This document discusses optimal practices for managing healthcare resources and victims during disasters. It recommends dispatching rescuers based on regional needs, monitoring external rescuers, and providing welfare facilities for rescuers. It also recommends announcing basic resource needs to attract donations, controlling expiry dates of medicines, meeting resource needs within the country when possible, and preventing misuse of distributed resources. Victim management should involve triage, tracking ambulance availability, and transporting victims based on injury type rather than just distance. The document concludes with recommendations around community involvement, information sharing, accountability, and aid tracking systems.

1. ETHICS IN DIASTER
MEDICINE AND PUBLIC
HEALTH

2. Introduction
Aim:
The aim of this study was to identify the desired
operational examples of health services in disasters to
reduce the challenges and promote disaster
management.

3. The examples of optimal
performance in healthcare
management in disasters

4. Human Resources Management
–Dispatching the rescuers is based on the region’s needs
–The rescuers are presented and organized in the whole
region after assigning their tasks
–The external rescuers are monitored
–Rescuers’ welfare facilities are provided
–The health rescuers are equipped with personal facilities

5. Physical resources management
–Basic needs are announced to attract donations
–The expiry date of medicines is controlled
–Before a disaster, the sufficiency and usability of
resources are supervised
–Needs are met within the country as much as
possible
–The database resource of healthcare centres is
available
–The distribution of resources is based on zoning and
under the supervision of a centre
–The possible misuses are prevented

6. Victims management transfer
–Triage principles are observed
–Sufficient data about the number of public and
private ambulances are available
–How to cooperate the ambulances of different
centres is specified
–Victims are transported to medical centres according
to the type of injury, not just by considering the
distance and the proximity of the centres
–The overland routes are opened to carry the victims
and air transport facilities are provided

7. Recommendation

8. • Governments of affected countries, in dialogue with
local communities, civil society, donors and the
private sector, should commit to translate their
national reconstruction strategies into prioritised,
results-oriented operational programs.
• establish a regular dialogue to avoid duplication of
programming. Similarly, non-governmental actors
should also coordinate with governments and among
themselves and seek, where appropriate, cooperation
with other stakeholders.

9. • From the earliest stages of relief, through to the
design, implementation and evaluation of long-term
projects, affected communities should be enabled
to articulate their needs, assist in devising
reconstruction plans, as well as evaluate end-
results.

10. • Governments, public and private donors, international
organisations and local civil society organisations,
should implement comprehensive and harmonised
information strategies that uphold internationally
recognised access to information standards. Such
strategies should make use of appropriate formats and
local languages to ensure ease of access by local
communities.

11. • All stakeholders should jointly commit
to maintain adequate accounts and provide
timely, transparent, comprehensive and
accessible information on programming, aid
flows and on expenditure.

12. • National aid tracking systems should be developed
containing information comprehensive enough to
respond to government and donor exigencies yet
simple enough to be accessible by affected
communities. International organisations and donors
should support the development and maintenance of
such systems, as well as collate national information
for cross-country comparison and
implement compatible international tracking
systems.