Abstract: Objective To understand the attention of health management personnel about the design of sanitary facilities in public places and their knowledge of the code of hygiene for the design of public places. Methods From March to April 2023,according to the principle of cluster sampling,public health facilities in one provincial capital city,one prefecture level city,and one county-level city of 31 provincial-level administrative regions in China were sampled. A questionnaire survey was conducted on the knowledge of health management personnel about the "code of hygiene for the design of public places",and the survey results were statistically analyzed to track and evaluate the implementation and effectiveness of the standards. Results A total of 4 030 health management personnel were surveyed,and the questionnaire had an effective rate of 100%. 83.4% of the managers were aware of this standard,with a high awareness rate of the standard. The comparison of standard awareness rates among managers of different ages,educational backgrounds,professional titles,years of work experience,regions,and public places showed statistically significant differences（all P<0.05）. The proportion of familiarity among management personnel with the first,second,and fifth parts of the "Norms" was relatively high,accounting for 87.6%,73.5%,and 71.4% respectively. The vast majority of personnel mainly learned about this standard through meetings and documents,and all personnel had participated in internal training,accounting for 75.6%,or external training,accounting for 71.6%. The majority of external training was organized by the health supervision department,accounting for 66.2%. On the whole,80% of the public places served by health management personnel had relatively complete sanitation facilities. Conclusion The awareness rate of standards among health management personnel in public places is relatively high,and the training conducted by the health department is still the first way for management personnel to obtain the standard norms. Targeted training and supervision should be increased for these management personnel to enhance their understanding and improve the industry's hygiene environment.

Key words: Hygiene management personnel, Public places, Hygiene standards, Cognitive status