Refugee perceptions of the quality of healthcare: findings from a participatory assessment in Ngara, Tanzania

This article describes the findings of a participatory assessment of Burundian and Rwandan refugees' perceptions of the quality of health services in camps in Ngara, Tanzania. Taking a beneficiary-centred approach, it examines a collaborative effort by several agencies to develop a generic field guide to analyse refugees' views of healthcare services. The objective was to gather information that would contribute to significant improvements in the care offered in the camps. Although the primary focus was on healthcare, several broader questions considered other general apprehensions that might influence the way refugees perceive their healthcare. Findings indicated that while refugees in Ngara were generally satisfied with the quality of healthcare provided and healthcare promotion activities, recognition of some key refugee concerns would assist healthcare providers in enhancing services. With increasing need for refugee community participation in evaluating humanitarian assistance, this assessment has relevance both in the context of Ngara and beyond.     

Speed or deliberation: a comparison of post‐disaster recovery in Japan,Turkey, and Chile

This paper compares recovery in the wake of three recent earthquakes: the Great East Japan Earthquake in March 2011; the Van earthquake in Turkey in October 2011; and the Maule earthquake in Chile in February 2010. The authors visited all three locations approximately 12–18 months after the incidents and interviewed earthquake specialists, disaster managers, urban planners, and local authorities. A key challenge to post‐disaster recovery planning is balancing speed and deliberation. While affected communities must rebuild as quickly as possible, they must also seek to maximise the opportunities for improvement that disasters provide. The three case studies bring this dilemma into stark relief, as recovery was respectively slow, fast, and just right in the aftermath of the events: the Government of Japan adopted a deliberate approach to recovery and reconstruction; speed was of the essence in Turkey; and an effective balance between speed and deliberation was achieved in Chile.     

基于GIS的江苏省地震应急指挥系统

介绍了江苏省地震应急指挥系统的基本框架和主要功能。该系统采用VC + +和MapInfo公司的控件产品MapX作为主要开发工具 ,实现了地震应急自动触发、震害预估、辅助决策、地震宣传和相关查询服务等功能 ,是一个较实用的GIS应用系统     

地震对人类影响及应对的研究综述

每一次破坏性地震都给人类的财产、生命、身心、生活等各个方面造成严重影响,并且地震灾情因社会发展而加重.已有研究从地震灾后抢救、重建和防震减灾等角度进行,存在很大不足:应急研究频繁,长期灾后重建研究不足;政府支持角度研究多,非正式支持研究少;自然科学研究较多,人文社会科学研究少,尤其是中国对地震的经验总结不足.     

地震灾害紧急救援问题综述

防震减灾包括三大工作体系，即监测预报，震灾预防和紧急救援，本文根据地震灾害的特点和成灾规律，对目前国内外紧急救援工作中的组织机构，人力物力及专业技术等问题进行了综合论述。     

Implementation of a medical command and control team in Switzerland

In case of a major incident or disaster, the advance medical rescue command needs to manage several essential tasks simultaneously. These include the rapid deployment of ambulance, police, fire and evacuation services, and their coordinated activity, as well as triage and emergency medical care on site. The structure of such a medical rescue command is crucial for the successful outcome of medical evacuation at major incidents. However, little data has been published on the nature and structure of the command itself. This study presents a flexible approach to command structure, with two command heads: one emergency physician and one experienced paramedic. This approach is especially suitable for Switzerland, whose federal system allows for different structures in each canton. This article examines the development of these structures and their efficiency, adaptability and limitations with respect to major incident response in the French‐speaking part of the country.     

Restoring sanitation services after an earthquake: field experience in Bam, Iran

A powerful earthquake hit the city of Bam in southeast Iran on 26 December 2003. In its aftermath, a number of international relief agencies, including Oxfam, assisted in providing emergency sanitation services. Oxfam's programme consisted of constructing and repairing toilets and showers in villages located outside of the city. In contrast with other organisations, Oxfam opted for brick-work structures, using local materials and human resources rather than prefabricated cubicles. The choice illustrates the dilemmas faced by agencies involved in emergency sanitation: responding to needs in a manner consistent with international standards and offering assistance in a timely fashion while involving beneficiaries. Following a preliminary survey, Oxfam concluded that the provision of showers and latrines, in addition to utilisation of local materials and human resources, was essential for ensuring well-being, empowerment and dignity among members of the affected population, thereby maximising the benefits.     

Networking emergency teams in Jerusalem

With the recent upsurge in terrorism, more and more attention is being directed at examining the effectiveness and efficiency of emergency teams. These teams tend to focus on their areas of expertise without necessarily communicating, cooperating or coordinating their operations. Research suggests that improved interpersonal communication and coordination enhances the overall work of each emergency team, and that their combined effort is far in excess of the sum of their individual endeavours. This paper outlines attempts made in Jerusalem to improve the performance of emergency teams and to help the helpers by holding training workshops, setting up a forum of co‐workers and encouraging dialogue among various emergency teams in the city. A planned intervention programme was designed to enable informal networking between team leaders. The programme had an impact on team workers and resulted in a more coordinated and effective service delivery during emergencies.     

The health sector gap in the southern Africa crisis in 2002/2003

The southern Africa crisis represents the first widespread emergency in a region with a mature HIV/AIDS epidemic. It provides a steep learning curve for the international humanitarian system in understanding and responding to the complex interactions between the epidemic and the causes and the effects of this crisis. It also provoked much debate about the severity and causes of this emergency, and the appropriateness of the response by the humanitarian community. The authors argue that the over-emphasis on food aid delivery occurred at the expense of other public health interventions, particularly preventative and curative health services. Health service needs were not sufficiently addressed despite the early recognition that ill-health related to HIV/AIDS was a major vulnerability factor. This neglect occurred because analytical frameworks were too narrowly focused on food security, and large-scale support to health service delivery was seen as a long-term developmental issue that could not easily be dealt with by short-term humanitarian action. Furthermore, there were insufficient countrywide data on acute malnutrition, mortality rates and performance of the public health system to make better-balanced evidence-based decisions. In this crisis, humanitarian organisations providing health services could not assume their traditional roles of short-term assistance in a limited geographical area until the governing authorities resume their responsibilities. However, relegating health service delivery as a long-term developmental issue is not acceptable. Improved multisectoral analytical frameworks that include a multidisciplinary team are needed to ensure all aspects of public health are dealt with in similar future emergencies. Humanitarian organisations must advocate for improved delivery and access to health services in this region. They can target limited geographical areas with high mortality and acute malnutrition rates to deliver their services. Finally, to address the underlying problem of the health sector gap, a long-term strategy to ensure improved and sustainable health sector performance can only be accomplished with truly adequate resources. This will require renewed efforts on part of governments, donors and the international community. Public health interventions, complementing those addressing food insecurity, were and are still needed to reduce the impact of the crisis, and to allow people to re-establish their livelihoods. These will increase the population's resilience to prevent or mitigate future disasters.     

1989～2005年中国启动地震应急预案的研究

制定地震应急预案是地震应急的行动纲领。过去重“救”轻“防”,而且“救”的程序也缺少规范。地震应急预案将“防、抗、救一作了规范．对每个职能部门的应急工作都作了部署。全国地区（市）级颁布地震预案267个,县级颁布地震预案1603个。据不完全统计,1989-2005年,全国共计启动地震应急预案56次。其中,1989～1993年年均启动0．8次,1994-1998年2．2次,1999-2003年4．2次,2004～2005年10次。     

我国地震应急指挥技术体系初探

地震应急指挥技术系统是防震减灾建设的核心内容。”十五”期间,将建设中国地震应急指挥技术系统。目前我国在这方面的研究和建设尚处于初级阶段,其体系结构,关键构成、设计和实现还有许多问题值得进一步研究和探讨。根据所从事的项目建设过程,对地震应急指挥技术系统的体系结构进行了阐述,介绍了在此基础上开展的首都圈地震应急指挥系统建设工作,并就今后的发展进行了讨论。     

Realising a resilient and sustainable built environment: towards a strategic agenda for the United Kingdom

Recent natural and human-induced emergencies have highlighted the vulnerability of the built environment. Although most emergency events are not entirely unexpected, and the effects can be mitigated, emergency managers in the United Kingdom have not played a sufficiently proactive role in the mitigation of such events. If a resilient and sustainable built environment is to be achieved, emergency management should be more proactive and receive greater input from the stakeholders responsible for the planning, design, construction and operation of the built environment. This paper highlights the need for emergency management to take a more systematic approach to hazard mitigation by integrating more with professions from the construction sector. In particular, design changes may have to be considered, critical infrastructures must be protected, planning policies should be reviewed, and resilient and sustainable agendas adopted by all stakeholders.     

基于RS与GIS功能互补性的震害评估方法浅析

震害评估是震后对建筑物和生命线工程等易损性,以及对人员伤亡和直接经济损失进行统计评估,实时有效的震灾评估是减少震灾损失的有力途径,意义重大。随着空间遥感技术以及计算机技术和图像处理技术的不断发展,基于数字图像处理的震害评估越来越得到广泛应用。在对RS和GIS技术的介绍的基础上,探讨了二者在震灾评估功能上的互补性,并以特定的方式相结合,建立了由四模块组成的基于RS和GIS的建筑物震害评估系统,得出基于震害提取的损失评估方法。基于震害指数的粗略评估和基于RS图像分类的精细评估方法结合运用,可以实时地、较准确地对建筑物震害损失进行评价。     

Corruption in emergency procurement

Corruption in emergency procurement reduces the resources available for life‐saving operations, lowers the quality of products and services provided, and diverts aid from those who need it most. ¹ 1 The paper is based on a study for a project of the Chr Michelsen Institute (CMI)'s U4 Anti‐Corruption Resource Centre entitled ‘Corruption in Emergencies’ (see http://www.u4.no ).
It also negatively influences public support for humanitarian relief, both in the affected country and abroad. This paper aims to unpack and analyse the following question in order to mitigate risk: how and where does corruption typically occur, and what can be done? Suggested strategies reflect a multi‐layered approach that stresses internal agency control mechanisms, conflict‐sensitive management, and the need for common systems among operators.     

The role of socio-economic data in food needs assessment and monitoring

This paper reviews six case studies examined as part of a project to review targetting methodologies employed by non-government organisations in Africa during the 1984-6 food crisis. Most agencies have not yet fully evaluated the role of data in informing policy decisions during their respective emergency programmes. The case studies presented reflect a wide variety of approaches to targetting emergency food aid that are based largely on the use of 'socio-economic' data. The recent emergency relief operations in Africa seem to indicate a change in relief agencies' approaches to the assessment and monitoring of needs of the affected populations. Earlier dependance on nutritional data has given way to an increasing reliance on the use of socio-economic indicators. There was a wide variation in the case studies of the type of indicators collected and utilised in needs assessment and monitoring. There were those who relied almost exclusively on nutritional data to target resources during the 1984-86 African crisis, and others whose experiences during that period lead them to attach more weight to socio-economic data. Other agencies appear to have recognised the problems of relying solely on nutritional data to target food aid during their 1984–86 emergency programmes, and thus more or less abandoned classical anthropometric surveys in their needs assessment and monitoring methodologies during this period. Thus nutritional data has a less significant role in the decision making process than previously had been the case.     

Information technology and emergency management: preparedness and planning in US states

The purpose of this paper is to examine the impact of information technology (IT) on emergency preparedness and planning by analysing a survey of US state government departments of emergency management. The research results show that there has been a significant impact of IT on emergency planning. IT has proven to be effective for all phases of emergency management, but especially for the response phase. There are numerous technologies used in emergency management, ranging from the internet, Geographic Information Systems and wireless technologies to more advanced hazard analysis models. All were generally viewed as being effective. Lack of financial resources and support from elected officials is a perennial problem in public administration, and was found to be prevalent in this study of IT and emergency management. There was evidence that state governments rating high on a performance index were more likely to use IT for emergency management.     

Defining disaster resilience: comparisons from key stakeholders involved in emergency management in Victoria,Australia

Three years after the introduction of the National Strategy for Disaster Resilience there remains no unanimously adopted definition of disaster resilience within Australia's emergency management sector. The aim of this study is to determine what the concept means to key stakeholders in the emergency management sector in the Australian State of Victoria, and how these conceptualisations overlap and diverge. Via an online survey, 113 people were asked how they define disaster resilience in their work in the emergency management sector. A data mining software tool, Leximancer, was employed to uncover the relationships between the definitions provided. The findings show that stakeholders see resilience as an ‘ability’ that encompasses emergency management activities and personal responsibility. However, the findings also highlight some possible points of conflict between stakeholders. In addition, the paper outlines and discusses a number of potential consequences for the implementation and the success of the resilience‐based approach in Australia.     

On the amount of counterpart assistance to be provided after natural disasters: from the perspective of indirect economic loss assessment

China’s counterpart assistance policy is of vital importance in providing guidance for emergency management and post-disaster reconstruction. However, the amount of assistance that partner provinces should provide as well as the criteria that partners should abide by in offering counterpart assistance remain a main challenge. The goal of this research is to fill this gap by proposing a new framework consisting of an interregional input–output (IRIO) model and a resilience index. Subsequently, the indirect economic loss is obtained by utilizing the index system of provincial economic resilience assessments, with measures of indirect economic loss developed from the IRIO. Furthermore, to examine the internal validity and systematic error, the reliability of the adopted models, the calculation methods, and the index systems are investigated. To assess the external validity of the proposed measures and resilience index of the framework, data from the 2008 Wenchuan Earthquake are applied for estimating parameter values of the framework, and a follow-up investigation was conducted for examining the fairness and enhanced effectiveness of the new counterpart assistance criteria. In summary, this paper attempts to present some new ideas about the analysis of economic motivations of mutual aid and the improvement of the counterpart assistance policy.