Choudhury Waziul Alam, Quraishi Firoz Ahmed, Haque Ziaul
National Institute of Mental Health & Research, Dhaka, Bangladesh.
Int Rev Psychiatry. 2006 Dec;18(6):529-35. doi: 10.1080/09540260601037896.
The aim of this paper is to highlight the activities and observations of some NGOs and some dedicated researchers in the field of psychosocial consequences of disaster in Bangladesh, particularly in the coastal areas and the tornado-affected areas of the district of Tangile and Jamalpur during the last two decades. Some of the advantages of the non-governmental organizations' (NGOs) work in relief and development were their linkages with grass-roots people ensuring access to the community and community participation, the flexible approach of work, ability and willingness to learn from people and ability to connect people's lives with their realities. The most remarkable survey carried out by the Social Assistance and Rehabilitation for the Physically Vulnerable (SARPV-Bangladesh) after the 1996 tornado showed, on average, that women are more affected psychologically than men; 66% of the total sample in the disaster area were psychologically traumatized and required emergency services. The study supports the ideas that any disaster will have mental health consequences. Providing scientific psychological services is essential for real recovery from such a disaster. In developing countries like Bangladesh, limitations of mental health professionals and inadequate knowledge and practice about disaster mental health among the medical and paramedical staff, may lead to delays in the psychosocial management and rehabilitation of the survivors. To respond properly to a serious type of disaster like a cyclone or a tornado or recurrent devastating flood, the disaster mental health team should be aware of the socio-economic status, local culture, tradition, language and local livelihood patterns. Integration of the team with the network of various governmental and non-governmental organizations is essential to provide mental health services effectively.
本文旨在突出一些非政府组织(NGO)以及一些专注的研究人员在孟加拉国灾害心理社会影响领域的活动与观察结果,特别是过去二十年间在沿海地区以及坦盖尔和贾马尔布尔地区受龙卷风影响地区的情况。非政府组织在救援与发展工作中的一些优势在于,它们与基层民众建立联系,确保能够接触到社区并实现社区参与;工作方式灵活;有向民众学习的能力与意愿;以及能够将人们的生活与实际情况联系起来。1996年龙卷风过后,孟加拉国身体弱势群体社会援助与康复组织(SARPV - Bangladesh)开展的一项最引人注目的调查显示,平均而言,女性在心理上比男性受影响更大;灾区样本总数中有66%在心理上受到创伤,需要紧急服务。该研究支持了这样的观点,即任何灾害都会产生心理健康影响。提供科学的心理服务对于从此类灾害中真正恢复至关重要。在孟加拉国这样的发展中国家,心理健康专业人员的匮乏以及医护和辅助医护人员对灾害心理健康的知识和实践不足,可能导致幸存者心理社会管理和康复的延迟。为了妥善应对诸如飓风、龙卷风或反复发生的毁灭性洪水等严重灾害,灾害心理健康团队应了解社会经济状况、当地文化、传统、语言和当地生计模式。将该团队与各种政府和非政府组织的网络整合对于有效提供心理健康服务至关重要。