Excerpt from Local Health Department Problems and Priorities: Conclusions From the Fiscal Year 1994 Community Diagnosis Cycle
Legislative Priorities. Space and facility needs topped the list of county health director's legislative priorities with 990 points. In fact, 41 of the 98 legislative reports identified inadequate space as the top priority of their local health departments. Of these 41 counties that reported a need for more space, the average ratio of citizens per square foot of facility space was compared with per sons per square foot for the counties not reporting space as a problem.
Table 1 shows the top 15 reported problems from the Legislative Priorities form. The problems shown are exactly as reported on the form with no attempt to group them into larger categories.
Interestingly, there are huge differences in point values between the first and second categories and second and third categories. The concern over teen pregnancies has been building in past years, and the high rating given this problem reflects heightened awareness among health directors.
Table 2 shows the top 15 categories clumped into major categories. In this listing, the need for space falls to third place behind communicable disease control and chronic disease control. Teen pregnancy prevention, included in the familyplanning category, drops to fifth behind the first three groups arid child health. This approach has the advantage of creating broader categories that might garner more attention from the legislature.
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