A systematic evaluation of the public health governance capacity of 40 cities in Jiangsu， Zhejiang， and Anhui Provinces

Huayi ZHANG; Qingyu ZHOU; Huihui HUANGFU; Peiwu SHI; Qunhong SHEN; Chaoyang ZHANG; Zheng CHEN; Chuan PU; Lingzhong XU; Anning MA; Zhaohui GONG; Tianqiang XU; Panshi WANG; Hua WANG; Chao HAO; Zhi HU; Chengyue LI; Mo HAO

Return

A systematic evaluation of the public health governance capacity of 40 cities in Jiangsu， Zhejiang， and Anhui Provinces

VernacularTitle:苏浙皖40个城市公共健康治理能力的系统评价
Author: Huayi ZHANG ¹ ; Qingyu ZHOU ¹ ; Huihui HUANGFU ¹ ; Peiwu SHI ² ; Qunhong SHEN ² ; Chaoyang ZHANG ² ; Zheng CHEN ² ; Chuan PU ² ; Lingzhong XU ² ; Anning MA ² ; Zhaohui GONG ² ; Tianqiang XU ² ; Panshi WANG ² ; Hua WANG ² ; Chao HAO ² ; Zhi HU ² ; Chengyue LI ¹ ; Mo HAO ¹
Author Information

1. School of Public Health, Fudan University, Shanghai 200032, China
2. Collaborative Innovation Center for Health Risk Early Warning and Governance, Fudan University, Shanghai 200032, China
Publication Type:Journal Article
Keywords: Jiangsu, Zhejiang, and Anhui Provinces; city; public health system; governance capacity; evaluation
From: Shanghai Journal of Preventive Medicine 2025;37(5):451-457
CountryChina
Language:Chinese
Abstract: ObjectiveTo systematically evaluate the public health governance capacity of 40 cities in Jiangsu, Zhejiang, and Anhui Provinces, providing a scientific evaluation basis for building a "Healthy Yangtze River Delta". MethodsA comprehensive collection of policy documents, public information reports, and research literature related to public health governance capacity in Jiangsu, Zhejiang, and Anhui Provinces was conducted, totaling 6 920 policy documents, 1 720 information reports, and 1 200 literature pieces. Based on the evaluation standards for an appropriate public health system established by the research team, the basic status of public health governance capacity was assessed to identify the strengths and weaknesses of the 40 cities. ResultsIn 2022, the public health governance capacity score for the 40 cities in Jiangsu, Zhejiang, and Anhui Provinces was (562.5±38.0) points. In terms of specific areas, the emergency response field received the highest score of (791.4±49.7) points, while the chronic disease prevention and control field received the lowest score of (368.2±29.6) points. The Jiangsu-Zhejiang-Anhui region has largely achieved the strategic priority of health, gradually improved public health legal regulations, and established a basic organizational framework with a solid foundation for information and data infrastructure. However, challenges still need to be addressed, such as unstable government funding for public health, unclear departmental responsibilities, and barriers to information interoperability. ConclusionThe public health governance capacity of the 40 cities in Jiangsu, Zhejiang, and Anhui Province has been at a moderate level, but disparities have still existed across regions and fields. In the future, while continuing to deepen existing advantages, it is essential to accurately identify the causes of problems, establish a long-term and stable investment mechanism, enhance information connectivity mechanisms, further clarify departmental responsibilities, and promote the achievement of the "Healthy Yangtze River Delta" goal.