A Qualitative Analysis of Opportunities to Strengthen Coordination Between Humanitarian Mine Action and Emergency Care for Civilian Casualties of Explosive Injury.
IF 1.9 4区 医学Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Hannah B Wild, Micah Trautwein, Constance Fontanet, Elke Hottentot, Sebastian Kasack, Alex Munyambabazi, Emilie Calvello-Hynes, Adam Kushner, Barclay Stewart
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引用次数: 0
Abstract
Objectives: Explosive ordnance (EO) and explosive weapons (EW) inflict significant suffering on civilian populations in conflict and post-conflict settings. At present, there is limited coordination between humanitarian mine action (HMA) and emergency care for civilian victims of EO/EW. Key informant interviews with sector experts were conducted to evaluate strategies for enhanced engagement between HMA and emergency care capacity-building in EO/EW-affected settings.
Methods: A cross-sectional qualitative study was conducted to interview HMA and health sector experts. Data were analyzed in Dedoose using deductive and inductive coding methods.
Results: Nineteen key informants were interviewed representing sector experts in HMA, health, and policy domains intersecting with the care of EO/EW casualties. Recommendations included integration of layperson first responder trainings with EO risk education, development of prehospital casualty notification systems with standardized health facility capacity mapping, and refresher trainings for HMA medics at local health facilities.
Conclusions: Medical capabilities within the HMA sector hold potential to strengthen emergency care for civilian EO/EW casualties yet in the absence of structured coordination strategies is underutilized for this purpose. Increased HMA engagement in emergency care may enhance implementation of evidence-based emergency care interventions to decrease preventable death and disability among civilian victims of EO/EW in low-resource settings.
期刊介绍：
Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.
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