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Disaster preparedness and response capacity of regional hospitals in Tanzania: a descriptive cross-sectional study
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Disaster preparedness and response capacity of regional hospitals in Tanzania: a descriptive cross-sectional study
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Disaster preparedness and response capacity of regional hospitals in Tanzania: a descriptive cross-sectional study
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Journal Article
Disaster preparedness and response capacity of regional hospitals in Tanzania: a descriptive cross-sectional study
2018
Overview
Background
Tanzania has witnessed several disasters in the past decade, which resulted in substantial mortality, long-term morbidity, and significant socio-economic losses. Health care facilities and personnel are critical to disaster response. We assessed the current state of disaster preparedness and response capacity among Tanzanian regional hospitals.
Methods
This descriptive cross-sectional survey was conducted in all Tanzanian regional hospitals between May 2012 and December 2012. Data were prospectively collected using a structured questionnaire based on the World Health Organization National Health Sector Emergency Preparedness and Response Tool. Trained medical doctors conducted structured interviews and direct observations in each hospital.
Results
We surveyed 25 regional hospitals (100% capture) in mainland Tanzania, in which interviews were conducted with 13-hospital doctors incharge, 9 matrons and 4 heads of casualty. All the hospitals were found to have inadequate numbers of all cadres of health care providers to support effective disaster response. 92% of hospitals reported experiencing a disaster in the past 5 years; with the top three being large motor vehicle accidents 22 (87%), floods 7 (26%) and infectious disease outbreaks 6 (22%). Fifteen hospitals (60%) had a disaster committee, but only five (20%) had a disaster plan. No hospital had all components of surge capacity. Although all had electricity and back-up generators, only 3 (12%) had a back-up communication system.
Conclusion
This nationwide survey found that hospital disaster preparedness is at an early stage of development in Tanzania, and important opportunities exist to better prepare regional hospitals to respond to disasters.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Disaster Planning - organization & administration
/ Health systems and services in low and middle income settings
/ Hospitals, District - organization & administration
/ Hospitals, District - statistics & numerical data
/ Humans
/ Mass Casualty Incidents - statistics & numerical data
/ Medicine
/ Nurses
/ Public health administration
/ Tanzania
