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Response to the Bam Earthquake: A Qualitative Study on the Experiences of the Top and Middle Level Health Managers in Kerman, Iran

Published online by Cambridge University Press:  22 July 2014

Mahmood Moosazadeh
Affiliation:
Mazandaran University of Medical Science, Sari, The Islamic Republic of Iran
Farzaneh Zolala*
Affiliation:
Regional Knowledge Hub for HIV/AIDS Surveillance, WHO Collaborating Center, School of Public Health, Kerman University of Medical Sciences, Kerman, The Islamic Republic of Iran
Khodadad Sheikhzadeh
Affiliation:
Research Center for Modeling in Health, Institute of Future Studies in Health, Kerman University of Medical Sciences, Kerman, The Islamic Republic of Iran
Saeid Safiri
Affiliation:
Tehran University of Medical Sciences, Tehran, The Islamic Republic of Iran
Mohammadreza Amiresmaili
Affiliation:
Research Center for Health Services Management, Institute of Future Studies in Health, Kerman University of Medical Sciences, Kerman, The Islamic Republic of Iran
*
Correspondence: Farzaneh Zolala, PhD Regional Knowledge Hub for HIV/AIDS Surveillance, WHO Collaborating Center, School of Public Health Kerman University of Medical Sciences Jomhouri Blvd Kerman, Islamic Republic of Iran E-mail [email protected]

Abstract

Introduction

The 2003 Bam, Iran earthquake resulted in high casualties and required international and national assistance. This study explored local top and middle level managers’ disaster relief experiences in the aftermath of the Bam earthquake.

Methods

Using qualitative interview methodology, top and middle level health managers employed during the Bam earthquake were identified. Data were collected via in-depth interviews with participants. Data were analysed using thematic analysis.

Results

Results showed that the managers interviewed experienced two main problems. First, inadequacy of preparation of local health organisations, which was due to lack of familiarity of the needs, unavailability of essential needs, and also increasing demands, which were above the participants’ expectations. Second, inappropriateness of delivered donations was perceived as a problem; for example, foods and sanitary materials were either poor quality or expired by date recommended for use. Participants also found international teams to be more well-equipped and organised.

Conclusions

During the disaster relief period of the response to the Bam earthquake, local health organizations were ill prepared for the event. In addition, donations delivered for relief were often poor quality or expired beyond a usable date.

MoosazadehM , ZolalaF , SheikhzadehK , SafiriS , AmiresmailiM . Response to the Bam Earthquake: A Qualitative Study on the Experiences of the Top and Middle Level Health Managers in Kerman, Iran. Prehosp Disaster Med. 2014;29(4):1-4.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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References

1. Ramirez, M, Peek-Asa, C. Epidemiology of traumatic injuries from earthquakes. Epidemiol Rev. 2005;27(1):47-55.Google Scholar
2. Ghafory-Ashtiany, M, Hosseini, M. Post-Bam earthquake: recovery and reconstruction. Nat Hazards. 2008;44(2):229-241.Google Scholar
3. Ashraf Ganjouei, K, Ekhlaspour, L, Iranmanesh, E, et al. The pattern of injuries among the victims of the Bam earthquake. Iranian J Publ Health. 2008;37(3):70-76.Google Scholar
4. Omidvar, B, Zafari, H, Derakhshan, S. Reconstruction management policies in residential and commercial sectors after the 2003 Bam earthquake in Iran. Nat Hazards. 2010;54:289-306.Google Scholar
5. Araghizadeh, H, Saghafi Nia, M, Entezari, V. Analyzing medical management in disasters: a review of the Bam earthquake experiences. Journal of Military Medicine. 2004;5(4):259-268.Google Scholar
6. Peek-Asa, C, Ramirez, M, Seligson, H, Shoaf, K. Seismic, structural, and individual factors associated with earthquake related injury. Inj Prev. 2003;9(1):62-66.Google Scholar
7. Nia, MS, Nafissi, N, Moharamzad, Y. Survey of Bam earthquake survivors’ opinions on medical and health systems services. Prehosp Disaster Med. 2008;23(3):263-268.Google Scholar
8. Sepehri, G, Meimandi, MS. Pattern of drug prescription and utilization among Bam residents during the first six months after the 2003 Bam earthquake. Prehosp Disaster Med. 2006;21(6):396-402.Google Scholar
9. Djalali, A, Hosseinijenab, V, Hasani, A, et al. A fundamental, national, medical disaster management plan: an education-based model. Prehosp Disaster Med. 2009;24(6):565-569.Google Scholar
10. Emami, MJ, Tavakoli, AR, Alemzadeh, H, et al. Strategies in evaluation and management of Bam earthquake victims. Prehosp Disaster Med. 2005;20(5):327-330.Google Scholar
11. Radfar, MH, Abolghasemi, H, Briggs, SM, Saghafinia, M, Amid, A. International medical response to a natural disaster, lessons learned from the Bam earthquake. Prehosp Disaster Med. 2005;20(2):51.CrossRefGoogle Scholar
12. Movaghar, AR, Goodarzi, RR, Izadian, E, Mohammadi, MR, Hosseini, M, Vazirian, M. The impact of Bam earthquake on substance users in the first 2 weeks: a rapid assessment. J Urban Health. 2005;82(3):370-377.CrossRefGoogle Scholar
13. Tavakoli, HR, Faraj Zadeh, D, Izadi, M, Jonaidi, N. The study of providing, preservation and distribution of foodstuffs in Bam earthquake. Journal of Military Medicine. 2008;10(1):11-20.Google Scholar
14. Mahvi, AH, Omran, GHA, Asgari, AR. Bam city solid wastes management, before and after the earthquake of 26 December 2003. Journal of Military Medicine. 2006;8(2):83-89.Google Scholar
15. Schultz, CH, Koenig, KL, Noji, EK. A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med. 1996;334(7):438-444.Google Scholar
16. Zolala F. Exploring routine data collection systems in Iran, focussing on maternal mortality and using the city of Bam as a case study, 2011. http://hdl.handle.net/1842/5962. Accessed November 25, 2012.Google Scholar
17. Hsu, EB, Ma, M, Lin, FY, Van Rooyen, MJ, Burkle, FM. Emergency medical assistance team response following Taiwan Chi-Chi earthquake. Prehosp Disaster Med. 2002;17(1):17-22.Google Scholar
18. Portsea, LJO. Disaster relief or relief disaster? A challenge to the international community. Disasters. 1992;16(1):1-8.Google Scholar
19. Keim, ME, Rhyne, GJ. The CDC Pacific emergency health initiative: a pilot study of emergency preparedness in Oceania. Emerg Med. 2001;13(2):157-164.Google Scholar
20. Altntas, KH, Delooz, H. The problems faced by three government disaster response teams of Ankara City during the Marmara earthquake-1999 response. Eur J Emerg Med. 2004;11(2):95-101.Google Scholar
21. de Goyet, CdV. Stop propagating disaster myths. The Lancet. 2000;356(9231):762-764.Google Scholar
22. Abolghasemi, H, Radfar, MH, Khatami, M, Nia, MS, Amid, A, Briggs, SM. International medical response to a natural disaster: lessons learned from the Bam earthquake experience. Prehosp Disaster Med. 2006;21(3):141-147.Google Scholar
23. Noji, EK. The public health consequences of disasters. Prehosp Disaster Med. 2000;15(4):21-31.Google Scholar
24. Rubin, M, Heuvelmans, JHA, Tomic-Cica, A, Birnbaum, ML. Health related relief in the former Yugoslavia: needs, demands and supplies. Prehosp Disaster Med. 2000;15(1):9-19.Google Scholar
25. Russbach, R. International assistance operations in disaster situations. Prehosp Disaster Med. 1990;5(3):247-249.Google Scholar
26. Khan, MA. Disaster preparedness for natural hazards: current status in Pakistan. International Centre for Integrated Mountain Development, Kathmandu, Nepal, 2007. http://www.iris.edu/hq/files/about_iris/governance/ds/docs/PreparednessInPakistan.pdf. Accessed June 30, 2012.Google Scholar
27. UNWFP. Pakistan earthquake-joint WFP/UNICEF rapid emergency food Security and nutrition assessment. United Nations World Food Programme, 2005. http://www.ennonline.net/pool/files/ife/pakistan-efsa-final.pdf. Accessed August 22, 2012.Google Scholar
28. Ardalan, A, Masoomi, GR, Goya, MM, et al. Disaster health management: Iran's progress and challenges. Iranian J Publ Health. 2009;38(1):93-97.Google Scholar