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Disaster Health-Related Challenges and Requirements: A Grounded Theory Study in Iran

Published online by Cambridge University Press:  06 July 2011

Hamid Reza Khankeh ,
Davoud Khorasani-Zavareh ,
Eva Johanson ,
Rakhshandeh Mohammadi ,
Fazlollah Ahmadi  and
Reza Mohammadi
Hamid Reza Khankeh
Affiliation:
Department of Nursing, University of Social Welfare and Rehabilitation, Tehran, Islamic Republic of Iran Division of Social Medicine, Department of Public Health Sciences, Karolinksa Institutet, Stockholm, Sweden
Davoud Khorasani-Zavareh*
Affiliation:
Department of Public Health, Urmia University of Medical Sciences, Urmia, Islamic Republic of Iran
Eva Johanson
Affiliation:
Division of Global Health, Department of Public Health Sciences, Karolinksa Institutet, Stockholm, Sweden
Rakhshandeh Mohammadi
Affiliation:
Department of Nursing, University of Social Welfare and Rehabilitation, Tehran, Islamic Republic of Iran
Fazlollah Ahmadi
Affiliation:
Department of Nursing, University of Social Welfare and Rehabilitation, Tehran, Islamic Republic of Iran
Reza Mohammadi
Affiliation:
Division of Social Medicine, Department of Public Health Sciences, Karolinksa Institutet, Stockholm, Sweden
*
Correspondence: Davoud Khorasani-Zavareh E-mail: davoud.khorasani@gmail.com
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Abstract

Background: Despite frequent disasters caused by natural hazards, concern has been raised regarding the effectiveness of disaster health services in disaster-prone countries such as Iran. The purpose of this study was to explore, in relation to health disaster management, the experiences and perceptions of individuals who responded or were affected by a recent Iranian earthquake disaster.

Methods: This study was conducted using grounded theory. Study participants included members of a multidisciplinary disaster response team as well as residents of the community affected by the earthquake (n = 29). Data collection included semi-structured interviews, field notes, and reviews of narratives.

Results: The findings of this study indicate that the lack of planning, inadequate organizational management of resources, insufficient coordination in the provision of health services during the disaster, and the manner of participation of international relief efforts were the most important barriers to adequate disaster healthcare services delivery during the 2003 Bam Iranian earthquake.

Conclusions: This study supports the value of health service managers coordinating the appropriate use of international aid in advance. It is suggested that this can be done by better communication with local and foreign constituents. Further, this study indicates that public education and proper pre-event planning help to bring about an effective response to providing healthcare services during a disaster.

Keywords

disasterhealth servicespublic health emergencyqualitative research
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 26 , Issue 3 , June 2011 , pp. 151 - 158
Copyright
Copyright Khankeh © World Association for Disaster and Emergency Medicine 2011

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References

Tschoegl, L, Below, R, Guha-Sapir, D: An analytical review of selected data sets on natural disasters and impacts. Available at http://www.em-dat.net/documents/Publication/TschoeglDataSetsReview.pdf. Accessed December 2009.Google Scholar
Cred, O: EM-DAT: The OFDA/CRED International Disaster Database. Universite Available at http://www.cred.be/emdat right-pointing angle bracket. Accessed December 2009.Google Scholar
Ardalan, A, Khankeh, HR, Masoumi, GRet al: Disaster Health Management: Iran's Progress and Challenges. Iranian J Publ Health 2009;38(1):93–97.Google Scholar
Ghanefar, : Iran's strategy on natural disaster risk management- Journal of Geotechnical engineering for disaster mitigation and rehabilitation, 539–542.Google Scholar
World Health Organization. Earthquake disaster in Bam, Iran Preliminary indication of urgent requirements for those responding to the health needs of the affected population. December 2003 Geneva.Google Scholar
Darcy, J. The Indian Ocean tsunami crisis: humanitarian dimensions. http://www.odi.org.uk/hpg/Tsunami.html. Accessed January. 2006; 26.Google Scholar
Regional Office of World Health Organization and Pan American Health Organization. Natural disasters: Protecting the public's health. Washington, D.C.: PAHO, 2000. (Scientific Publication, 575) ISBN 92 75 11575 3Google Scholar
Akbari, ME, Farshad, AA, Asadi-Lari, M: The devastation of Bam: An overview of health issues 1 month after the earthquake. Public Health 2004;118(6):403–408.CrossRefGoogle ScholarPubMed
Emami, MJ, Tavakoli, AR, Alemzadeh, H, et al: Strategies in evaluation and management of Bam earthquake victims. Prehosp Disaster Med 2005;20(5):327–330.CrossRefGoogle ScholarPubMed
Nateghi-Alahi, F, Izadkhah, YO: Earthquake disaster management planning in health care facilities. Disaster Prevention and Management 2004;13:130–135.CrossRefGoogle Scholar
Hick, JL, Hanfling, D, Burstein, JL, et al: Health care facility and community strategies for patient care surge capacity. Ann Emerg Med 2004;44(3):253–261.CrossRefGoogle ScholarPubMed
Hyde, J, Kim, B, Martinez, LS, et al: Better prepared but spread too thin: The impact of emergency preparedness funding on local public health. Disaster Manag Response 2006;4(4):106–113.CrossRefGoogle ScholarPubMed
May, T, Aulisio, MP: Access to hospitals in the wake of terrorism: Challenges and needs for maintaining public confidence. Disaster Manag Response 2006;4(3):67–71.CrossRefGoogle ScholarPubMed
Phillips, S: Current status of surge research. Acad Emerg Med 2006;13(11):1103–1108.CrossRefGoogle ScholarPubMed
Strauss, A, Corbin, J: Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. 2 ed. California: Sage, 1998.Google Scholar
Streubert, HJ, Carpenter, DR: Qualitative Research in Nursing: Advancing the Humanistic Imperative. Philadelphia, New York, Baltimore: Lippincott Williams & Wilkins, 2007.Google Scholar
Manley, WG, Furbee, PM, Coben, JH, et al: Realities of disaster preparedness in rural hospitals. Disaster Manag Response 2006;4(3):80–87.CrossRefGoogle ScholarPubMed
Hershe, B, Wenker, OC: Principles of hospital disaster planning. The Internet Journal of Rescue and Disaster Medicine 2003;1(2)1.Google Scholar
Khorasani-Zavreh, D, Mohammadi, R, Khankeh, HR, et al: The requirements and challenges in preventing of road traffic injury in Iran. A qualitative study. BMC Public Health 2009;9:486.CrossRefGoogle Scholar
Khorasani-Zavareh, D, Khankeh, HR, Mohammadi, R, et al: Post-crash management of road traffic injury victims in Iran. Stakeholders' views on current barriers and potential facilitators. BMC Emerg Med 2009;9:8.CrossRefGoogle ScholarPubMed
Haghparast-Bidgoli, H, Hasselberg, M, Khankeh, HR, Khorasani-Zavareh, D, Johansson, E: Barriers and facilitators to provide effective prehospital trauma care for road traffic injury victims in Iran: a grounded theory approach. BMC Public BMC Emergency Medicine 2010, 10:20.CrossRefGoogle ScholarPubMed
Markenson, D, DiMaggio, C, Redlener, I: Preparing health professions students for terrorism, disaster, and public health emergencies: Core competencies. Acad Med 2005;80(6):517–526.CrossRefGoogle Scholar
World Health Organization. Three months after the Indian Ocean earthquake-tsunami report. Available at: http://www.who.int/hac/crises/international/asia_tsunami/3months/report/en/index.html. Access on March 2010Google Scholar
Zoraster, RM: Barriers to disaster coordination: health sector coordination in Banda Aceh following the South Asia Tsunami. Prehosp Disaster Med 2006;21(1):s13–s18.CrossRefGoogle ScholarPubMed
Nieswiadomy, R. Foundations of Nursing Research. 4 ed. New Jersey: Prentice Hall Upper Saddle River, 2002.Google Scholar