Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-25T14:42:58.417Z Has data issue: false hasContentIssue false

The Health Sector Response to the 2015 Earthquake in Nepal

Published online by Cambridge University Press:  02 May 2018

Shiva Subedi*
Affiliation:
Department of Public Health Sciences, Center for Research on Health Care in Disasters, Karolinska Institutet, Stockholm, Sweden
Guna Nidhi Sharma
Affiliation:
Epidemiology and Disaster Management Section, Department of Health Services, Ministry of Health, Teku, Kathmandu, Nepal
Sagar Dahal
Affiliation:
Nepal Health Sector Reform Section, Ministry of Health, Kathmandu, Nepal
Megha Raj Banjara
Affiliation:
Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal
Basu Dev Pandey
Affiliation:
Department of Health Services, Ministry of Health, Kathmandu, Nepal
*
Correspondence and reprint requests to Shiva Subedi, Immunization Section, Child Health Division, Department of Health Services, Teku Road, Teku, Kathmandu, Nepal (email: [email protected]).

Abstract

In April 2015, Nepal experienced an earthquake of a magnitude of 7.6 on the Richter scale that resulted in deaths, morbidities, and infrastructure damage. In the post-earthquake period, 4 different workshops and a national “Lessons Learnt” conference were organized to assess the adequacy of the preparedness and response of the health sector. This article summarizes the main conclusions of these discussions relating to leadership, timely search and rescue, referral operations, medical relief to response activities, awareness campaigns, and support from the national and international levels, and epidemiological surveillance. The earthquake response was channeled through rapid response teams that spanned from the community level to the central level via a cluster coordination approach. Overall, the health sector’s response was concluded to be largely satisfactory because it focused not only on emergency medical care, but also on the resumption of basic health services and preventive health care (eg, hygiene, risk communication) equally. Post-disaster disease outbreak did not occur because effective surveillance and outbreak monitoring was one of the priority actions. However, services related to birthing centers, neonatal services, and vaccinations were impeded in some rural areas. Some weaknesses in planning, coordination, and management were also noted. The lessons learned can provide the impetus to strengthen future preparedness and response mechanisms. (Disaster Med Public Health Preparedness. 2018;12:543–547)

Type
Report from the Field
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Malla, RB, Kayastha, K, Sharma, S, Ojha SP, eds. Earthquake Preparedness and Disaster Relief in Nepal: A Position Paper. American Society of Nepalese Engineer (ASNEngr), American Nepal Medical Foundation (ANMF), Computer Association of Nepal (CAN-USA); 2015. http://www.asnengr.org/earthquake_position_paper/. Accessed January 25, 2017.Google Scholar
2. Simkhada, P, van Teijlingen, E, Pant, PR, Sathian, B, Tuladhar, G. Public Health, Prevention and Health Promotion in Post-Earthquake Nepal. Nepal J Epidemiol. 2015;5(2):462-464. doi:10.3126/nje.v5i2.12826.Google Scholar
3. Government of Nepal, National Planning Commission. Nepal earthquake 2015, post disaster need assessment report. Vol. A: Key findings. Kathmandu; 2015. http://www.worldbank.org/content/dam/Worldbank/document/SAR/nepal/PDNA%20Volume%20A%20Final.pdf. Accessed April 5, 2018.Google Scholar
4. World Health Organization. Health cluster bulletin #7. Nepal Earthquake 2015. July 3, 2015.Google Scholar
5. Government of Nepal, Ministry of Health. Proceedings of the Lessons Learnt Conference: Health Sector Response to Nepal Earthquake, 2015. April 21-22, 2016; Kathmandu, Nepal.Google Scholar
6. Government of Nepal, Ministry of Health. A report on post disaster needs assessment and recovery plan of health and population sector, Kathmandu. http://reliefweb.int/sites/reliefweb.int/files/resources/150610_pdna_report_health_and_population.pdf. Published June 10, 2015. Accessed March 27, 2017.Google Scholar
7. UNICEF. Nepal earthquake humanitarian situation report – one month review. https://www.unicef.org/rosa/UNICEF-NepalEarthquake-sitreport-LR.pdf. Published May 25, 2015. Accessed June 16, 2015.Google Scholar
8. Adhikari, B, Mishra, SR, Raut, S. Rebuilding earthquake struck Nepal through community engagement. Front Public Health Perspect. 2016;4:121. doi: 10.3389/fpubh.2016.00121.Google Scholar
9. Austin, L, Grosso, S, Oneil, G. Nepal earthquake 2015: Review of surge practices. Report. ActionAid International Transforming Surge Capacity Project. https://www.chsalliance.org/files/files/Resources/Articles-and-Research/Nepal-Earthquake-2015_Review-of-Surge-Practices.pdf. Published July, 2016. Accessed July 2016.Google Scholar
10. Paul, BK, Acharya, B, Ghimire, K. Effectiveness of earthquakes relief efforts in Nepal: Opinions of the Survivors. Nat Hazards. 2017;85(2):1169–1188. http://dx.doi.org/10.1007/s11069-016-2627-z.Google Scholar
11. Cook, DB, Shrestha, M, Htet, ZB. Centre for Non Traditional Security Studies(NTS). International response to 2015 Nepal earthquake, lessons and observations. NTS Report No. 4. Nanyang Technological University, Singapore; October 2016. https://www.rsis.edu.sg/wp-content/uploads/2016/06/PB-Nepal-Quake-final-3.pdf. Accessed June 10, 2016.Google Scholar
12. Ramalingam, B, Sanderson, D. Nepal earthquake response: Lessons for operational agencies. ALNAP Report. ALNAP lessons paper. London: ALNAP/ODI;2015. http://reliefweb.int/sites/reliefweb.int/files/resources/nepal-earthquake-response-lessonspaper.pdf. Accessed June 20, 2017.Google Scholar
13. Khetrapal Singh, Poonam. Regional Director speech given at: Lessons Learnt Conference: Health Sector Response to Nepal Earthquake, 2015. April 21-22, 2016; Kathmandu, Nepal. http://www.searo.who.int/regional_director/speeches/2016/lessons-learnt-conference-nepal/en/. Accessed January 9, 2017.Google Scholar
14. Merin, O, Yitzhak, A, Bader, T. Medicine in a disaster area: lessons from the 2015 Nepal earthquake-view point. JAMA Intern Med; 175:1437-1438. doi: 10.1001/jamainternmed.2015.3985.Google Scholar
15. Regmi, PR, Aryal, N, Pant, PR, Van Teijlingen, E, Simkhada, P, Devkota, B. Priority public health interventions and research agendas in post-earthquake Nepal. South East Asia J Public Health. 2015;5(2):7-12. http://dx.doi.org/10.3329/seajph.v5i2.28307.Google Scholar