Objective To establish an evaluation index system for the effectiveness of plague prevention and control in demonstration areas to strengthen the plague prevention and control system.
Methods After constructing a primary index system to evaluate the effectiveness of plague prevention and control through literature study and expert interview, we conducted three rounds of online Delphi consultation among 20 authoritative experts and scholars engaged in plague prevention, control, and research from 5 provincial-level administrative divisions from June to August 2023. The response rate of the questionnaire was used to represent the expert activity coefficient. The analytical hierarchy method was used to calculate the weights of indicators at three levels. The coefficient of expert authority (Cr) was used to reflect the expert authority, and the coefficient of variation (CV) and Kendall's coefficient of concordance (Kendall′s W) were used to reflect the coordination of expert consultation. SPSS 25.0 and yaahp 10.1 software were used for statistical analysis.
Results The activity coefficients of the three rounds of expert consultation were all 100%, indicating a high degree of expert activity. The Cr values of the three rounds were all greater than 0.7, indicating a high degree of expert authority. In the third round, the coefficient of variation (CV) was < 0.25, and the Kendall's W of the indicators increased compared to those of the first and second rounds, approaching 0.4 (P < 0.01). The final index system consisted of 3 first-level indicators (pre-event preparedness, in-event handling ability, and post-event recovery ability, with weights of 33.33%, 33.34%, and 33.33%, respectively), 10 second-level indicators (among which, summary analysis ability and damage repair ability had the highest weights of 16.67%, followed by monitoring and early warning ability with 15.68%), and 58 third-level indicators (among which, network direct reporting rate and professional responsible for plague data had the highest weights of 4.76%, followed by plague monitoring database and early warning platform with 3.62%, 3.10% , respectively).
Conclusion The established index system has certain scientific validity and reliability to comprehensively and accurately evaluate the effectiveness of plague prevention and control in demonstration areas, and is conducive to building a more complete prevention and control system, and provides a reference for other regions to carry out plague prevention and control work.
DownLoad: