Ethical Considerations for Living in Temporary Shelters (i.e., camps) Following a Natural Disaster

Authors

  • Ali Khaji Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran
  • Bagher Larijani Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  • Hammid R. Khankeh Department of Health in Emergency and Disaster, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  • Mohammad A. Mohagheghi Cancer Research Center, Cancer Institute, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  • Seyed Mahmoud Tabatabaei Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Seyed Mohammad Ghodsi Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  • Soheil Saadat Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
Abstract:

Background: Some disasters, such as earthquake and flood make the majority of affected people homeless. Theaccommodation of these people in temporary shelters and camps requires some specific ethical issues. The aim of thepresent study was to discuss ethical issues regarding living in camps following natural disasters.Methods: This study is conducted utilizinga qualitative content analysis approach. The required data were collectedfrom four Focus Group Discussions (FGDs). Subsequently, 11 in-depth interviews were completed using the individualswho had the experience of receiving care following natural disasters and continued until data saturation. Data wereanalyzed using Graham content analysis method.Results: According to the results obtained from affected people’s views, the most important ethical issues that are notconsidered important in temporary shelters and camps include:1) the violation of privacy,2) the shortage of basic needs(e.g., food, water, and sanitation) and type and quality of services rendered,3) lack of attention to cultural and religiousviews of the affected people, 4) cause of evacuation, 5)lack of co-operation among disaster managers, 6)respecting theproperties of the affected people, 7)conditions and geographic location of camps, 8)property care, and 9)communitybasedcare.Conclusion: Without paying attention to ethical issues, living in temporary shelters (i.e., camps) violates the dignity ofaffected people and then the affected people will not have appropriate cooperation with the managers. All these issuesexpose them to more harm than before.Level of evidence: VI

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Journal title

volume 7  issue 5

pages  445- 452

publication date 2019-09-01

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