DISASTER RISK REDUCTION PERSPECTIVES IN HEALTH SERVICE DELIVERY IN SOUTH AFRICA

Abstract

Health service delivery is susceptible to a spate of disasters. It stands to reason that Disaster Risk Reduction theorised in the paper, would prevent the destructive effects of natural or man-made disasters, and address overwhelming demands for primary and quality health care. Disaster planning and response within the health sector is important in promoting an efficient, effective and economical service delivery. The paper locates the discussion within the Department of Health in general, with a brief discussion on global impacts on health. Typologies of health challenges include a lack of integrated planning, disasters and risks are not a priority in management’s agenda, and a reactive approach is adopted. The authors advocate a multidisciplinary activities and cooperative interaction from all stakeholders. Responsibility rests on a well-integrated Disaster Risk Reduction framework for use in the health districts and the health sector overall. This paper is a contribution to contemporary perspectives in relation to current trends and issues relating to disaster risk reduction. The intention is to expand attention of disaster risk reduction and management for health from that of response and recovery to a more proactive approach accentuating preparedness and mitigation (health risk management). It concludes that robust health systems inclusive of Primary Health Care can initially lessen fundamental vulnerability; thereafter, protect health facilities and services; and finally scale-up response to meet the comprehensive health needs during disastrous incidents making disaster risk reduction a strategic initiative. The paper therefore, emphasises disaster risk reduction to address risks in health service delivery, and to plan for potential vulnerabilities as non-negotiables.

Keywords

• Disaster Risk Reduction, Health Service Delivery, Health Care, Proactive Approach, Response