Priority of barriers and facilitators of coordination in disasters

Background & Aim: Coordination is the critical factor to successful organization in appropriate response to disasters, and a centralized coordination mechanism is the first step towards an effective, efficient and sustainable response to ensure the early and long-term recovery. so the aim of this study was to identifying and prioritizing the barriers and facilitators of coordination in disasters. Methods: This study is a descriptive and cross-sectional study which has conducted in 2016. The participants were 22 experts in field of disaster. Data collection tool was a researcher- made questionnaire according the analytical hierarchy process approach. For data analysis, we used Expert Choice software.Results: results showed among the barriers, dominance of organizational approach instead of national points of view when addressing the healthmanagement during disasters , took the priority rank of 1, earning the score of 0.344 and among the facilitators, having a processive and organizational view in health management during disasters , took the priority rank of 1, earning the score of 0.374Conclusion: It appears that increasing the effective coordination in health area will require us to develop infrastructure and structural measures in this area which include strengthening the authorities’ belief of the health system’s role in the response to disasters, strengthening the national approach rather than organizational approach in the field of health at disasters, implementing the coordination requirements, sufficient and special attending to public participation, reducing the organizational friction in the health field for sharing resources and information, enhancing the level of readiness with a focus on people and training programs, creating an evaluation process in the health field at disasters.

Keywords:

Coordinating , Disaster , Barrier , Facilitator