Incidence management system of the healthcare institutions for disaster management in Sri Lanka

BMC Emergency Medicine

Research

Chrishantha Abeysena¹  Aindralal Balasuriya²  Suranga Manilgama³  Nayani Umesha Rajapaksha³  Millawage Supun Dilara Wijesinghe³  Yibeltal Assefa Alemu⁴ 

[1] Department of Community Medicine, Faculty of Medicine, Ragama, University of Kelaniya, Kelaniya, Sri Lanka;Department of Public Health, General Sir John Kotelawala Defence University, Ratmalana, Sri Lanka;Ministry of Health, Nutrition and Indigenous Medicine, Colombo, Sri Lanka;School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia;

关键词: Incident management system;    Incidence command system;    Disaster;    Management;    Healthcare institutions;    Surge capacity;   

DOI  :  10.1186/s12873-023-00777-y

 received in 2022-09-04, accepted in 2023-01-13,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundIncident management systems and disaster planning processes facilitate maximal use of available resources. Evaluation of the Incident Command System (ICS) is one of the top five key areas of research priority in the field of surge. The study was aimed at assessing the disaster preparedness and ICS of the public healthcare institutions for the disaster management in a disaster-prone district of Sri Lanka.MethodsA descriptive cross-sectional study was conducted among all public sector healthcare institutions (n = 74), including curative-healthcare institutions (n = 46) which have inward-care facilities for patient care and preventive healthcare institutions (n = 28) in Kurunegala district, Sri Lanka from May–September 2019 using a validated interviewer administered questionnaire which was based on ‘CO-S-TR Model’ for ICS assessment including ‘Clear need for increased capacity (≤25%), Basic level (26 – 50%), Moderate level (51 – 75%) and High level (>75%)’.ResultsFocal points for disaster management were nominated by the majority of the curative sector (n = 33; 76.7%) and preventive sector (n = 19; 73.1%) healthcare institutions. A written disaster preparedness and response plans were available in 72% (n= 31) curative sector and 76% (n= 19) preventive sector institutions. The higher proportion of the curative sector institutions had moderate level capacity in the area of providing treatment, and basic level capacities were in the areas of ‘staff mobilization, coordination of activities, supplying of special needs, triage of cases and transportation’. There is a clear need for improvement in the areas of communication commanding, management of controlling the incidence and tracking of the cases in the curative sector. The majority of the preventive sector institutions had moderate level capacity in commanding, control, coordination and tracking of cases. The basic level capacity in the areas of staff mobilization, stuff management and triage of cases. There is a clear need for improvement in the areas of communication in preventive sector. Of the public sector healthcare institutions, the higher proportion of the preventive sector (n = 20; 76.9%) and curative sector (n = 29; 67.4%) had basic level overall surge capacity of ICS for disaster management.ConclusionCoordination, communication, commanding, management of controlling the incidence and tracking of cases following outbreaks need to be improved and capacity development programmes could implement to develop the preparedness for future disasters.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 3