Preparedness Against an Influenza Pandemic of the Frontline Health Facilities in Southern Thailand: Factor and Cluster Analyses

Preparedness at the frontline health level is essential for early detection, response, and prevention of the spread of an influenza pandemic in a community. This study aimed to assess and document patterns of basic preparedness for a threat of an influenza pandemic of the frontline health facilities in southern Thailand. A cross-sectional assessment was conducted among health centers. Key staffs were asked to complete a checklist consisting of facility access plan, surveillance, infection control, risk communication and health information dissemination, and health alert network and information technology. Results showed that the frontline health facilities were not well prepared for the threat in the early stages of a pandemic. Using cluster analysis, 6 variation patterns of preparedness were identified, with infection control being the weakest. Grassroots healthcare should be encouraged and supported to increase capacities in preparedness against influenza pandemics. Periodical monitoring by higher levels is needed.