Strengthening health disaster risk management in Africa: multi-sectoral and people-centred approaches are required in the post-Hyogo Framework of Action era

BMC Public Health

Research Article

Kalula Kalambay¹  Angela Benson²  Stella Anyangwe³  Abdulmumini Usman⁴  Solomon Woldetsadik⁵  Olushayo Olu⁶  Ngoy Nsenga⁷  Lucien Manga⁸  Craig Hampton⁸  Francois Nguessan⁸ 

[1] International Public Health Disaster Risk Management Consultant, Gatineau, Canada;International Public Health and Disaster Risk Management Consultant, Monrovia, Liberia;School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa;WHO Country Office, Juba South, Sudan;WHO Country Office, Kampala, Uganda;WHO Country Office, PO 1324, Kigali, Rwanda;WHO Intercountry Support Team for Western Africa, Ouagadougou, Burkina Faso;WHO Regional Office for Africa (AFRO), Brazzaville, Congo;

关键词: Health;    Disaster risk management;    Africa;    Health system;    Hyogo Framework for Action;    Disaster risk reduction;    Sendai;   

DOI  :  10.1186/s12889-016-3390-5

 received in 2016-04-30, accepted in 2016-07-28,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundIn November 2012, the 62nd session of the Regional Committee for Africa adopted a comprehensive 10-year regional strategy for health disaster risk management (DRM). This was intended to operationalize the World Health Organization’s core commitments to health DRM and the Hyogo Framework for Action 2005–2015 in the health sectors of the 47 African member states. This study reported the formative evaluation of the strategy, including evaluation of the progress in achieving nine targets (expected to be achieved incrementally by 2014, 2017, and 2022). We proposed recommendations for accelerating the strategy’s implementation within the Sendai Framework for Disaster Risk Reduction.MethodsThis study used a mixed methods design. A cross-sectional quantitative survey was conducted along with a review of available reports and information on the implementation of the strategy. A review meeting to discuss and finalize the study findings was also conducted.ResultsIn total, 58 % of the countries assessed had established DRM coordination units within their Ministry of Health (MOH). Most had dedicated MOH DRM staff (88 %) and national-level DRM committees (71 %). Only 14 (58 %) of the countries had health DRM subcommittees using a multi-sectoral disaster risk reduction platform. Less than 40 % had conducted surveys such as disaster risk analysis, hospital safety index, and mapping of health resources availability. Key challenges in implementing the strategy were inadequate political will and commitment resulting in poor funding for health DRM, weak health systems, and a dearth of scientific evidence on mainstreaming DRM and disaster risk reduction in longer-term health system development programs.ConclusionsImplementation of the strategy was behind anticipated targets despite some positive outcomes, such as an increase in the number of countries with health DRM incorporated in their national health legislation, MOH DRM units, and functional health sub-committees within national DRM committees. Health system-based, multi-sectoral, and people-centred approaches are proposed to accelerate implementation of the strategy in the post-Hyogo Framework of Action era.

【 授权许可】

CC BY   
© The Author(s). 2016