State Barriers to Appropriating Public Health Emergency Response Funds During the 2009 H1N1 Response

Bibliographic Data

ID11034834
AuthorsValerie A Yeager (0000-0001-7650-9258, Valerie A. Yeager is with the Department of Global Health Systems and Development, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA. David Hurst is with the Applied Science and Evaluation Branch, Division of State and Local Readiness, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, GA. Nir Menachemi is with the Department of Health Care Organization and Policy, School of Public Health, University of Alabama at...), David Hurst (0009-0003-5622-0029, Valerie A. Yeager is with the Department of Global Health Systems and Development, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA. David Hurst is with the Applied Science and Evaluation Branch, Division of State and Local Readiness, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, GA. Nir Menachemi is with the Department of Health Care Organization and Policy, School of Public Health, University of Alabama at...), Nir Menachemi (0000-0002-3411-2700, Valerie A. Yeager is with the Department of Global Health Systems and Development, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA. David Hurst is with the Applied Science and Evaluation Branch, Division of State and Local Readiness, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, GA. Nir Menachemi is with the Department of Health Care Organization and Policy, School of Public Health, University of Alabama at...)
Year2015
Volume105
IssueS2
PagesS274-S279
Publication date2015-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.302378
PMID25689213
OpenAlexW2166685667
LanguageEN
Citations received1
References cited19

Objectives. We examined state-specific administrative barriers to allocating 2009 H1N1 influenza public health emergency response (PHER) funds. Methods. We conducted a qualitative review of PHER grants management reports to identify and code barriers reported by states in allocating funds. Using linear regression, we examined the relationship between the percentage of funds allocated and each individual barrier and, separately, the cumulative effect of multiple barriers. Results. States reported 6 barrier types, including regulatory issues (n = 14, or 28%), contracting issues (n = 14, or 28%), purchasing issues (n = 6, or 12%), legislative issues (n = 5, or 10%), staffing issues (n = 5, or 10%), and issues transferring funds between state and local health departments (n = 4, or 8%). In multivariate models, having experienced a purchasing barrier was associated with a significant decrease in PHER allocation (B = −26.4; P = .018). Separately, the cumulative effect of having 3 barriers was associated with a decrease in PHER allocation (B = −16.0; P = .079). Conclusions. Purchasing barriers were associated with delayed use of PHER funds. Moreover, the cumulative effect of any 3 barriers hampered the allocation of funds. Understanding barriers to using funds can inform future funding guidance for improved efficiency of response efforts

Actuarial science · Business · Coronavirus disease 2019 (COVID-19) · Demographic economics · Economics · Emergency response · Federal funds · H1N1 influenza · Legislature · Medical emergency · Political science · Public economics · Public fund · Public health · Purchasing · Staffing · Zip code · Disaster Response and Management · Marketing · Medicine · Nursing · Public Health Policies and Education · Viral Infections and Outbreaks Research

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