Formulate Evaluation Questions (Step 2)

Author(s):  
Edmund M. Ricci ◽  
Ernesto A. Pretto ◽  
Knut Ole Sundnes

In this chapter we define the five basic categories of evaluation, namely structure (resources), process (activities), outcomes, adequacy, and costs associated with the response(s). Structure refers to the equipment and personnel and the way in which these resources were organized for use in the medical response. Process refers to the activities carried out during the disaster response. Outcome assessment concerns the results of the care provided on the patients served, usually measured over time. Adequacy describes the extent to which the search-and-rescue, pre-hospital and hospital, and public health responses were able to meet the needs of the community during the disaster response. In general, these categories are consistent with the design of a typical logic model. Following the discussion of ‘evaluation categories’ we suggest questions that the evaluation team might consider for inclusion in the evaluation study. For each category we suggest questions which could be addressed in any disaster evaluation study which focuses on the medical and public health response. The stakeholder group should be fully involved in the selection of questions to be addressed by the evaluation team.

Author(s):  
Edmund M. Ricci ◽  
Ernesto A. Pretto ◽  
Knut Ole Sundnes

If an evaluation study is ultimately to be used to change and improve the medical and public health response to disasters it is essential to involve those who have the strongest interest and reasons for making improvements and who have the power and resources to do so. These individuals are referred to as ‘stakeholders’. Experience has shown clearly that if the key stakeholders are involved from the beginning in the planning and implementation of the evaluation, and in the process of preparing recommendations for change in future preparedness and response efforts, the evaluation recommendations are much more likely to be adopted. The evaluation team leader, after review of source material such as governmental reports, organization charts, newspaper and agency descriptions, should select appropriate members of the group.


Author(s):  
Safrizal Rahman ◽  
Muhammad Bayu Zohari Hutagalung

Indonesia is one of the most disaster-prone countries, often regarded as a “world disaster laboratory.” Natural disasters cause destruction and human suffering, especially in low- and middle-income countries Objective: This paper presents the overview of a medical emergency and public health response towards several recent earthquakes in Pidie Jaya, Lombok, and Palu of Indonesia. Case Series: The authors examine the appropriateness and effectiveness of the organized disaster response of the Pidie Jaya, Lombok, and Palu earthquakes in medical emergency response. Pidie Jaya Earthquake: A 6.4 magnitude earthquake struck off Pidie Jaya Regency, province of Aceh in Sumatra Island, Indonesia, resulting in 104 people died and others 395 injured. Lombok Earthquake: A series of moderate and strong earthquakes have rocked cities and regencies in Lombok Island, West Nusa Tenggara (NTB) causing 436 people died, 783 people with severe injury and 570 people with a mild injury. Palu Earthquake: The 7.7 magnitude earthquake hit Donggala district and also affected Palu city and Parigi Mountong regency causing 2657 people died, 4471 people with severe injury and 87,835 people with a mild injury. Important Findings: Though Indonesia has made outstanding progress in disaster management, the country still has many challenges and problems to overcome. The integration of data and information about health needs the progress of relief work, and about various other problems related to health is one of the most urgent and vital for better improving the medical emergency response and public health-related support in disaster settings.


2021 ◽  
pp. 307-316
Author(s):  
Richard Parker ◽  
Jonathan Garcia ◽  
Miguel Muñoz-Laboy ◽  
Marni Sommer ◽  
Patrick Wilson

This chapter seeks to provide an overview of this rapidly growing body of work in public health. It describes the initial public health response to sexuality in the context of HIV and AIDS, as well as the ways in which that response has been gradually broadened over time in order to provide a more comprehensive approach to sexual health and well-being. It also focuses on both the local and the global dimensions of this work, in both developed and developing countries, and as much in the work of local communities struggling to respond to the needs of their own populations, as well as on the part of a range of international agencies that are increasingly seeking to address a range of challenges to sexual health.


2021 ◽  
Author(s):  
Tina D Purnat ◽  
Paolo Vacca ◽  
Christine Czerniak ◽  
Sarah Ball ◽  
Stefano Burzo ◽  
...  

BACKGROUND The COVID-19 pandemic has been accompanied by an information epidemic or “infodemic”: too much information including false or misleading information in digital and physical environments during an acute public health event, which leads to confusion, risk-taking and behaviors that can harm health, and lead to mistrust in health authorities and public health response. The analytical method described is part of the WHO work to develop tools for an evidence-based response to the infodemic, enabling prioritization of health response activities. OBJECTIVE The aim of this work was to develop a practical, structured approach to identifying narratives in public online conversations on social media platforms where concerns or confusion exist or where narratives are gaining traction, and to provide actionable data to help WHO prioritize its risk communications efforts where it is most critical in addressing the COVID-19 infodemic. METHODS We developed a taxonomy to filter global COVID-19 public online conversations in social media content in English and French into five themes, with 35 sub themes. The taxonomy and its implementation were validated for retrieval precision and retrieval recall, and reviewed and adapted as the linguistic expression about the pandemic in online conversations changed over time. The aggregated data were analyzed for each sub themes by volume, velocity and the presence of questions, on a weekly basis, to detect signals of information voids where there was potential for confusion or for mis- or dis-information to thrive. A human analyst reviewed the themes for potential information voids and used quantitative data to provide context and insight on narratives, influencers and public reactions. RESULTS A COVID-19 public health social listening taxonomy was developed and applied. A weekly analysis of public online conversations since 23 March 2020 has enabled the quantification of shifts of public interest in public health-related topics concerning the pandemic and has demonstrated the frequent resumption of information voids with verified health information. This approach therefore focuses on infodemic signal detection for actionable intelligence to rapidly inform decision-making for a more effective response, including adapting risk communication. CONCLUSIONS This approach been successfully applied during the COVID-19 pandemic to identify and take action on information voids based on analysis of infodemic signals. More broadly, the results have demonstrated the importance of ongoing monitoring and analysis of public online conversations, as information voids frequently resume and narratives shift over time. The approach is already being piloted in individual countries and WHO regions to generate localized insights and actions, while a pilot of an AI social listening platform is using this taxonomy to aggregate and compare online conversations across 20 countries. Looking beyond the COVID-19 pandemic, the taxonomy and methodology have the potential to be adapted for fast deployment in future public health events.


Author(s):  
Edmund M. Ricci ◽  
Ernesto A. Pretto ◽  
Knut Ole Sundnes

The intent of this chapter is to describe the general framework of emergency public health and emergency medical services operations in disaster events in order to inform the planning and conduct of the evaluation study. The objective of disaster medical and public health response operations is to deliver immediate health care relief to an affected population until ‘pre-event’ health services can be restored. The functions of the health sector described in this chapter are termed basic societal/support functions or emergency support functions. Each function carries with it a series of activities or interventions; therefore, it seems reasonable to identify and study these activities from the perspective of the user rather than from an event-specific viewpoint. It is important to note that the outcomes or level of performance of these activities be assessed both quantitatively and qualitatively within the context of the larger evaluation study. More importantly, the data collected through systematic evaluation in these cases should be uniformly reported so as to make them generalizable to similar hazard events, thereby facilitating the creation of an ‘all-hazards’ repository of information on disasters. In this chapter we describe a generalized disaster response framework, including a ‘concept of operations’, for the public health and medical components of a disaster response system.


2020 ◽  
Vol 17 (S1) ◽  
pp. 128-138 ◽  
Author(s):  
Rebecca E. Ford-Paz ◽  
Catherine DeCarlo Santiago ◽  
Claire A. Coyne ◽  
Claudio Rivera ◽  
Sisi Guo ◽  
...  

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