Vol 7, No 1 (2022)
Research paper
Published online: 2022-03-18

open access

Page views 4926
Article views/downloads 544
Get Citation

Connect on Social Media

Connect on Social Media

Disaster risk assessment of primary healthcare facilities in South East of Iran: a study with approach of disaster risk reduction

Gholamreza Khademipour1, Hojjat Sheikhbardsiri12
Disaster Emerg Med J 2022;7(1):11-20.

Abstract

INTRODUCTION: Disaster risk management requires a systematic process, including executive, organizational decisions, other capacities to perform policies, strategies, and social capacity to reduce the negative effects and consequences of risks. The purpose of this study is to investigate the risk assessment process in all healthcare facilities of South East of Iran.
MATERIAL AND METHODS: This cross-sectional study was conducted at the Kerman University of Medical Sciences in 2021 and the population participating in this study was all healthcare facilities, n = 2835 in the cities of South East of Iran that were selected with a census method. The risk assessment of healthcare facilities was performed with two qualitative and quantitative methods.
RESULTS: The results of the current study showed that 26 main hazards threaten healthcare facilities in South East of Iran and high priorities of healthcare hazards were earthquake, dust, drought, flood, and traffic incidents. Also, the results indicated that the vulnerability total mean score (733.26) of healthcare facilities was at a high level and the total mean score of response capacity (418.13) in healthcare facilities was at a moderate level. The results based on the assessment of three dimensions of hazard, vulnerability, and response capacity showed the risk total mean scores of healthcare facilities (117.39) was at a high level.
CONCLUSIONS: Current research showed that the risk level of disasters was very high in the majority of healthcare facilities of South East of Iran. Therefore, national and provincial decision-makers or policymakers should make the right decisions to decrease disaster risks level through special attention to structural, non-structural, functional, managerial vulnerabilities and improvement of response capacity of healthcare facilities.

Article available in PDF format

View PDF Download PDF file

References

  1. Ardalan A, Kandi M, Talebian MT, et al. Hospitals safety from disasters in I.R.iran: the results from assessment of 224 hospitals. PLoS Currents. 2014(6).
  2. Moradi SM, Nekoei-Moghadam M, Abbasnejad A, et al. Risk analysis and safety assessment of hospitals against disasters: A systematic review. J Educ Health Promot. 2021; 10: 412.
  3. Tankel J, Einav S. Preparing for mass casualty events despite COVID-19. Br J Anaesth. 2022; 128(2): e104–e108.
  4. Yari A, Zarezadeh Y, Fatemi F, et al. Disaster safety assessment of primary healthcare facilities: a cross-sectional study in Kurdistan province of Iran. BMC Emerg Med. 2021; 21(1): 23.
  5. Olson D. Assessment of Health Care Safety Net Capacity: A Scoping Review of Methodologies. 2018.
  6. Yari A, Zarezadeh Y, Ostadtaghizadeh A. Prevalence of Fatalistic Attitudes toward Earthquake Disaster Risk Management in Citizens of Tehran, Iran. International Journal of Disaster Risk Reduction. 2019; 38.
  7. Muyambo F, Jordaan AJ, Bahta YT. Assessing social vulnerability to drought in South Africa: Policy implication for drought risk reduction. Jamba. 2017; 9(1): 326.
  8. Makhado RA, Saidi AT. Disaster risk assessment at Roburnia Plantation, Mpumalanga, South Africa. Jàmbá: Journal of Disaster Risk Studies. 2013; 5(1).
  9. Savoia E, Lin L, Bernard D, et al. Public Health System Research in Public Health Emergency Preparedness in the United States (2009-2015): Actionable Knowledge Base. Am J Public Health. 2017; 107(S2): e1–e6.
  10. Lassa J. Roles of non-government organizations in disaster risk reduction. Oxford Research Encyclopedia of Natural Hazard Science. 2018.
  11. Kawyitri N, Shekhar A. Assessing vulnerability and capacity of Bhubaneswar as a progressive smart-city: An empirical case study of Fani cyclone impact on the city. International Journal of Disaster Risk Reduction. 2021; 56.
  12. Ardalan A, Kandi Keleh M, Saberinia A, et al. 2015 Estimation of Hospitals Safety from Disasters in I.R.Iran: The Results from the Assessment of 421 Hospitals. PLoS One. 2016; 11(9): e0161542.
  13. Ghazali DA, Guericolas M, Thys F, et al. Climate change impacts on disaster and emergency medicine focusing on mitigation disruptive effects: an international perspective. Int J Environ Res Public Health. 2018; 15(7).
  14. Seyedin H, Abasi Dolat Abadi Z, Sorani M, Naghdi S, Rajabfard Mazraeno F. Vulnerability assessment of general hospitals of Tehran University of Medical Sciences. Journal of Health Promotion Management. 2014;3(2):65-71. http://jhpm.ir/article-1-249-en.html (30.10.2021).
  15. Sabzghabaie A, Kondori A, Shojaee M, Hatamabadi H, Amini A, Komrani A. Hospital safety in hospitals affiliated with Shahid Beheshti University of Medical Sciences in 2011-13. Pejouhandeh. 2013; 18 (2) :83-87. http://pajoohande.sbmu.ac.ir/article-1-1517-en.html. (30.10.2021).
  16. Khankeh H. Co-authors. [Risk assessment tools and indicators of surge capacity of health in disasters (Persian)]. Tehran: University of Social Welfare and Rehabilitation, Tehran 2016.
  17. List of Terms. The World's Health Care Crisis. 2011: 265–268.
  18. Saner HS, Yucesan M, Gul M. A Bayesian BWM and VIKOR-based model for assessing hospital preparedness in the face of disasters. Nat Hazards (Dordr). 2021 [Epub ahead of print]: 1–33.
  19. Ardalan A, Mowafi H, Khoshsabeghe HY. Impacts of natural hazards on primary health care facilities of iran: a 10-year retrospective survey. PLoS Curr. 2013; 5.
  20. Dehghan-Manshadi SH, Mirzaei N, Eskandari-Ghadi M, et al. Time-dependent probabilistic seismic hazard assessment in Kerman and adjacent areas in the west of Lut block, Central-East Iran. Bulletin of Engineering Geology and the Environment. 2020; 79(10): 5079–5094.
  21. Jafari F, Khademi H. Important chemical and physical properties of atmospheric dust in Kerman city. JWSS. 2017; 21(1) :13-22. http://jstnar.iut.ac.ir/article-1-3113-en.html. (30.10.2021).
  22. Abbasnejad B, Keshavarzi B, Mohammadi Z, et al. Characteristics, distribution, source apportionment, and potential health risk assessment of polycyclic aromatic hydrocarbons in urban street dust of Kerman metropolis, Iran. Int J Environ Health Res. 2019; 29(6): 668–685.
  23. Khalili N, Arshad M, Farajzadeh Z, et al. Effect of drought on smallholder education expenditures in rural Iran: Implications for policy. J Environ Manage. 2020; 260: 110136.
  24. Sharafi L, Zarafshani K, Keshavarz M, et al. Drought risk assessment: Towards drought early warning system and sustainable environment in western Iran. Ecological Indicators. 2020; 114: 106276.
  25. Fuady A, Pakasi TA, Mansyur M. Primary Health Centre disaster preparedness after the earthquake in Padang Pariaman, West Sumatra, Indonesia. BMC Res Notes. 2011; 4: 81.
  26. Delavar MR, Moradi M, Moshiri B. Earthquake vulnerability assessment for hospital buildings using a gis-based group multi criteria decision making approach: a case study of tehran, iran. The International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences. 2015; XL-1/W5: 153–157.



Disaster and Emergency Medicine Journal