Collaborating Centre for Oxford University and CUHK for Disaster and Medical Humanitarian Response (CCOUC), The Chinese University of Hong Kong, Hong Kong, China.
Accident and Emergency Medicine Academic Unit, The Chinese University of Hong Kong, Hong Kong, China.
Int J Environ Res Public Health. 2021 May 17;18(10):5322. doi: 10.3390/ijerph18105322.
Disasters disproportionately impact poor and marginalised populations due to greater vulnerability induced by various risk determinants, such as compromised living conditions, language barriers, and limited resources for disaster risk management. Health Emergency and Disaster Risk Management (Health EDRM) emphasises a people- and community-centred approach for building stronger capacities in communities and countries since community members are often the first responders to health emergencies and should be central to effective risk management. A key action for promoting community disaster preparedness is the provision of Health EDRM education interventions. The Ethnic Minority Health Project (EHMP) has provided community-based Health EDRM education interventions in 16 ethnic minority-based villages in remote areas of China since 2009. It aims to enhance community disaster preparedness and resilience by improving health-risk literacy and self-help capacity at the individual and household levels. This case study outlines the first EHMP project in an ethnic minority-based community (Ma'an Qiao Village) in Sichuan Province, China. It highlights the key elements for planning and managing such a project and is a good demonstration of an effective Health EDRM workforce development project in rural communities. This report concludes with five recommendations for setting up a sustainable and effective Health EDRM education intervention in similar contexts.
由于各种风险决定因素导致的脆弱性增加，例如生活条件恶化、语言障碍以及灾害风险管理资源有限，灾害对贫困和边缘人群的影响更大。卫生应急和灾害风险管理（Health EDRM）强调以人为本和社区为中心的方法，以增强社区和国家的能力，因为社区成员通常是应对卫生突发事件的第一响应者，应该成为有效风险管理的核心。促进社区备灾的一项关键行动是提供卫生应急和灾害风险管理教育干预措施。少数民族卫生项目（EHMP）自 2009 年以来一直在中国偏远地区的 16 个少数民族村庄开展基于社区的卫生应急和灾害风险管理教育干预措施。它旨在通过提高个人和家庭层面的健康风险素养和自助能力，增强社区的备灾能力和韧性。本案例研究概述了在中国四川省一个少数民族社区（马安桥村）开展的首个 EHMP 项目。它突出了规划和管理此类项目的关键要素，是农村社区中开展有效卫生应急和灾害风险管理人力资源开发项目的良好范例。本报告最后提出了在类似情况下建立可持续和有效的卫生应急和灾害风险管理教育干预措施的五项建议。
