Emergency health surge support: Lessons learned from a review of Red Cross responses, 2015-2019

Authors

DOI:

https://doi.org/10.5055/jem.0722

Keywords:

disasters, humanitarian emergencies, emergency medical team, surge capacity, International Federation of Red Cross and Red Crescent Societies

Abstract

The nature of humanitarian response has evolved in response to increasing humanitarian needs, number and scale of emergencies, and the expansion of certified Emergency Medical Teams. This research examines the International Federation of Red Cross and Red Crescent Societies’ clinical and public health Emergency Response Units in emergencies from 2015 through 2019 using a mixed methods approach, consisting of a desk review and primary qualitative data, to inform prioritization of response activities and optimization of health surge support in emergencies. Identified opportunities for improvement include needs assessment, increased modularity, context-appropriate support/integration, human resources and capacity building, monitoring and evaluation, and the overall nature of health surge response to various emergency types. Greater focus on public health response; standardizing deployment criteria, standard operating procedures, and monitoring for clinical surge support; and regional and local capacity building could all improve health service quality and sustainability and facilitate more cost-effective emergency response.

Author Biographies

Emily Lyles, PhD

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

Michael Diaz, PhD Candidate

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

Mija Ververs, MMed, MPH, RD

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

Salim Sohani, MBBS, MPH

Senior Director, Health in Emergency, Canadian Red Cross, Ottawa, Ontario, Canada

Stephane Michaud, PEng

Head of Country Cluster Delegation for Ukraine, Poland, Moldova, Lithuania, Latvia and Estonia of the International Federation of Red Cross and Red Crescent Societies (IFRC), Warsaw, Poland

Faiza Rab, MBBS, MHSc, MSc, PhD Candidate

Senior Manager Research and Development, Health in Emergency, Canadian Red Cross, Ottawa, Ontario, Canada

Paul Spiegel, MPH, MD

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

Shannon Doocy, PhD

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

References

The WHO Emergency Medical Teams (EMT) Initiative: About us. Available at https://vosocc.unocha.org/GetFile.aspx?xml=rss/4951zo8o_B_l1.html&tid=4951&laid=1&sm=. Accessed June 21, 2021.

Norton I: Emergency Medical Teams Initiative: Surge capacity in health care during emergencies. Available at https://vosocc.unocha.org/GetFile.aspx?file=85811_EMT_Overview_Feb_2019_HNPW_1.pdf. Accessed June 21, 2021.

The WHO Emergency Medical Teams (EMT) Initiative: EMT global classified teams. Available at https://extranet.who.int/emt/content/emt-global-classified-teams. Accessed September 13, 2021.

International Federation of Red Cross and Red Crescent Societies (IFRC): Catalogue of surge services: Health. 2021. Available at https://ifrcgo.org/global-services/health. Accessed June 1, 2021.

IFRC: WHO, IFRC sign memorandum of understanding on emergency medical teams. 2020. Available at https://media.ifrc.org/ifrc/press-release/ifrc-sign-memorandum-understanding-emergencymedical-teams. Accessed August 3, 2021.

Iglesias CC, Häggblom A: Handbook: Public health ERU, community based surveillance (CBS). 2019. Available at https://uploadsssl.webflow.com/5d1f301c241e1b056c29ecc6/5e984bca5f0eb4ea88dfebb6_PHpercent20ERUpercent20CBSpercent20Handbook.pdf. Accessed June 1, 2021.

IFRC: Emergencies: IFRC modalities of support. 2018. Available at https://media.ifrc.org/ifrc/wp-content/uploads/2018/09/Emergencies-Modalities-of-support.pdf. Accessed June 1, 2021.

Internal Displacement Monitoring Center (IDMC): Global report on internal displacement. 2020. Available at https://www.internaldisplacement.org/global-report/grid2020. Accessed March 12, 2021.

Center for Research and Epidemiology in Disasters (CRED): The human cost of natural disasters: An overview of the past 20 years. 2020. Available at https://reliefweb.int/report/world/human-cost-disasters-overview-last-20-years-2000-2019. Accessed March 12, 2021.

Fisher M, Houston C: Nepal earthquake ERU evaluation. 2015.

Stone D, Morain K, Musori M: Real time evaluation for the response to Hurricane Dorian in the Bahamas. 2020. Available at https://adore.ifrc.org/Download.aspx?FileId=342184&.zip. Accessed March 12, 2021.

Alexander J, Chaplowe S, Dryza T, et al.: Real time evaluation: European migration response 2015-2016. 2016. Available at https://adore.ifrc.org/Download.aspx?FileId=156934&.zip. Accessed March 12, 2021.

Europe Conflict and Security (ECAS) Consulting: Final evaluation of IFRC Emergency Appeal Greece: Population movement, 2015-2018. 2019. Available at https://adore.ifrc.org/Download.aspx?FileId=228632&.pdf. Accessed March 12, 2021.

O’Hagan P, Manrique M, Eggleston N: Haiti Hurricane Matthew operation: Response and recovery phase real time evaluation report. 2017. Available at https://www.ifrc.org/media/13654. Accessed August 24, 2022.

IFRC: Guidelines for IFRC and National Society deployment of rapid response personnel. 2019.

de Milliano C, Kinyagu JT: Mid-term review report MDRTZ017 Tanzania—population movement. 2016. Available at https://adore.ifrc.org/Download.aspx?FileId=153492&.pdf. Accessed March 12, 2021.

Dobai A: Regional response unit Ecuador 2016 evaluation. 2016. 18. Garber K, Kushner AL, Wren SM, et al.: Applying trauma systems concepts to humanitarian battlefield care: A qualitative analysis of the Mosul trauma pathway. Confl Health. 2020; 14: 5. DOI: 10.1186/s13031-019-0249-2.

Thompson S: Helpdesk report K4D: Emergency humanitarian response to longer-term development in refugee crises. 2017. Available at https://gsdrc.org/wp-content/uploads/2017/07/141-Emergency-humanitarian-response-and-development.pdf. Accessed June 3, 2021.

WHO: Technical series on primary health care: Primary health care and health emergencies. 2018. Available at https://www.who.int/docs/default-source/primary-health-care-conference/emergencies.pdf?sfvrsn=687d4d8d_2. Accessed June 8, 2021.

de Goyet CDV: Health lessons learned from the recent earthquakes and tsunami in Asia. Prehosp Disaster Med. 2007; 22(1): 15-21. DOI: 10.1017/s1049023x00004283.

Bartolucci A, Walter D, Redmond T: Comparative review on the cost-effectiveness analysis of relief teams’ deployment to sudden-onset disasters. Prehosp Disaster Med. 2019; 34(4): 415-421. DOI: 10.1017/S1049023X19004540.

Bodas M, Peleg K, Adini B, et al.: Training package for emergency medical teams deployed to disaster stricken areas: Has ‘TEAMS’ achieved its goals? Disaster Med Public Health Prep. 2022; 16: 663-667. DOI: 10.1017/dmp.2020.359.

Camacho NA, Karki K, Subedi S, et al.: International emergency medical teams in the aftermath of the 2015 Nepal earthquake. Prehosp Disaster Med. 2019; 34(3): 260-264. DOI: 10.1017/S1049023X19004291.

Blanchet K, Sistenich V, Ramesh A, et al.: An evidence review of research on health interventions in humanitarian crises. 2013. Available at https://www.elrha.org/researchdatabase/thehumanitarian-health-evidence-review. Accessed June 1, 2021.

de Ville de Goyet C, Zapata R, Osorio C, et al.: Natural disasters mitigation and relief. In: Jamison DT, Breman JG, Measham AR (eds.): Disease Control Priorities in Developing Countries (2nd ed.). New York, NY: Oxford Press and World Bank, 2016: 1147-1162.

Siekmans K, Sohani S, Boima T, et al.: Community-based health care is an essential component of a resilient health system: Evidence from Ebola outbreak in Liberia. BMC Public Health. 2017; 17(84). DOI: 10.1186/s12889-016-4012-y.

Austin L, O’Neil G: The future of humanitarian surge. 2018. Available at https://reliefweb.int/sites/reliefweb.int/files/resources/CHS_Future_Humanitarian_Surge.pdf. Accessed June 3, 2021.

World Health Organization: Emergency response framework—2nd ed. 2017. Available at https://www.who.int/publications/i/item/emergency-response-framework-(-erf)-2nd-ed. Accessed June 4, 2021.

World Health Assembly 69: Reform of WHO’s work in health emergency management: WHO Health Emergencies Programme report by the Director-General. 2016. Available at https://apps.who.int/gb/ebwha/pdf_files/WHA69/A69_30-en.pdf. Accessed June 7, 2021.

El-Khani U, Ashrafian H, Rasheed S, et al.: The patient safety practices of emergency medical teams in disaster zones: A systematic analysis. BMJ Glob Health. 2019; 4(6): e001889. DOI: 10.1136/bmjgh-2019-001889.

Jafar A, Norton I, Lecky F, et al.: A literature review of medical record keeping by foreign medical teams in sudden onset disasters. Prehosp Disaster Med. 2015; 30(2): 216-222. DOI: 10.1017/S1049023X15000102.

Published

01/02/2023

How to Cite

Lyles, PhD, E., M. Diaz, PhD Candidate, M. Ververs, MMed, MPH, RD, S. Sohani, MBBS, MPH, S. Michaud, PEng, F. Rab, MBBS, MHSc, MSc, PhD Candidate, P. Spiegel, MPH, MD, and S. Doocy, PhD. “Emergency Health Surge Support: Lessons Learned from a Review of Red Cross Responses, 2015-2019”. Journal of Emergency Management, vol. 21, no. 1, Jan. 2023, pp. 67-83, doi:10.5055/jem.0722.