Recovery and Resiliency in 29 Big Cities: Results From the 2021 Public Health Workforce Interests and Needs Survey

Abstract

Context: Big Cities Health Coalition member health departments (BCHC HDs) serve more than 61 million people across their jurisdictions, nearly 20% of the US population. As such, they have particular challenges and opportunities in how they do their work. This article focuses on BCHC HDs that participated in the 2021 Public Health Workforce Interests and Needs Survey (PH WINS) and describes workplace perceptions, training needs, COVID-19 efforts, and well-being. Objective: To describe key characteristics of the governmental public health workforce among BCHC HDs, including demographics, perceptions, and needs. Design: Using a subsample of data from the 2021 PH WINS that included 29 BCHC HDs, descriptive statistics on many of the topics covered by the 2021 PH WINS were analyzed and compared with the 2017 PH WINS. Setting: Twenty-nine BCHC HDs in cities across the United States. Participants: In total, 7922 of 29 661 staff members (response rate of 27%) from participating BCHC HDs.Results: Most BCHC HD respondents self-identified as a woman (76%, 95% confidence interval [CI]: 75%-77%), and as Black, Indigenous, and people of color (69%, 95% CI: 68%-70%), similar to findings from the 2017 PH WINS (75%, 95% CI: 74%-76%; 67%, 95% CI: 66%-69%, respectively). Most respondents believe that their organization prioritizes diversity, equity, and inclusion (70%, 95% CI: 69%-72%). Thirty percent (95% CI: 29%-32%) intend to leave their organizations within 1 year, and 18% (95% CI: 17%-19%) plan to retire within 5 years. Staff connect their work with agency goals and priorities (86%, 95% CI: 85%-87%) and are determined to give their best effort every day (91%, 95% CI: 90%-91%). Conclusion:As the need for an all-encompassing focus on COVID-19 lessons, BCHC HDs should continue to focus on prioritizing staff retention, enhancing communication between senior staff and employees, and fostering an environment where innovation and creativity are rewarded.

On-the-Job Learning: Bright Spots of Governmental Public Health Employee Reflections on the COVID-19 Response

“…Recent studies utilizing the Public Health Workforce Interests and Needs Survey (PH WINS) 2021 data have examined the experiences of the governmental public health workforce during the pandemic and areas for improvement 3,9-15. While most of the recent work tends to highlight the negative aspects associated with a prolonged response to an emergency event, bright spots, or unexpected opportunities for growth and change, are also visible.…”

“…1,8,10 Recent studies utilizing the Public Health Workforce Interests and Needs Survey (PH WINS) 2021 data have examined the experiences of the governmental public health workforce during the pandemic and areas for improvement. 3,[9][10][11][12][13][14][15] While most of the recent work tends to highlight the negative aspects associated with a prolonged response to an emergency event, bright spots, or unexpected opportunities for growth and change, are also visible. Of particular note, the spotlight that the COVID-19 pandemic shown on public health infrastructure gaps overall led to policymakers directing new resources to governmental public health systems strengthening efforts.…”