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Public Health Emergency Preparedness and Response to Natural Disaster in Sierra Leone: The Milestone in a Decade

Received: 9 October 2023    Accepted: 25 October 2023    Published: 9 November 2023
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Abstract

Introduction: The African continent has always been faced with myriads of public health emergencies associated with natural disasters. The level of preparedness for and response to each of the natural disasters, which are most often unanticipated, have been reported to be of varying degrees across the African member states. There is a dearth of knowledge regarding Sierra Leone, which necessitates the need for this study. Objective: The main objective of this study is to unravel the evolutionary trend of Emergency Preparedness and Response (EPR) towards the natural disaster events in Sierra Leone between 2010 and 2020. Method: This is a descriptive survey study involving a quantitative and qualitative approach with data collection from the desk review of secondary sources and key informants’ interviews. A semi-structured questionnaire was used to collect primary qualitative data from 77 key informants from multi-sectoral agencies. Data collected were transcribed, coded, and analyzed thematically. Findings were presented in tables, pie and bar charts, and in narrations as appropriate. Results: Three natural disasters (mudslides, flooding, and fire disasters in that order) were perceived by respondents to have occurred most frequently within the decade of the study. Perceived key capacities of Sierra Leone for natural disaster management include coordination and leadership, Public Health Emergency Operation Centre (PHEOC), Epidemiological Surveillance, Risk Communication and Community Engagement (RCCE), Operation Support, and Logistics. While most of these reportedly require improvement, respondents also reiterated the need for strengthening laboratory services and workforce development. On a general note, respondents noted an appreciable evolution of the public health emergency response to natural disasters in Sierra Leone within the decade of study with a perceived need for improvement in the level of preparedness while advocating for more commitments towards formidable recovery measures to be put in place, especially in the communities that are frequently hit by the natural disasters. Conclusion: The varying degrees of the respondents’ perceptions of various thematic areas of this study point to the existence of different statuses in the level of resilience in diverse blocks of the public health emergency response to natural disasters in Sierra Leone. It is hopeful that taking the findings in this study into consideration by relevant stakeholders during policy making in Sierra Leone can serve as the springboard for ensuring a face-lift in the structure and tenacity of the emergency response to the natural disasters in Sierra Leone and the African region, by extension.

Published in World Journal of Public Health (Volume 8, Issue 4)
DOI 10.11648/j.wjph.20230804.14
Page(s) 272-279
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Public Health Emergency, Preparedness, Response, Natural Disaster, Sierra Leone

References
[1] Thurston, A. M., Stöckl, H., Ranganathan, M., 2021. Natural hazards, disasters and violence against women and girls: a global mixed-methods systematic review. BMJ Global Health 6, e004377. https://doi.org/10.1136/bmjgh-2020-004377
[2] Calo-Blanco A, Kovářík J, Mengel F, Romero JG. (2017). Natural disasters and indicators of social cohesion. PLoS One. 12 (6) p 1-4.
[3] International Federation of Red Cross and Red Crescent Societies (IFRC). 2018 world disasters report: leaving no one behind. Geneva: IFRC, 2018: p 145.
[4] United Nations Office for Disaster Risk Reduction (UNDRR) (2018). Progress review and the way forward: gender equality and social inclusion in implementing the Sendai framework for disaster risk reduction in Asia. Asia Partnership Stakeholder Group on Gender Issues, 2018: 48.
[5] Turay B and Gbetuwa S (2022). A state-of-the-art examination of disaster management in Sierra Leone: the implementation drawbacks, research gaps, advances, and prospects. Geo-environmental Disasters. 2022; 9 (1): 22. Published online 2022 Nov 3. doi: 10.1186/s40677-022-00224-3.
[6] Dumbuya B, Nirupama N. Disasters and long-term economic sustainability (2017): a perspective on Sierra Leone. Int J Disaster Resil Built Environ. 8 (1): 58–76.
[7] Pacific Disaster Center (2020) Sierra Leone National Disaster Preparedness Baseline Assessment.
[8] Bambra, C., Riordan, R., Ford, J., Matthews, F.,(2020). The COVID-19 pandemic and health inequalities. Journal of Epidemiology and Community Health jech-2020-21440.. https://doi.org/10.1136/jech-2020-214401
[9] Shin YA, Yeo J, Jung K. (2018). The effectiveness of international non-governmental organizations’ response operations during public health emergency: lessons learned from the 2014 Ebola Outbreak in Sierra Leone. Int J Environ Res Public Health. 15 (4): 650.
[10] Osuteye E, Johnson C, Brown D (2017). The data gap: an analysis of data availability on disaster losses in sub-Saharan African cities. Int J Disaster Risk Reduct. 26: 24–33.
[11] National Disaster Management Agency Act, CXLXI (2020). https://ndma.gov.sl/
[12] Sesay, M., Bradley, M. (2022). “When the ground opened”: Responsibility for harms and rights violations in disasters – Insights from Sierra Leone. Journal of Human Rights 21, 1–17. https://doi.org/10.1080/14754835.2021.1935221
[13] United Kingdom Centre for Ecology and Hydrology (2022). Deforestation Increases the risk of flash flooding in fast-growing West African Coastal Cities. Accessed on 03 October, 2023. Available from https://www.ceh.ac.uk/deforestation-increases-risk-flash-flooding-fast-growing-west-african-coastal-cities
[14] Lim HW, Li Z, Fang D. (2020) Impact of management, leadership, and group integration on the hospital response readiness for earthquakes, International Journal of Disaster Risk Reduction, 48 (1), p 2212-4209, https://doi.org/10.1016/j.ijdrr.2020.101586.
[15] Khan Y, Schwartz B, Johnson I. (2014). Surveillance and epidemiology in natural disasters: a novel framework and assessment of reliability. PLoS Curr. (10); 6 https://doi.org/10.1371%2Fcurrents.dis.6773eb9d5e64b733ab490f78de346003
[16] Fakhruddin B, Clark H, Robinson L, Hieber-Girardet L, (2020). Should I stay or should I go now? Why risk communication is the critical component in disaster risk reduction, Progress in Disaster Science, 8, 2020, 100139, ISSN 2590-0617. https://doi.org/10.1016/j.pdisas.2020.100139
[17] Rahman M. T., Majchrzak TA., and Comes T. (2019). Deep uncertainty in humanitarian logistics operations: decision-making challenges in responding to large-scale natural disasters. International Journal of emergency Management. 15 (3) pp 276 297 https://doi.org/10.1504/IJEM.2019.102314
[18] Aliyu A. Management of disasters and complex emergencies in Africa: The challenges and constraints. Ann Afr Med. 2015 Jul-Sep; 14 (3): 123-31.
[19] Economic Community of West African States (2006). ECOWAS Policy for Disaster Risk Reduction. Accessed on 03 October 2023. Available from https://www.preventionweb.net/files/4037_ECOWASpolicyDRR.pdf
[20] Kalfin, Sukono, Supian, S., Mamat, M., 2022. Insurance as an Alternative for Sustainable Economic Recovery after Natural Disasters: A Systematic Literature Review. Sustainability 14, 4349. https://doi.org/10.3390/su14074349
[21] Michel Masozera, Melissa Bailey, Charles Kerchner, (2007) Distribution of impacts of natural disasters across income groups: A case study of New Orleans, Ecological Economics, 63, Issues 2–3, p 299-306.
Cite This Article
  • APA Style

    Nannie Conteh, I., Chisaka Kasolo, F., Olaiya Abiodun, P., Obi Daniel, E., Fouard Kanu, A., et al. (2023). Public Health Emergency Preparedness and Response to Natural Disaster in Sierra Leone: The Milestone in a Decade. World Journal of Public Health, 8(4), 272-279. https://doi.org/10.11648/j.wjph.20230804.14

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    ACS Style

    Nannie Conteh, I.; Chisaka Kasolo, F.; Olaiya Abiodun, P.; Obi Daniel, E.; Fouard Kanu, A., et al. Public Health Emergency Preparedness and Response to Natural Disaster in Sierra Leone: The Milestone in a Decade. World J. Public Health 2023, 8(4), 272-279. doi: 10.11648/j.wjph.20230804.14

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    AMA Style

    Nannie Conteh I, Chisaka Kasolo F, Olaiya Abiodun P, Obi Daniel E, Fouard Kanu A, et al. Public Health Emergency Preparedness and Response to Natural Disaster in Sierra Leone: The Milestone in a Decade. World J Public Health. 2023;8(4):272-279. doi: 10.11648/j.wjph.20230804.14

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  • @article{10.11648/j.wjph.20230804.14,
      author = {Ishata Nannie Conteh and Francis Chisaka Kasolo and Paul Olaiya Abiodun and Ebenezer Obi Daniel and Alhassan Fouard Kanu and Rashidatu Fouard Kamara and Aziza Amina Sahid and Olaniyi Felix Sanni and Aminata Tigiedankay Koroma and Josephine Amine Koroma and Lynda Foray-Rhall and Mukeh Kenneth Fahnbulleh and Charles Keimbe and Joseph Sam Kanu and Mohamed Vandy and Daniel Ganu},
      title = {Public Health Emergency Preparedness and Response to Natural Disaster in Sierra Leone: The Milestone in a Decade},
      journal = {World Journal of Public Health},
      volume = {8},
      number = {4},
      pages = {272-279},
      doi = {10.11648/j.wjph.20230804.14},
      url = {https://doi.org/10.11648/j.wjph.20230804.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20230804.14},
      abstract = {Introduction: The African continent has always been faced with myriads of public health emergencies associated with natural disasters. The level of preparedness for and response to each of the natural disasters, which are most often unanticipated, have been reported to be of varying degrees across the African member states. There is a dearth of knowledge regarding Sierra Leone, which necessitates the need for this study. Objective: The main objective of this study is to unravel the evolutionary trend of Emergency Preparedness and Response (EPR) towards the natural disaster events in Sierra Leone between 2010 and 2020. Method: This is a descriptive survey study involving a quantitative and qualitative approach with data collection from the desk review of secondary sources and key informants’ interviews. A semi-structured questionnaire was used to collect primary qualitative data from 77 key informants from multi-sectoral agencies. Data collected were transcribed, coded, and analyzed thematically. Findings were presented in tables, pie and bar charts, and in narrations as appropriate. Results: Three natural disasters (mudslides, flooding, and fire disasters in that order) were perceived by respondents to have occurred most frequently within the decade of the study. Perceived key capacities of Sierra Leone for natural disaster management include coordination and leadership, Public Health Emergency Operation Centre (PHEOC), Epidemiological Surveillance, Risk Communication and Community Engagement (RCCE), Operation Support, and Logistics. While most of these reportedly require improvement, respondents also reiterated the need for strengthening laboratory services and workforce development. On a general note, respondents noted an appreciable evolution of the public health emergency response to natural disasters in Sierra Leone within the decade of study with a perceived need for improvement in the level of preparedness while advocating for more commitments towards formidable recovery measures to be put in place, especially in the communities that are frequently hit by the natural disasters. Conclusion: The varying degrees of the respondents’ perceptions of various thematic areas of this study point to the existence of different statuses in the level of resilience in diverse blocks of the public health emergency response to natural disasters in Sierra Leone. It is hopeful that taking the findings in this study into consideration by relevant stakeholders during policy making in Sierra Leone can serve as the springboard for ensuring a face-lift in the structure and tenacity of the emergency response to the natural disasters in Sierra Leone and the African region, by extension.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Public Health Emergency Preparedness and Response to Natural Disaster in Sierra Leone: The Milestone in a Decade
    AU  - Ishata Nannie Conteh
    AU  - Francis Chisaka Kasolo
    AU  - Paul Olaiya Abiodun
    AU  - Ebenezer Obi Daniel
    AU  - Alhassan Fouard Kanu
    AU  - Rashidatu Fouard Kamara
    AU  - Aziza Amina Sahid
    AU  - Olaniyi Felix Sanni
    AU  - Aminata Tigiedankay Koroma
    AU  - Josephine Amine Koroma
    AU  - Lynda Foray-Rhall
    AU  - Mukeh Kenneth Fahnbulleh
    AU  - Charles Keimbe
    AU  - Joseph Sam Kanu
    AU  - Mohamed Vandy
    AU  - Daniel Ganu
    Y1  - 2023/11/09
    PY  - 2023
    N1  - https://doi.org/10.11648/j.wjph.20230804.14
    DO  - 10.11648/j.wjph.20230804.14
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 272
    EP  - 279
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20230804.14
    AB  - Introduction: The African continent has always been faced with myriads of public health emergencies associated with natural disasters. The level of preparedness for and response to each of the natural disasters, which are most often unanticipated, have been reported to be of varying degrees across the African member states. There is a dearth of knowledge regarding Sierra Leone, which necessitates the need for this study. Objective: The main objective of this study is to unravel the evolutionary trend of Emergency Preparedness and Response (EPR) towards the natural disaster events in Sierra Leone between 2010 and 2020. Method: This is a descriptive survey study involving a quantitative and qualitative approach with data collection from the desk review of secondary sources and key informants’ interviews. A semi-structured questionnaire was used to collect primary qualitative data from 77 key informants from multi-sectoral agencies. Data collected were transcribed, coded, and analyzed thematically. Findings were presented in tables, pie and bar charts, and in narrations as appropriate. Results: Three natural disasters (mudslides, flooding, and fire disasters in that order) were perceived by respondents to have occurred most frequently within the decade of the study. Perceived key capacities of Sierra Leone for natural disaster management include coordination and leadership, Public Health Emergency Operation Centre (PHEOC), Epidemiological Surveillance, Risk Communication and Community Engagement (RCCE), Operation Support, and Logistics. While most of these reportedly require improvement, respondents also reiterated the need for strengthening laboratory services and workforce development. On a general note, respondents noted an appreciable evolution of the public health emergency response to natural disasters in Sierra Leone within the decade of study with a perceived need for improvement in the level of preparedness while advocating for more commitments towards formidable recovery measures to be put in place, especially in the communities that are frequently hit by the natural disasters. Conclusion: The varying degrees of the respondents’ perceptions of various thematic areas of this study point to the existence of different statuses in the level of resilience in diverse blocks of the public health emergency response to natural disasters in Sierra Leone. It is hopeful that taking the findings in this study into consideration by relevant stakeholders during policy making in Sierra Leone can serve as the springboard for ensuring a face-lift in the structure and tenacity of the emergency response to the natural disasters in Sierra Leone and the African region, by extension.
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Cluster, Brazzaville, Congo

  • World Health Organization, Country Office, Accra, Ghana

  • Department of Public Health, Texila American University, Georgetown, Guyana

  • Department of Public Health, Texila American University, Georgetown, Guyana

  • World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Cluster, Brazzaville, Congo

  • World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Cluster, Brazzaville, Congo

  • World Health Organization, Country Office, Banjul, The Gambia

  • Public Health Department, Triune Biblical University Global Extension, New York, USA

  • Directorate of Health Security and Emergencies, Ministry of Health, Freetown, Sierra Leone

  • National Tuberculosis and Leprosy Program, Ministry of Health, Freetown, Sierra Leone

  • Independent Consultant CDC Foundation, Maryland, USA

  • Directorate of Health Security and Emergencies, Ministry of Health, Freetown, Sierra Leone

  • Directorate of Health Security and Emergencies, Ministry of Health, Freetown, Sierra Leone

  • Directorate of Health Security and Emergencies, Ministry of Health, Freetown, Sierra Leone

  • Directorate of Health Security and Emergencies, Ministry of Health, Freetown, Sierra Leone

  • Department of Applied Sciences, Adventist University of Africa, Nairobi, Kenya

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