Exploring Key Capacities: Insights from Assessing the Resilience of the Public Health System Before and After the Kahramanmara&#351; Earthquakes

Ismail Tayfur; Mayumi Kako; Abd&#252;lkadir G&#252;nd&#252;z; Md Moshiur Rahman; Perihan &#350;im&#351;ek; Benjamin Ryan; Shelby Garner; Burcu Bayramo&#287;lu; Chie Teramoto; Yosuke Takada; Tatsuhiko Kubo; Sanjaya Bhatia

doi:10.1007/s13753-024-00588-0

Volume 15 Issue 5

Oct. 2024

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Article Navigation > International Journal of Disaster Risk Science > 2024 > 15(5): 688-702

Ismail Tayfur, Mayumi Kako, Abdülkadir Gündüz, Md Moshiur Rahman, Perihan Şimşek, Benjamin Ryan, Shelby Garner, Burcu Bayramoğlu, Chie Teramoto, Yosuke Takada, Tatsuhiko Kubo, Sanjaya Bhatia. Exploring Key Capacities: Insights from Assessing the Resilience of the Public Health System Before and After the Kahramanmaraş Earthquakes[J]. International Journal of Disaster Risk Science, 2024, 15(5): 688-702. doi: 10.1007/s13753-024-00588-0

Citation:

Ismail Tayfur, Mayumi Kako, Abdülkadir Gündüz, Md Moshiur Rahman, Perihan Şimşek, Benjamin Ryan, Shelby Garner, Burcu Bayramoğlu, Chie Teramoto, Yosuke Takada, Tatsuhiko Kubo, Sanjaya Bhatia. Exploring Key Capacities: Insights from Assessing the Resilience of the Public Health System Before and After the Kahramanmaraş Earthquakes[J]. International Journal of Disaster Risk Science, 2024, 15(5): 688-702. doi: 10.1007/s13753-024-00588-0

Citation:

Ismail Tayfur, Mayumi Kako, Abdülkadir Gündüz, Md Moshiur Rahman, Perihan Şimşek, Benjamin Ryan, Shelby Garner, Burcu Bayramoğlu, Chie Teramoto, Yosuke Takada, Tatsuhiko Kubo, Sanjaya Bhatia. Exploring Key Capacities: Insights from Assessing the Resilience of the Public Health System Before and After the Kahramanmaraş Earthquakes[J]. International Journal of Disaster Risk Science, 2024, 15(5): 688-702. doi: 10.1007/s13753-024-00588-0

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Exploring Key Capacities: Insights from Assessing the Resilience of the Public Health System Before and After the Kahramanmaraş Earthquakes

doi: 10.1007/s13753-024-00588-0

1. Department of Emergency Medicine, University of Health Sciences Sancaktepe Şehit Prof. Dr. İlhan Varank Education and Research Hospital, 34674, Istanbul, Türkiye;
2. Department of Disaster Medicine, Institute of Health Sciences, Karadeniz Technical University, 61080, Trabzon, Türkiye;
3. Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima City, 734-8553, Japan;
4. Department of Emergency Medicine, Karadeniz Technical University, 61080, Trabzon, Türkiye;
5. Department of Emergency Aid and Disaster Management, Trabzon University, 61335, Trabzon, Türkiye;
6. First College of Medicine, Belmont University, Nashville, 37212, USA;
7. Gordon E. Inman College of Health Sciences and Nursing, Belmont University, Nashville, TN, 37212, USA;
8. Japanese Red Cross Hiroshima College of Nursing, Hiroshima, 738-0052, Japan;
9. UN Office for Disaster Risk Reduction (UNDRR) Office for Northeast Asia (ONEA) and Global Education and Training Institute (GETI), Incheon, 22004, Korea

Funds:

Bİ

We thank the Scientific and Technological Research Council of Tü

rkiye (TÜ

TAK 1002-B: 123S888) and the Japan Science and Technology Agency (JPMJJR2303) for supporting this project.

Accepted Date: 2024-10-10

Available Online: 2024-12-07

Publish Date: 2024-10-23

Abstract

Abstract

The goal of this mixed-methods study was to identify and compare the key capacity considerations regarding public health system resilience before and after the 2023 Türkiye-Syria earthquakes. Public health system resilience was assessed through online and face-to-face workshops using the United Nations Public Health System Resilience Scorecard. The pre-earthquake evaluation was conducted in Istanbul and Trabzon in 2021; the post-earthquake evaluation took place in Hatay and Kahramanmaraş in 2023, with a total of 41 participants each. The online workshops lasted approximately four days, while the face-to-face workshops lasted one day. The study found a significant decrease in the scores for most scorecard resilience indicators in the post-earthquake assessment. Qualitative analysis showed that this decline was largely due to infrastructure collapse. Additionally, defining the roles of health disciplines in disaster management and having data transmission procedures between public health system stakeholders in disasters were among the main capacity considerations in both the pre-and post-earthquake assessments. The post-earthquake evaluation revealed several capacity gaps that had not been addressed in pre-earthquake assessments in areas such as disaster preparedness of vulnerable populations and logistics. The findings highlight the critical importance of strengthening building stock and infrastructure to establish a disaster-resilient public health system.
- Disaster risk reduction,
- Public health system resilience,
- Tü,
- rkiye-Syria earthquakes,
- United Nations Public Health System Resilience Scorecard

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References(36)

References

[1]	Aghapour, A.H., M. Yazdani, F. Jolai, and M. Mojtahedi. 2019. Capacity planning and reconfiguration for disaster-resilient health infrastructure. Journal of Building Engineering 26: 100853.
[2]	Bailey, J. 2008. First steps in qualitative data analysis: Transcribing. Family Practice 25(2): 127-131.
[3]	Bayrak, T., and M. Ulukavak. 2009. Trabzon landslides. Mapping Technologies Electronic Journal 1(2): 20-30 (in Turkish).
[4]	Bhatia, S. 2021. The public health system resilience addendum: A tool to help governments manage biological hazards better and prepare for an uncertain future. In COVID-19 pandemic trajectory in the developing world: Exploring the changing environmental and economic milieus in India, ed. M. Mishra, and R.B. Singh, 297-306. Singapore: Springer.
[5]	Cavallo, A., and V. Ireland. 2014. Preparing for complex interdependent risks: A system of systems approach to building disaster resilience. International Journal of Disaster Risk Reduction 9: 181-193.
[6]	CDP (The Center for Disaster Philanthropy). 2023. 2023 Türkiye-Syria earthquake. https://disasterphilanthropy.org/disasters/2023-Türkiye-syria-earthquake/. Accessed 25 Feb 2024
[7]	Ewing, B.T., J.B. Kruse, and Ö. Özdemir. 2004. Disaster loses in the developing world: Evidence from the August 1999 earthquake in Türkiye. Discussion Paper No. 2004/19. Ankara: Turkish Economic Association
[8]	Fetters, M.D., L.A. Curry, and J.W. Creswell. 2013. Achieving integration in mixed methods designs—Principles and practices. Health Services Research 48: 2134-2156.
[9]	Fidan, S., and T. Görüm. 2020. Distribution characteristics of fatal landslides in Turkey and determination of priority areas at national scale. Turkish Journal of Geography 74: 123-134.
[10]	Gokceoglu, C. 2023. 6 February 2023 Kahramanmaraş-Türkiye earthquakes: A general overview. The International Archives of the Photogrammetry Remote Sensing and Spatial Information Sciences 48: 417-424.
[11]	Gruzieva, T., N. Hrechyshkina, H. Inshakova, V. Dubovyk, and N. Kalashnykova. 2022. Development of the public health system in the conditions of current challenges and threats. Wiad Lek 75(5): 1130-1135.
[12]	Günaydın, M., Ö. Tatlı, and E. ErsözGenç. 2017. Search and rescue organizations and national medical rescue teams (UMKE). Journal of Natural Hazards and Environment 3(1): 56-63.
[13]	Hunter, D.J. 2008. The state of the public health system in England. Public Health 122(10): 1042-1046.
[14]	Işık, F., M. Bahadır, H.İ Zeybek, and S. Çağlak. 2020. Karadere Creek flood (Araklı-Trabzon). Blue Atlas 8(2): 526-547.
[15]	ISU (Illinois State University). 2023. SPSS: Descriptive statistics. Illinois State University, Normal, IL, USA. https://psychology.illinoisstate.edu/jccutti/138web/spss/spss3.html. Accessed 3 Mar 2024.
[16]	Karapinar, İS. 2018. Earthquake risk analysis and damage assessment of districts of Istanbul. Niğde Ömer Halisdemir Üniversitesi Mühendislik Bilimleri Dergisi 7(2): 741-750.
[17]	Kumar, J.R. 2013. Role of public health systems in the present health scenario: Key challenges. Indian Journal of Public Health 57(3): 133-137.
[18]	Mannakkara, S., and S. Wilkinson. 2014. Re-conceptualising “Building Back Better” to improve post-disaster recovery. International Journal of Managing Projects in Business 7(3): 327-341.
[19]	Miyazaki, T., K. Anazawa, Y. Maruyama, S. Kobayash, T. Segawa, and P. Li. 2019. Resilient information management for information sharing in disaster-affected areas lacking Internet access. In Ad-hoc, mobile, and wireless networks: 18th International Conference on Ad-Hoc Networks and Wireless, ADHOC-NOW 2019, Luxembourg, October 1-3, 2019, Proceedings, ed. M.R. Palattella, S. Scanzio, and S.C. Ergen, 3-17. Cham: Springer.
[20]	Önal, Ö., and Ö. Kalayci. 2021. Covid-19 pandemic in Türkiye; Filiation, surveillance and contact tracking. Medical Journal of Süleyman Demirel University (SI) 1: 241-244.
[21]	ÖzeyranlıErgenç, N., and Ş Barış. 2018. Prioritization of hazard profile for Istanbul using analytical hierarchy process. Natural Hazards 90: 325-336.
[22]	Pujadi, T., and W. Sardjono. 2018. Evaluation of knowledge management system for disaster management using factor analysis. In Proceedings of the 2018 International Conference on Information Management and Technology (ICIMTech), 3-5 September 2018, Jakarta, Indonesia, 327-332.
[23]	Rechel, B., E. Jakubowski, M. McKee, and E. Nolte (ed.). 2018. Organization and financing of public health services in Europe. World Health Organization. Regional Office for Europe, European Observatory on Health Systems and Policies. https://iris.who.int/handle/10665/326254. Accessed 14 Oct 2024.
[24]	Ryan, B., M. Kako, R. Fink, P. Şimşek, P. Barach, J. Acosta, S. Bhatia, and M. Brickhouse, et al. 2023. Strategies for strengthening the resilience of public health systems for pandemics, disasters, and other emergencies. Disaster Medicine and Public Health Preparedness 17: Article e479.
[25]	Saldaña, J. 2013. The coding manual for qualitative researchers: An introduction to codes and coding. Thousand Oaks: Sage.
[26]	SBB (Presidency of the Republic of Türkiye, Strategy and Budget Directorate). 2023. Kahramanmaras and Hatay earthquakes report. Secondary Kahramanmaras and Hatay earthquakes report 2023. https://www.sbb.gov.tr/wp-content/uploads/2023/03/2023-Kahramanmaras-ve-Hatay-Depremleri-Raporu.pdf. Accessed 25 Feb 2024 (in Turkish).
[27]	Sucuoğlu, H. 2019. 2019 Türkiye Bina Deprem Yönetmeliğinde Başlıca Yenilikler. Türk Deprem Araştırma Dergisi 1(1): 63-75.
[28]	Şenol, C. 2020. Effects of major earthquakes in Türkiye on settlement and demographic structure (1927-2020). Uluslararası Sosyal Bilimler Akademi Dergisi 4: 620-644.
[29]	Tayfur, I., B. Bayramoğlu, P. Şimşek, and A. Gündüz. 2024. Medical response to the February 6, 2023 earthquakes in Hatay: Challenges faced in the deadliest disaster in the history of Türkiye. Disaster Medicine and Public Health Preparedness 18: Article e45.
[30]	Tayfur, I., P. Şimşek, A. Gunduz, M. Kako, S. Nomura, and B. Ryan. 2024. Strengthening public health system resilience to disasters in Türkiye: Insights from a scorecard methodology. International Journal of Disaster Risk Reduction 113: Article 104869.
[31]	TTB (Turkish Medical Association). 2023. VI. Monthly earthquake report chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.ttb.org.tr/userfiles/files/6ayraporu.pdf. Accessed 25 Feb 2024 (in Turkish).
[32]	Twigg, J., and I. Mosel. 2017. Emergent groups and spontaneous volunteers in urban disaster response. Environment and Urbanization 29(2): 443-458.
[33]	UNDRR (United Nations Office for Disaster Risk Reduction). 2017. Disaster risk reduction terminology. https://www.undrr.org/drr-glossary/terminology. Accessed 3 Mar 2024.
[34]	UNDRR (United Nations Office for Disaster Risk Reduction). 2020a. Disaster resilience scorecard for cities. https://mcr2030.undrr.org/disaster-resilience-scorecard-cities. Accessed 2 Mar 2024.
[35]	UNDRR (United Nations Office for Disaster Risk Reduction). 2020b. Disaster resilience scorecard for cities: Public health system resilience-Addendum. https://mcr2030.undrr.org/public-health-system-resilience-scorecard. Accessed 3 Mar 2024.
[36]	UNDRR (United Nations Office for Disaster Risk Reduction). 2023. Workshop: Systematically identifying, assessing and recommending actions for strengthening community resilience across multiple communities and countries. https://www.undrr.org/event/workshop-systematically-identifying-assessing-and-recommending-actions-strengthening. Accessed 3 Mar 2024.