Ayenew Temesgen, Tassew Sheganew Fetene, Workneh Belayneh Shetie
Department of Emergency and critical care nursing, College of health sciences, Debremarkos Markos University, Po. Box: 269, Debre Markos, Amhara, Ethiopia.
Department of Emergency and critical care nursing, college of health science, Debre Tabor University, Debre Tabor, Ethiopia.
Afr J Emerg Med. 2022 Sep;12(3):246-251. doi: 10.1016/j.afjem.2022.05.007. Epub 2022 Jun 24.
From time to time, the magnitude and type of health emergencies and disasters are increasing. Hospital emergency and disaster preparedness, on the other hand, is still in its early stages in many low- and middle-income countries. In Ethiopia, research on hospital disaster preparedness is severely limited. As a result, the purpose of this study was to determine the level of hospital emergency and disaster preparedness at public hospitals in the east Gojjam zone of Northwest Ethiopia.
A census method was used to include ten hospitals in the East Gojjam zone in a cross-sectional descriptive study. An adopted World Health Organization observation checklist was used to assess disaster and emergency preparedness. Each question was assigned a score out of three points, with one indicating low readiness and three indicating the highest level of preparation. Finally, the level of preparedness was classified as "low" if the average percentage score ranged from 33.3% to 66.6 %, and as "high" if the percentage score ranged from 66.7 % to 100 %. The results were then presented in the form of texts, tables, and percentages.
The evaluated hospitals' overall level of emergency and disaster preparedness falls into the low category, with an average calculated preparedness score of 54.75 %. The domain with the lowest preparedness is logistics and finance (43.33 %), while the domain with the highest preparedness is patient care and support services (60 %).
According to the findings of this study, the level of emergency and disaster preparedness in the hospitals studied is low. It is therefore recommended that the ministry of health, regional health bureaus, and hospital administrators collaborate to develop an appropriate intervention strategy to address this issue.
健康紧急情况和灾害的规模及类型不时在增加。另一方面，在许多低收入和中等收入国家，医院应急和灾害准备工作仍处于早期阶段。在埃塞俄比亚，关于医院灾害准备的研究极为有限。因此，本研究的目的是确定埃塞俄比亚西北部东戈贾姆地区公立医院的医院应急和灾害准备水平。
采用普查方法，将东戈贾姆地区的十家医院纳入一项横断面描述性研究。使用一份经采用的世界卫生组织观察清单来评估灾害和应急准备情况。每个问题被赋予三分制的分数，一分表示准备程度低，三分表示准备程度最高。最后，如果平均百分比得分在33.3%至66.6%之间，准备程度被归类为“低”，如果百分比得分在66.7%至100%之间，则归类为“高”。然后以文本、表格和百分比的形式呈现结果。
所评估医院的应急和灾害准备总体水平属于低类别，计算得出的平均准备得分是54.75%。准备程度最低的领域是后勤和财务（43.33%），而准备程度最高的领域是患者护理和支持服务（60%）。
根据本研究的结果，所研究医院的应急和灾害准备水平较低。因此，建议卫生部、地区卫生局和医院管理人员合作制定适当的干预策略来解决这一问题。
