Abstract
AimAssessing disaster risk in primary health care (PHC) centers is essential for ensuring continuity of operations during disasters. There is a lack of internationally recognized methods for conducting this assessment in PHC centers. In Iran, the SARA tool, a modified version of the Hospital Safety Index, has been utilized, but its effectiveness is being questioned. This study aims to evaluate the SARA by comparing it with the Kaiser Permanente Hazard Vulnerability Analysis (KP HVA) tool to identify differences and potential issues. Methodology: The cross-sectional study was conducted in two stages. First, the expert panel was used to compare the two tools' instructions and inputs and extract similarities and differences. In the second phase, the outputs of the two tools were compared by implementing them in 156 PHC centers supervised by Semnan University of Medical Sciences. Data was collected using SARA and KP HVA tools and analyzed using Excel software. ResultsThe findings illustrated the disparities in the results obtained from the two tools. Although significant similarities exist in the instructions and inputs, the SARA results indicated the safety and preparedness of PHC centers without considering the hazards. On the other hand, the KP HVA results highlighted hazard risk priorities based on comparable dimensions. ConclusionThe leading cause of the differences is the multiple-hazard and all-hazard approaches of KP HVA and SARA tools. It is recommended that the SARA tool be upgraded based on the advantages of the KP HVA tool for better resource allocation.
Published Version
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