Sadeghian Tafti, Mohammadreza

Simorgh Research Repository

stLd:"}.h{i o.rLtil.t&.ll3,.r 3 g.rlJ,,,{. !\ . rrlJ..+ CtJi.lo +iriJ MPH oJJ.t d.ti 0!q: t1lj'r.cJi<,il ![LJ{-., tISf .":*il.ra-r 6l(1iaf..r.}ly J,r !\ Jrei sJtJjJlg;.tJSJls,3 g;l ojt-JJ+ , 15;l ojLa .lLrl 3.t,rii3 ,f !5;L,,4l , 'r.r-o,ro , t ,,..9.leaL ,.*SS: JJF6.s-o ;5.1: I ^i af, lli,,,l!s+tir.,Jl g.,r.ol 1r,.53'r.aro J^]St: 9gL,f o uli.,.l&,/n't"\ f lf- \ f 1 Y : rlrr.,as: JL-rKerman University of Medical SciencesFaculty of HealthIn Partial Fulfilment of The Requirements for the DegreeMPH in DisasterDisaster Risk Assessment in Primarv Health CareFacilities in Ashkezar DistrictFunctionalrStructural & Nonstructural ComponentsBy: Mohammad Reza Sadeghian TaftiSupervisor:Dr. Mahmood NekoeimoghadamAdvisor:Dr. Mohammad Reza AmiresmaeiliFebruary 2015r{trry;g , /,,r//i, -,!k,i)Dr5>.5la:u;9c;)L tSste+f ol;l ,:u::,,-rl6.19.,, .,;l9,L sSr,,l-l J';l L-),t, ,..i.rl9a..u."+-lr.qa .Jlq+lf $\)l flf ,r .r5.:Li .,[;G .srlrf.j" dF .p 6.lr? *"[^+l 9 .5rl,-:iil , s-i*- .iln"f fo i aJ o-r.i ilt .Sl aiib ,: ;1r,1 . -r";; $19. )4i &- J!, { t-\ ) Sl ,F):b.,-l coL +J91<;l)l flf .,) t-n E ,*;) allt" ;l .-sro ..:r1: )ll (;L ,Ul i *,J olrtl:" ) e*9 ";-S.c-l .g.:fL; , 6l o;1, xt , ,S|o;L :Ll ,-: ,!(;l ;L;li qJll ..-lrfa .sL^ -.ilr+lri .S1r.+lr a3l)\ flf pl-'1.:.rJiL usp.9 o;y.rJ*1n' t L?r-i ti ) C^*;-1 ,\j92 9:19"L"i 8 t>t,nt; ulL;,\ ,ly\ rl l-o o.:l: 6191 2.2 sly..fi plrl \Y1iJL 1:,-rful J1;r4";,-r-l+t9 6l olJ rt ,J1o;L:Ll .,) Jf flr t -r,:25 o-:Lc;l ol; r--b'.,.*c1,' ,y)t^\ s;L,':, cil-r47 orl;9![i cr)ti SG ,:r)i e SPSS 20 )lPl p;;1 orl,o;l L 1-o o.:]: ]r.J .rrf ,1; .t\.;):2e" "5rfLs.;u.,3 ;tr r*11: JKt,5 5-,,-1.,g ,* Jr)i d,r.+ I o*\)loli-L" , ;;lr&i .5to lL- ,3-Lt., 9 Lr,C.,, iLr.: ;;lrap flf ;r;lllz* ilj .r.*L" "^; : ta ai!t'-e (f\rtV+Y.AA ), (f\.414+\Y.1Y) , (ff.V+1.41Y)="r;, + r-r5.;l ,L-rec,;;lr+a f r t.;;[U, d)e_!, ,"t. & .glllr olrtl-x" Ut ;b ;l algl -::;l-ra., .sQ#l;" fl.r ;l /,fl.a .t, \.. ;1 YY.\.5lr iU.5rr51.c *5rU1 eU- "&U" . s.:y YU !.; c*-L- sl,bl \ I Lr b aL-.51r1: Zr1.afrlr,,Jii; 9,J.-,e-)- 6-! ro* dta at-' r: flr..5rfLs *s:Ui et-.,,.J-U., (V.V\t+\'.f\), (Y?.\+YY.\V ) ..-*r t d;:1 otr. e ,.s4 oe,l ,rfo[a e U.fr.V 6Vit 9 GL;\ etii- JU.rrl r rtg";ll:uj-r,r;L.5l.o aL> r.:, (tf.rut-l\r.1Af) e (\.+\Yzrf ), (Yf.A\ +\r.vt).5f t.;l*ta.glo +;1-', c-;l-rq., oli_!.,.,rLl:;;l-ra7 flf Sl ojL")+".Sfr r-.*,i et-.;J:L.:y.r-it.eYVrar(Y\f +\\AY.f),(AW+Y'v'\Y) ,(AA\'+\f'1.'v)t*r+rj5;l ,ji:-)e.";;lr+aCt- LI>J ;1 j* flr..:y (\..YA2+..V\V) lpl eL'.Slr.5l o;L.jr, -.-i -oJ:-,,..51;l -lr^;.r;-u .,,Ulrl -lL.N.5l ";L .rfrti-/t L rj(;l ;l;Xl +lll .;rl*ra,JkAllr xl,\ fly *s:ti eU- rl.:;L; a*llt";_1 | LrS a44i,F-1,, ! ;t-Xp ^:.J J5- jl s,,F -r-o.: ,;-lil l, .r5-:t1 6t- sl9; Ls" 45 ,r^+r .[.l9c.c-lt_ ;--l ," flr S;L*. i s Al ojLr*" .5lr;l ;--l 9 .rS.:Li r9.a7 . o4g"1 , ,gy u*l "rr-l,irlqlll Fhc.sLo .".^r1.," , F ,s\il, )L:.5415 c,t^.15_^+:.U ;i *,:o,,;1 *_1.u + +i l. flr s)Lynters..il).JruIAllilary.':-f flCt.-, areenr ofcithe**15J1 ".rl.AbstractBackgrounds and Objectives: Disasters are significant cause of Death & Disabilityaround the world. In addition disasters can have tremendous effects on the health and alsosocial, economic, political aspects of society.The lack of disaster preparedness in the healthcare centers is a formula for disaster cascading. Iran is located in an area that is exposed to awide range of natural & human made disasters. However it seems that there are difficulties inthe current level of primary health care facilities preparedness. The aim of this study was toassess the disaster risk of Primary health care facilities in structural, nonstructural &functional components.Methods: This study is a cross sectional study in disaster risk assessment conducted amongall primary health care facilities of Ashkezar District in 2014. In order to collect data adisaster risk assessment tools approved by ministry of health and medical education wasapplied to assess the primary health care facilities in 3 components including structural ,nonstructural and functional capacity. A raw score was tallied for each component & itselements by a simple sum of all responding scores then all scores were norrnalized on a 100point scale. Analysis of the data was performed by SPSS software using different testsResults: The average score of all hazards in urban and rural health centers, health houses,health post and Ashkezar health center were:( 44.7+9.593),(41.595+13.93) ,(41.667+2.88)&23.1 respectively. 65% of primary health care facilities were classified as low risk tohazards, 29.5% were classified as average risk & lo/o were classified as high risk. Averagepreparedness level of all centers was (7.716 +10.131) .The primary health care centers inrapid response team,- transportation, continuity of service provision & altemative place ,Intemal & external Coordination with mean number of (26.1+22.17), (23.81+16.76) ,(20+23.664) , (14.881+16.954) respectively were higher than other component of functionalcapacity. The primary health care in Important Visitors and Finance aspects were very poor{DE Ofab. rl elrs 4-W)falgalaaaga}a(t tt'''t "tt?i"i *''Jt /.rEi rf *ii'rrlililr,jf J*J;.:rr]gl-*r!n.ltrr.,i,,,&MPHg;a1ljtr1J'r;')Ulr'l.r;rx661;'U''L'\r'r'l"rrl;t:-'ht*lJr':rlJi;";j6it b*t,jltJr,i ,rtiil-. ftr' 'p r';q ,!' si'''i'ti u ']ii' i-'' JL'f F I lrb '6llt' .lJl+ '13ib 'i'tlJ>r.e. jr* 4,x f t gETr/-t*el2 ' 93:11r2? CrJ'+'r i:'' l'l;15 iJ't; sr s"{i"o s'5teit';i,t g;lriL rLt,;!.s.; *.t r;!1,. rPLi: d1:;1.|*r !l.ryl: &!r ;,,-""' $l'.i'l ,t!t'i-1}j J'O-4-f",i. i-&.:;*-.1-:.66i i'*:llj, rJi, )L-l l-Jlry.,lfL-' ,;,l'ui-,-t-n i:.c'iT- Il.;11; ij!) :'ril :uffi# r.iu'.1;J:5 tr- J.r:l.r .5ra l.r.l-b) ;ir1l.r i/!a J'jt :6-:+--/,r!.-trf,L4** It s{'.;;; )1j.,:! ,.,.r. t/tr(f ,i {1, ?^! ,1;: u .t u:t ci.. att} ;; i.t-,"9 pat"rtrtil,11lr.U,lmif 6G o,o-..{y' ,t/ (.,qio,Jri-'*-,--'---'.;g-:lii""""'"" """':tfltj....-.".,.,.*..^-:{*349r{g7;t-i airrBr drla .2',as :r^

ارزیابی خطر بلایا در مراکز مراقبتهای بهداشتی اولیه شهرستان اشکذر در ابعاد سازه ای، غیر سازه ای و عملکردی

http://eprints.kmu.ac.ir/27971/1/6550_20180724_0001.pdf

ارزیابی خطر بلایا در مراکز مراقبتهای بهداشتی اولیه شهرستان اشکذر در ابعاد سازه ای، غیر سازه ای و عملکردی

Abstract

Similar works

Full text

Available Versions

Simorgh Research Repository