The impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study.

<h4>Introduction</h4>Funding and staff formerly dedicated to routine public health tasks (e.g., responding to communicable and non-communicable diseases, investigating foodborne outbreaks, conducting routine surveillance) and services (e.g., environmental health, substance abuse, materna...

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Autores principales:	Kristina W Kintziger, Kahler W Stone, Meredith A Jagger, Jennifer A Horney
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/99610b3a05b54f3db81d6ba1ecf19072
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spelling	oai:doaj.org-article:99610b3a05b54f3db81d6ba1ecf190722021-12-02T20:07:53ZThe impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study.1932-620310.1371/journal.pone.0255844https://doaj.org/article/99610b3a05b54f3db81d6ba1ecf190722021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255844https://doaj.org/toc/1932-6203<h4>Introduction</h4>Funding and staff formerly dedicated to routine public health tasks (e.g., responding to communicable and non-communicable diseases, investigating foodborne outbreaks, conducting routine surveillance) and services (e.g., environmental health, substance abuse, maternal-child health) may no longer be available in many public health departments due to the COVID-19 response. The objective of this study was to assess the extent to which staffing for essential public health services has been redirected to the COVID-19 response.<h4>Materials and methods</h4>This is a cross-sectional study using a survey distributed through the Qualtrics platform. Individuals (N = 298) working in public health across governmental and academic public health departments in the U.S. during the ongoing COVID-19 pandemic response were surveyed. Survey items measured multiple domains including professional experience (i.e., training, years of experience, content expertise, job functions, hours worked), mental and physical health status (i.e., generalized anxiety, depression, burnout), and career plans (i.e., pre-pandemic vs. current career plans).<h4>Results</h4>The total number of content expertise areas and programmatic functions covered by individual public health workers increased between January and September of 2020, with 26% (73 of 282) of respondents reporting an increase in both. The total number of respondents working in infectious disease and preparedness remained constant, while declines were reported in program evaluation (-36%) and health education (-27%) and increases were reported in disease investigation (+35%).<h4>Conclusions</h4>The provision of many essential public health functions and tasks have been limited or eliminated while the U.S. public health workforce responds to the COVID-19 pandemic. These findings highlight opportunities for funding and professional development of public health systems, both during and after the COVID-19 response, to help ensure the continuity of essential public health services, staffing sustainability, and preparedness for future public health emergencies in the U.S.Kristina W KintzigerKahler W StoneMeredith A JaggerJennifer A HorneyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0255844 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kristina W Kintziger Kahler W Stone Meredith A Jagger Jennifer A Horney The impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study.
description	<h4>Introduction</h4>Funding and staff formerly dedicated to routine public health tasks (e.g., responding to communicable and non-communicable diseases, investigating foodborne outbreaks, conducting routine surveillance) and services (e.g., environmental health, substance abuse, maternal-child health) may no longer be available in many public health departments due to the COVID-19 response. The objective of this study was to assess the extent to which staffing for essential public health services has been redirected to the COVID-19 response.<h4>Materials and methods</h4>This is a cross-sectional study using a survey distributed through the Qualtrics platform. Individuals (N = 298) working in public health across governmental and academic public health departments in the U.S. during the ongoing COVID-19 pandemic response were surveyed. Survey items measured multiple domains including professional experience (i.e., training, years of experience, content expertise, job functions, hours worked), mental and physical health status (i.e., generalized anxiety, depression, burnout), and career plans (i.e., pre-pandemic vs. current career plans).<h4>Results</h4>The total number of content expertise areas and programmatic functions covered by individual public health workers increased between January and September of 2020, with 26% (73 of 282) of respondents reporting an increase in both. The total number of respondents working in infectious disease and preparedness remained constant, while declines were reported in program evaluation (-36%) and health education (-27%) and increases were reported in disease investigation (+35%).<h4>Conclusions</h4>The provision of many essential public health functions and tasks have been limited or eliminated while the U.S. public health workforce responds to the COVID-19 pandemic. These findings highlight opportunities for funding and professional development of public health systems, both during and after the COVID-19 response, to help ensure the continuity of essential public health services, staffing sustainability, and preparedness for future public health emergencies in the U.S.
format	article
author	Kristina W Kintziger Kahler W Stone Meredith A Jagger Jennifer A Horney
author_facet	Kristina W Kintziger Kahler W Stone Meredith A Jagger Jennifer A Horney
author_sort	Kristina W Kintziger
title	The impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study.
title_short	The impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study.
title_full	The impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study.
title_fullStr	The impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study.
title_full_unstemmed	The impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study.
title_sort	impact of the covid-19 response on the provision of other public health services in the u.s.: a cross sectional study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/99610b3a05b54f3db81d6ba1ecf19072
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The impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study.

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