title: Challenges of the New Zealand healthcare disaster preparedness prior to the Canterbury earthquakes: a qualitative analysis.
abstract: BACKGROUND
  Disasters are a growing global phenomenon. New Zealand has suffered several major disasters in recent times. The state of healthcare disaster preparedness in New Zealand prior to the Canterbury earthquakes is not well documented.
  
  
  OBJECTIVE
  To investigate the challenges of the New Zealand healthcare disaster preparedness prior to the Canterbury earthquakes.
  
  
  METHODS
  Semi-structured interviews with emergency planners in all the District Health Boards (DHBs) in New Zealand in the period between January and March 2010. The interview protocol revolved around the domains of emergency planning adopted by the World Health Organization.
  
  
  RESULTS
  Seventeen interviews were conducted. The main themes included disinterest of clinical personnel in emergency planning, the need for communication backup, the integration of private services in disaster preparedness, the value of volunteers, the requirement for regular disaster training, and the need to enhance surge capability of the New Zealand healthcare system to respond to disasters.
  
  
  CONCLUSIONS
  Prior to the Canterbury earthquakes, healthcare disaster preparedness faced multiple challenges. Despite these challenges, New Zealand's healthcare response was adequate. Future preparedness has to consider the lessons learnt from the 2011 earthquakes to improve healthcare disaster planning in New Zealand.
authors.affiliation: Preventive and Social Medicine Department, Dunedin School of Medicine, University of Otago, PO Box 913, Dunedin 9056, New Zealand. sultan.al-shaqsi@otago.ac.nz
authors.forename: Sultan
authors.initials: S
authors.lastname: Al-Shaqsi
authors.forename: Robin
authors.initials: R
authors.lastname: Gauld
authors.forename: Sarah
authors.initials: S
authors.lastname: Lovell
authors.forename: David
authors.initials: D
authors.lastname: McBride
authors.forename: Ammar
authors.initials: A
authors.lastname: Al-Kashmiri
authors.forename: Abdullah
authors.initials: A
authors.lastname: Al-Harthy
mesh_terms: D003142:Communication; D003299:Cooperative Behavior; D004189:Disaster Planning / Q000458:organization & administration*; D055866:Earthquakes; D019538:Health Care Surveys; D006291:Health Policy; D006801:Humans; D007407:Interviews as Topic; D009520:New Zealand; D036301:Qualitative Research; D014838:Volunteers