Preparedness at the frontline health level is essential for early detection, response, and prevention of the spread of an influenza pandemic in a community. This study aimed to assess and document patterns of basic preparedness for a threat of an influenza pandemic of the frontline health facilities in southern Thailand. A cross-sectional assessment was conducted among health centers. Key staffs were asked to complete a checklist consisting of facility access plan, surveillance, infection control, risk communication and health information dissemination, and health alert network and information technology. Results showed that the frontline health facilities were not well prepared for the threat in the early stages of a pandemic. Using cluster analysis, 6 variation patterns of preparedness were identified, with infection control being the weakest. Grassroots healthcare should be encouraged and supported to increase capacities in preparedness against influenza pandemics. Periodical monitoring by higher levels is needed.
Mounier-JackSCokerR. How prepared is Europe for pandemic influenza? Analysis of national plans. Lancet. 2006;367:1405-1411.
5.
OrtuGMounier-JackSCokerR. Pandemic influenza preparedness in Africa is a profound challenge for an already distressed region: analysis of national preparedness plans. Health Policy Plan. 2008;23:161-169.
6.
MensuaAMounier-JackSCokerR. Pandemic influenza preparedness in Latin America: analysis of national strategic plans. Health Policy Plan. 2009;24:253-260.
7.
CokerRMounier-JackS. Pandemic influenza preparedness in the Asia-Pacific region. Lancet. 2006;368:886-889.
8.
BergerSA. Infectious diseases of Thailand. J Travel Med. 1999;6:144-148.
9.
TharmaphornpilasPSrivanichakornSPhraesrisakulN. Recurrence of yaws outbreak in Thailand, 1990. Southeast Asian J Trop Med Public Health. 1994;25:152-156.
10.
TriteeraprapabSKanjanopasKSuwannadabbaSSangprakarnSPoovorawanYScottA. Transmission of the nocturnal periodic strain of Wuchereria bancrofti by Culex quinquefasciatus: establishing the potential for urban filariasis in Thailand. Epidemiol Infect. 2000;125:207-212.
11.
TriteeraprapabSKarnjanopasKPorksakornCSai-ngamAYentakamSLoymakS. Lymphatic filariasis caused by Brugia malayi in an endemic area of Narathiwat province, Southern of Thailand. J Med Assoc Thai. 2001;84(suppl 1):s182-s188.
12.
LiabsuetrakulTChaikongkeitPKorviwattanagarnS. Epidemiology and the effect of treatment of soil-transmitted helminthiasis in pregnant women in southern Thailand. Southeast Asian J Trop Med Public Health. 2009;40:211-222.
Centers for Disease Control and Prevention. Local public health preparedness and response capacity inventory: a voluntary rapid self-assessment. http://www.phppo.cdc.gov/od/inventory. Published December 2002. Accessed March 14, 2006.
18.
The National Committee on Avian Influenza Control and the National Committee on Influenza Pandemic Preparedness. National Strategic Plan for Avian Influenza Control and Influenza Preparedness in Thailand 2005-2007. Bangkok, Thailand: OS Printing House; 2005.
19.
CostelloABOsborneJW. Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. Pract Assess Res Eval. 2005;10(7):1-9.
20.
R Development Core Team. The R project for statistical computing. http://www.R-project.org. Accessed June 1, 2010.
21.
KamarulzamanA. Tackling infectious diseases threats in the Asia-Pacific through regional and international collaboration. Asia Pac J Public Health. 2004;16:1-2.
22.
PutthasriWLertiendumrongJChompookPTangcharoensathienVCokerR. Capacity of Thailand to contain an emerging influenza pandemic. Emerg Infect Dis. 2009;15:423-432.
23.
Department of Health, England and the Health Protection Agency. Pandemic influenza: guidance for infection control in hospitals and primary care settings. http://www.dh.gov.uk/assetRoot/04/12/17/54/04121754.pdf. Accessed September 1, 2009.
24.
United States Department of Health and Human Services. HHS pandemic influenza plan. http://www.hhs.gov/pandemicflu/plan/. Accessed September 1, 2009.
