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A tool for the assessment of the risk drivers and public perception of WASH in South Africa. 评估南非讲卫生运动的风险驱动因素和公众看法的工具。
IF 1.3 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-10-31 eCollection Date: 2024-01-01 DOI: 10.4102/jamba.v16i2.1782
Phindile Madikizela, Janice Limson, Ronen Fogel, Jozef Ristvej, Roman Tandlich

Temporal trend analysis of the Google-search volumes and terms related to water, sanitation and hygiene (WASH) in South Africa was performed using a computer plugin between January 2004 and June 2022. This study was conducted as WASH has played an important role in the containment of the recent coronavirus disease 2019 (COVID-19) pandemic, and it is also one of the most effective and easiest-to-deploy tools in decreasing risk from infectious diseases. For the WASH-related terms, the monthly search volumes ranged from the minimum average of 480 for pit latrines to the maximum of 30236 for diarrhea or diarrhoea for the studied period. The Spearman correlation coefficients ranged from -0.29462 to 0.96647, with the p-values ranging from 0.00001 to 0.28789. On a yearly basis, there was a direct correlation between the WASH-related search volumes extracted and the access of the South African population to basic water and sanitation. There was an inverse relationship between the WASH-related search volumes extracted on an annual basis and the death rates from diarrhoeal diseases among children under 5 years of age in South Africa between 2004 and 2020. Results of the current study indicate that a Google-derived search volume can be useful in the assessment of the public's interest in WASH-related topics in South Africa.

Contribution: Therefore, the study findings could be used to optimise the design and targeting of public awareness campaigns on WASH during the coronavirus pandemic or similar infectious disease burdens and related disaster risks.

使用计算机插件对 2004 年 1 月至 2022 年 6 月期间南非与水、环境卫生和个人卫生(WASH)相关的谷歌搜索量和术语进行了时间趋势分析。进行这项研究的原因是,讲卫生运动在遏制最近的 2019 年冠状病毒病(COVID-19)大流行中发挥了重要作用,同时它也是降低传染病风险的最有效、最容易使用的工具之一。在研究期间,与 "讲卫生运动 "相关的术语的月搜索量从最小的坑厕平均 480 次到最大的腹泻或腹泻 30236 次不等。斯皮尔曼相关系数从-0.29462 到 0.96647 不等,P 值从 0.00001 到 0.28789 不等。按年计算,所提取的与 "讲卫生运动 "相关的搜索量与南非人口获得基本水和卫生设施的情况直接相关。每年提取的与 "讲卫生运动 "相关的搜索量与 2004 年至 2020 年南非 5 岁以下儿童腹泻疾病死亡率之间存在反比关系。本研究结果表明,谷歌搜索量有助于评估南非公众对讲卫生运动相关主题的兴趣:因此,研究结果可用于在冠状病毒大流行或类似的传染病负担和相关灾害风险期间,优化有关讲卫生运动的公众意识活动的设计和定位。
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引用次数: 0
Revealing the boon and bane of South Africa's disaster management legislation during COVID-19. 在 COVID-19 期间揭示南非灾害管理立法的利弊。
IF 1.3 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-10-31 eCollection Date: 2024-01-01 DOI: 10.4102/jamba.v16i1.1689
Livhuwani D Nemakonde, Olivia Kunguma

Legislation provides a framework for effective and coordinated disaster preparedness and response. This article evaluates the strengths and shortcomings of South Africa's disaster risk management (DRM) legislation in guiding the response to the COVID-19 pandemic. Since its promulgation in 2002, South Africa's DRM legislation has been hailed as one of the most progressive legislations globally. However, the severe respiratory syndrome coronavirus 2, commonly known as the COVID-19 pandemic, exposed inadequacies in most existing DRM legislation worldwide, including in South Africa. This led to an inadequate response to the pandemic. A content-based literature review was conducted. Forty-nine peer-reviewed articles, reports, op-eds and newspaper articles were included in the review. The review highlighted significant inadequacies of South African DRM legislation, including the placement of the National Disaster Management Centre and the establishment of new structures for COVID-19 response. Based on the findings of this study, disaster managers, as the primary implementers of the disaster management legislation, must motivate the constant review of the disaster management legislation as a way of mitigating social, economic, political and environmental impacts of disasters, which emanate from the inadequacies existing in the disaster legislation.

Contribution: The study's findings contribute to the effective management of the disaster management fraternity by suggesting amendment of the legislation based on the experience during the pandemic. The recommendations made to disaster managers will assist with responding appropriately to future pandemics and other disasters.

立法为有效、协调的备灾和救灾工作提供了一个框架。本文评估了南非灾害风险管理(DRM)立法在指导应对 COVID-19 大流行方面的优势和不足。自 2002 年颁布以来,南非的灾难风险管理立法一直被誉为全球最先进的立法之一。然而,严重呼吸综合征冠状病毒 2(俗称 COVID-19 大流行病)暴露了包括南非在内的全球大多数现有 DRM 立法的不足之处。这导致对大流行病的应对不力。我们进行了基于内容的文献综述。其中包括 49 篇经同行评审的文章、报告、专栏文章和报纸文章。综述强调了南非灾害风险管理立法的重大不足,包括国家灾害管理中心的设置和 COVID-19 应对措施新结构的建立。根据本研究的结果,灾害管理者作为灾害管理立法的主要执行者,必须推动对灾害管理立法的不断审查,以此来减轻灾害对社会、经济、政治和环境造成的影响,这些影响源于灾害立法中存在的不足:研究结果有助于灾害管理机构的有效管理,根据大流行病期间的经验提出了修订立法的建议。向灾害管理者提出的建议将有助于对未来的大流行病和其他灾害做出适当的反应。
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引用次数: 0
Efundja as a risk driver and change agent for the Cuvelai-Etosha basin rural communities. Efundja 作为 Cuvelai-Etosha 盆地农村社区的风险驱动因素和变革推动者。
IF 1.3 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-10-31 eCollection Date: 2024-01-01 DOI: 10.4102/jamba.v16i1.1677
Loide V Shaamhula, Hendrik A P Smit, Justin D S van der Merwe

Floods are one of the persistent major risk drivers impacting the Cuvelai-Etosha basin of northern Namibia. Locally known as Efundja, this disruptive event negatively impacts particularly the rural population, who have limited resources to combat its effects. Being mostly subsistence farmers in isolated communities, the floods wreak havoc with their homesteads, harvests, animals, and general way of life by cutting them off from their fields, neighbours, and essential services for prolonged periods. This study investigates the impacts and coping mechanisms of rural communities regularly affected by Efundja. Data was collected from four groups of respondents through interviews and focus groups. These were heads of households in the affected rural communities, the community leaders, local councillors and national government officials involved in disaster mitigation. This ensured a comprehensive picture of the impacts.

Contribution: Despite the presence of a national disaster risk management strategy, the national disaster response mechanism rather reactively responds to the hazard as opposed to being proactive. Results indicates that the strategy is not fully implemented and the parts that are implemented functions as a top-down approach. Respondents reported a wide range of impacts and a general inability to effectively cope with Efundja, coupled with an absence of their voices in deliberations about risk reduction matters. Additions to the current disaster risk management strategy is proposed and several recommendations derived from the research results concludes the article. Should these recommendations be implemented into the Namibian disaster risk management strategy, Efundja as risk driver will also become an agent of change.

洪水是影响纳米比亚北部库维莱-埃托沙盆地的长期主要风险因素之一。这种破坏性事件在当地被称为 "Efundja",尤其对资源有限的农村人口造成负面影响。他们大多是偏远社区的自给自足的农民,洪水长期切断了他们与田地、邻居和基本服务的联系,对他们的家园、收成、牲畜和一般生活方式造成了严重破坏。本研究调查了经常受 Efundja 影响的农村社区的影响和应对机制。通过访谈和焦点小组,从四组受访者那里收集了数据。他们是受灾农村社区的户主、社区领袖、地方议员和参与减灾工作的国家政府官员。这确保了对影响的全面了解:尽管制定了国家灾害风险管理战略,但国家灾害应对机制只是被动地应对灾害,而不是积极主动地应对灾害。结果表明,该战略没有得到充分实施,实施的部分是自上而下的方式。受访者报告说,Efundja 带来了广泛的影响,他们普遍无法有效应对 Efundja,而且在有关减少风险问题的讨论中也没有他们的声音。文章最后提出了对当前灾害风险管理战略的补充,并根据研究结果提出了若干建议。如果这些建议在纳米比亚灾害风险管理战略中得到实施,作为风险驱动因素的埃芬贾也将成为变革的动力。
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引用次数: 0
Statutory and policy-based eco-disaster risk reduction in SADC member states. 南部非洲发展共同体成员国以法规和政策为基础减少生态灾害风险。
IF 1.3 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI: 10.4102/jamba.v16i2.1799
Alfredo A Covele, Dewald van Niekerk, Dirk Cilliers

Effective legislative framework is the cornerstone of managing hazards and disasters because they have become policy problems of global and local concern. This research study aims at understanding the implementation, strengths and gaps of policies related to Eco-DRR in SADC member states. In particular, attempts to critically analyse the making of DRM policies, as well as the variables underpinning these policies, given the high level of disaster losses. A literature survey was conducted to contextualise and conceptualise statutory and policy-based Eco-DRR. Academic literature on Eco-DRR and related policies, journal articles and related policies, official documents in SADC states including policies, acts, legislations, strategies, frameworks and plans were consulted. The analysis revealed that the Eco-DRR approaches have not yet been mainstreamed as part of standards of DRM in most of SADC member states, opting largely on ad hoc practice. Short-term plans and/or strategies don't help to articulate funding and programme priorities. In addition, irregular updating of policies in some member states and a lack of following up mechanisms were noted.

Contribution: To change this reality, it is necessary to include Eco-DRR in strategies and/or plans and to standardise ecosystem-based measures for reducing disaster risks. Additionally, there is an urgent need for empowerment of the existing institutions and creation of networks that are driven by SADC institutions. Overall, it is evident that there is a regional interest and demand to apply and standardise ecosystem-based approaches and natural or green infrastructure solutions toward Eco-DRR.

有效的立法框架是管理危害和灾害的基石,因为它们已成为全球和地方关注的政策问题。本研究旨在了解南部非洲发展共同体(SADC)成员国与生态-灾害风险管理(Eco-DRR)相关的政策的实施情况、优势和差距。特别是,鉴于灾害损失严重,本研究试图批判性地分析灾害风险管理政策的制定,以及支持这些政策的变量。我们进行了一项文献调查,以了解法定和政策性生态减灾的背景和概念。查阅了有关生态减灾和相关政策的学术文献、期刊论文和相关政策,以及南部非洲发展共同体国家的官方文件,包括政策、法案、立法、战略、框架和计划。分析结果表明,在南部非洲发展共同体的大多数成员国中,生态-减少灾害风险的方法尚未作为灾害风险管理标准的一部分纳入主流,而是主要选择临时性的做法。短期计划和/或战略无助于明确资金和计划的优先事项。此外,还注意到一些成员国不定期更新政策,并缺乏后续机制:贡献:为改变这一现状,有必要将生态-减少灾害风险纳入战略和/或计划中,并将基于生态系统的减少灾害风险措施标准化。此外,亟需增强现有机构的能力,建立由南部非洲发展共同体机构推动的网络。总之,该地区显然有兴趣和需求应用基于生态系统的方法和自然或绿色基础设施解决 方案,并使之标准化,以实现生态减灾。
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引用次数: 0
Disaster risk from diarrhoeal diseases and WASH in South Africa and Botswana in MDG time. 千年发展目标时期南非和博茨瓦纳腹泻疾病和讲卫生运动的灾害风险。
IF 1.3 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.4102/jamba.v16i2.1778
Roman Tandlich, Hallo Angala, Eunice P Vhiriri, Koketso Moropa, Nosiphiwe P Ngqwala, Bongumusa M Zuma

South Africa and Botswana are middle-income countries in the southern part of the African continent. They are also the two of the most developed countries in the region, where socio-economic situation is better than in many other parts of the African continent. The progression of the Millennium Development Goals (MDGs) in these two countries can be seen as the setting stage for the disaster risk management understanding in the African region in the 21st century. This is done in this article for disaster risk management and waterborne diseases or water, sanitation, and hygiene (WASH) conditions in Botswana and South Africa. The authors used an open-source on the mortality in children under 5 to develop a proxy indicator for disaster risk from WASH. This dependent variable is correlated with the access to improved water and sanitation sources or facilities, and the expected lifespan at birth of the South African population. The latter indicators are used as independent variables in correlations, and they are seen as expressions of vulnerability determinants in the WASH context in South Africa and Botswana. Results indicate that the strongest prevention of the death rates from the WASH-related diseases comes from the overall status of the healthcare system in Botswana and South Africa. Socio-economic parameter played limited to no role in the determination of the diarrhoeal disease disaster risk in both the studied countries.

Contribution: Access to improved drinking water sources and improved sanitation facilities played a partial role as a controlling factor in determining the WASH-related death rates. The overall functioning of the healthcare system is the most dominant factor in the disaster risk from WASH in South Africa and Botswana.

南非和博茨瓦纳是非洲大陆南部的中等收入国家。它们也是该地区最发达的两个国家,社会经济状况好于非洲大陆的许多其他地区。这两个国家在实现千年发展目标(MDGs)方面取得的进展可以被看作是非洲地区在 21 世纪了解灾害风险管理的起点。本文针对博茨瓦纳和南非的灾害风险管理和水传播疾病或水、环境卫生和个人卫生(WASH)条件进行了研究。作者利用有关 5 岁以下儿童死亡率的公开资料,制定了一个水、环境卫生和个人卫生灾害风险的替代指标。该因变量与获得改善的水源和卫生设施的机会以及南非人口出生时的预期寿命相关。后几项指标在相关关系中被用作自变量,它们被视为南非和博茨瓦纳讲卫生运动中脆弱性决定因素的表现形式。结果表明,博茨瓦纳和南非医疗保健系统的整体状况对与讲卫生运动有关的疾病死亡率的预防作用最强。在所研究的两个国家中,社会经济参数在决定腹泻疾病灾难风险方面的作用有限,甚至不起作用:贡献:在决定与饮水、环卫和讲卫生运动有关的死亡率时,获得改善的饮用水源和改善的卫生设施作为控制因素发挥了部分作用。在南非和博茨瓦纳,医疗保健系统的整体运作是影响讲卫生运动灾害风险的最主要因素。
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引用次数: 0
Disaster recovery and business continuity: A case of MSMEs in Dar es Salaam. 灾后恢复和业务连续性:达累斯萨拉姆中小微企业案例。
IF 1.3 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI: 10.4102/jamba.v16i1.1714
Tumpale Sakijege

A large number of micro, small and medium enterprises (MSMEs) in developing countries operate in informal settlements. Most of these settlements exist in hazardous environment despite being affected by floods. This research discusses the scarcity of knowledge on the resilience of businesses operating in Kigogo flood-prone informal settlements in Dar es Salaam. It especially focusses on MSMEs. Although recovery of MSMEs has been intensively studied worldwide, in Tanzania it is downgraded. This article is set to bridge this glaring gap focusing on MSMEs recovery after floods. The research methodology employed quantitative research design by completing questionnaires through interviews. A total of 202 owners of MSMEs were interviewed. While content analysis was used to analyse qualitative data, the research further employed a logistic unit model to analyse factors explaining recovery of MSMEs after floods. The study revealed a statistically significant association between the recovery of MSMEs and suitable plans for safeguarding business, personal savings, profit (saving from business) and government support. Other factors include family and friend's support, business continuity training, longevity in business operation, pre-disaster mitigation measures, critical destruction to business facilities, and running several businesses. Strength, Weaknesses, Opportunities and Threat (SWOT) analysis of the business environment where MSMEs operate revealed a number of issues that inform policymakers, urban planners and environmentalists on what can be done to enhance recovery and hence promote sustainable development.

Contribution: The study adds to the body of knowledge by drawing attention to factors that predict disaster recovery of MSMEs operating in flood-prone informal settlements.

发展中国家有大量微型和中小型企业(MSMEs)在非正规住区经营。尽管受到洪水的影响,但这些定居点大多处于危险的环境中。本研究讨论了在达累斯萨拉姆基戈戈洪水易发区非正规住区经营的企业抗灾能力方面的知识匮乏问题。研究尤其关注中小微企业。尽管全世界都在深入研究中小微企业的恢复问题,但在坦桑尼亚,这一问题却被低估了。本文将以洪灾后中小微企业的恢复为重点,弥补这一明显不足。研究方法采用定量研究设计,通过访谈填写问卷。共有 202 名中小微企业主接受了访谈。研究采用内容分析法对定性数据进行分析,并进一步采用逻辑单元模型对解释洪灾后中小微企业恢复的因素进行分析。研究显示,中小微企业的恢复与合适的业务保障计划、个人储蓄、利润(业务储蓄)和政府支持之间存在统计学意义上的显著关联。其他因素包括家人和朋友的支持、业务连续性培训、业务经营的长期性、灾前减灾措施、业务设施的严重破坏以及经营多家企业。对中小微企业所处的商业环境进行的优势、劣势、机会和威胁(SWOT)分析揭示了一些问题,为政策制定者、城市规划者和环境学家提供了信息,帮助他们了解可以采取哪些措施来加强灾后恢复,从而促进可持续发展:贡献:本研究关注了预测在易受洪水侵袭的非正规居住区经营的中小微企业灾后恢复的因素,为相关知识体系增添了新的内容。
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引用次数: 0
Determinants of WASH programmes adoption in flood-prone Tsholotsho District, Zimbabwe. 在津巴布韦易受洪水侵袭的 Tsholotsho 地区采用讲卫生运动计划的决定因素。
IF 1.3 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-10-22 eCollection Date: 2024-01-01 DOI: 10.4102/jamba.v16i2.1803
Mlamuleli Tshuma, Johannes A Belle, Alice Ncube

There is an increased frequency of floods in different parts of the world due to Climate Change and many countries in Sub-Saharan Africa face WASH challenges which have worsened during flood and drought incidences. Tsholotsho District has been experiencing an increased frequency of floods over the years and WASH situation has continuously deteriorated. To build the resilience of communities, there are so many programmes that have been introduced toaddress WASH challenges. The paper aimed at assessing the various determinants influencing the adoption of WASH programmes in flood prone Tsholotsho District. A quantitative approach was used to collect data from Household heads in wards 5, 6, 7, and 8 using Questionnaires. A total of 218 Questionnaires were administered in all four wards. A Probit regression analysis and Zero-inflated ordered logit regression analysis were then done using Statistical Package for Social Sciences (SPSS). This study revealed that the coefficient of access to treated water, gender, source of water, level of education, and marital status is positive and statistically significant with the adoption of WASH programmes by the household head in the study area. These factors were also revealed to influence the level of adoption of WASH programmes.

Contribution: There is a positive and significant relationship between access to safe water, source of water, level of education, gender, age and marital status and WASH programmes. Therefore, there is a need to consider the determinants of the adoption of WASH programmes to effectively build the resilience of communities.

由于气候变化,世界各地发生洪水的频率越来越高,撒哈拉以南非洲的许多国家都面临着讲卫生运动方面的挑战,这些挑战在发生洪水和干旱时变得更加严峻。多年来,茨霍洛措区的洪灾频率不断增加,讲卫生运动的情况也持续恶化。为了增强社区的抗灾能力,已经推出了许多计划来应对水、环境卫生和个人卫生方面的挑战。本文旨在评估影响洪水易发地区特肖洛特肖(Tsholotsho)采用讲卫生运动计划的各种决定因素。本文采用定量方法,通过调查问卷向 5、6、7 和 8 区的户主收集数据。在所有四个选区共发放了 218 份问卷。然后使用社会科学统计软件包(SPSS)进行了 Probit 回归分析和零膨胀有序 Logit 回归分析。研究结果表明,在研究地区,获得经处理的水、性别、水源、教育水平和婚姻状况与户主采用讲卫生运动计划的系数呈正相关,且在统计学上有显著意义。这些因素也影响了采用讲卫生计划的程度:贡献:获得安全饮用水、水源、教育水平、性别、年龄和婚姻状况与 "讲卫生运动 "计划之间存在积极而重要的关系。因此,有必要考虑采用 "讲卫生运动 "计划的决定因素,以有效增强社区的复原力。
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引用次数: 0
COVID-19 slightly reduced family resilience, coping, and disaster preparedness in ISTIFAR's Lombok study. 在 ISTIFAR 的龙目岛研究中,COVID-19 稍微降低了家庭的适应能力、应对能力和备灾能力。
IF 1.3 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-10-22 eCollection Date: 2024-01-01 DOI: 10.4102/jamba.v16i1.1696
Sriyono Sriyono, Hakim Zulkarnain, Jujuk Proboningsih, Kiki A Kurnia

The study aimed to evaluate the longitudinal impact of ISTIFAR programme (Islamic-Based Training for Family Resilience) to the family state of coping, resilience and disaster preparedness on longitudinal observation. A quasi-experimental design was employed with pre- and post-test intervention group only. The sample size was 63 families that survived the earthquake, which sampled using purposive sampling. The sampling criteria were disaster survivor, head of household, Muslim and mentally healthy. The variable was pre- and post-observation of coping, family resilience and disaster preparedness, with confounding factor of stress. The interview performed by structured questionnaire. The data analysed with Mann-Whitney U test and ordinal regression (α < 0.05). The result was a statistical difference between the observation of 6 months prior and follow-up but a slight decline in all variables mean. In detail, coping (p = 0.000), family resilience (p = 0.000) and the disaster preparedness (p = 0.023). There was no statistical correlation between the coping, family resilience and the disaster preparedness towards pandemic stress (p = 0.747). Islamic-Based Training for Family Resilience positively impact coping, resilience and disaster preparedness, albeit slight declines over 6 months, but no evident correlation with coronavirus disease 2019 (COVID-19) pandemic stress.

Contribution: This study contributes to the existing body of knowledge by highlighting the effectiveness of authentic disaster preparedness facilitated through ISTIFAR among vulnerable families. It suggests that enhancing resilience, particularly concerning disaster preparedness and, notably, amids the COVID-19 pandemic, can be achieved through authentic local methodologies. The grounded approach proves beneficial, indicating that interventions within communities should not be universally applicable but tailored to leverage local community wisdom.

本研究旨在通过纵向观察,评估 ISTIFAR 计划(基于伊斯兰教的家庭复原力培训)对家庭应对、复原和备灾状态的纵向影响。研究采用了准实验设计,干预组只进行前测和后测。样本量为 63 个地震幸存家庭,采用目的性抽样。抽样标准是灾难幸存者、户主、穆斯林和精神健康。变量为应对能力、家庭复原力和备灾能力的前后观察,压力为混杂因素。访谈以结构化问卷的形式进行。数据采用 Mann-Whitney U 检验和序数回归分析(α < 0.05)。结果显示,6 个月前的观察结果与随访结果之间存在统计学差异,但所有变量的平均值都略有下降。具体而言,应对能力(p = 0.000)、家庭复原力(p = 0.000)和备灾能力(p = 0.023)。应对大流行病压力、家庭复原力和备灾能力之间没有统计学相关性(p = 0.747)。基于伊斯兰教的家庭复原力培训对应对能力、复原力和备灾能力有积极影响,尽管在 6 个月内略有下降,但与 2019 年冠状病毒病(COVID-19)大流行压力没有明显相关性:本研究强调了通过 ISTIFAR 在弱势家庭中促进真实备灾的有效性,为现有知识体系做出了贡献。研究表明,通过真实的本地方法可以提高抗灾能力,特别是在备灾方面,尤其是在 COVID-19 大流行期间。立足当地的方法证明是有益的,表明社区内的干预措施不应普遍适用,而应量身定制,以利用当地社区的智慧。
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引用次数: 0
Public health surveillance perspectives from provincial COVID-19 experiences, South Africa 2021. 南非 COVID-19 省经验中的公共卫生监测视角 2021 年。
IF 1.3 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-10-17 eCollection Date: 2024-01-01 DOI: 10.4102/jamba.v16i1.1625
Ruvimbo Chingonzoh, Yvonne Gixela, Bontle Motloung, Nosiphiwo Mgobo, Zonwabele Merile, Thomas Dlamini

Previous pandemics, recent outbreaks, and imminent public health events are a clarion call for functional public health surveillance systems that timeously detect public health events, guide interventions, and inform public health policy. We reviewed the Eastern Cape Provincial coronavirus disease 2019 (COVID-19) surveillance approach to determine best practices and opportunities to strengthen public health surveillance. We conducted a document review of COVID-19 surveillance reports, tools and guidelines prepared between March 2020 and November 2021. Iterative content and thematic analysis were applied to identify strengths and shortcomings of provincial COVID-19 surveillance. Strengths and shortcomings of the provincial COVID-19 surveillance process, and human, technical, and technological resources for surveillance were described. The existence of local surveillance networks, local availability of national-level surveillance guidelines, the ability to describe and track COVID-19 epidemiology, and provincial access to a national, web-based centralised COVID-19 surveillance data system were strengths identified. Shortcomings included poor data quality, data disharmony between sub-national reporting levels, under-resourced surveillance capacity at district level, and suboptimal use of the routine surveillance system for COVID-19 surveillance. The review determined the need for a web-based, integrated surveillance system that was agile in meeting evolving surveillance needs and accessible at all health reporting levels for response and decision-making.

Contribution: The review identified opportunities to advance the existing routine public health surveillance system and improve public health surveillance and response. This qualitative review articulates local knowledge that should be translated into strategies and actions to bolster public health preparedness.

以往的大流行病、近期的疫情爆发以及迫在眉睫的公共卫生事件都在呼吁建立实用的公共卫生监测系统,以便及时发现公共卫生事件、指导干预措施并为公共卫生政策提供信息。我们审查了东开普省 2019 年冠状病毒疾病(COVID-19)监测方法,以确定最佳做法和加强公共卫生监测的机会。我们对 2020 年 3 月至 2021 年 11 月期间编写的 COVID-19 监测报告、工具和指南进行了文件审查。我们采用了迭代内容和主题分析法来确定省级 COVID-19 监测的优势和不足。描述了省级 COVID-19 监测过程的优势和不足,以及监测所需的人力、技术和科技资源。已确定的优势包括:当地监控网络的存在、国家级监控指南在当地的可用性、描述和跟踪 COVID-19 流行病学的能力以及省级访问基于网络的国家级 COVID-19 集中监控数据系统的能力。不足之处包括数据质量差、国家以下各级报告之间的数据不协调、地区一级的监测能力资源不足以及在 COVID-19 监测中对常规监测系统的使用不够理想。审查确定有必要建立一个基于网络的综合监测系统,该系统应能灵活地满足不断变化的监测需求,并且所有卫生报告级别都能访问该系统,以便做出响应和决策:贡献:审查确定了推进现有常规公共卫生监测系统、改善公共卫生监测和响应的机会。这项定性审查阐明了当地的知识,这些知识应转化为战略和行动,以加强公共卫生准备工作。
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引用次数: 0
Resilience and preparedness of hospitals for pandemics: Lessons learned from COVID-19. 医院应对大流行病的复原力和准备工作:COVID-19 的经验教训。
IF 1.3 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.4102/jamba.v16i2.1804
Tlou D Raphela

Amidst the COVID-19 pandemic, health systems around the world took a lot of pressure, and the resilience of these systems has been addressed in thedisaster management and COVID-19 literature. However, little focus has been given to the resilience of hospitals in general. Therefore, the study assessed one hospital in the Free State province of South Africa as a preliminary study for a project that will look at all hospitals in the Free State province. The study assessed the following: (1) the preparedness and actionable strategies that were implemented across the waves of the COVID-19 pandemic; (2) the resilience plans of the hospitals and also determined (3) the resilience of the hospital amid the COVID-19 pandemic; (4) the vulnerabilities exposed by the COVID-19 pandemic in the hospital. Using the R statistical program and modelling, I found that the study hospital was not prepared holistically for the COVID-19 pandemic. The five generalised linear mixed models and the general linear models applied did not show significant differences for the most important variables used to measure resilience. The models showed the hospital to be less resilient to pandemics. Several vulnerabilities were recorded across the hospital.

Contribution: This study's findings suggest that the studied hospital is not resilient to pandemics and will be able to make recommendations to relevant government departments to work together to strengthen the resilience of the country's healthcare system once the project is completed.

在 COVID-19 大流行中,世界各地的医疗系统承受了巨大的压力,灾害管理和 COVID-19 文献中都提到了这些系统的抗灾能力。然而,人们很少关注一般医院的抗灾能力。因此,本研究对南非自由州省的一家医院进行了评估,作为一个项目的初步研究,该项目将考察自由州省的所有医院。该研究对以下方面进行了评估:(1) 在 COVID-19 大流行的各个波次中实施的准备工作和可行策略;(2) 医院的恢复计划,并确定 (3) 医院在 COVID-19 大流行中的恢复能力;(4) COVID-19 大流行在医院中暴露出的脆弱性。通过使用 R 统计程序和建模,我发现研究医院没有为 COVID-19 大流行做好全面准备。应用的五个广义线性混合模型和广义线性模型并未显示出用于衡量抗灾能力的最重要变量之间的显著差异。这些模型显示,医院对大流行病的抵御能力较弱。整个医院都存在若干薄弱环节:贡献:本研究的结果表明,所研究的医院对流行病的抵御能力较弱,一旦项目完成,将能够向相关政府部门提出合作建议,以加强国家医疗系统的抵御能力。
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引用次数: 0
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Jamba-Journal of Disaster Risk Studies
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