Volume 21, Issue 4 (12-2022)
TB 2022, 21(4): 89-103 |
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Ethics code: IR.SBMU.PHNSR.REC.1400.171
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Khorasani D, Hatami H, Zare A. Assessing Structural and Non-structural Safety and Readiness of Healthcare Centers in Bojnord in Dealing with Functional, Non-structural and Structural Dimensions of Disasters in 1400. TB 2022; 21 (4) :89-103
URL: http://tbj.ssu.ac.ir/article-1-3370-en.html
URL: http://tbj.ssu.ac.ir/article-1-3370-en.html
, azaremehrjardi7@gmail.com
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Davood Khorasani Zavareh(Ph.D.) 1, Hossein Hatami(Ph.D.)2, Ahmad Zare Mehrjerdi(M.Sc.)3
1.Professor, Department of Disaster and Emergency Health, School of Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2.Professor, Head of MPH Department, Faculty of Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3.CorrespondingAuthor:MPH student, Faculty of Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Email:azaremehrjardi7@gmail.com Tel:09353508056
Abstract
Introduction: Natural and man-made disasters will have harmful impacts. Given the important role of healthcare centers in time of crisis, they need to be regularly assessed in terms of structural and non-structural readiness.
Methods: This was a descriptive and cross-sectional study conducted on 22 urban and rural healthcare centers in Bojnord, a city in North Khorasan province, Iran. The relevant forms and checklists were completed through interviews with doctors, experts, and direct observation regarding functional, structural and non-structural documentation. After collecting data and completing the desired forms and checklists, the information obtained in all the centers was generally compared and evaluated.
Results: Based on the results obtained from comprehensive urban and rural health service centers of Bojnoord Health Center, the level of functional readiness is 52.56, the safety of structural elements is 60%, the safety of non-structural elements is 57.32%, and the total safety is 57.71%. The disaster safety index is also 6 out of 10.
Conclusion: According to the current research, the readiness of healthcare centers for disasters is far from the desired level. This situation could be due to the lack of an integrated disaster risk management, insufficient budget and knowledge on this issue. In the field of disaster risk management, it is necessary to plan to increase the understanding of disaster risk at the level of officials and society.
Keywords: Disasters, Safety, Risk Management, Readiness
References
1-Jafari AJ, Baba M, Dowlati M. Disaster risk assessment in health centers of Iran University of Medical Sciences in functional, non structural & structural components during 2015-2016. 2018;15(1):76-85.
2-Yaghoubian S, Jahani MA, Bahrami M, et al. An answer to COVID-19: The need to use the maximum capacity of hospitals.2020;22(2):63-73.
3-Chamani Cheraghtapeh R, Babamahmoodi A, et al. Assessment of Structural and Non-structural Safety in Farabi Hospital.2017;6(1):30-50.
4-Mohammadi E. Study the readiness of state hospitals in Ilam province in the face of natural disasters.2018;26(3):125-33.
5-Rahmanian E, Mardani M, Abbasi M, Sharifi R. Assessment of physical preparedness of Farabi Hospital to deal with the crisis. 2016;4(3):48-55.
6-Ahesteh H, Rouhollahei M, Farahani AJ, et al. Assessment the resilience of the healthcare network in accidents and chemical crises. 2020;22(7):747-59.
7-Jokar A, Jokar F, Amirshahi F, et al. Assessing knowledge and preparedness of medical staff toward potential nuclear injuries: A cross-sectional study in Arak, Iran-2015. 2018;20(3):342-7.
8-Jahani MA, Bazzi HR, Mehdizadeh H. Assessment of hospital preparedness and mangers’ awareness against disaster in southeast Iran in 2017. 2019;21(5):538-46.
9-Hassanian MH, Kolahi AA, Beigim MN, et al. Development and Pilot Implementation of a Response to a Hypothetical Chemical Attack in Loghman-Hakim Hospital: A Civil Defense Project. 2020;7(3):233-8.
10-Ardalan A, Kandi Keleh M, Saberinia A, et al. 2015 estimation of hospitals safety from disasters in IR Iran: the results from the assessment of 421 hospitals. 2016;11(9).
11-Mohammadi S, Aminisaman J, Karimpour H. Assessing of preparedness for disasters and crisis in centers of trauma and accidents of Kermanshah university of medical sciences in 2016. 2017;6(2):69-80.
12-Asadi G, Karampourian A, Kalatpour O. Assessment of Safety Status, as Well as Functional, Structural and Non-structural Preparedness, of Health Centers in Hamadan against Disasters.2022;8(4):69-77.
13-Community health centers and emergency preparedness: An assessment of competencies and training needs [Internet]. 2008.
14-Munasinghe NL. Examining disaster preparedness at Matara district general hospital in Sri Lanka.2019;40:101154.
15-Djalali A, Castren M, Khankeh H, et al. Hospital disaster preparedness as measured by functional capacity: a comparison between Iran and Sweden.2013;28(5):454-61.
16-Yari A, Zarezadeh Y, Fatemi F, et al. Disaster Safety Assessment in Primary Healthcare Facilities: A Cross-Sectional Study, Kurdistan, Iran. 2021;21(1).
17-Ardalan A, Yusefi H, Rouhi N, Banar A, et al. Household disaster preparedness in the Islamic Republic of Iran: 2015 estimation. 2020;26(4):382-7.
18-Aghalari Z, Khodadadi A, Ashrafian Amiri H. Evaluation of the Level of Safety and Disaster Preparedness of Comprehensive Healthcare Centers in Babol, Iran. 2019;11(4):287-93.
19-Tabrizi J GF, Mohammadi Z. Survey. level of physical safety of health care centers in Tabriz in 2015. The 1st Annual Conference of Health Management in Disasters and Emergencies.Tabriz. Iran. 2016.
20-Hatami H, Neisi A, et al. Functional, structural and non-structural preparedness of Ahvaz health centers against disasters in 2014–2015. 2017;9(1):e66561.
21-Savoia E, Massin-Short SB, Rodday AM, et al. Public health systems research in emergency preparedness: a review of the literature. 2009;37(2):150-6.
22-Powell T, Hanfling D, Gostin LOJJ. Emergency preparedness and public health: the lessons of Hurricane Sandy. 2012;308(24):2569-70.
23-Zhong S, Clark M, Hou XY, Zang Y, et al. Validation of a framework for measuring hospital disaster resilience using factor analysis. 2014;11(6):6335-53.
24-Cliff BJ, Morlock L, Curtis A, et al. Is there an association between risk perception and disaster preparedness in rural US hospitals. 2009;24(6):512-7.
25-Bissell RA, Pinet L, Nelson M, Levy MJF, Health C. Evidence of the effectiveness of health sector preparedness in disaster response: the example of four earthquakes. 2004:193-203.
26-Gomez D, Haas B, Ahmed N, et al. Disaster preparedness of Canadian trauma centres: the perspective of medical directors of trauma. 2011;54(1).
27-Thompson T, Lyle K, Mullins SH, et al. A state survey of emergency department preparedness for the care of children in a mass casualty event. 2009;4(4):227-32.
Full-Text: (1243 Views)
Assessing Structural and Non-structural Safety and Readiness of Healthcare Centers in Bojnord in Dealing with Functional, Non-structural and Structural Dimensions of Disasters in 1400
Davood Khorasani Zavareh(Ph.D.) 1, Hossein Hatami(Ph.D.)2, Ahmad Zare Mehrjerdi(M.Sc.)3
1.Professor, Department of Disaster and Emergency Health, School of Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2.Professor, Head of MPH Department, Faculty of Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3.CorrespondingAuthor:MPH student, Faculty of Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Email:azaremehrjardi7@gmail.com Tel:09353508056
Abstract
Introduction: Natural and man-made disasters will have harmful impacts. Given the important role of healthcare centers in time of crisis, they need to be regularly assessed in terms of structural and non-structural readiness.
Methods: This was a descriptive and cross-sectional study conducted on 22 urban and rural healthcare centers in Bojnord, a city in North Khorasan province, Iran. The relevant forms and checklists were completed through interviews with doctors, experts, and direct observation regarding functional, structural and non-structural documentation. After collecting data and completing the desired forms and checklists, the information obtained in all the centers was generally compared and evaluated.
Results: Based on the results obtained from comprehensive urban and rural health service centers of Bojnoord Health Center, the level of functional readiness is 52.56, the safety of structural elements is 60%, the safety of non-structural elements is 57.32%, and the total safety is 57.71%. The disaster safety index is also 6 out of 10.
Conclusion: According to the current research, the readiness of healthcare centers for disasters is far from the desired level. This situation could be due to the lack of an integrated disaster risk management, insufficient budget and knowledge on this issue. In the field of disaster risk management, it is necessary to plan to increase the understanding of disaster risk at the level of officials and society.
Keywords: Disasters, Safety, Risk Management, Readiness
References
1-Jafari AJ, Baba M, Dowlati M. Disaster risk assessment in health centers of Iran University of Medical Sciences in functional, non structural & structural components during 2015-2016. 2018;15(1):76-85.
2-Yaghoubian S, Jahani MA, Bahrami M, et al. An answer to COVID-19: The need to use the maximum capacity of hospitals.2020;22(2):63-73.
3-Chamani Cheraghtapeh R, Babamahmoodi A, et al. Assessment of Structural and Non-structural Safety in Farabi Hospital.2017;6(1):30-50.
4-Mohammadi E. Study the readiness of state hospitals in Ilam province in the face of natural disasters.2018;26(3):125-33.
5-Rahmanian E, Mardani M, Abbasi M, Sharifi R. Assessment of physical preparedness of Farabi Hospital to deal with the crisis. 2016;4(3):48-55.
6-Ahesteh H, Rouhollahei M, Farahani AJ, et al. Assessment the resilience of the healthcare network in accidents and chemical crises. 2020;22(7):747-59.
7-Jokar A, Jokar F, Amirshahi F, et al. Assessing knowledge and preparedness of medical staff toward potential nuclear injuries: A cross-sectional study in Arak, Iran-2015. 2018;20(3):342-7.
8-Jahani MA, Bazzi HR, Mehdizadeh H. Assessment of hospital preparedness and mangers’ awareness against disaster in southeast Iran in 2017. 2019;21(5):538-46.
9-Hassanian MH, Kolahi AA, Beigim MN, et al. Development and Pilot Implementation of a Response to a Hypothetical Chemical Attack in Loghman-Hakim Hospital: A Civil Defense Project. 2020;7(3):233-8.
10-Ardalan A, Kandi Keleh M, Saberinia A, et al. 2015 estimation of hospitals safety from disasters in IR Iran: the results from the assessment of 421 hospitals. 2016;11(9).
11-Mohammadi S, Aminisaman J, Karimpour H. Assessing of preparedness for disasters and crisis in centers of trauma and accidents of Kermanshah university of medical sciences in 2016. 2017;6(2):69-80.
12-Asadi G, Karampourian A, Kalatpour O. Assessment of Safety Status, as Well as Functional, Structural and Non-structural Preparedness, of Health Centers in Hamadan against Disasters.2022;8(4):69-77.
13-Community health centers and emergency preparedness: An assessment of competencies and training needs [Internet]. 2008.
14-Munasinghe NL. Examining disaster preparedness at Matara district general hospital in Sri Lanka.2019;40:101154.
15-Djalali A, Castren M, Khankeh H, et al. Hospital disaster preparedness as measured by functional capacity: a comparison between Iran and Sweden.2013;28(5):454-61.
16-Yari A, Zarezadeh Y, Fatemi F, et al. Disaster Safety Assessment in Primary Healthcare Facilities: A Cross-Sectional Study, Kurdistan, Iran. 2021;21(1).
17-Ardalan A, Yusefi H, Rouhi N, Banar A, et al. Household disaster preparedness in the Islamic Republic of Iran: 2015 estimation. 2020;26(4):382-7.
18-Aghalari Z, Khodadadi A, Ashrafian Amiri H. Evaluation of the Level of Safety and Disaster Preparedness of Comprehensive Healthcare Centers in Babol, Iran. 2019;11(4):287-93.
19-Tabrizi J GF, Mohammadi Z. Survey. level of physical safety of health care centers in Tabriz in 2015. The 1st Annual Conference of Health Management in Disasters and Emergencies.Tabriz. Iran. 2016.
20-Hatami H, Neisi A, et al. Functional, structural and non-structural preparedness of Ahvaz health centers against disasters in 2014–2015. 2017;9(1):e66561.
21-Savoia E, Massin-Short SB, Rodday AM, et al. Public health systems research in emergency preparedness: a review of the literature. 2009;37(2):150-6.
22-Powell T, Hanfling D, Gostin LOJJ. Emergency preparedness and public health: the lessons of Hurricane Sandy. 2012;308(24):2569-70.
23-Zhong S, Clark M, Hou XY, Zang Y, et al. Validation of a framework for measuring hospital disaster resilience using factor analysis. 2014;11(6):6335-53.
24-Cliff BJ, Morlock L, Curtis A, et al. Is there an association between risk perception and disaster preparedness in rural US hospitals. 2009;24(6):512-7.
25-Bissell RA, Pinet L, Nelson M, Levy MJF, Health C. Evidence of the effectiveness of health sector preparedness in disaster response: the example of four earthquakes. 2004:193-203.
26-Gomez D, Haas B, Ahmed N, et al. Disaster preparedness of Canadian trauma centres: the perspective of medical directors of trauma. 2011;54(1).
27-Thompson T, Lyle K, Mullins SH, et al. A state survey of emergency department preparedness for the care of children in a mass casualty event. 2009;4(4):227-32.
Type of Study: Research |
Subject:
General
Received: 2022/07/13 | Accepted: 2022/07/16 | Published: 2022/12/1
Received: 2022/07/13 | Accepted: 2022/07/16 | Published: 2022/12/1
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