Hospital Flood Preparedness: A Survey of 15 Provinces in Central Thailand

Apisarnthanarak, Anucha; Khawcharoenporn, Thana; Woeltje, Keith F.; Warren, David K.

doi:10.1086/667394

Cited by 10 publications

(8 citation statements)

References 7 publications

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“…A minority of respondents, in either preventive or curative settings, had ever received training on preparedness or response for any sort of disaster situation, and plans and protocols were unclear. Similar situations were found in hospitals experiencing floods in rural India [17], rural Vietnam [18], and Thailand [19]. The Ministry of Health in Sri Lanka has made several efforts to improve disaster management training; every year 15–20 doctors achieve a postgraduate diploma in health sector disaster management, and 78 doctors have completed this course so far.…”

Section: Discussionmentioning

confidence: 61%

Evaluation of flood preparedness in government healthcare facilities in Eastern Province, Sri Lanka

Farley

Suraweera

Perera³

et al. 2017

Global Health Action

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Background: Sri Lanka is vulnerable to floods and other hydro-meteorological disasters. Climate change is projected to increase the intensity of these events.Objective: This study aimed to assess the flood preparedness in healthcare facilities in Eastern Province.Design: This was a cross-sectional, descriptive, mixed methods study conducted in Trincomalee District. Surveys were conducted in 31 government healthcare facilities, using a pre-tested, structured questionnaire covering the last 5 years. Seven in-depth interviews were conducted with randomly selected Medical Officers in Charge or their equivalent, and 3 interviews were conducted with Medical Offices of Health.Results: Two general hospitals, 3 base hospitals, 11 divisional hospitals, and 15 primary care units were included. Six respondents (19.4%) reported flooding in their facility, and 19 (61.3%) reported flooding in their catchment area. For the health workforce, 77.4% of respondents reported not enough staff to perform normal service delivery during disasters, and 25.5% reported staff absenteeism due to flooding. Several respondents expressed a desire for more disaster-specific and general clinical training opportunities for themselves and their staff. Most respondents (80.7%) reported no delays in supply procurement during weather emergencies, but 61.3% reported insufficient supplies to maintain normal service delivery during disasters. Four facilities (12.9%) had disaster preparedness plans, and 4 (12.9%) had any staff trained on disaster preparedness or management within the last year. One quarter (25.8%) of respondents had received any written guidance on disaster preparedness from the regional, provincial, or national level in the last year.Conclusions: While there is a strong health system operating in Sri Lanka, improvements are needed in localized and appropriate disaster-related training, resources for continuing clinical education, and investments in workforce to strengthen flood and other disaster resilience within the government healthcare system in the study district.

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Section: Discussionmentioning

confidence: 61%

Evaluation of flood preparedness in government healthcare facilities in Eastern Province, Sri Lanka

Farley

Suraweera

Perera³

et al. 2017

Global Health Action

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“…Logistic planning of personnel and equipment was found to be good, which also indicated improvement. 24 , 28 , 29 …”

Section: Discussionmentioning

confidence: 99%

Development and Validation of a Scoring Assessment Tool for Hospital Safety: A Pilot Study Comparing Hospital Preparedness in Thailand

Wuthisuthimethawee

Khorram‐Manesh

2021

RMHP

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Introduction Safe hospitals are crucial in the management of major incidents and disasters. A hospital self-assessment tool was developed for Thailand to identify gaps and shortcomings in hospital preparedness. However, this tool lacks the ability to determine the level of preparedness and cannot be used to standardize hospital readiness and enable continuous quality control. Objective The aim of this study was to test a developed scoring hospital assessment tool to evaluate the level of hospital preparedness and enable quality control and compare the results of various hospitals. Material and Methods Using the nominal group technique, three experts evaluated all sections of the previously developed hospital self-assessment tool and recognized that each element could be answered by one of the three options: Yes, Not Known, and No. A pilot study was conducted in 11 hospitals to evaluate the feasibility of the tool. The number of Yes responses was divided by the total number of elements to represent the level of hospital preparedness and reported as either low (0‒59), average (60‒79), or good (80‒100). The results identified areas for improvement. Results Eleven out of 13 hospitals (85% response rate) in two provinces were enrolled in the study. The results showed various levels of preparedness in all the investigated hospitals. Two hospitals had low preparedness and needed great improvements. The remaining nine hospitals in the two provinces had average preparedness levels and needed improvements. One of the nine hospitals had a score very close to achieving good preparedness. No significant parameters were associated with the preparedness level. Conclusion The developed scoring assessment tool for hospital safety demonstrated high utilization feasibility and indicated preparedness levels. The scoring tool also provided assessment levels that could enable continuous quality evaluation and improvements.

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“…Definitions of hospital characteristics were modeled from our previous report. 2 Institutional safety culture was measured by a 2-matrix safety score, calculated as the average of responses for agreement with 2 statements: "Leadership is driving us to be a safety-centered institution" and "I would feel safe being treated here as a patient." 3,4 Administration support was categorically ranked as poor, fair, good, very good, and excellent.…”

Section: Hospital Flood Preparedness and Flood-related Psychological mentioning

confidence: 99%

Hospital Flood Preparedness and Flood-Related Psychological Consequences in 15 Provinces in Central Thailand after Implementation of a National Guideline

Apisarnthanarak

Khawcharoenporn

Woeltje

et al. 2013

Infect. Control Hosp. Epidemiol.

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Hospital Flood Preparedness: A Survey of 15 Provinces in Central Thailand

Cited by 10 publications

References 7 publications

Evaluation of flood preparedness in government healthcare facilities in Eastern Province, Sri Lanka

Evaluation of flood preparedness in government healthcare facilities in Eastern Province, Sri Lanka

Development and Validation of a Scoring Assessment Tool for Hospital Safety: A Pilot Study Comparing Hospital Preparedness in Thailand

Hospital Flood Preparedness and Flood-Related Psychological Consequences in 15 Provinces in Central Thailand after Implementation of a National Guideline

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