Coordination in Disaster: A Narrative Review

Mohammadkarim Bahadori, Hamid Khankeh, Rouhollah Zaboli, Isa Malmir
2015 International Journal of Medical Reviews Narrative Review International Journal of Medical Reviews   unpublished
Introduction Natural disasters are a severe rupture with high intensity, and require a high degree of intervention under extreme conditions, and associate with some consequences such as financial, health damages and disease, and cannot be controlled effectively using common methods and available resources (1-3). Unexpected events, as irrefutable component of human life, always has threatened human lives in different forms such as volcanoes, earthquakes, floods, hurricanes, and despite advances
more » ... d despite advances in technology, human being still remains incapable of predicting events (4-7). Major natural disasters have affected at least 800 million people worldwide over the past two decades, causing thousands of deaths and more than $ 50 billion economic damage. In addition, due to an increase in the density of the population in different parts of the world, human settlements in disaster-prone areas has increased (3). At the time of the accident, all the economic, political and cultural infrastructures of societies are threatened that all equipments and facilities available in the society need to be mobilized, and according to their responsibilities and restrictions in the form of crisis management combat it in terms of national plans to minimize the effects of crisis (8). In this regard, rescue and health management in times of crisis, with rapid appropriate predictions of events, and determining the needs and potential problems, is an important factor in preserving human being life (9). The primary objectives of response to the crisis include the prevention and reduction of mortality and illness and also encourage to return to normal (10). During the responding phase, having a systematic approach to the design, implementation, monitoring, evaluating the specific services, and providing the basic needs, good coverage, improved access and the high quality of service is desirable (10). An appropriate response to unexpected events needs appropriate preparedness, and since each Disaster as an undeniable part of human life, is followed by some adverse economic effects. All equipments and facilities available in the society need to be mobilized according to their responsibilities and restrictions in the form of crisis management in order to combat it and to minimize the effects of crisis. Moreover, a systematic approach to the design, implementation, monitoring, evaluating the specific services, and providing the basic needs, good coverage, improved access and the high quality of service is desirable. It is obvious that Iran is not excluded from this rule, and like other countries, is an accidentprone country and can be considered as one of the most vulnerable countries to disaster. Evaluation of health care during natural disasters in Iran indicates the lack of coordination in providing health services. A comprehensive coordination is considered as the core activity before and during crisis. Therefore, the present review has aimed to study the coordination among organizations involved in the crisis, and the operational issues and solutions for effective and efficient responses, through search in valid Databases using some keyword such as Coordination in disaster, Coordination concept, Coordination barriers, Coordination facilitators, coordination in response, issue of coordination. Papers between 1995 and 2015 were searched and studied. It is not simple to coordinate among the responsible and service provider organizations and institutions, requiring a systematic approach in all actions and also inserting the coordination issue as a strategy in the comprehensive plan of crisis management. In order to reduce the adverse effects of crisis, in addition to apply a comprehensive plan in the crisis response phase, the coordination among the organizations should be promoted using some measures in the pre-crisis phase (preparation)
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