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Tailoring Disaster Risk Reduction for Adolescents: Perspectives from China and Nepal

Published online by Cambridge University Press:  06 May 2019

Elizabeth Newnham
Affiliation:
School of Psychology, Curtin University, Perth, Australia FXB Center for Health and Human Rights, Harvard University, Boston, United States
Xue Gao
Affiliation:
School of Psychology, Curtin University, Perth, Australia
Jessica Tearne
Affiliation:
School of Psychology, Curtin University, Perth, Australia
Bhushan Guragain
Affiliation:
Centre for Victims of Torture, Kathmandu, Nepal
Feng Jiao
Affiliation:
Kunming Medical University, Kunming, China
Lajina Ghimire
Affiliation:
Centre for Victims of Torture, Kathmandu, Nepal
Satchit Balsari
Affiliation:
FXB Center for Health and Human Rights, Harvard University, Boston, United States
Emily Chan
Affiliation:
FXB Center for Health and Human Rights, Harvard University, Boston, United States CCOUC, Chinese University of Hong Kong, Hong Kong, Hong Kong
Jennifer Leaning
Affiliation:
FXB Center for Health and Human Rights, Harvard University, Boston, United States
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Abstract

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Introduction:

More than half of the world’s youth live in the Asia Pacific region, yet efforts to reduce disaster risk for adolescents are hindered by an absence of age-specific data on protection, health, and engagement.

Aim:

China and Nepal have faced a recent escalation in the number of climatic and geological hazards affecting urban and rural communities. We aimed to examine disaster-related threats experienced by adolescents and their caregivers in China and Nepal, determine the scope for adolescent participation, and elicit recommendations for improving disaster risk reduction.

Methods:

Sixty-nine adolescents (51% female, ages 13-19) and 72 adults (47% female, ages 22-66) participated in key informant interviews and focus group discussions in disaster-affected areas of southern China and Nepal. Using inductive content analysis, several themes were identified as key to adolescents’ needs.

Results:

Security and protection emerged as a central issue, interlinked with preparedness, timely and equitable disaster response, psychosocial support, and adolescent participation. The mental health risks emerging from trauma exposure were substantial. Adolescents made extensive contributions to disaster response including involvement in rescue efforts and delivering first aid, rebuilding homes and caring for family members. Participants forwarded a number of recommendations, including investing in psychological support, skills training, and stronger systems of protection for those at risk of family separation, trafficking, or removal from school.

Discussion:

The findings informed a multilevel, interconnected model for disaster risk reduction tailored to adolescents’ needs. Supporting adolescents’ recovery and long-term resilience after humanitarian crises will require coordinated efforts in preparedness, security, and mental health care.

Type
Psychosocial
Copyright
© World Association for Disaster and Emergency Medicine 2019