Challenges of Hospital Disaster Risk Management: A Systematic Review Study

Author(s):  
Somayeh Azarmi ◽  
Amir Hosein Pishgooie ◽  
Simintaj Sharififar ◽  
Hamid Reza Khankeh ◽  
Seyyed Ziya Hejrypour

Abstract Objective: This study aimed to investigate the challenges of hospital disaster risk management so that it can take a step to provide strategies and interventions to remove these barriers and improve the hospital disaster risk management (HDRM) through identifying and introducing them to disaster experts. Methods: This is a systematic qualitative review study. Data sources included Persian and international databases, which were searched using the keywords of hospital, disaster, risk management, risk reduction, disaster and challenge, and the combination of them. The search period ranged from January 2010 to January 2020. Data were extracted by 2 independent examiners for qualitative thematic analysis. Results: A total of 762 articles and documents were recovered. Finally, 12 articles entered the study, including 7 studies from Asia, 2 articles from Europe, 2 articles from the United States, and 1 article about Africa. After thematic analysis, 17 sub-themes were achieved and were classified into 4 subjects of technical-physical barriers, organizational-managerial barriers, financial barriers, and human barriers. All articles have not discussed on all categories. Conclusions: The results of evaluating the challenges of hospital disaster risk management gained from this study can be beneficial in developing a roadmap to improve the status of HDRM.

2019 ◽  
Author(s):  
Homa Yousefi Khoshsabegheh ◽  
Ali Ardalan ◽  
Amir Hossein Takian ◽  
Leila Hedayatifar ◽  
Abbas Ostadtaghizadeh ◽  
...  

Abstract Background: Over recent years, the exposure of people and assets to disasters has been faster than reducing vulnerability in all countries. As a result, new risks have been formed and losses due to disaster are progressively increasing. Suffering from significant losses in the aftermath of disasters every year, Iran is no exception. Governmental and non-governmental stakeholders are jointly responsible for managing the risks of disasters. Hence, appropriate, collaborative and timely interactions of involved organizations will play an important role in their operation, especially during disasters. Methods: In this study, we used the Social Network Analysis (SNA) to analyze the network of stakeholders in disaster risk management in Iran. Our review of literature, laws, and regulations of disaster risk management plus brainstorming identified a list of 85 stakeholders. We used the Delphi method among purposefully selected experts to score the relationship between the stakeholders. We then used the modularity optimization method to identify groups with greater interaction. Organizations with key-roles in the network and the ones in need of stronger relationships were identified through centrality measurements. Results: The density of this network was 0.75, which represented that not all the stakeholders were connected. Among all organizations identified, the National Disaster Management Organization and Civil Defense Organization showed higher influences considering their responsibilities. Conclusion: To provide a visual and tangible picture of the status and interrelationships among the stakeholders, this method identified groups with better interaction using community/cluster detection and modularity optimization methods. Understanding the current structure of the network and strengths and weaknesses of the interactions among stakeholders may help improve disaster risk management in Iran. Results of this research determine the role and importance of different organizations, their weakness, and strong points. Also, results help them to plan to strengthen their roles and solve their problems.


2020 ◽  
pp. 026377582097657
Author(s):  
Ruth Beilin ◽  
Jana-Axinja Paschen

This paper explores the policy concept and community enactments of ‘shared responsibility’ for disaster resilience in the context of wildfires in Victoria, Australia. Since the state-wide Black Saturday fires of 2009, we contend, first, the State’s decreasing ability to protect its citizens has shifted the responsibility for adapting to uncertainty to individuals, and second, this responsibility has been translated into compliance approaches to disaster risk management. We develop the concept of two distinct imaginaries at play: the reactive and the relational life. Policy discourse invokes a reactive life, a normative resilience maintaining the status quo, rather than a potentially transformative relational process enabling citizens to be ‘response-able’. Facing uncertainties, government legitimacy hinges on increasing citizen safety, with decentralised community resilience programs intended to manage and reduce disaster risk by emphasising shared responsibility. For citizens, however, ‘shared responsibility’ reveals an increasing tension in relation to the risk and uncertainty associated with life on the newly designated ‘fire-prone’ periphery, and within expectations of government. We conclude that the emphasis on responsibility as the work to be done in community-based resilience programs demands a more nuanced set of expectations that reflect citizens’ relational life as a starting place for rethinking safety and security.


2014 ◽  
Author(s):  
Bárbara Montoro ◽  
Pedro Ferradas ◽  
Miguel Muñoz ◽  
Douglas Azabache ◽  
Orlando Chuquisengo ◽  
...  

2020 ◽  
Vol 5 (13) ◽  
pp. 285-290
Author(s):  
Nurul Ashikin Mabahwi ◽  
Hitoshi Nakamura

Objectives of this study is to identify the real issues and challenges of flood related agencies in Malaysia. By using qualitative thematic analysis, this study found that limited authorities, lack of enforcement power, lack of cooperation among agencies, lack of man-power and assets for logistics, insufficient funding for flood risk management and communication problems are the issues faced by the flood-related agencies. The government needs to solve the issues and challenges in order to strengthen the flood-related agencies capacities.Keywords: flood risk management; flood-related agencies; issues; authorityeISSN: 2398-4287 © 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/e-bpj.v5i13.2069


2016 ◽  
Vol 20 (7) ◽  
pp. 759-786 ◽  
Author(s):  
Chung-Hung Tsai ◽  
Shu-Chuan LinLiu

Author(s):  
Kevin K. C. Hung ◽  
Sonoe Mashino ◽  
Emily Y. Y. Chan ◽  
Makiko K. MacDermot ◽  
Satchit Balsari ◽  
...  

The Sendai Framework for Disaster Risk Reduction 2015–2030 placed human health at the centre of disaster risk reduction, calling for the global community to enhance local and national health emergency and disaster risk management (Health EDRM). The Health EDRM Framework, published in 2019, describes the functions required for comprehensive disaster risk management across prevention, preparedness, readiness, response, and recovery to improve the resilience and health security of communities, countries, and health systems. Evidence-based Health EDRM workforce development is vital. However, there are still significant gaps in the evidence identifying common competencies for training and education programmes, and the clarification of strategies for workforce retention, motivation, deployment, and coordination. Initiated in June 2020, this project includes literature reviews, case studies, and an expert consensus (modified Delphi) study. Literature reviews in English, Japanese, and Chinese aim to identify research gaps and explore core competencies for Health EDRM workforce training. Thirteen Health EDRM related case studies from six WHO regions will illustrate best practices (and pitfalls) and inform the consensus study. Consensus will be sought from global experts in emergency and disaster medicine, nursing, public health and related disciplines. Recommendations for developing effective health workforce strategies for low- and middle-income countries and high-income countries will then be disseminated.


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