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Disaster Management in Rural and Remote Primary Health Care: A Scoping Review.

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Rural and remote primary health care professionals (PHCPs) are vital in all disaster phases, from prevention to recovery. Their flexible practice enables crucial roles in community resilience, early warnings, response, and long-term mental health support.

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Area of Science:

  • Disaster Health Management
  • Rural Health
  • Primary Health Care

Background:

  • Disasters pose significant risks to communities, with unique challenges for rural and remote areas.
  • Primary health care professionals (PHCPs) are essential in managing the Prevention, Preparedness, Response, and Recovery (PPRR) stages of disaster management.

Purpose of the Study:

  • To map the diverse roles of rural and remote primary health care professionals (PHCPs) during disaster events.
  • To understand the contributions of PHCPs across all phases of disaster management.

Main Methods:

  • A comprehensive scoping review was conducted following the Johanna Briggs Institute (JBI) methodology.
  • A systematic search was performed across seven electronic databases.

Main Results:

  • Sixty-one distinct roles for PHCPs were identified across the four disaster management stages from 41 included studies.
  • Key roles include community resilience building, disaster preparedness planning, surveillance, patient triage, infection control, and mental health support.
  • PHCPs provide critical long-term follow-up and facilitate access to post-disaster support during the recovery phase.

Conclusions:

  • Rural and remote PHCPs are integral to disaster management, demonstrating significant contributions throughout the entire continuum.
  • Their adaptable scope of practice positions them effectively for all disaster phases, from community preparedness to leading recovery efforts.