دوره 3، شماره 4 - ( Summer 2018 -- 1397 )                   جلد 3 شماره 4 صفحات 233-221 | برگشت به فهرست نسخه ها

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Khankeh H, Kolivand P H, Beyrami Jam M, Rajabi E. Kermanshah Health Care Services: A Lesson Learned From Iran’s Recent Earthquake. HDQ. 2018; 3 (4) :221-233
URL: http://hdq.uswr.ac.ir/article-1-202-fa.html
خانکه حمیدرضا، کولیوند پیرحسین، بیرامی مهدی، رجبی الهام. Kermanshah Health Care Services: A Lesson Learned From Iran’s Recent Earthquake. فصلنامه سلامت در حوادث و بلایا. 1397; 3 (4) :233-221

URL: http://hdq.uswr.ac.ir/article-1-202-fa.html

1- ، rajabimw@gmail.com
چکیده:   (4658 مشاهده)
Background: Earthquake has always been a serious threat for humans’ health and properties. In this regard, the most urgent services for people after the occurrence of incidents and disasters, especially earthquake, is health services. Iran due to its geographic location along the Alpine-Himalayan belt is vulnerable to the occurrence of earthquakes with magnitudes of 6 and 7 on the Richter scale. Prevention of earthquake is impossible; however, it is important to use the lessons learned to reduce the physical and financial damages in similar future incidents. This study was conducted with the objective of examining the lessons learned by the workgroup of the Department of Health and Treatment in response to 7.3 magnitude Kermanshah Province earthquake.
Materials and Methods: In This case study, the triangulation method including interview, participatory observation and expert panel in three sections of prehospital emergency services, medical center, and health and treatment centers, was used to assess the performance of health and treatment workgroup in response to Kermanshah earthquake. For this purpose, in addition to recording the information resulting from observation by the researcher, the reports related to EOC (Emergency Operations Center) of Kermanshah and expert assessors were examined. Furthermore, interviews were conducted with experts, directors, commanders and responsible authorities in the field of incident and the State Emergency Organization central headquarters’ staff. Finally, the collected data were analyzed. 
Results: Based on the study findings, the positive points were the rapid response by the Emergency and Health system organization, effective command on the scene of incident from the first moments, fine management of human resources and the injured within reasonable time, dispatching more than 7350 injured people to treatment centers in less than 20 hours, carrying out 1980 successful operations in less than 3 days, establishing and running 6 mobile hospitals in less than 12 hours, complete supply of blood and blood derivatives, medicines, equipments and specialist force, and sustainability of health and treatment services in less than 24 hours. However, the most important problems were deficiency in protocol, absence of special assessment team and failure to use rapid assessment national standard, lack of national response plan in crisis management and the high vulnerability of hospitals’ infrastructures.
Conclusion: Although in this earthquake, thanks to positive steps taken by health and treatment workgroup, great progress was observed in response operations in the area of health; however based on the study findings, there are challenges that the health system should resolve in order to improve health services in incidents and disasters. Developing the emergency organization and especially emergency air service, advancement of the status of the State Crisis Management Organization, accurate planning for aid services such as temporary sheltering and provision of latrines and bath and establishing mobile hospitals under unified management are recommended. 
متن کامل [PDF 746 kb]   (1305 دریافت)    
نوع مطالعه: پژوهشي | موضوع مقاله: تخصصي
دریافت: 1396/12/4 | پذیرش: 1397/2/25 | انتشار: 1397/4/10

فهرست منابع
1. Pourhosseini SS, Ardalan A, Mehrolhassani MH. Key aspects of providing healthcare services in disaster response Stage. Iranian Journal of Public Health. 2015; 44(1):111-8. [PMID] [PMCID] [PMID] [PMCID]
2. Wilson JA, McKenzie LK, McLeod WT, Darsey DA, Craig J. Improving disaster response efforts through the development of a disaster health care response system. Disaster Medicine and Public Health Preparedness. 2017; 11(5):600-4. [DOI:10.1017/dmp.2016.192] [PMID] [DOI:10.1017/dmp.2016.192]
3. Koenig KL, Schultz CH. Koenig and Schultz's: Disaster medicine: Comprehensive principles and practices. New York: Cambridge University Press; 2010.
4. Guha-Sapir D, Hoyois P, Wallemacq P, Below R. Annual disaster statistical review 2016: The numbers and trends brussels. Brussels: CRED; 2016.
5. Ardalan A. [Text book of Health in Emergency and Disaster (Persian)]. Tehran: Mehravash; 2016.
6. Amini-Hosseini K, Hosseinioon S, Pooyan Z. An investigation into the socioeconomic aspects of two major earthquakes in Iran. Disasters. 2013; 37(3):516-35. [DOI:10.1111/disa.12001] [DOI:10.1111/disa.12001]
7. Fitter DL, Delson DB, Guillaume FD, Schaad AW, Moffett DB, Poncelet JL, et al. Applying a new framework for public health systems recovery following emergencies and disasters: the example of Haiti following a major earthquake and cholera outbreak. The American Journal of Tropical Medicine and Hygiene. 2017; 97(4_Suppl):4-11. [DOI:10.4269/ajtmh.16-0862] [PMID] [PMCID] [DOI:10.4269/ajtmh.16-0862]
8. World Health Organization. Disaster risk management for health: Overview. Geneva: World Health Organization; 2011.
9. Naghii MR. Public health impact and medical consequences of earthquakes. Revista Panamericana de Salud Pública. 2005; 180(3):216-21. [DOI:10.1590/S1020-49892005000800013] [DOI:10.1590/S1020-49892005000800013]
10. Ciottone G, Anderson PD, Heide EAD, Darling RG, Jacoby I, Noji E, et al. Disaster Medicine. Philadelphia: Mosby; 2006.
11. World Health Organization. Health sector response to the Bam earthquake: lessons learnt. Geneva: World Health Organization; 2005.
12. McEntire DA. Coordinating multi-organisational responses to disaster: Lessons from the March 28, 2000, fort worth tornado. Disaster Prevention and Management: An International Journal. 2002; 11(5):369-79. [DOI:10.1108/09653560210453416] [DOI:10.1108/09653560210453416]
13. Pistrika AK, Jonkman SN. Damage to residential buildings due to flooding of New Orleans after hurricane Katrina. Natural Hazards. 2010; 54(2):413-34. [DOI:10.1007/s11069-009-9476-y] [DOI:10.1007/s11069-009-9476-y]
14. Babaie J, Moslehi S, Ardalan A. Rapid health needs assessment experience in 11 August 2012 East Azerbaijan Earthquakes: A Qualitative Study. PLoS Currents Disasters. 2013; 6.
15. Dynes RR. Community emergency planning: False assumption and inappropriate analogies. International Journal of Mass Emergencies and Disasters. 1994; 12(2):141-58.
16. Achour N, Pascale F, Price AD, Polverino F, Aciksari K, Miyajima M, et al. Learning lessons from the 2011 Van Earthquake to enhance healthcare surge capacity in Turkey. Environmental Hazards. 2016; 15(1):74-94. [DOI:10.1080/17477891.2016.1139539] [DOI:10.1080/17477891.2016.1139539]
17. Khankeh HR, Khorasani-Zavareh D, Johanson E, Mohammadi R, Ahmadi F, Mohammadi R. Disaster health-related challenges and requirements: A grounded theory study in Iran. Prehospital and Disaster Medicine. 2011; 26(3):151-8. [DOI:10.1017/S1049023X11006200] [PMID] [DOI:10.1017/S1049023X11006200]
18. World Health Organization. Islamic Republic of Iran earthquake. [Internet] 2012 [Updated 2012 August 12]. Available from: http://www.who.int/hac/crises/irn/iran_sitrep_12august2012.pdf
19. Sadeghi-Bazargani H, Azami-Aghdash S, Kazemi A, Ziapour B. Crisis management aspects of bam catastrophic earthquake. Health Promotion Perspectives. 2015; 5(1):3-13. [DOI:10.15171/hpp.2015.002] [PMID] [PMCID] [DOI:10.15171/hpp.2015.002]
20. Moosazadeh M, Zolala F, Sheikhzadeh K, Safiri S, Amiresmaili M. Response to the Bam earthquake: A qualitative study on the experiences of the top and middle level health managers in Kerman, Iran. Prehospital and Disaster Medicine. 2014; 29(4):388-91. [DOI:10.1017/S1049023X14000727] [PMID] [DOI:10.1017/S1049023X14000727]
21. Bilal MS, Rana MH, Rahim S, Ali S. Psychological trauma in a relief worker—A case report from earthquake-struck areas of north Pakistan. Prehospital and Disaster Medicine. 2007; 22(5):458-61. [PMID] [DOI:10.1017/S1049023X00005215] [PMID]
22. Pouraghaei M, Jannati A, Moharamzadeh P, Ghaffarzad A, Far MH, Babaie J. Challenges of hospital response to the twin earthquakes of August 21, 2012, in East Azerbaijan, Iran. Disaster Medicine and Public Health Preparedness. 2017; 11(4):422-30. [DOI:10.1017/dmp.2016.153] [DOI:10.1017/dmp.2016.153]
23. Tavakoli N, Yarmohammadian MH, Safdari R, Keyvanara M. Patient tracking in earthquake emergency response in Iran: A qualitative study. World Journal of Emergency Medicine. 2017; 8(2):91-8. [PMID] [PMCID] [DOI:10.5847/wjem.j.1920-8642.2017.02.002] [PMID] [PMCID]

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