The administration model of temporary medical and public health service shelter for flood victims: case study of the temporary flood victims at the Physical Education College, Chonburi Province, Thailand

Abstract

The temporary medical and public health service shelter for flood victims at The Physical Education College Chonburi province was a large shelter contained more than 5,000 victims, opened for 45 days during October 26 to December 10, 2011. Lessons learned from three groups of staffs at the shelter encompassed the administrators of field hospitals, the administrators of surveillance and rapid response team (SRRT) for medical and public health service, and the administrators of health promotion and continuing care with three questions during 1-5 January 2012. The administration model composed of the incident command system (ICS); commanding, controlling, and coordination for medical and public health service requirements of the flood victims in the shelter. The commanding center system was managed with coordination of medical and public health service in both the district level and the provincial level for medical and public health service and requirements analysis of the flood victims delegating the director of Banbung 

hospital as the field medical commander. Qualitative analysis results found two major teams participated in this project: (1) The operational team, encompassed the management of medical and health service for medical service, health promotion, mental health rehabilitation, and medical treatment. They provided health promotion and prevention, mental health rehabilitation, and medical treatment. Two field hospitals were setup by the coordination of health personnel such as physicians, nurses, pharmacists in the community hospitals under the provincial health office and outside of the province, and the rescue volunteers in Muang Chonburi district. Director of Banbung community hospital was a medical commander. Emergency medical commanding and transportation of patients from field hospitals to Chonburi provincial hospital was operated by Chonburi provincial commanding center. The Green Channel system was used for picking–up and delivering mother and child patients. They provided chronic illness group in Banbung community for laboratory examination and special medical treatment, transferring of mother and child patients, chronic and mental health patients, and family care system. Home health care continuing and drugs administration in advance for one month. Medical treatment informations were recorded for transferring and continuing care to let patients deliver to the closer medical units or shelters. For disease controlling, mobilization of medical and public health personnel from districts were provided by the commanding of the district health officers and commanders on public health service in the shelter. Illness surveillance of and screening system were done. Quantitative analysis results found 50 percent of the flood victims in the dependent group, 20 percent in the chronic illness patients who needed continuous medical, 38 percent in the hypertension group, 10 percent in diabetes mellitus group, 16 percent in hypertension and diabetes mellitus group. The results also found 3 percent in mental health problems classified by age groups like to go for basic health promotion those were children under five years at 13 percent and the elders at 15 percent. (2) The supporting team, encompassed general management, medical and public health information management, and evaluation and public relations. There was a delegation for sub-head officers of Chonburi provincial health office on the commanding in the shelters for the coordination and directing with the organizations in provincial level, the data management and evaluation mission was assigned to the strategic cluster for collecting daily service datas and medical reports summary, mission on public relations with other centers in the provincial level was assigned to the public relations section in the provincial health office. This administration model of medical and public health in 

the temporary shelter for the flood victims was a good medical and public health service system which integrated participation of diverse organizations,to give comprehensive cares and control water-food sanitation. Suggestion; Study the other shelters compare this model to formulate the national administration model of medical and public health in the temporary shelter for the flood victims.

Keywords : administration model, medical and public health service, flood victims

shelter