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Preparing International Relief Workers for Health Care in the Field: An Evaluation of Organizational Practices

Published online by Cambridge University Press:  28 June 2012

Rachel T. Moresky ,
M. James Eliades ,
M.A. Bhimani ,
E. Bradshaw Bunney  and
Michael J. VanRooyen
Rachel T. Moresky
Affiliation:
University of Illinois Department of Emergency Medicine, Chicago, Illinois, USA
M. James Eliades
Affiliation:
The Johns Hopkins Center for International Emergency, Disaster and Refugee Studies, Department of Emergency Medicine;The Johns Hopkins School of Medicine, Department of International Health; The Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland, USA
M.A. Bhimani
Affiliation:
The Johns Hopkins Center for International Emergency, Disaster and Refugee Studies, Department of Emergency Medicine;The Johns Hopkins School of Medicine, Department of International Health; The Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland, USA
E. Bradshaw Bunney
Affiliation:
University of Illinois Department of Emergency Medicine, Chicago, Illinois, USA
Michael J. VanRooyen*
Affiliation:
The Johns Hopkins Center for International Emergency, Disaster and Refugee Studies, Department of Emergency Medicine;The Johns Hopkins School of Medicine, Department of International Health; The Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland, USA
*
Center for International Emergency, Disaster and Refugee Studies, The Johns Hopkins University, 1830 E. Monument Street, Suite 6-100, Baltimore, MD 21287, USA
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Abstract

The growth of the humanitarian aid industry has led to the proliferation of relief programs and the rapid rise in the number of relief personnel working in the field. One major necessity in developing successful international programs is appropriately trained field personnel. The purpose of this study was to evaluate the educational practice and training methods for field workers by non-government organizations (NGO).

Of the 53 organizations surveyed, 64% responded that they sent health care workers to acute human emergencies. A majority of organizations, 31/53 (59%), used manuals as the primary method of training for workers before going into the field. Eighty-five percent of organizations (45/53) supplied their workers with trip briefings from prior personnel before going into the field, and 91% (48/53) had an on-site coordinator. Only 34% (18/53) provided classroom teaching or orientation prior to departure. The average number of months spent by workers abroad was ≤1 for nearly half (49%) of the NGOs. Only 34% (18/53) of the NGOs required that personnel had previous international experience.

Training of humanitarian workers varies significantly between nongovernmental organizations. Lack of standardization in training programs and wide variation of provider preparedness indicates the need by NGOs for enhanced training for field personnel.

Keywords

aideducationemergenciesexperiencefieldhealth carehumanitarianinternationalnongovernmental organizationspersonnelreliefstandardizationtrainingworkers
Type
Part II: Complex Emergencies: Research Initiatives
Information
Prehospital and Disaster Medicine , Volume 16 , Special Issue 4: Complex Emergencies , December 2001 , pp. 257 - 262
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2001

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References

1.VanRooyen, M, Eliades, J, Stress, M et al. : Perceived effectiveness of medical personnel working in Bosnia: JAMA 1999;282:5. Editorial.CrossRefGoogle ScholarPubMed
2.Bryant, SM, McKenzie, T, Layang, R: Interaction Member Profiles 2000-2001. American Council for Voluntary International Action.Google Scholar
3.Gunby, P: Physician service opportunities abroad. JAMA 1999;282(5): 414–418.Google Scholar
4.Werner, D: Where there is no doctor. Palo alto, CA: The Hesperian Foundation, 1993.Google Scholar
5.The Sphere Project: The Sphere Humanitarian Charter and Minimum Standards in Disaster Response. Oxfam Publishing 1993.Google Scholar
6.Purin, P: Handbook on War and Public Health. International Committee of the Red Cross: Geneva, Switzerland, 1996.Google Scholar
7.Médicins sans Frontières: Refugee Health: An Approach to Emergency Situations. London: Mcmillan LTD, 1997.Google Scholar
8.Marchand, C, Ganayre, R, dIvernois, JF: Validation d'un guide d'evaluation de programmes de formation en sante dans le cadre de l'action humanitaire. Cahiers Sante 1998;8:119–126.Google Scholar
9.Green, A, Matthias, A: How governments view nongovernmental organizations. World Health Forum 1996;17(1):42–45.Google ScholarPubMed
10.Sheik, M, Gutierrez, MI, Bolton, P, Spiegel, P, Thieren, M, Burnham, G: Deaths among humanitarian workers. BMJ 2000;321:166–168.CrossRefGoogle ScholarPubMed
11.Werner, D, Bower Bill: Helping Health Workers Learn. Palo Alto, CA: The Hesperian Foundation, 1993.Google Scholar