Are we prepared to care for the children? An assessment of pediatric-specific pre-deployment training provided by non-governmental organizations operating in disaster zones

IF 2.2 3区 医学 Q1 EMERGENCY MEDICINE American Journal of Emergency Medicine Pub Date : 2025-02-14 DOI:10.1016/j.ajem.2025.02.018
Lea Ohana Sarna Cahan MD , Derrick Tin MBBS , Jamla Rizek RN , Debra L. Weiner MD, PhD , Gregory R. Ciottone MD
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Abstract

Introduction

Children have specific vulnerabilities during crises that necessitate specialized care. This study assessed the adequacy of pediatric-specific pre-deployment training provided by Non-Governmental Organizations (NGOs) operating in crisis zones.

Method

To identify NGOs active in disaster response, a list of organizations that responded to the 2023 Turkey-Syria earthquake were selected from Charity Watch's top-rated NGOs in the International Relief & Development category. A comprehensive analysis of their public websites was performed, and the NGOs were contacted for information on their pediatric-specific training. NGO response rates and the content of the programs were analyzed to evaluate the current state of pediatric pre-deployment training.

Findings

Twelve of the 23 (52.1 %) NGOs responded to inquiries. Of the responding NGOs, only one required any pediatric-specific training: a baseline minimum requirement for both pediatric and neonatal life support certificates (or the equivalent) for all clinical staff. The NGO stipulated that its staff also receive mandatory training on safeguarding child welfare, as well as Integrated Management of Neonatal and Childhood Illness training. The non-pediatric specific courses offered by this specific NGO include Personal Safety and Security, Psychological First Aid and Hostile Environment Awareness Training.

Conclusion

There is a critical lack of pediatric training provided by NGOs. This underscores the crucial need for standardized and comprehensive pre-deployment training for healthcare personnel in disaster zones, with a particular focus on pediatric care. The analysis of NGO responses and practices revealed inconsistencies in training content, strategies and programs. Establishing best practices and collaboration between NGOs, healthcare experts, and authorities is vital to ensuring the proper care of pediatric patients in disaster zones.
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我们准备好照顾孩子了吗?评估在灾区工作的非政府组织提供的部署前儿科培训
儿童在危机中有特殊的脆弱性,需要专门的照顾。这项研究评估了在危机地区开展业务的非政府组织(ngo)提供的针对儿科的部署前培训是否足够。方法为了识别在灾害应对中表现积极的非政府组织,从慈善观察在《国际救援》(International Relief & &;;)中排名最高的非政府组织中,选出了一份对2023年土耳其-叙利亚地震做出反应的组织名单。发展的范畴。对它们的公共网站进行了全面分析,并联系了非政府组织,以了解它们的儿科培训信息。分析非政府组织的反应率和项目内容,以评估儿科部署前培训的现状。调查结果23间非政府机构中有12间(52.1%)回应查询。在作出答复的非政府组织中,只有一家需要任何儿科专门培训:对所有临床工作人员要求儿科和新生儿生命支持证书(或同等证书)的最低基线要求。该非政府组织规定,其工作人员还必须接受有关保障儿童福利的强制性培训,以及新生儿和儿童疾病综合管理培训。该非政府组织提供的非儿科专项课程包括人身安全与安保、心理急救和敌对环境意识培训。结论非政府组织提供的儿科培训严重缺乏。这凸显了对灾区卫生保健人员进行标准化和全面的部署前培训的迫切需要,特别注重儿科护理。分析NGO的反应和实践,发现培训内容、策略和项目不一致。在非政府组织、卫生保健专家和当局之间建立最佳做法和合作,对于确保对灾区儿科患者的适当护理至关重要。
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来源期刊
CiteScore
6.00
自引率
5.60%
发文量
730
审稿时长
42 days
期刊介绍: A distinctive blend of practicality and scholarliness makes the American Journal of Emergency Medicine a key source for information on emergency medical care. Covering all activities concerned with emergency medicine, it is the journal to turn to for information to help increase the ability to understand, recognize and treat emergency conditions. Issues contain clinical articles, case reports, review articles, editorials, international notes, book reviews and more.
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