Pourmohammadi Behrad, Heydari Ahad, Fatemi Farin, Modarresi Ali
Research Center for Health Sciences and Technologies, Semnan University of Medical Sciences, Semnan, Iran.
Department of Disaster and Emergency Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Disaster Med Public Health Prep. 2022 Aug;16(4):1459-1465. doi: 10.1017/dmp.2021.104. Epub 2021 Jun 9.
Iran is exposed to a wide range of natural and man-made hazards. Health-care facilities can play a significant role in providing life-saving measures in the minutes and hours immediately following the impact or exposure. The aim of this study was to determine the preparedness of health-care facilities in disasters and emergencies.
This cross-sectional study was conducted in Damghan, Semnan Province, in 2019. The samples consisted of all the 11 health-care facilities located in Damghan County. A developed checklist was used to collect the data, including 272 questions in 4 sections: understanding threatening hazards, functional, structural, and nonstructural vulnerability of health-care facilities. The data were analyzed using SPSS 21.
The results revealed that the health-care facilities were exposed to 22 different natural and man-made hazards throughout the county. The total level of preparedness of the health-care centers under assessment was 45.8%. The average functional, structural, and nonstructural vulnerability was assessed at 49.3%, 31.6%, and 56.4%, respectively.
Conducting mitigation measures is necessary for promoting the functional and structural preparedness. Disaster educational programs and exercises are recommended among the health staff in health-care facilities.
伊朗面临各种各样的自然和人为灾害。在灾害发生或人员暴露后的数分钟和数小时内，医疗保健设施在提供救生措施方面可发挥重要作用。本研究的目的是确定医疗保健设施在灾害和紧急情况下的准备情况。
本横断面研究于2019年在塞姆南省达姆甘进行。样本包括达姆甘县所有11家医疗保健设施。使用一份编制好的清单收集数据，该清单包括4个部分的272个问题：对威胁性灾害的了解、医疗保健设施的功能、结构和非结构脆弱性。使用SPSS 21对数据进行分析。
结果显示，全县的医疗保健设施面临22种不同的自然和人为灾害。所评估的医疗保健中心的总体准备水平为45.8%。功能、结构和非结构脆弱性的平均评估值分别为49.3%、31.6%和56.4%。
采取缓解措施对于提高功能和结构准备水平是必要的。建议在医疗保健设施的医护人员中开展灾害教育项目和演练。
