A Qualitative Analysis of Opportunities to Strengthen Coordination Between Humanitarian Mine Action and Emergency Care for Civilian Casualties of Explosive Injury.

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Tác giả: Emilie Calvello-Hynes, Constance Fontanet, Elke Hottentot, Sebastian Kasack, Adam Kushner, Alex Munyambabazi, Barclay Stewart, Micah Trautwein, Hannah B Wild

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: United States : Disaster medicine and public health preparedness , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 722015

OBJECTIVES: Explosive ordnance (EO) and explosive weapons (EW) inflict significant suffering on civilian populations in conflict and post-conflict settings. At present, there is limited coordination between humanitarian mine action (HMA) and emergency care for civilian victims of EO/EW. Key informant interviews with sector experts were conducted to evaluate strategies for enhanced engagement between HMA and emergency care capacity-building in EO/EW-affected settings. METHODS: A cross-sectional qualitative study was conducted to interview HMA and health sector experts. Data were analyzed in Dedoose using deductive and inductive coding methods. RESULTS: Nineteen key informants were interviewed representing sector experts in HMA, health, and policy domains intersecting with the care of EO/EW casualties. Recommendations included integration of layperson first responder trainings with EO risk education, development of prehospital casualty notification systems with standardized health facility capacity mapping, and refresher trainings for HMA medics at local health facilities. CONCLUSIONS: Medical capabilities within the HMA sector hold potential to strengthen emergency care for civilian EO/EW casualties yet in the absence of structured coordination strategies is underutilized for this purpose. Increased HMA engagement in emergency care may enhance implementation of evidence-based emergency care interventions to decrease preventable death and disability among civilian victims of EO/EW in low-resource settings.
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