Assessment of Health System Functions in the Earthquake-Stricken Regions in Kermanshah, Iran

AUTHORS

Sanaz Sohrabizadeh ORCID 1 , * , Hamid Safarpour ORCID 1 , Arezoo Dehghani 1 , Amirhosein Bahramzadeh ORCID 2 , Narges Rouhi 3

1 Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Department of Health, Safety and Environment, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Ministry of Health and Medical Education, Tehran, Iran

How to Cite: Sohrabizadeh S , Safarpour H, Dehghani A, Bahramzadeh A, Rouhi N . Assessment of Health System Functions in the Earthquake-Stricken Regions in Kermanshah, Iran, Shiraz E-Med J.2021 In Press(In Press): e112288.

ARTICLE INFORMATION

Shiraz E-Medical Journal: In Press (In Press); e112288
Published Online: May 25, 2021
Article Type: Research Article
Received: December 19, 2020
Revised: January 26, 2021
Accepted: March 07, 2021
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Abstract

Background: The occurrence of an earthquake in Kermanshah province in 2017 caused the deaths and injuries of its inhabitants. Assessment of the health system functions can lead to providing necessary healthcare services for the affected population post-disasters. The present study is aimed to assess the health system functions after the Kermanshah earthquake.

Objectives: Assessment of health system functions in the reproductive, children and environmental health dimensions in the affected regions of Kermanshah were the research objectives.

Methods: This mixed method study was conducted in two phases of developing a tool and, assessment of main health system functions. Content validity and reliability were measured by CVR and CVI and Cronbach's alpha, respectively. Assessment of health system functions was conducted by participation of 100 affected households.

Results: Firstly, the primary tool was designed using a total of 31 primary items extracted from literature review and qualitative study. CVR and CVI of the tool were 100% and Cronbach's alpha was 0.97. The coverage of all reproductive, environmental and children health services was between 90 to 100% since the first day to one year after the earthquake and between 30 to 60% from one year to two years post-earthquake.

Conclusions: Assessment of health system performance can provide necessary data for effective decision making and promoting health system functions. Further research is needed to assess the functions of health systems after the other natural disasters rather than earthquakes.

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© 2021, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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