University of Pittsburgh School of Medicine, Graduate School of Public Health, Pittsburgh, Pennsylvania.
Icahn School of Medicine at Mount Sinai Department of Psychiatry, New York, New York.
Disaster Med Public Health Prep. 2021 Aug;15(4):416-420. doi: 10.1017/dmp.2020.34. Epub 2020 Apr 13.
In the Philippines, morbidity control of soil-transmitted helminth (STH) infections is done through mass drug administration (MDA) of anthelmintics to school-age children (SAC). In 2013, the Philippines was devastated by the deadliest cyclone ever recorded, Typhoon Haiyan. The study aimed to understand the impact of Typhoon Haiyan on the MDA of anthelmintics to SAC in the provinces of Capiz and Iloilo in the Philippines from the perspectives of local health and education officials.
The study was conducted in the municipalities of Panay and Pilar in Capiz and the municipalities of Estancia and Sara in Iloilo, areas that were devastated by Typhoon Haiyan. Qualitative, semi-structured key informant interviews were conducted with 16 total participants, which included officials of the Department of Health, Department of Education, and concerned local government units. All interviews were transcribed verbatim and coded in an open, iterative manner. Codes were reviewed to identify patterns and themes.
Participants described the following themes: (1) their perception that the typhoon had no effect on the MDA program or on resources necessary to complete the program; (2) the program's simple design allowed for 1-time administration to a pre-assembled population; (3) the program allowed a sense of community cohesiveness; (4) the program served as a vehicle for altruism, particularly regarding helping needy children, in this time of calamity.
Our informants perceived that the MDA program in Region VI was not affected by Typhoon Haiyan. They attributed the resilience to the program's simple procedure, attitudes of altruism, program importance, and community cohesiveness. Despite Typhoon Haiyan's mass destruction of infrastructure and livelihood leading to incredible challenges, mobilization of the community allowed for the continuation and successful implementation of the MDA program. The experience of Region VI may serve as a model for other low- and middle-income countries prone to natural disasters.
在菲律宾，通过向学龄儿童（SAC）群体进行驱虫药大规模药物治疗（MDA）来控制土壤传播性蠕虫（STH）感染。2013 年，菲律宾遭受了有史以来最致命的台风“海燕”的袭击。本研究旨在从当地卫生和教育官员的角度了解“海燕”台风对菲律宾卡皮兹省和伊洛伊洛省 SAC 驱虫药 MDA 的影响。
本研究在卡皮兹省的帕纳伊和皮拉尔市以及伊洛伊洛省的埃斯坦西亚和萨拉市进行，这些地区都受到了“海燕”台风的严重破坏。采用半结构式定性关键知情人访谈法，共对 16 名参与者进行了访谈，其中包括卫生部门、教育部和有关地方政府单位的官员。所有访谈均逐字转录并以开放式、迭代方式进行编码。对代码进行审查以确定模式和主题。
参与者描述了以下主题：（1）他们认为台风对 MDA 计划或完成该计划所需的资源没有影响；（2）该计划的简单设计允许对预先组建的人群进行一次性管理；（3）该计划增强了社区凝聚力；（4）该计划在这场灾难中，成为了一种利他主义的手段，特别是帮助贫困儿童。
我们的知情人认为，第六区的 MDA 计划没有受到“海燕”台风的影响。他们将这种恢复能力归因于该计划简单的程序、利他主义的态度、计划的重要性和社区凝聚力。尽管“海燕”台风大规模破坏了基础设施和生计，带来了难以置信的挑战，但社区的动员使 MDA 计划得以继续并成功实施。第六区的经验可能为其他容易发生自然灾害的中低收入国家提供借鉴。
