Document Type : Original Article
Authors
1 Department of Health Services Management, School of Health Management and Information Science, Iran University of Medical Sciences
2 Department of Health Services Management, Health Management and Economics Research Centre, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
3 Department of Health Services Management, School of Health Management and Information Science, Iran University of Medical Sciences,
Abstract
INTRODUCTION: The consequences induced by the natural disasters such as damage to food
systems and destruction of livelihood‑related infrastructure can threaten the food security of the
people. Hence, food security measures are one of the most important responses concerning the
management of natural disasters. This study was conducted to identify the challenges of food security
response following natural disasters in Iran.
MATERIALS AND METHODS: This study was conducted using a qualitative approach. The data
were collected through semi‑structured interviews with 29 key subjects; selected using purposive
sampling. The qualitative content analysis was run to analyze the data collected.
RESULTS: Based on the findings of this study, food security response challenges following the
occurrence of natural disasters in Iran were classified into three main themes: (1) underlying
challenges, (2) challenges of process and resources management, and (3) challenges of organizing
and coordinating. These themes consisted of 11 subthemes.
CONCLUSION: Following the occurrence of natural disasters, the management challenges, as well
as the lack of coordination and organization between the stakeholders, are the serious challenges
to achieving food security. Meanwhile, underlying challenges like climate change in the context of
unsustainable living conditions of the vulnerable people have aggravated the food security response
challenges.
Keywords
and Food Security and Nutrition. Rome: Food and Agricultural
Organization; 2015.
2. FAO, IFAD, and WFP. The State of Food Insecurity in the
World 2015: Meeting the 2015 International Hunger Targets:
Taking Stock of Uneven Progress. Rome: Food and Agriculture
Organization; 2015.
3. Elbehri, A., J. Elliott, and T. Wheeler, Climate change, food security
and trade: An overview of global assessments and policy insights,
In: Climate change and food systems: global assessments and
implications for food security and trade. 2015, Rome: Food and
Agriculture Organization of the United Nations (FAO).
4. Inoue T, Nakao A, Kuboyama K, Hashimoto A, Masutani M,
Ueda T, et al. Gastrointestinal symptoms and food/nutrition
concerns after the great East Japan Earthquake in March 2011:
Survey of evacuees in a temporary shelter. Prehosp Disaster Med
2014;29:303‑6.
5. Nakazawa T, Beppu S. Shifting from Emergency Food to Disaster
Preparation Food to Help Disaster Survivors. 2012, Ministry
of Education, Culture Sports, Science and Technology, Japan,
NISTEP Science and Technology Foresight Center. p. 36‑54
6. Chodur GM, Zhao X, Biehl E, Mitrani‑Reiser J, Neff R. Assessing
food system vulnerabilities: A fault tree modeling approach. BMC
Public Health 2018;18:817.
7. Clay LA, Papas MA, Gill KB, Abramson DM. Factors associated
with continued food insecurity among households recovering
from Hurricane Katrina. Int J Environ Res Public Health 2018;15.
pii: E1647.
8. Nekouie Moghadam M, Amiresmaieli M, Hassibi M, Doostan F,
Khosravi S. Toward a better nutritional aiding in disasters:
Relying on lessons learned during the Bam Earthquake. Prehosp
Disaster Med 2017;32:382‑6.
9. Scarpin MR, de Oliveira Silva R. Humanitarian logistics:
Empirical evidences from a natural disaster. Procedia Eng
2014;78:102‑11.
10. Farajzadeh D, Tavakoli R, Sarrafpour R. Food preparation
and programming models in crisis and disasters. J Mil Med
2004;5:309‑18.
11. Seyedin H, Ryan J, Keshtgar M. Disaster management planning
for health organizations in a developing country. J Urban Plann
Dev 2010;137:77‑81.
12. World Bank. World Urbanization Prospects; 2018. Available from:
https://www.data.worldbank.org/indicator/SP.URB.TOTL.
IN.ZS. [Last accessed on 2018 Nov 04].
13. Ministry of Health and Medical Education of Iran. The
Marginalization and Health Policies in the Marginal Areas of
Iran; 2016. Available from: http://www.health.behdasht.gov.
ir/news/news/139387/. [Last accessed on 2018 Nov 07].
14. Kolahdooz F, Najafi F. Report of National Survey: Food Security
Information and Mapping System in Iran. Tehran, Iran: Nafis
Negar; 2012.
15. National Disaster Management Organization of Iran. Rules
and Regulations. Available from: https://www.ndmo.ir.
[Last accessed on 2018 Sep 20].
16. Malterud K. Qualitative research: Standards, challenges, and
guidelines. Lancet 2001;358:483‑8.
17. Elo S, Kyngäs H. The qualitative content analysis process. J Adv
Nurs 2008;62:107‑15.
18. Graneheim UH, Lundman B. Qualitative content analysis in
nursing research: Concepts, procedures and measures to achieve
trustworthiness. Nurse Educ Today 2004;24:105‑12.
19. Farrokhi M, Dolatabadi, Z. Pakjouei, Sh. Pouyesh, V. Approaches
to post‑disaster environmental recovery. Health Emerg Disasters
Q 2016;1:65‑70.
20. Richardson KJ, Lewis, K. H. Krishnamurthy, P. K. Kent, C.
Wiltshire, A. J. Hanlon, H. M. Food security outcomes under
a changing climate: Impacts of mitigation and adaptation on
vulnerability to food insecurity. Clim Change 2018;147:327‑41.
21. Abbasi Dolatabadi Z, Seyedin H, Aryankhesal A. Policies on
protecting vulnerable people during disasters in Iran: A document
analysis. Trauma Mon 2016;21:e31341.
22. Dorosh P, Malik SJ, Krausova M. Rehabilitating agriculture and
promoting food security after the 2010 Pakistan floods: Insights
from the South Asian experience. Pak Dev Rev 2010; World
Bank/International Food Policy Research Institute: Washington,
DC. :167‑92.
23. Moosazadeh M, Zolala F, Sheikhzadeh K, Safiri S, Amiresmaili M.
Response to the bam earthquake: A qualitative study on the
experiences of the top and middle level health managers in
Kerman, Iran. Prehosp Disaster Med 2014;29:388‑91.
24. Nozue M, Ishikawa‑Takata K, Sarukura N, Sako K,
Tsuboyama‑Kasaoka N. Stockpiles and food availability in
feeding facilities after the great east Japan Earthquake. Asia Pac
J Clin Nutr 2014;23:321‑30.
25. Wien M, Sabaté J. Food selection criteria for disaster response
planning in urban societies. Nutr J 2015;14:47.
)