Mental health and psychosocial aspects of disaster preparedness in Bangladesh

Mental health and psychosocial aspects of disaster preparedness in Bangladesh
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DOI:
10.1080/09540260601037896
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发表时间:
2006-12-01
影响因子:
2.8
通讯作者:
Haque, Ziaul
Haque, Ziaul
中科院分区:
医学4区
文献类型:
--
作者:
Choudhury, Waziul Alam;Quraishi, Firoz Ahmed;Haque, Ziaul

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本文件的目的是突出一些非政府组织和一些专门的研究人员在孟加拉国灾害的心理社会后果领域的活动和观察,特别是在沿海地区和坦吉尔和贾马尔布尔地区的龙卷风影响的地区在过去二十年。非政府组织在救济和发展工作中的一些优势是,它们与基层人民的联系确保了接触社区和社区参与的机会、灵活的工作方法、向人民学习的能力和意愿以及将人民的生活与他们的现实联系起来的能力。在1996年龙卷风之后,对身体脆弱者的社会援助和康复(SARPV-孟加拉国)进行的最引人注目的调查表明,平均而言,妇女在心理上受到的影响比男子大;在灾区的全部抽样中,66%的人受到心理创伤,需要紧急服务。这项研究支持任何灾难都会对心理健康产生影响的观点。提供科学的心理服务对于从这样的灾难中真实的恢复至关重要。在孟加拉国这样的发展中国家,心理健康专业人员有限,医务和辅助医务人员对灾害心理健康的知识和做法不足,可能导致幸存者的心理社会管理和康复工作出现延误。为了正确应对飓风、龙卷风或经常性的毁灭性洪水等严重灾害,灾害心理健康团队应该了解当地的社会经济状况、当地文化、传统、语言和当地的生计模式。该小组与各政府和非政府组织网络的整合对于有效提供心理健康服务至关重要。
The aim of this paper is to highlight the activities and observations of some NGOs and some dedicated researchers in the field of psychosocial consequences of disaster in Bangladesh, particularly in the coastal areas and the tornado-affected areas of the district of Tangile and Jamalpur during the last two decades. Some of the advantages of the non-governmental organizations' (NGOs) work in relief and development were their linkages with grass-roots people ensuring access to the community and community participation, the flexible approach of work, ability and willingness to learn from people and ability to connect people's lives with their realities. The most remarkable survey carried out by the Social Assistance and Rehabilitation for the Physically Vulnerable (SARPV-Bangladesh) after the 1996 tornado showed, on average, that women are more affected psychologically than men; 66% of the total sample in the disaster area were psychologically traumatized and required emergency services. The study supports the ideas that any disaster will have mental health consequences. Providing scientific psychological services is essential for real recovery from such a disaster. In developing countries like Bangladesh, limitations of mental health professionals and inadequate knowledge and practice about disaster mental health among the medical and paramedical staff, may lead to delays in the psychosocial management and rehabilitation of the survivors. To respond properly to a serious type of disaster like a cyclone or a tornado or recurrent devastating flood, the disaster mental health team should be aware of the socio-economic status, local culture, tradition, language and local livelihood patterns. Integration of the team with the network of various governmental and non-governmental organizations is essential to provide mental health services effectively.