Examining primary healthcare services following earthquake shocks in Turkiye: A critical analysis of the initial 3 months and the vital role of humanitarian policy transfer for rapid response

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES International Journal of Health Planning and Management Pub Date : 2024-05-20 DOI:10.1002/hpm.3807
Cuma Ali Özbek, Cem Hatunoğlu
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Abstract

The purpose of this article is to discuss the importance of policy transfer by humanitarian NGOs to post-disaster regions and the effectiveness of mobile Primary Health Care (PHC) services immediately after disasters. This study also focused on analysing the first 3 months aftermath of the earthquake and assessed the changes in the access and needs of vulnerable groups in emergency response creation and systematic interventions after disasters. In disasters that require urgent response such as earthquakes, the importance of the existing NGOs (Such as MdM) capacity in the countries has emerged in terms of rapid response and experience sharing. During the field work, it is observed that MdM Mobile Medical Units (MMU) teams had played a key role in terms of tracking PHC needs, functioning as early warning system for epidemics, and prevention of communicable diseases in the EQ effected areas. In this aspect, the changes in diagnoses in the first trimester is examined using the comparative analysis methods. This study used a cross-sectional mixed-method approach in terms of objective evaluation. The results from a quantitative needs assessment were complemented by qualitative data. Herein, the data were collected in two stages: First, primary data was collected through the field activities of MMU, and second field-based assessments was conducted with health professionals who have been working in the MMU teams since the first moments of the earthquake.

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审查土耳其地震后的初级医疗保健服务:对最初 3 个月的批判性分析以及人道主义政策转移对快速反应的重要作用。
本文旨在讨论人道主义非政府组织向灾后地区转移政策的重要性以及灾后立即提供流动初级卫生保健(PHC)服务的有效性。本研究还重点分析了地震发生后前三个月的情况,并评估了灾后应急响应创建和系统干预中弱势群体获得服务的机会和需求的变化。在地震等需要紧急应对的灾害中,各国现有非政府组织(如千年发展目标)的能力在 快速反应和经验交流方面的重要性已经显现。在实地工作中,我们注意到,医疗机动队(MMU)小组在跟踪初级保健需求、发挥流行病预警系统的作用以及在受 EQ 影响的地区预防传染病方面发挥了关键作用。在这方面,本研究采用了比较分析方法,对怀孕头三个月诊断结果的变化进行了研究。在客观评价方面,本研究采用了横断面混合方法。定量需求评估的结果得到了定性数据的补充。数据收集分为两个阶段:首先,通过多部门协调股的实地活动收集原始数据;其次,与自地震发生之初就在多部门协调股团队中工作的卫生专业人员进行实地评估。
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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
期刊介绍: Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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