Abstract
BackgroundCost-effective strategies of chronic disease control, integrated health education and health promotion play important roles in the programs of chronic disease demonstration districts in China. The performance of these districts can be directly assessed by their health education and promotion work. However, there have been only a few performance assessments done on these programs, most of which made without the inclusion of proper quality indicators. This study was designed to establish a framework of indicators for outcome evaluation of health education and promotion efforts in Chinese districts, and explore the factors involved in promoting these efforts.MethodsA modified two-round Delphi survey was first used to construct quality indicators on a nine-point Likert scale. With those indicators, the rank sum ratio (RSR) method was then conducted through rank conversion and parametric statistics, to assess and classify the performance of ten districts or counties randomly chosen both from demonstration and non-demonstration districts in the Hunan province.ResultsThe Delphi process produced seven themes and 25 sub-themes as quality indicators. The seven themes included organizational management, financial support, professional personnel, health education and promotion, residents’ health awareness and behaviors, residents’ satisfaction, and residents’ health literacy. The districts were classified into four levels by RSR as follows: One demonstration district at the first-ranked level, five other demonstration districts at the second-ranked level, all non-demonstration districts at the third-ranked level. None were at the fourth-qualified level.DiscussionChronic disease demonstration districts performed better on the work of health education and health promotion than the non-demonstration districts. The work should be focused on the following measures of chronic diseases: organizational management, financial support, media-related broadcasting, technical support, community-based promotion and supportive environment, and people’s enhanced awareness and health literacy.
Highlights
For some time, chronic diseases, known as non-communicable diseases (NCDs), have been the top health threat for Chinese people and pose an increasing disease burden (Bureau of Diseases Prevention and Control of the NHPFC, 2012; Huang, Yu & Koplan, 2014)
By 2017, thirty-four counties or districts were nominated as NCD demonstration districts in the Hunan province, ten of which were nominated as national districts; the rest were nominated as provincial districts
Twenty-five items were included in the framework of the quality indicators, including the following themes: organizational management, financial support, professional personnel, health education and health promotion, residents’ health awareness and behaviors of NCDs, residents’ satisfaction with supplies from health education and health promotion, and the health literacy of the resident (Table 4)
Summary
Chronic diseases, known as non-communicable diseases (NCDs), have been the top health threat for Chinese people and pose an increasing disease burden (Bureau of Diseases Prevention and Control of the NHPFC, 2012; Huang, Yu & Koplan, 2014). Cost-effective strategies of chronic disease control, integrated health education and health promotion play important roles in the programs of chronic disease demonstration districts in China. The performance of these districts can be directly assessed by their health education and promotion work. A modified two-round Delphi survey was first used to construct quality indicators on a nine-point Likert scale With those indicators, the rank sum ratio (RSR) method was conducted through rank conversion and parametric statistics, to assess and classify the performance of ten districts or counties randomly chosen both from demonstration and non-demonstration districts in the Hunan province. The work should be focused on the following measures of chronic diseases: organizational management, financial support, media-related broadcasting, technical support, community-based promotion and supportive environment, and people’s enhanced awareness and health literacy
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
