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Primary Health care and Disasters—The Current State of the Literature: What We Know, Gaps and Next Steps

  • Lynda Redwood-Campbell (a1) and Jonathan Abrahams (a2)
  • DOI:
  • Published online: 01 September 2011

Introduction: The 2009 Global Platform for Disaster Risk Reduction/Emergency Preparedness (DRR/EP) and the Hyogo Framework for Action 2005-2015 demonstrate increased international commitment to DRR/EP in addition to response and recovery. In addition, the World Health Report 2008 has re-focused the world's attention on the renewal of Primary Health Care (PHC) as a set of values/principles for all sectors. Evidence suggests that access to comprehensive PHC improves health outcomes and an integrated PHC approach may improve health in low income countries (LICs). Strong PHC health systems can provide stronger health emergency management, which reinforce each other for healthier communities.

Problem: The global re-emphasis of PHC recently necessitates the health sector and the broader disaster community to consider health emergency management from the perspective of PHC. How PHC is being described in the literature related to disasters and the quality of this literature is reviewed. Identifying which topics/lessons learned are being published helps to identify key lessons learned, gaps and future directions.

Methods: Fourteen major scientific and grey literature databases searched. Primary Health Care or Primary Care coupled with the term disaster was searched (title or abstract). The 2009 ISDR definition of disaster and the 1978 World Health Organization definition of Primary Health Care were used. 119 articles resulted.

Results: Literature characteristics; 16% research papers, only 29% target LICs, 8% of authors were from LICs, 7% clearly defined PHC, 50% used PHC to denote care provided by clinicians and 4% cited PHC values and principles. Most topics related to disaster response. Key topics; true need for PHC, mental health, chronic disease, models of PHC, importance of PHC soon after a natural disaster relative to acute care, methods of surge capacity, utilization patterns in recovery, access to vulnerable populations, rebuilding with the PHC approach and using current PHC infrastructure to build capacity for disasters.

Conclusions: Primary Health Care is very important for effective health emergency management during response and recovery, but also for risk reduction, including preparedness. There is need to; increase the quality of this research, clarify terminology, encourage paper authorship from LICs, develop and validate PHC- specific disaster indicators and to encourage organizations involved in PHC disaster activities to publish data. Lessons learned from high-income countries need contextual analysis about applicability in low-income countries.

Corresponding author
Correspondence: Lynda Redwood-Campbell, MD, CCFP, FCFP, DTMH, MPH Department of Family MedicineFaculty of Health SciencesMcMaster UniversityCANADA L8P OA1 E-mail:
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

WI Van Damme , WI Van Lerberghe , M Boelaert : Primary health care vs. emergency medical assistance: A conceptual framework. Health Policy Plan 2002;17(1):4960.

J Macinko , B Starfield , T Erinosho : The Impact of Primary Healthcare on Population Health in Low and Middle Income Countries. J Ambul Care Manage 2009;32(2):150171.

MG Millin , JL Jenkins , T Kirsch : A comparative analysis of two external health care disaster responses following hurricane Katrina. Prehosp Emerg Care 2006;10(4):451456.

AA Kazzi , MI Langdorf , N Handly , K White , K Ellis : Earthquake epidemiology: The 1994 Los Angeles earthquake emergency department experience at a community hospital. Prehosp Disaster Med 2000;15(1):1219.

WG Hlady , LE Quenemoen , RR Armenia-Cope , KJ Hurt , J Malilay , EK Noji , et al: Use of a modified cluster sampling method to perform rapid needs assessment after hurricane Andrew. Ann Emerg Med 1994;23(4):719725.

JP Fernald , EA Clawson : The mobile army surgical hospital humanitarian assistance mission in Pakistan: The primary care experience. Mil Med 2007;172(5):471477

D Tregoning : The roles and responsibilities of primary care trusts in emergency planning: A report of a major incident in. Public Health 2004;118(2):146150.

EM Summerhill , MC Mathew , S Stipho , AW Artenstein , L Jagminas , PM Russo-Magno , et al: A simulation-based biodefense and disaster preparedness curriculum for internal medicine residents. Med Teach. 2008;30(6):145–51.

GS Birketvedt , MA Rafey , B Stein , W Ho , T Karson , D Smith , et al: Impact of the world trade center disaster on blood pressure level and depression in a primary care practice in a hospital in New York city. Am J Hypertens 2002;15:92A.

J Calderon-Abbo : The long road home: Rebuilding public inpatient psychiatric services in post-Katrina New Orleans. Psychiatr Serv 2008;59(3):304309.

HT de Bocanegra , S Moskalenko , EJ Kramer : PTSD, depression, prescription drug use, and health care utilization of Chinese workers affected by the WTC attacks. J Immigr Health 2006;8(3):203210.

DP Eisenman , BD Stein , TL Tanielian , HA Pincus : Terrorism's psychologic effects and their implications for primary care policy, research, and education. J Gen Intern Med 2005;20(8):772776.

BR Lima : Primary mental health care for disaster victims in developing countries. Disasters 2007;10(3):203204.

BR Lima , H Chavez , N Samaniego , MS Pompei , S Pai , H Santacruz , et al: Disaster severity and emotional disturbance: Implications for primary mental health care in developing countries. Acta Psychiatr Scand 1989;79(1):7482.

BR Lima , H Santacruz , J Lozano , H Chavez , N Samaniego , MS Pompel , et al: Disasters and mental health: Experience in Colombia and Ecuador and its relevance for primary care in mental health in Latin America. Int J Ment Health Nurs 19851990;19(2):320.

MA Polusny , BJ Ries , JR Schultz , P Calhoun , L Clemensen , IR Johnsen : PTSD symptom clusters associated with physical health and health care utilization in rural primary care patients exposed to natural disaster. J Trauma Stress 2008;21(1):7582.

VE Prasetiyawan , A Maramis , BA Keliat : Mental health model of care programmes after the tsunami in Aceh, Indonesia. Int Rev Psychiatry 2006;18(6):559562.

RJ Ursano , FP Cerise , R DeMartino , DB Reissman , MK Shear : The impact of disasters and their aftermath on mental health. Primary Care Companion to J Clin Psych 2006;8(1):411.

CC Vollath , GH Seidler : The Tsunami of 2004: Diagnosis of trauma sequelae in primary care. Dtsch Med Wochenschr 2006;131(50):28592863.

L Weisaeth , G Dyb , T Heir : Commentary on “five essential elements of immediate and mid-term trauma intervention: Empirical evidence” by Hobfoll, Watson et al. disaster medicine and mental health: Who, how, when for international and national disasters. Psychiatry: Interperson Bio Proces 2007;70(4):337344.

RA Clark , L Besch , M Murphy , J Vick , C Gurd , S Broyles , et al: Six months later: The effect of hurricane Katrina on health care for persons living with HIV/AIDS in New Orleans. AIDS Care 2006;18(1):5961.

AK Henderson , SR Lillibridge , C Salinas , RW Graves , PB Roth , EK Noji : Disaster medical assistance teams: Providing health care to a community struck by hurricane Iniki. Ann Emerg Med 1994;23(4):726730.

MX Cicero , CR Baum : Pediatric disaster preparedness: Best planning for the worst-case scenario. Pediatr Emerg Care 2008;24(7):478481.

D Laraque , JA Boscarino , A Battista , A Fleischman , M Casalino , YY Hu , et al: Reactions and needs of tri-state area pediatricians after the events of September 11th: Implications for children's mental health services. Pediatrics 2004;113(5):13571366.

DM Krol , M Redlener , A Shapiro , A Wajnberg : A mobile medical care approach targeting underserved populations in post-hurricane Katrina Mississippi. J Health Care Poor Underserved 2007;18(2):331340.

DA Lane : Medical support to Sri Lanka in the wake of tsunamis: Planning considerations and lessons learned. Mil Med 2006;171(10):923.

T Dorn , CJ Yzermans , JJ Kerssens , PM Spreeuwenberg , J Van Der Zee : Disaster and subsequent healthcare utilization: A longitudinal study among victims, their family members, and control subjects. Med Care 2006;44(6):581586.

G Soberón , J Frenk , J Sepúlveda : The health care reform in Mexico: Before and after the 1985 earthquakes. Am J Public Health 1986;76(6):673680.

J Haggerty , F Burge , J Levesque , D Gass , R Pineault , M Beaulieu , D Santor : Operational definitions of attributes of primary health care; Consensus among Canadian experts. Ann Fam Med 2007;5(4):336344.

TD Edwards , RA Young , AF Lowe : Caring for a surge of hurricane Katrina evacuees in primary care clinics. Ann Fam Med 2007;5(2):170174.

DC Hadorn , D Baker , JS Hodges , N Hicks : Rating the quality of evidence for clinical practice guidelines. J Clin Epidemiol 1996;49(7):749–54.

A Nicoll , D Wilson , N Calvert , P Borriello : Managing major public health crises: Lessons from recent events in the United States and the United Kingdom. BMJ 2001;323(7325).

E Ablah , AM Tinius , L Horn , C Williams , KM Gebbie : Community health centers and emergency preparedness: An assessment of competencies and training needs. J Comm Health 2008;33(4):241247.

J Lauer , J Kastner , A Nutsch : Primary care physicians and pandemic influenza: An appraisal of the 1918 experience and an assessment of contemporary planning. J Public Health Manag Pract 2008;14(4):379386.

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Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
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