Capacity of state health agencies to meet nutrition objectives in maternal and child health

Thompson, Ellen B.; Bellamy, Markita Moore; Kaufman, Mildred; Jarka, Elvira

doi:10.1016/s0002-8223(21)01808-3

Cited by 2 publications

(2 citation statements)

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“…Although very little is known about this overall public health nutrition workforce, considerably more is known about the workforce employed in or funded by governmental health agencies. This is because since 1985 the Association of State and Territorial Public Health Nutrition Directors (ASTPHND) has conducted periodic workforce surveys (48)(49)(50)(51)(52)(53) . Prior to 1994, these workforce studies were conducted by surveying state nutrition directors to describe full-time budgeted nutrition personnel employed in their respective governmental health agencies.…”

Section: Who Is the Us Public Health Nutrition Workforce?mentioning

confidence: 99%

“…Prior to 1994, these workforce studies were conducted by surveying state nutrition directors to describe full-time budgeted nutrition personnel employed in their respective governmental health agencies. Personnel described in these studies provided predominantly population-based services and not one-on-one diet counselling ( 48 – 51 ) . Beginning in 1994 ( 52 ) and with the subsequent 1999–2000 survey ( 53 ) , personnel were surveyed directly.…”

Section: Who Is the Us Public Health Nutrition Workforce?mentioning

confidence: 99%

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The Public Health Nutrition workforce and its future challenges: the US experience

Haughton

George

2008

Public Health Nutr.

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Objectives: To describe the US public health nutrition workforce and its future social, biological and fiscal challenges. Design: Literature review primarily for the four workforce surveys conducted since 1985 by the Association of State and Territorial Public Health Nutrition Directors. Setting: The United States. Subjects: Nutrition personnel working in governmental health agencies. The 1985 and 1987 subjects were personnel in full-time budgeted positions employed in governmental health agencies providing predominantly population-based services. In 1994 and 1999 subjects were both full-time and part-time, employed in or funded by governmental health agencies, and provided both direct-care and population-based services. Results: The workforce primarily focuses on direct-care services for pregnant and breast-feeding women, infants and children. The US Department of Agriculture funds 81?7 % of full-time equivalent positions, primarily through the WIC Program (Special Supplemental Nutrition Program for Women, Infants, and Children). Of those personnel working in WIC, 45 % have at least 10 years of experience compared to over 65 % of the non-WIC workforce. Continuing education needs of the WIC and non-WIC workforces differ. The workforce is increasingly more racially/ethnically diverse and with 18?2 % speaking Spanish as a second language. Conclusions:The future workforce will need to focus on increasing its diversity and cultural competence, and likely will need to address retirement within leadership positions. Little is known about the workforce's capacity to address the needs of the elderly, emergency preparedness and behavioural interventions. Fiscal challenges will require evidence-based practice demonstrating both costs and impact. Little is known about the broader public health nutrition workforce beyond governmental health agencies.

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