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The centers for disease control and prevention system in China: Trends from 2002-2012

Author

Listed:
  • Li, C.
  • Sun, M.
  • Wang, Y.
  • Luo, L.
  • Yu, M.
  • Zhang, Y.
  • Wang, H.
  • Shi, P.
  • Chen, Z.
  • Wang, J.
  • Lu, Y.
  • Li, Q.
  • Wang, X.
  • Bi, Z.
  • Fan, M.
  • Fu, L.
  • Yu, J.
  • Hao, M.

Abstract

Objectives. To assess the improvements of the Chinese Centers for Disease Control and Prevention(CDCs)systembetween2002and2012,andproblemsthesystemhasencountered. Methods. We obtained data from 2 national cross-sectional surveys in 2006 and 2013, including 32 provincial, 139 municipal, and 489 county-level CDCs throughout China. We performed a pre-post comparative analysis to determine trends in resource allocation and service delivery. Results.The overall completeness of public health services significantly increased from 47.4% to 76.6%. Furthermore, the proportion of CDC staff with bachelor's or higher degrees increased from 14.6% to 32.6%, and governmental funding per CDC increased 5.3-fold (1.283-8.098 million yuan). The working area per CDC staff increased from 37.9 square meters to 63.3 square meters, and configuration rate of type A devices increased from 28.1% to 65.0%. Remaining problems included an 11.9% reduction in staff and the fact that financial investments covered only 71.1% of actual expenditures. Conclusions. China's CDC system has progressed remarkably, enabling quicker responses to emergent epidemics. Future challenges include establishing a sustainable financing mechanism and retaining a well-educated, adequately sized public health workforce.

Suggested Citation

  • Li, C. & Sun, M. & Wang, Y. & Luo, L. & Yu, M. & Zhang, Y. & Wang, H. & Shi, P. & Chen, Z. & Wang, J. & Lu, Y. & Li, Q. & Wang, X. & Bi, Z. & Fan, M. & Fu, L. & Yu, J. & Hao, M., 2016. "The centers for disease control and prevention system in China: Trends from 2002-2012," American Journal of Public Health, American Public Health Association, vol. 106(12), pages 2093-2102.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303508_0
    DOI: 10.2105/AJPH.2016.303508
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    Cited by:

    1. Lai Yin Cheng & Xin Wang & Phoenix Kit-han Mo, 2019. "The effect of home-based intervention with professional support on promoting breastfeeding: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(7), pages 999-1014, September.
    2. Mauricio Sadinle & Jerome P. Reiter, 2017. "Itemwise conditionally independent nonresponse modelling for incomplete multivariate data," Biometrika, Biometrika Trust, vol. 104(1), pages 207-220.
    3. Griffith, Rachel & O’Connell, Martin & Smith, Kate, 2019. "Tax design in the alcohol market," Journal of Public Economics, Elsevier, vol. 172(C), pages 20-35.
    4. Ollinger, Michael & Wilkus, James & Hrdlicka, Megan & Bovay, John, 2017. "Public Disclosure of Tests for Salmonella: The Effects on Food Safety Performance in Chicken Slaughter Establishments," Economic Research Report 262183, United States Department of Agriculture, Economic Research Service.
    5. Monica N. Wymann & Anne Spaar Zographos & Ekkehardt Altpeter & Virginie Masserey Spicher & Nicola Low & Mirjam Mäusezahl-Feuz, 2018. "Human papillomavirus vaccine uptake in adolescence and adherence to cervical cancer screening in Switzerland: a national cross-sectional survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(1), pages 105-114, January.
    6. Ying Mao & Rongxin He & Bin Zhu & Jinlin Liu & Ning Zhang, 2020. "Notifiable Respiratory Infectious Diseases in China: A Spatial–Temporal Epidemiology Analysis," IJERPH, MDPI, vol. 17(7), pages 1-15, March.
    7. Hongying Dai & Michael J. Deem & Jianqiang Hao, 2017. "Geographic variations in electronic cigarette advertisements on Twitter in the United States," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(4), pages 479-487, May.

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