Abstract

The Sendai Framework for Disaster Risk Reduction 2015–2030 placed human health at the centre of disaster risk reduction, calling for the global community to enhance local and national health emergency and disaster risk management (Health EDRM). The Health EDRM Framework, published in 2019, describes the functions required for comprehensive disaster risk management across prevention, preparedness, readiness, response, and recovery to improve the resilience and health security of communities, countries, and health systems. Evidence-based Health EDRM workforce development is vital. However, there are still significant gaps in the evidence identifying common competencies for training and education programmes, and the clarification of strategies for workforce retention, motivation, deployment, and coordination. Initiated in June 2020, this project includes literature reviews, case studies, and an expert consensus (modified Delphi) study. Literature reviews in English, Japanese, and Chinese aim to identify research gaps and explore core competencies for Health EDRM workforce training. Thirteen Health EDRM related case studies from six WHO regions will illustrate best practices (and pitfalls) and inform the consensus study. Consensus will be sought from global experts in emergency and disaster medicine, nursing, public health and related disciplines. Recommendations for developing effective health workforce strategies for low- and middle-income countries and high-income countries will then be disseminated.

Highlights

  • Between 2000 and 2019, 7348 disasters associated with natural hazards were recorded worldwide, resulting in 1.2 million deaths and affecting over 4 billion people [1]

  • The high toll of morbidity and mortality from disasters amplifies the need for countries to increase health system capacity and for the world to develop a coherent view of disaster risk management by adapting to whole-of-government and whole-of-society approaches

  • Disaster risk depends on the complex interaction between the severity and frequency of a hazard, the numbers of people exposed to the hazard, their vulnerability, and risk management capacities

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Summary

Introduction

Between 2000 and 2019, 7348 disasters associated with natural hazards were recorded worldwide, resulting in 1.2 million deaths and affecting over 4 billion people [1]. The Sendai Framework has catalysed Health EDRM activities: the WHO Thematic Platform for Health EDRM Research Network (Health EDRM RN) was founded in 2016 to promote global research collaboration and to provide technical advice for evidence-based Health EDRM-related policies and practices [10,11,12,13] These developments reflected the evolution of Health EDRM over the past decade and the publication of the WHO Health EDRM Framework in 2019, involving comprehensive health-related DRM actions across prevention, preparedness, response, and recovery. These important global frameworks can work in combination to develop more comprehensive actions for protecting human lives, resilience, health security and development [8]

Health EDRM Workforce
Research Needs for Health EDRM Workforce Development
Approach to Addressing the Evidence Gap
Participating Institutions
Literature Review
Literature Reviews
Case Studies
Disaster Relief Nursing in Japan
Literature review Personal experience
Expert Consensus Study
Strengths and Limitations of the Current Methodology
Encouraging the development of community-based Health EDRM initiatives
National Level
Conclusions
Full Text
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