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Disasters and women's health: reflections from the 2010 earthquake in Haiti.
Prehosp Disaster Med. 2013 Apr; 28(2):150-4.PD

Abstract

INTRODUCTION

Increasing attention is being focused on the needs of vulnerable populations during humanitarian emergency response. Vulnerable populations are those groups with increased susceptibility to poor health outcomes rendering them disproportionately affected by the event. This discussion focuses on women's health needs during the disaster relief effort after the 2010 earthquake in Haiti.

REPORT

The Emergency Department (ED) of the temporary mobile encampment in L'Hôpital de l'Université d'Etat d'Haïti (HUEH) was the site of the team's disaster relief mission. In February 2010, most of the hospital was staffed by foreign physicians and nurses, with a high turnover rate. Although integration with local Haitian staff was encouraged, implementation of this practice was variable. Common presentations in the ED included infectious diseases, traumatic injuries, chronic disease exacerbations, and follow-up care of post-earthquake injuries and infections. Women-specific complaints included vaginal infections, breast pain or masses, and pregnancy-related concerns or complications. Women were also targets of gender-based violence.

DISCUSSION

Recent disasters in Haiti, Pakistan, and elsewhere have challenged the international health community to provide gender-balanced health care in suboptimal environments. Much room for improvement remains. Although the assessment team was gender-balanced, improved incorporation of Haitian personnel may have enhanced patient trust, and improved cultural sensitivity and communication. Camp geography should foster both patient privacy and security during sensitive examinations. This could have been improved upon by geographically separating men's and women's treatment areas and using a barrier screen to generate a more private examination environment. Women's health supplies must include an appropriate exam table, emergency obstetrical and midwifery supplies, urine dipsticks, and sanitary and reproductive health supplies. A referral system must be established for patients requiring a higher level of care. Lastly, improved inter-organization communication and promotion of resource pooling may improve treatment access and quality for select gender-based interventions.

CONCLUSION

Simple, inexpensive modifications to disaster relief health care settings can dramatically reduce barriers to care for vulnerable populations.

Authors+Show Affiliations

Department of Emergency Medicine, State University of New York Downstate Medical Center and Kings County Hospital Center, Brooklyn, New York 11203, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23290319

Citation

Bloem, Christina M., and Andrew C. Miller. "Disasters and Women's Health: Reflections From the 2010 Earthquake in Haiti." Prehospital and Disaster Medicine, vol. 28, no. 2, 2013, pp. 150-4.
Bloem CM, Miller AC. Disasters and women's health: reflections from the 2010 earthquake in Haiti. Prehosp Disaster Med. 2013;28(2):150-4.
Bloem, C. M., & Miller, A. C. (2013). Disasters and women's health: reflections from the 2010 earthquake in Haiti. Prehospital and Disaster Medicine, 28(2), 150-4. https://doi.org/10.1017/S1049023X12001677
Bloem CM, Miller AC. Disasters and Women's Health: Reflections From the 2010 Earthquake in Haiti. Prehosp Disaster Med. 2013;28(2):150-4. PubMed PMID: 23290319.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Disasters and women's health: reflections from the 2010 earthquake in Haiti. AU - Bloem,Christina M, AU - Miller,Andrew C, Y1 - 2013/01/04/ PY - 2013/1/8/entrez PY - 2013/1/8/pubmed PY - 2013/7/3/medline SP - 150 EP - 4 JF - Prehospital and disaster medicine JO - Prehosp Disaster Med VL - 28 IS - 2 N2 - INTRODUCTION: Increasing attention is being focused on the needs of vulnerable populations during humanitarian emergency response. Vulnerable populations are those groups with increased susceptibility to poor health outcomes rendering them disproportionately affected by the event. This discussion focuses on women's health needs during the disaster relief effort after the 2010 earthquake in Haiti. REPORT: The Emergency Department (ED) of the temporary mobile encampment in L'Hôpital de l'Université d'Etat d'Haïti (HUEH) was the site of the team's disaster relief mission. In February 2010, most of the hospital was staffed by foreign physicians and nurses, with a high turnover rate. Although integration with local Haitian staff was encouraged, implementation of this practice was variable. Common presentations in the ED included infectious diseases, traumatic injuries, chronic disease exacerbations, and follow-up care of post-earthquake injuries and infections. Women-specific complaints included vaginal infections, breast pain or masses, and pregnancy-related concerns or complications. Women were also targets of gender-based violence. DISCUSSION: Recent disasters in Haiti, Pakistan, and elsewhere have challenged the international health community to provide gender-balanced health care in suboptimal environments. Much room for improvement remains. Although the assessment team was gender-balanced, improved incorporation of Haitian personnel may have enhanced patient trust, and improved cultural sensitivity and communication. Camp geography should foster both patient privacy and security during sensitive examinations. This could have been improved upon by geographically separating men's and women's treatment areas and using a barrier screen to generate a more private examination environment. Women's health supplies must include an appropriate exam table, emergency obstetrical and midwifery supplies, urine dipsticks, and sanitary and reproductive health supplies. A referral system must be established for patients requiring a higher level of care. Lastly, improved inter-organization communication and promotion of resource pooling may improve treatment access and quality for select gender-based interventions. CONCLUSION: Simple, inexpensive modifications to disaster relief health care settings can dramatically reduce barriers to care for vulnerable populations. SN - 1049-023X UR - https://www.unboundmedicine.com/medline/citation/23290319/Disasters_and_women's_health:_reflections_from_the_2010_earthquake_in_Haiti_ L2 - https://www.cambridge.org/core/product/identifier/S1049023X12001677/type/journal_article DB - PRIME DP - Unbound Medicine ER -