Cite this article：
Tayfur, I., Kako, M., Gündüz, A. et al. Exploring Key Capacities: Insights from Assessing the Resilience of the Public Health System Before and After the Kahramanmaraş Earthquakes. Int J Disaster Risk Sci (2024). https://doi.org/10.1007/s13753-024-00588-0
卡赫拉曼马拉什地震前后公共卫生系统韧性评估：关键能力的探索与启示
Ismail Tayfur, Mayumi Kako, Abdülkadir Gündüz, Md Moshiur Rahman, Perihan Şimşek, Benjamin Ryan, Shelby Garner, Burcu Bayramoğlu, Chie Teramoto, Yosuke Takada, Tatsuhiko Kubo & Sanjaya Bhatia
摘要：
本文这项混合方法研究旨在识别和比较2023年土耳其-叙利亚地震前后公共卫生系统韧性的重要能力考量。研究通过在线和面对面的研讨会，利用联合国公共卫生系统韧性评分卡对公共卫生系统韧性进行评估。地震前的评估于2021年在伊斯坦布尔和特拉布宗进行，而地震后的评估则于2023年在哈塔伊和卡赫拉曼马拉什开展，参与者总数均为41人。在线研讨会持续了约四天，而面对面研讨会则为一天。研究发现，在地震后评估中，大多数评分卡中韧性指标的得分显著下降。定性分析表明，这一下降主要是由于基础设施的崩溃。此外，明确卫生学科在灾害管理中的角色，以及在灾害发生时公共卫生系统利益相关者之间的数据传递程序，均是地震前后评估中的主要能力考量。地震后的评估揭示了在灾害脆弱人群的应急准备及物流等领域存在的多个能力缺口，这些缺口在地震前的评估中未得到充分关注。研究结果强调了强化建筑和基础设施的重要性，以建立一个具有韧性的公共卫生系统。
关键词：
减轻灾害风险；公共卫生系统韧性；土耳其-叙利亚地震；联合国公共卫生系统韧性计分卡
Exploring Key Capacities: Insights from Assessing the Resilience of the Public Health System Before and After the Kahramanmaraş Earthquakes
Ismail Tayfur, Mayumi Kako, Abdülkadir Gündüz, Md Moshiur Rahman, Perihan Şimşek, Benjamin Ryan, Shelby Garner, Burcu Bayramoğlu, Chie Teramoto, Yosuke Takada, Tatsuhiko Kubo & Sanjaya Bhatia
Abstract：
The goal of this mixed-methods study was to identify and compare the key capacity considerations regarding public health system resilience before and after the 2023 Türkiye-Syria earthquakes. Public health system resilience was assessed through online and face-to-face workshops using the United Nations Public Health System Resilience Scorecard. The pre-earthquake evaluation was conducted in Istanbul and Trabzon in 2021; the post-earthquake evaluation took place in Hatay and Kahramanmaraş in 2023, with a total of 41 participants each. The online workshops lasted approximately four days, while the face-to-face workshops lasted one day. The study found a significant decrease in the scores for most scorecard resilience indicators in the post-earthquake assessment. Qualitative analysis showed that this decline was largely due to infrastructure collapse. Additionally, defining the roles of health disciplines in disaster management and having data transmission procedures between public health system stakeholders in disasters were among the main capacity considerations in both the pre-and post-earthquake assessments. The post-earthquake evaluation revealed several capacity gaps that had not been addressed in pre-earthquake assessments in areas such as disaster preparedness of vulnerable populations and logistics. The findings highlight the critical importance of strengthening building stock and infrastructure to establish a disaster-resilient public health system.
Keywords：
Disaster risk reduction, Public health system resilience, Türkiye-Syria earthquakes, United Nations Public Health System Resilience Scorecard
文章链接：
https://link.springer.com/article/10.1007/s13753-024-00588-0