title: Developing a Performance Assessment Framework and Indicators for Communicable Disease Management in Natural Disasters.
abstract: BACKGROUND
  Communicable disease management (CDM) is an important component of disaster public health response operations. However, there is a lack of any performance assessment (PA) framework and related indicators for the PA. This study aimed to develop a PA framework and indicators in CDM in disasters.
  
  
  METHODS
  In this study, a series of methods were used. First, a systematic literature review (SLR) was performed in order to extract the existing PA frameworks and indicators. Then, using a qualitative approach, some interviews with purposively selected experts were conducted and used in developing the PA framework and indicators. Finally, the analytical hierarchy process (AHP) was used for weighting of the developed indicators.
  
  
  RESULTS
  The input, process, products, and outcomes (IPPO) framework was found to be an appropriate framework for CDM PA. Seven main functions were revealed to CDM during disasters. Forty PA indicators were developed for the four categories.
  
  
  CONCLUSIONS
  There is a lack of any existing PA framework in CDM in disasters. Thus, in this study, a PA framework (IPPO framework) was developed for the PA of CDM in disasters through a series of methods. It can be an appropriate framework and its indicators could measure the performance of CDM in disasters.
authors.affiliation: 1Department of Disaster Public Health,School of Public Health,Tehran University of Medical Sciences,Tehran,Iran.
authors.forename: Javad
authors.initials: J
authors.lastname: Babaie
authors.affiliation: 1Department of Disaster Public Health,School of Public Health,Tehran University of Medical Sciences,Tehran,Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Ardalan
authors.affiliation: 4Department of Medical Entomology and Vector Control,School of Public Health,Tehran University of Medical Sciences,Tehran,Iran.
authors.forename: Hasan
authors.initials: H
authors.lastname: Vatandoost
authors.affiliation: 5Centre for Communicable Disease Management,Ministry of Health and Medical Education,Tehran,Iran.
authors.forename: Mohammad Mehdi
authors.initials: MM
authors.lastname: Goya
authors.affiliation: 6Department of Health Management and Economics,School of Public Health,Tehran University of Medical Sciences,Tehran,Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Akbarisari
mesh_terms: D000328:Adult; D003140:Communicable Disease Control / Q000458:organization & administration*; D004190:Disasters; D017598:Efficiency, Organizational; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D019984:Quality Indicators, Health Care
keywords: AHP analytical hierarchy process; CD communicable disease; CDC Centers for Disease Control and Prevention; CDM communicable disease management; FGD focus group discussion; IPPO inputs; MOH Ministry of Health; NH natural hazard; OB outbreak; PA performance assessment; SLR systematic literature review; SS surveillance system; WHO World Health Organization; and outcomes; communicable diseases; disaster; performance assessment; process; products