Logistic support provided to Australian disaster medical assistance teams: results of a national survey of team members

Background: It is likely that calls for disaster medical assistance teams (DMATs) continue in response to international disasters. As part of a national survey, the present study was designed to evaluate the Australian DMAT experience and the need for logistic support.\ud \ud Methods: Data were collected via an anonymous mailed survey distributed via State and Territory representatives on the Australian Health Protection Committee, who identified team members associated with Australian DMAT deployments from the 2004 Asian Tsunami disaster.\ud \ud Results: The response rate for this survey was 50% (59/118). Most of the personnel had deployed to the South East Asian Tsunami affected areas. The DMAT members had significant clinical and international experience. There was unanimous support for dedicated logistic support with 80% (47/59) strongly agreeing. Only one respondent (2%) disagreed with teams being self sufficient for a minimum of 72 hours. Most felt that transport around the site was not a problem (59%; 35/59), however, 34% (20/59) felt that transport to the site itself was problematic. Only 37% (22/59) felt that pre-deployment information was accurate. Communication with local health providers and other agencies was felt to be adequate by 53% (31/59) and 47% (28/59) respectively, while only 28% (17/59) felt that documentation methods were easy to use and reliable. Less than half (47%; 28/59) felt that equipment could be moved easily between areas by team members and 37% (22/59) that packaging enabled materials to be found easily. The maximum safe container weight was felt to be between 20 and 40 kg by 58% (34/59).\ud \ud Conclusions: This study emphasises the importance of dedicated logistic support for DMAT and the need for teams to be self sufficient for a minimum period of 72 hours. There is a need for accurate pre deployment information to guide resource prioritisation with clearly labelled pre packaging to assist access on site. Container weights should be restricted to between 20 and 40 kg, which would assist transport around the site, while transport to the site was seen as problematic. There was also support for training of all team members in use of basic equipment such as communications equipment, tents and shelters and water purification systems

A longitudinal study of evolving networks in response to natural disaster

In this study, we present a longitudinal analysis of the evolution of interorganizational disaster coordination networks (IoDCNs) in response to natural disasters. There are very few systematic empirical studies which try to quantify the optimal functioning of emerging networks dealing with natural disasters. We suggest that social network analysis is a useful method for exploring this complex phenomenon from both theoretical and methodological perspective aiming to develop a quantitative assessment framework which could aid in developing a better understanding of the optimal functioning of these emerging IoDCN during natural disasters. This analysis highlights the importance of utilizing network metrics to investigate disaster response coordination networks. Results of our investigation suggest that in disasters the rate of communication increases and creates the conditions where organizational structures need to move at that same pace to exchange new information. Our analysis also shows that inter-organizational coordination network structures are not fixed and vary in each period during a disaster depending on the needs. This may serve the basis for developing preparedness among agencies with an improved perspective for gaining effectiveness and efficiency in responding to natural disasters

An evaluation of barriers in implementing disaster planning and the housing programme in Malaysia

Implementation of full regulatory compliance in Malaysian disaster management mechanism will probably come in the form of a directive from Prime Minister's Department of Malaysia. The success or failure of regulatory compliance in Malaysia will depend to a large extent on the readiness of actors to accept responsibility to implement at every level. This article highlights discussion concerning barriers to implementation of disaster management policy in Malaysia. Concerning the main negative attitudes as a result of a research on actors' perceptions about compliance with disaster planning policy in Malaysia, it is essential to recognise them as the barriers which would have to be systematically addressed by the Prime Minister's Department to minimise their negative effects on regulatory compliance implementation. Undoubtedly, some actors have reservations about accepting regulatory compliance. This reservation might be the key to the main issue towards implementation. They have broadly negative general attitudes towards regulatory compliance, arguing that currently too many barriers are present in department levels to make regulatory compliance implementation straightforward. Actors in Malaysia appear to see the process of regulatory compliance from the point of view of the existing public service system. They underestimate barriers in disaster planning by not taking appropriate and effective measures (preparedness) to reduce or minimise(mitigate) effects in response to disaster