Human Resources for Health | |
A qualitative examination of the health workforce needs during climate change disaster response in Pacific Island Countries | |
Juliet Willetts2  James Buchan1  John Daly1  Natasha Kuruppu2  Anna Gero2  Jodi Thiessen1  Stephanie M Fletcher1  Michele Rumsey1  | |
[1] World Health Organization (WHO) Collaborating Centre for Nursing, Midwifery and Health, University of Technology Sydney, P.O. Box 123, Broadway, NSW 2007, Australia;Institute for Sustainable Futures, University of Technology Sydney, P.O. Box 123, Broadway, NSW 2007, Australia | |
关键词: Pacific Islands; Disaster response; Emergency; Workforce development; Human resources for health; Competencies; Health-care capacity; Health-care management; Health workforce governance; Climate change; | |
Others : 821931 DOI : 10.1186/1478-4491-12-9 |
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received in 2013-08-30, accepted in 2013-12-31, 发布年份 2014 | |
【 摘 要 】
Background
There is a growing body of evidence that the impacts of climate change are affecting population health negatively. The Pacific region is particularly vulnerable to climate change; a strong health-care system is required to respond during times of disaster. This paper examines the capacity of the health sector in Pacific Island Countries to adapt to changing disaster response needs, in terms of: (i) health workforce governance, management, policy and involvement; (ii) health-care capacity and skills; and (iii) human resources for health training and workforce development.
Methods
Key stakeholder interviews informed the assessment of the capacity of the health sector and disaster response organizations in Pacific Island Countries to adapt to disaster response needs under a changing climate. The research specifically drew upon and examined the adaptive capacity of individual organizations and the broader system of disaster response in four case study countries (Fiji, Cook Islands, Vanuatu and Samoa).
Results
‘Capacity’ including health-care capacity was one of the objective determinants identified as most significant in influencing the adaptive capacity of disaster response systems in the Pacific. The research identified several elements that could support the adaptive capacity of the health sector such as: inclusive involvement in disaster coordination; policies in place for health workforce coordination; belief in their abilities; and strong donor support. Factors constraining adaptive capacity included: weak coordination of international health personnel; lack of policies to address health worker welfare; limited human resources and material resources; shortages of personnel to deal with psychosocial needs; inadequate skills in field triage and counselling; and limited capacity for training.
Conclusion
Findings from this study can be used to inform the development of human resources for health policies and strategic plans, and to support the development of a coordinated and collaborative approach to disaster response training across the Pacific and other developing contexts. This study also provides an overview of health-care capacity and some of the challenges and strengths that can inform future development work by humanitarian organizations, regional and international donors involved in climate change adaptation, and disaster risk reduction in the Pacific region.
【 授权许可】
2014 Rumsey et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20140712090730451.pdf | 281KB | download |
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