Preparing for and Responding to Sexual and Reproductive Health in Disaster Settings: Evidence From Fiji and Tonga Article Swipe
Kristen Beek
,
Robyn Drysdale
,
Matthew Kusen
,
Angela Dawson
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-323102/v1
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-323102/v1
Background Pacific Island countries are vulnerable to natural disasters, including cyclones and earthquakes. Disaster preparedness is key to a well-coordinated response to preventing sexual violence and assisting survivors, reducing the transmission of HIV and other STIs, and preventing excess maternal and neonatal mortality and morbidity. The International Planned Parenthood Federation (IPPF), in collaboration with its Member Associations and national and international partners, has focused on building country capacity as part of the SPRINT program to implement global standards for sexual and reproductive health and rights (SRHR) during disasters. In 2016 Tropical Cyclone Winston peaked near Fiji, and in 2018, Tropical Cyclone Gita severely impacted Tonga. This study aimed to identify the capacity development activities undertaken as part of SPRINT in Fiji and Tonga and how these enabled the SRH response to both cyclones. Methods This descriptive qualitative study was informed by a framework designed to assess public health emergency response capacity across various levels (systems, organizational, and individual) and two phases of the disaster management cycle (preparedness and response). key informants were recruited purposively to include diverse individuals from relevant organisations and interviewed by telephone, Zoom, Skype and email. Template analysis was used to examine the data. Findings Eight key informants were interviewed from eight organisations involved in response to cyclones Winston and Gita. Differences in the country contexts were highlighted. The existing program of training in Tonga, investment from the IPPF Humanitarian Hub, the status of the Tonga Family Health Association as the key player in the delivery of SRH, together with its long experience of delivering contract work in short time-frames and strong relationship with the Ministry of Health facilitated a relatively smooth and rapid response. In contrast, training was rapidly delivered in Fiji during the immediate response to the cyclone with the support of surge staff from IPPF. In Fiji, the response was initially hampered by a lack of clarity concerning stakeholder roles and coordination, but linkages were quickly built to enable a response. Participants highlighted the importance of personal relationships, individuals and organizations' motivation to respond, and strong rapport with the community to deliver SRH. Discussion This study highlights the need for comprehensive activities at multiple levels within a country and across the Pacific region to build capacity for an SRH response. While the SPRINT initiative has been implemented across several regions to improve organisational and national capacity preparedness training for communities can be strengthened. This research outlines the importance of formalising partnerships and regular meetings and training to ensure the currency of coordination efforts in readiness for activation. However, work is needed to further institutionalise SRH in emergencies in national policy and accountability mechanisms.
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- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-323102/v1
- https://www.researchsquare.com/article/rs-323102/latest.pdf
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- Cited By
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All OpenAlex metadata
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https://doi.org/10.21203/rs.3.rs-323102/v1Digital Object Identifier
- Title
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Preparing for and Responding to Sexual and Reproductive Health in Disaster Settings: Evidence From Fiji and TongaWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-04-01Full publication date if available
- Authors
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Kristen Beek, Robyn Drysdale, Matthew Kusen, Angela DawsonList of authors in order
- Landing page
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https://doi.org/10.21203/rs.3.rs-323102/v1Publisher landing page
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https://www.researchsquare.com/article/rs-323102/latest.pdfDirect link to full text PDF
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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Reproductive health, Psychology, Criminology, Political science, Sociology, Demography, PopulationTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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| referenced_works | https://openalex.org/W6605843028, https://openalex.org/W3016081113, https://openalex.org/W2749115213, https://openalex.org/W1647105209, https://openalex.org/W2131317909, https://openalex.org/W2114126548, https://openalex.org/W1969103159, https://openalex.org/W2772322937, https://openalex.org/W1494410142, https://openalex.org/W3174272691 |
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