Disaster response readiness assessment of public hospitals in Addis Ababa City, Addis Ababa, Ethiopia

IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE
Yared Boru Firissa , Menbeu Sultan , Mahdi Abdelwahab , Fitsum Kifle Belachew
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引用次数: 0

Abstract

Introduction: Due to its diverse geography, climate, and political instability, Ethiopia is one of the countries most affected by disasters. However, there is a lack of evidence-based assessments of disaster preparedness, especially in Addis Ababa, where most tertiary-level referral hospitals are located. This study aims to evaluate disaster readiness in public hospitals in Addis Ababa using WHO standards, focusing on hospital characteristics, disaster plans, infrastructure, and human resources availability. Ultimately, the findings are expected to provide actionable recommendations for improving disaster preparedness in public hospitals in the city.

Methods: A cross-sectional study design was utilized using quantitative and qualitative methods to assess disaster response readiness among public hospitals in Addis Ababa, the capital city of Ethiopia.

Results: This study assessed ten public referral hospitals in Addis Ababa. In the last two years, all but one of the ten public referral hospitals in Addis Ababa have experienced a disaster. Road traffic accidents are responsible for half of all disasters. While 50% of the hospitals have trauma-specific plans, there are no disaster-specific guidelines for the remaining hospital. Moreover, all facilities and ambulances lack communication networks to receive assistance during disasters. A total of 88.8% of emergency and disaster facility level representatives (n=18) stated that their emergency care areas need improvement to be able to manage patients during disasters more effectively. While seven hospitals (70%) have separate disaster medication and equipment storage, only three (43%) are regularly restocked. Furthermore, nearly half of the respondents (44%) reported that their hospital does not have a functional disaster management team, and 61% are unprepared to handle a disaster. Lastly, 33% of the respondents mentioned the Ministry of Health and hospital leaders' commitment as an enabling factor to improve future disaster response readiness.

Conclusion: Public referral hospitals in Addis Ababa have significant gaps in disaster management preparedness and response. A comprehensive disaster response plan, including staff training, regular restocking of medication and equipment, and functional communication networks, should be implemented in every public referral hospital. It is imperative that all stakeholders work together, including local government authorities, emergency response teams, and community members, to ensure hospitals are well-equipped to deal with disasters.

Abstract Image

Abstract Image

埃塞俄比亚亚的斯亚贝巴亚的斯亚贝巴市公立医院的救灾准备评估
简介:由于其多样的地理、气候和政治不稳定,埃塞俄比亚是受灾害影响最严重的国家之一。然而,缺乏对备灾情况的循证评估,尤其是在亚的斯亚贝巴,那里有大多数三级转诊医院。本研究旨在使用世界卫生组织标准评估亚的斯亚贝巴公立医院的灾害准备情况,重点关注医院特点、灾害计划、基础设施和人力资源可用性。最终,这些发现有望为改善该市公立医院的防灾准备工作提供切实可行的建议。方法:采用横断面研究设计,采用定量和定性方法评估埃塞俄比亚首都亚的斯亚贝巴公立医院的救灾准备情况。结果:本研究评估了亚的斯亚贝巴的10家公立转诊医院。在过去的两年里,亚的斯亚贝巴的十家公立转诊医院中,除一家外,其余都经历了一场灾难。道路交通事故造成了所有灾害的一半。虽然50%的医院有针对创伤的计划,但其余医院没有针对灾难的指导方针。此外,所有设施和救护车都缺乏在灾害期间获得援助的通信网络。共有88.8%的应急和灾难设施级别的代表(n=18)表示,他们的应急护理领域需要改进,以便能够在灾难期间更有效地管理患者。虽然有七家医院(70%)有单独的灾难药物和设备储存,但只有三家医院(43%)定期补充库存。此外,近一半的受访者(44%)表示,他们的医院没有一个有效的灾害管理团队,61%的人没有做好应对灾害的准备。最后,33%的受访者提到卫生部和医院领导的承诺是提高未来救灾准备能力的一个有利因素。结论:亚的斯亚贝巴的公立转诊医院在灾害管理准备和应对方面存在重大差距。应在每个公立转诊医院实施全面的灾害应对计划,包括工作人员培训、定期补充药品和设备以及功能性通信网络。所有利益相关者,包括地方政府当局、应急小组和社区成员,必须共同努力,确保医院具备应对灾害的设备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
7.70%
发文量
78
审稿时长
85 days
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