Current situation of capacity building for key parasitic diseases control in CDCs of China

doi:10.12140/j.issn.1000-7423.2024.01.012

Abstract

Abstract:

Objective To understand the current situation of capacitity building in team development and technical needs and to propose pertinent improvement suggestion for key parasitic disease control in the centers for disease control and prevention (CDC) at all levels in China. Methods An on-line questionnaire survey was performed to collect information on the professional staff structure, technique training, laboratory testing capability, and technology needs for parasitic disease control in the CDCs and schistosomioasis control institutions at all levels. The data was analyzed using SPSS 26.0 software. Results A total of 1 855 (provincial, municipal and county) CDCs participated in the survey. Among 122 282 technicians on duty, 7.31% (8 493/122 282) were responsible for parasitic disease control. A total of 4 745 are full-time, accounting for 53.06% (4 745/8 943) of all staff working on parasite disease control. There were significant differences in the distribution of professional titles and educational levels among employees working in CDCs. Higher proportions of senior professional titles and postgraduate degrees were found in the eastern region (19.92%, 13.52%) than in the central (17.02%, 8.29%) and western region (13.88%, 8.25%) (χ² = 1 063.60, 2 892.89;both P < 0.01). The proportion of senior professional titles and postgraduate education among the personnel involved in parasitic disease prevention and control were also higher in the eastern region (21.20%, 12.51%) compared to the central region (15.63%, 7.30%) and western region (11.62%, 6.57%) (χ² = 142.19, 314.93; both P < 0.01). The daily tasks of disease control agency staff at all levels have varying emphases. During the past year, 2 207 technical trainings were given to subordinate CDCs. On average, each individual at provincial CDCs has taken 2.7 training courses, each individual at city-level CDCs has taken 1.4 training courses, and each individual at county-level CDCs has taken 1.1 training courses. There were 12.50% (4/32) of province-level CDCs, 34.02% (83/244) of city-level CDCs and 49.02% (774/1 579) of county-level CDCs without specific laboratories for parasitic diseases. 55.90% (398/712), 40.22% (218/542) and 14.55% (117/804) of CDCs performed the ability for diagnosis of schistosomiasis, echinococcosis and visceral leishmaniasis in provinces where the disease is endemic, and the proportions were higher than those in non-endemic provinces （29.83%, 7.77%, 6.95%）(χ² = 124.36, 283.05, 28.67; all P < 0.01). In addition, the requirements of CDCs mainly focused on personnel training (34.61%, 642/1 855), diagnosing and testing technology (12.40%, 230/1 855), and financial and equipment inputs (5.44%, 101/1 855). Conclusion The CDCs at all levels in the country show capability imbalance in parasitic disease control. Therefore, it is imperative to continuously optimize personnel structure, strengthen professional training and capacity building for laboratory testing, ensuring adequate personnel support for the control and elimination of parasitic diseases.

Key words: Parasitic disease prevention and control, CDC, Professional contingent, Capacity building

CLC Number:

HAO Yuwan, TIAN Tian, ZHU Zelin, CHEN Yijun, ZHU Huihui, WANG Qiang, LI Shizhu, ZHOU Xiaonong. Current situation of capacity building for key parasitic diseases control in CDCs of China[J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2024, 42(1): 83-90.

Figures/Tables 4

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人员分类 Employees category	机构级别 Level of institution	人员数量/人 No. employees	学历占比/% Proportion of educational level/%				职称占比/% Proportion of professional title/%
人员分类 Employees category	机构级别 Level of institution	人员数量/人 No. employees	博士Doctor	硕士Master	本科Undergraduate	大专及其他Junior college student and others	正高High professional title	副高Associate senior title	中级Intermediate professional title	初级Junior professional title	其他Others
疾控机构人员 Employees of the disease control institutions	省级 Province-level	10 265	4.66	36.43	46.20	12.71	13.80	21.97	29.98	21.32	12.93
	地市级 City-level	27 123	1.05	17.97	58.60	22.38	7.46	16.66	27.44	26.88	21.55
	县级 County-level	84 894	0.09	3.44	49.18	47.29	2.63	9.99	23.19	33.91	30.28
寄生虫病防治专职人员Parasitic disease control full-time professionals	省级 Province-level	430	4.88	40.93	42.56	11.63	16.74	26.51	30.00	22.79	3.95
	地市级 City-level	655	0.76	16.64	58.02	24.58	8.85	19.39	27.63	30.69	13.44
	县级 County-level	3 660	0.08	1.99	42.27	55.66	1.26	8.20	24.70	36.01	29.84

机构分类 Level of institution	机构数/个 Number of institutions	主要问题 Major problems			技术需求 Technical requirements
机构分类 Level of institution	机构数/个 Number of institutions	人员不足和培训 Inadequate manpower and training	经费设备等投入不足 Insufficient investment in funds and equipment	实验室检测能力不足 Insufficient laboratory testing capability	业务培训 Technical training	诊断技术 Fault diagnosis	经费设备投入 Funding and equipment investment
省级 Province-level	32	21	12	5	14	9	0
地市级 City-level	244	143	73	37	88	65	10
县级 County-level	1 579	800	309	119	540	156	91
合计 Total	1 855	964	394	161	642	230	101