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Counting Public Health Workers

Explore the landscape of public health workforce in the U.S., focusing on preparedness, roles, and challenges. Learn about workforce enumeration, changes, and areas of concentration. Address the need for planning and development to meet future demands effectively. Discover the diverse settings where public health workers operate and ideas for nurturing the next generation in the field.

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Counting Public Health Workers

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  1. Counting Public Health Workers Kristine M. Gebbie, DrPH, RN April 4, 2006

  2. Public health infrastructure: the foundation Prepared Workforce Data and Information Systems and Relationships

  3. Data and information • Health status • Threats to health • Resources that support health

  4. Systems and relationships • Legal structure • Organizational structure • Formal working agreements • Interpersonal relationships

  5. Prepared workers • Competent for expected roles and duties • Oriented to the mission of the organization • Motivated to perform at a high level

  6. Who are the workers in the US? • 2000: 448,254 workers in salaried positions, primarily in state and local health departments and schools of public health • 2004: 552,061 in governmental agencies Enumeration 2000, HRSA Bureau of the Census, 2005

  7. National Summary Technical 14% Clerical/Support 13% Professional 44% Category Unreported 25% Administrative 4%

  8. Local State 34% 33% Other Federal 14% 19% National Summary of workers by location

  9. Changes in workforce size • 1980-2000 + 6,000 • 1994-1999 + 5,400 • 2000-2003 + 8,700 • 2003-2004 - 3,000

  10. We can’t identify • Pre-employment training • Job titles • Day-to-day functional responsibilities • What difference any of these make to programs

  11. We can’t plan effectively • How old are the workers? • What are their career plans? • What is the next generation like?

  12. Who else does public health • Community clinics • Hospital infection control • Hazardous material regulation • Agriculture food protection • Private industry • Occupational health • Food safety

  13. We should be looking ahead • Middle school and high school career clubs • Summer employment for students • Public health as a science elective • Clinical experiences for health professions students

  14. Columbia University School of Nursing 630 West 168th Street New York, New York 10032 www.nursing.hs.columbia.edu

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