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Table 3 Services that decreased significantly with an increase in region size in 2012

From: Changes in public health preparedness services provided to local health departments by regional offices in North Carolina: a comparison of two cross-sectional studies

  Percent of LHDs receiving each type of service by region* Cochran Armitage trend test
Type of service CRI Western Eastern Central Z score p-valueƗ
Planning assistance (n = 6)       
Isolation and quarantine 36 31 48 7 -1.97 0.029
Risk communication 73 38 29 34 -1.97 0.028
Communication and liaison assistance (n = 12)       
Facilitate relationships with local/regional preparedness partners 91 94 78 57 -2.90 0.001
Represent local/regional public health preparedness at meetings 82 81 77 57 -1.88 0.032
Training assistance (n = 2)       
Assist with the development of a training plan for LHD staff 55 50 39 23 -2.15 0.019
Exercise assistance (n = 15)       
Plan a single-county/district exercise for your LHD 45 47 26 0 -3.85 <0.001
Provide a single-county/district exercise scenario for your LHD 45 41 44 3 -3.05 0.002
Moderate or facilitate a single-county/district exercise for your LHD 40 41 35 7 -2.64 0.005
Evaluate a single-county/district exercise for your LHD 30 47 35 10 -2.05 0.024
Facilitate an after action review meeting for the LHD 50 41 9 3 -4.03 <0.001
Assist with the development of an AAR for the LHD 70 53 17 10 -4.28 <0.001
Assist with the development of an IP or CAP for the LHD 70 53 30 13 -3.77 <0.001
Assist with the implementation of an improvement plan IP or CAP for the LHD 50 53 22 3 -3.94 <0.001
Provide a multi-county exercise scenario for the region 33 12 22 0 -2.46 0.012
Assist with the development of an AAR for the region 67 12 22 7 -3.26 <0.001
Assist with the development of an IP or CAP for the region 56 12 22 7 -2.70 0.005
Assist with the implementation of an IP or CAP for the region 44 6 17 7 -2.08 0.024
  1. Abbreviations: LHD Local Health Department, AAR After Action Report, IP Improvement Plan, CAP Corrective Action Plan.
  2. *Number of LHDs covered by each region: CRI = 11, Western = 19, Eastern = 25, Central = 31.
  3. ƗCochran-Armitage one-sided exact p-value.