Challenges of community participation in health emergency and disaster risk management in an Iranian context: a qualitative study

BackgroundDisasters are considered one of the major threats to the health of communities. Given the global spread of disasters, there has been a renewed emphasis in recent years on using community participation approaches in disaster risk management. Community participation in field of emergency and...

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Main Authors: Mohammad Azim Mahmodi, Mehrdad Farrokhi, Seyyed Mohammad Reza Hosseini, Mehdi Najafi, Mohammad Esmaeel Motlagh, Hamid Reza Khankeh
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1460421/full
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author Mohammad Azim Mahmodi
Mehrdad Farrokhi
Seyyed Mohammad Reza Hosseini
Mehdi Najafi
Mohammad Esmaeel Motlagh
Hamid Reza Khankeh
author_facet Mohammad Azim Mahmodi
Mehrdad Farrokhi
Seyyed Mohammad Reza Hosseini
Mehdi Najafi
Mohammad Esmaeel Motlagh
Hamid Reza Khankeh
author_sort Mohammad Azim Mahmodi
collection DOAJ
description BackgroundDisasters are considered one of the major threats to the health of communities. Given the global spread of disasters, there has been a renewed emphasis in recent years on using community participation approaches in disaster risk management. Community participation in field of emergency and disaster health in Low and Middle-income countries faces a lot of challenges.ObjectiveThe objective of this study is to explore the specific challenges faced by communities in Iran concerning their participation in health emergency and disaster risk management.MethodsIn this study, a qualitative content analysis as research methodology was employed. Purposeful sampling was conducted from June 2023 to May 2024 among community members who were willing to participate and had experience collaborating during disasters. Data were collected through semi-structured in-depth interviews and analyzed using Graneheim and Lundman’s method. The rigor of the study was ensured using Lincoln and Guba’s criteria. Each interview was recorded, transcribed into a word document, and then uploaded into MAXQDA (2020). A total of 23 interviews were conducted with 20 participants.ResultsThere were 15 males and five females participating in the study including healthcare managers, academic people, and laypeople. Data analysis revealed nine distinct categories, which were grouped into three overarching themes based on their similarities. These themes addressed issues of insufficient risk perception, community traumatization, and poor social capital.ConclusionThis study sheds light on the multifaceted challenges that hinder effective community participation in health emergency and disaster risk management in Iran. Addressing these barriers is essential for enhancing community resilience and ensuring effective disaster preparedness. To overcome these challenges, it is imperative for policymakers, healthcare managers, and community leaders to collaborate and implement comprehensive strategies that foster community participation.
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spelling doaj-art-d10b3d3d893f4c378f769b071d69aaec2025-01-28T06:41:11ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011310.3389/fpubh.2025.14604211460421Challenges of community participation in health emergency and disaster risk management in an Iranian context: a qualitative studyMohammad Azim Mahmodi0Mehrdad Farrokhi1Seyyed Mohammad Reza Hosseini2Mehdi Najafi3Mohammad Esmaeel Motlagh4Hamid Reza Khankeh5Health in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, IranHealth in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, IranDepartment of Health in Emergencies and Disasters, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, IranDepartment of Rescue and Relief, Iran Helal Applied Science Higher Education Institute, Tehran, IranSchool of Medicine, Jundishapur University of Medical Sciences, Ahvaz, IranHealth in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, IranBackgroundDisasters are considered one of the major threats to the health of communities. Given the global spread of disasters, there has been a renewed emphasis in recent years on using community participation approaches in disaster risk management. Community participation in field of emergency and disaster health in Low and Middle-income countries faces a lot of challenges.ObjectiveThe objective of this study is to explore the specific challenges faced by communities in Iran concerning their participation in health emergency and disaster risk management.MethodsIn this study, a qualitative content analysis as research methodology was employed. Purposeful sampling was conducted from June 2023 to May 2024 among community members who were willing to participate and had experience collaborating during disasters. Data were collected through semi-structured in-depth interviews and analyzed using Graneheim and Lundman’s method. The rigor of the study was ensured using Lincoln and Guba’s criteria. Each interview was recorded, transcribed into a word document, and then uploaded into MAXQDA (2020). A total of 23 interviews were conducted with 20 participants.ResultsThere were 15 males and five females participating in the study including healthcare managers, academic people, and laypeople. Data analysis revealed nine distinct categories, which were grouped into three overarching themes based on their similarities. These themes addressed issues of insufficient risk perception, community traumatization, and poor social capital.ConclusionThis study sheds light on the multifaceted challenges that hinder effective community participation in health emergency and disaster risk management in Iran. Addressing these barriers is essential for enhancing community resilience and ensuring effective disaster preparedness. To overcome these challenges, it is imperative for policymakers, healthcare managers, and community leaders to collaborate and implement comprehensive strategies that foster community participation.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1460421/fullcommunity participationrisk managementsocial capitalperceptionhealthdisasters
spellingShingle Mohammad Azim Mahmodi
Mehrdad Farrokhi
Seyyed Mohammad Reza Hosseini
Mehdi Najafi
Mohammad Esmaeel Motlagh
Hamid Reza Khankeh
Challenges of community participation in health emergency and disaster risk management in an Iranian context: a qualitative study
Frontiers in Public Health
community participation
risk management
social capital
perception
health
disasters
title Challenges of community participation in health emergency and disaster risk management in an Iranian context: a qualitative study
title_full Challenges of community participation in health emergency and disaster risk management in an Iranian context: a qualitative study
title_fullStr Challenges of community participation in health emergency and disaster risk management in an Iranian context: a qualitative study
title_full_unstemmed Challenges of community participation in health emergency and disaster risk management in an Iranian context: a qualitative study
title_short Challenges of community participation in health emergency and disaster risk management in an Iranian context: a qualitative study
title_sort challenges of community participation in health emergency and disaster risk management in an iranian context a qualitative study
topic community participation
risk management
social capital
perception
health
disasters
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1460421/full
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