Abstract
Background: Disasters disrupt daily life, causing widespread destruction and challenges, including significant impacts on sexual and reproductive health (SRH). Healthcare workers play a critical role in disaster management, yet their preparedness in addressing SRH needs remains an area of concern.
Methodology: This study assessed healthcare workers' perceptions of SRH-related hazards in disaster settings. A population-based cross-sectional survey was conducted among 177 Master of Public Health (MPH) postgraduate students from Rawalpindi and Islamabad’s postgraduate medical institutes. Data collection took place over three months, from December 2021 to March 2022. Preparedness was measured using a modified questionnaire adapted from the Minimal Initial Service Package (MISP) framework.
Results: Descriptive statistical analysis revealed that 52.5% of participants were male and 47.5% female. Awareness of MISP services was limited, with 9.6% unfamiliar with its general provisions, 32.8% reporting unavailability of services, and only 57.6% having access to necessary resources. Additionally, 55.4% of participants were aware of post-exposure prophylaxis for survivors of sexual violence and individuals diagnosed with HIV and other sexually transmitted infections (STIs).
Conclusion: The findings highlight a significant gap in SRH awareness and preparedness among healthcare workers. There is an urgent need to enhance training and capacity-building efforts, particularly in SRH, to ensure healthcare providers are adequately equipped to address these needs in disaster settings.
References
implementing-health-emergency-and-disaster-risk-management Available from: https://www.who.int/activities/implementing-health-emergency-and-disaster-risk-management
Loewen S, Pinchoff J, Ngo TD, Hindin MJ. The impact of natural disasters and epidemics on sexual and reproductive health in low- and middle-income countries: A narrative synthesis. Int J Gynecol Obstet. 2022;157(1):11–8. DOI: 10.1002/ijgo.13768
Goniewicz K, Khorram-Manesh A, Hertelendy AJ, Goniewicz M, Naylor K, Burkle FM. Current response and management decisions of the European Union to the COVID-19 outbreak: a review. Sustainability. 2020;12(9):3838. DOI: 10.3390/su12093838
Lam RPK, Balsari S, Hung KKC, Hsiao KH, Leung LP, Leaning J. How do doctors and nurses in emergency departments in Hong Kong view their disaster preparedness? A cross-sectional territory-wide online survey. Disaster Med Public Health Prep. 2018;12(3):329–36. DOI: 10.1017/dmp.2017.71
Lim GH, Lim BL, Vasu A. Survey of Factors Affecting Health Care Workers’ Perception Towards Institutional and Individual Disaster Preparedness. Prehosp Disaster Med. 2013;28(4):353–8. DOI: 10.1017/S1049023X1300349X
Shabbir, R., Afzal, M., Sarwer, H., Gilani, S. A., & Waqas A. Nurses Knowledge and Practices Regarding Disasters Management and Emergency Preparedness. Saudi J Med Pharm Sci. 2017;4929(July):464–76. DOI: 10.21276/sjmps
Abdul Hadi. European Journal of Interdisciplinary Studies Workplace Sexual Harassment and its Underreporting in Pakistan. Eur J Interdiscip Stud. 2018;4(1):148–53.
Hussain F. Gender Discrimination in Media as Workplace: A Study of Media Environment in Sindh. Pakistan J Gend Stud. 2019;18(1):23–42. DOI: 10.46568/pjgs.v18i1.23
Ellepola ANB, Sundaram DB, Jayathilake S, Joseph BK, Sharma PN. Knowledge and Attitudes About HIV/AIDS of Dental Students from Kuwait and Sri Lanka. J Dent Educ. 2011;75(4):574–81. DOI: 10.1002/j.0022-0337.2011.75.4.tb05082.x
Kruse C, Betancourt J, Ortiz S, Luna SMV, Bamrah IK, Segovia N. Barriers to the use of mobile health in improving health outcomes in developing countries: Systematic review. J Med Internet Res. 2019;21(10):1–13. DOI: 10.2196/13263
Mazhar SB. Obstetric services in Pakistan: Where are we and what is the way forward? Rawal Med J. 2013;38(1):1–2.
Hanif, Muhammad, Siddra Khalid, Akhtar Rasul and KM. “Maternal mortality in rural areas of Pakistan: challenges and prospects.” In: Rural Heal 27. 2021. p. 1040–7.
Ilyas H, Rehm MH, Diwan RA, Amin F, Hameed S. Knowledge and utilization of antenatal care among women visiting teaching hospitals of sahiwal, pakistan. Rawal Med J. 2020;45(2):488–92.
Mubeen K, Jan R, Sheikh S, Lakhani A, Badar SJ. Maternal and newborn outcomes of care from community midwives in Pakistan: A retrospective analysis of routine maternity data. Midwifery. 2019;79. DOI: 10.1016/j.midw.2019.102553
National Institute of Population Studies Islamabad P, The DHS Program ICF, Rockville, Maryland U. Pakistan DHS 2017-2018. 2018. 1–57 p.
Malik M, Prescott K, Khalid M, Hashmi A, Kiani A. Expectations and experiences of women regarding maternal healthcare services in Pakistan: challenges and lessons to be learnt. J Pharm Policy Pract [Internet]. 2021;14(1):1–9. DOI: 10.1186/s40545-021-00392-x
Baig M, Mubeen K. Determinants of Inadequate Provision and Utilization of Post Abortion Care Services in Pakistan. J Asian Midwives [Internet]. 2018;5(1):31–45.
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