首页|Exploring Key Capacities:Insights from Assessing the Resilience of the Public Health System Before and After the Kahramanmara?Earthquakes

Exploring Key Capacities:Insights from Assessing the Resilience of the Public Health System Before and After the Kahramanmara?Earthquakes

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The goal of this mixed-methods study was to identify and compare the key capacity considerations regarding public health system resilience before and after the 2023 Türkiye-Syria earthquakes.Public health system resilience was assessed through online and face-to-face workshops using the United Nations Public Health System Resilience Scorecard.The pre-earth-quake evaluation was conducted in Istanbul and Trabzon in 2021;the post-earthquake evaluation took place in Hatay and Kahramanmaraş in 2023,with a total of 41 participants each.The online workshops lasted approximately four days,while the face-to-face workshops lasted one day.The study found a significant decrease in the scores for most scorecard resilience indicators in the post-earthquake assessment.Qualitative analysis showed that this decline was largely due to infrastruc-ture collapse.Additionally,defining the roles of health disciplines in disaster management and having data transmission procedures between public health system stakeholders in disasters were among the main capacity considerations in both the pre-and post-earthquake assessments.The post-earthquake evaluation revealed several capacity gaps that had not been addressed in pre-earthquake assessments in areas such as disaster preparedness of vulnerable populations and logistics.The findings highlight the critical importance of strengthening building stock and infrastructure to establish a disaster-resilient public health system.

Disaster risk reductionPublic health system resilienceTürkiye-Syria earthquakesUnited Nations Public Health System Resilience Scorecard

Ismail Tayfur、Mayumi Kako、Abdülkadir Gündüz、Md Moshiur Rahman、Perihan Şimşek、Benjamin Ryan、Shelby Garner、Burcu Bayramoğlu、Chie Teramoto、Yosuke Takada、Tatsuhiko Kubo、Sanjaya Bhatia

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Department of Emergency Medicine,University of Health Sciences Sancaktepe Şehit Prof.Dr.İlhan Varank Education and Research Hospital,34674 Istanbul,Türkiye

Department of Disaster Medicine,Institute of Health Sciences,Karadeniz Technical University,61080 Trabzon,Türkiye

Graduate School of Biomedical and Health Sciences,Hiroshima University,Hiroshima City 734-8553,Japan

Department of Emergency Medicine,Karadeniz Technical University,61080 Trabzon,Türkiye

Department of Emergency Aid and Disaster Management,Trabzon University,61335 Trabzon,Türkiye

First College of Medicine,Belmont University,Nashville 37212,USA

Gordon E.Inman College of Health Sciences and Nursing,Belmont University,Nashville,TN 37212,USA

Japanese Red Cross Hiroshima College of Nursing,Hiroshima 738-0052,Japan

UN Office for Disaster Risk Reduction(UNDRR)Office for Northeast Asia(ONEA)and Global Education and Training Institute(GETI),Incheon 22004,Korea

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2024

10.1007/s13753-024-00588-0

国际灾害风险科学学报(英文版)

国际灾害风险科学学报(英文版)

ISSN：
年,卷(期)：2024.15(5)