Coordination in Disaster: A Narrative Review


1 Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

2 University of Social Welfare & Rehabilitation Sciences, Tehran, Iran

3 Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden


Disaster as an undeniable part of human life, is followed by some adverse economic effects. All equipments and facilities available in the society need to be mobilized according to their responsibilities and restrictions in the form of crisis management in order to combat it and to minimize the effects of crisis. Moreover, a systematic approach to the design, implementation, monitoring, evaluating the specific services, and providing the basic needs, good coverage, improved access and the high quality of service is desirable. It is obvious that Iran is not excluded from this rule, and like other countries, is an accide ntprone country and can be considered as one of the most vulnerable countries to disaster. Evaluation of health care during natural disasters in Iran indicates the lack of coordination in providing health services. A comprehensive coordination is considered as the core activity before and during crisis. Therefore, the present review has aimed to study the coordination among organizations involved in the crisis, and the operational issues and solutions for effective and efficient responses, through search in valid Databases using some keyword such as Coordination in disaster, Coordination concept, Coordination barriers, Coordination facilitators, coordination in response, issue of coordination. Papers between 1995 and 2015 were searched and studied. It is not simple to coordinate among the responsible and service provider organizations and institutions, requiring a systematic approach in all actions and also inserting the coordination issue as a strategy in the comprehensive plan of crisis management. In order to reduce the adverse effects of crisis, in addition to apply a comprehensive plan in the crisis response phase, the coordination among the organizations should be promoted using some measures in the pre-crisis phase (preparation).