0.76 | 0.94 | |||||
< 5 years | 54.0 | 50.9 | 52.8 | 54.4 | 52.9 | ||
5–9 years | 23.3 | 22.6 | 24.4 | 24.6 | 23.9 | ||
≥ 10 years | 22.7 | 26.4 | 22.8 | 21.1 | 23.2 | ||
Years worked in public health | 0.16 | 0.15 | |||||
< 10 years | 28.6 | 32.1 | 23.6 | 35.1 | 25.6 | ||
10–19 years | 31.6 | 33.0 | 32.1 | 35.1 | 31.5 | ||
≥ 20 years | 39.8 | 34.9 | 44.3 | 29.8 | 42.9 | ||
Local health departments | |||||||
Jurisdiction population size | 0.05 | 0.64 | |||||
< 50,000 | 31.6 | 40.6 | 27.5 | 28.1 | 31.0 | ||
50,000-199,000 | 34.3 | 30.2 | 36.8 | 40.4 | 33.8 | ||
≥ 200,000 | 34.0 | 29.2 | 35.6 | 31.6 | 35.2 | ||
Accreditedb | 28.0 | 23.6 | 30.0 | 0.22 | 29.8 | 29.0 | 0.90 |
Has a Local Board of Health | 72.6 | 80.0 | 69.4 | 0.04d | 73.7 | 72.2 | 0.82 |
Governance structure | 0.09 | 0.26 | |||||
Locally governed | 76.3 | 76.2 | 76.1 | 75.4 | 76.1 | ||
State governed | 13.9 | 9.5 | 15.8 | 19.3 | 13.1 | ||
Shared state/local governance | 9.9 | 14.3 | 8.1 | 5.3 | 10.7 | ||
Rural jurisdiction | 45.6 | 51.4 | 42.5 | 0.12 | 40.4 | 44.6 | 0.55 |
Community Guidec use to support decision-making in past year | 0.73 | 0.87 | |||||
Used consistently across all relevant program areas | 6.0% | 4.8% | 6.5% | 6.7% | 6.4% | ||
Used in some program areas | 63.5% | 62.7% | 65.1% | 66.7% | 63.0% | ||
Not used | 30.5% | 32.5% | 28.5% | 25.7% | 30.6% |