Disaster management in low- and middle-income countries: scoping review of the evidence base

Emerg Med J. 2014 Oct;31(e1):e78-83. doi: 10.1136/emermed-2013-203298. Epub 2014 Mar 4.

Abstract

Introduction: Globally, there has been an increase in the prevalence and scale of disasters with low- and middle-income countries (LMICs) tending to be more affected. Consequently, disaster risk reduction has been advocated as a global priority. However, the evidence base for disaster management in these settings is unclear.

Methods: This study is a scoping review of the evidence base for disaster management in LMIC. Potentially relevant articles between 1990 and 2011 were searched for, assessed for relevance and subsequently categorised using a thematic coding framework based on the US Integrated Emergency Management System model.

Results: Out of 1545 articles identified, only 178 were from LMIC settings. Most were of less robust design such as event reports and commentaries, and 66% pertained to natural disasters. There was a paucity of articles on disaster mitigation or recovery, and more were written on disaster response and preparedness issues.

Discussion: Considerably more articles were published from high-income country settings that may reflect a publication bias. Current grey literature on disaster management tends not to be peer reviewed, is not well organised and not easy to access. The paucity of peer-reviewed publications compromises evidence review initiatives that seek to provide an evidence-base for disaster management in LMIC. As such, there is an urgent need for greater research and publication of findings on disaster management issues from these settings.

Keywords: Disasters; disaster planning; evidence based emergency medicine.

Publication types

  • Review

MeSH terms

  • Developing Countries*
  • Disaster Planning / organization & administration*
  • Emergency Medicine / organization & administration*
  • Humans
  • Socioeconomic Factors