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Identifying exposures of health facilities to potential disasters in the Greater Accra Metropolitan Area of Ghana
International Journal of Disaster Risk Reduction ( IF 5 ) Pub Date : 2021-01-08 , DOI: 10.1016/j.ijdrr.2020.102028
Bismark Adu-Gyamfi , Rajib Shaw , Bernice Ofosu

The Health sector in Ghana has over the years received huge capital investments from the government, its partners and other private entities. These have resulted in the transformation, upgrade and provision of new health facilities across the country. Despite these efforts, the sector still faces challenges of inadequate infrastructure. Furthermore, the existing facilities may be threatened by the occurrences of disasters in the country. The Greater Accra Metropolitan Area (GAMA), which contains the most advanced health facilities in the country is one area perceived to be most vulnerable to disasters. Hence, this study uses a multiple approach to identify and assess health facilities highly exposed to hazards and may be vulnerable should disaster occur. It samples 60 health facilities from twelve municipalities in the GAMA area for the assessment. The study reveals flooding as a key threat to health facilities in the entire GAMA area but identifies Accra metropolitan area as a locality with most exposed health facilities. Furthermore, the study discovers that, many of the health facilities in GAMA are clustered in a highly vulnerable enclave of about 20 km radius and estimates that, occurrence of any \disaster within this area could affect more than twenty facilities and deny healthcare services to over two hundred thousand people. It suggests collective efforts from all stakeholders to secure and protect these facilities as priority for resilience.



中文翻译:

确定加纳大阿克拉大都会地区的医疗设施暴露于潜在灾害中

多年来,加纳的卫生部门从政府,其合作伙伴和其他私人实体获得了巨额资本投资。这些导致在全国范围内对新的医疗设施进行了改造,升级和提供。尽管做出了这些努力,该行业仍面临基础设施不足的挑战。此外,该国的灾难可能会威胁到现有设施。大阿克拉大都会区(GAMA)拥有该国最先进的医疗设施,被认为是最容易受灾的地区。因此,本研究采用多种方法来识别和评估高度暴露于危险中并可能在灾难发生时易受伤害的医疗机构。它对GAMA地区12个城市的60个卫生机构进行了抽样评估。该研究表明洪水是整个GAMA地区卫生设施的主要威胁,但将阿克拉市区视为卫生设施暴露最严重的地区。此外,研究发现,GAMA中的许多医疗机构都聚集在一个半径约20公里的高度脆弱的飞地中,并估计该地区发生的任何“灾难”都可能影响20多个机构,并拒绝向20万人。它建议所有利益相关者共同努力,以确保这些设施的安全,这是恢复力的优先事项。GAMA中的许多医疗机构都聚集在一个半径约20公里的高度脆弱的飞地中,据估计,该地区发生的任何“灾难”都可能影响20多个机构,并拒绝向20万人提供医疗服务。它建议所有利益相关者共同努力,以确保这些设施的安全,这是恢复力的优先事项。GAMA中的许多医疗机构都聚集在一个半径约20公里的高度脆弱的飞地中,据估计,该地区发生的任何“灾难”都可能影响20多个机构,并拒绝向20万人提供医疗服务。它建议所有利益相关者共同努力,以确保这些设施的安全,这是恢复力的优先事项。

更新日期:2021-01-15
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