Barriers to evidence-based disaster management in Nepal: a qualitative study
Barriers to evidence-based disaster management in Nepal: a qualitative study
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DOI：
10.1016/j.puhe.2016.01.007
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发表时间：
2016-04-01
期刊：
影响因子：
5.2
通讯作者：
Lee, A. C. K.
中科院分区：
文献类型：
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作者：
Lee, A. C. K.
目标：在全球范围内，自然灾害的发生率不断增加，发展中国家往往受到最严重的影响。为了提高抗灾能力和响应能力，实施基于证据的灾害管理最佳实践至关重要。本研究探讨了尼泊尔循证灾害管理遇到的障碍。研究设计：在尼泊尔进行了一项定性研究，采访了灾害管理领域的关键知情人。方法：有目的地抽样并邀请参与灾害管理的政府官员、学者、项目经理、灾害管理从业者和政策制定者进行访谈。 11 人同意参加并接受采访。使用主题分析对面对面访谈进行记录、转录和分析。结果：访谈揭示了人口层面的障碍，例如背景因素（例如贫困）、当地习俗和文化，以及社区层面的问题（例如参与和理解水平）。系统级障碍包括对证据基础的需求、可用性和可及性有限。证据的实施受到灾害管理系统和系统流程配置的影响。政治所有权和领导力是实践的重要决定因素。结论：尼泊尔在灾害管理方面存在一些基于证据的实践障碍。不同障碍的相对影响因政治决定因素而异，在尼泊尔等系统治理和领导力不够发达的国家，政治决定因素可能更为重要。这些问题影响一个国家面对灾害的脆弱性，需要加以解决。 (C) 2016 英国皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Objectives: Globally, the incidence of natural disasters is increasing with developing countries tending to be worst affected. Implementing best practices in disaster management that are evidence-based is essential in order to improve disaster resilience and response. This study explores the barriers to evidence-based disaster management encountered in Nepal.Study design: A qualitative study was conducted in Nepal involving interviews with key informants in the disaster management field.Methods: Government officials, academics, programme managers, disaster management practitioners and policymakers involved in disaster management were purposively sampled and invited to interview. 11 agreed to participate and were interviewed. The face-to-face interviews were recorded, transcribed and analysed using thematic analysis. Results: The interviews uncovered population-level barriers such as contextual factors (e.g. poverty), local custom and culture, as well as community-level issues (e.g. level of engagement and understanding). System-level barriers included limited demand for, availability and accessibility of the evidence-base. The implementation of evidence was influenced by the configuration of the disaster management system and system processes. Political ownership and leadership is an essential determinant of practice.Conclusions: Several barriers to evidence-based practice in disaster management exist in Nepal. The relative influence of the different barriers varies with political determinants likely to have greater importance in countries such as Nepal where system governance and leadership is insufficiently developed. These issues affect a country's vulnerability to disasters and need to be addressed. (C) 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.