The Pearls and Pitfalls of Inter-Organizational Collaborations: Health Systems and Natural Disasters

Abstract

Background: The purpose of the study is to explore the processes by which governmental and non-governmental organizations plan for collaboration in the event of a natural disaster, identifying the key features of effective formulations for emergency medical responses. Methodology: Using Qualitative Description methodology, 6 key informant semistructured interviews were conducted, exploring perspectives on collaboration, partnerships, and significant issues relevant to the disaster planning within international and local communities. Interviews were transcribed verbatim and data was coded and analyzed descriptively and interpretively in order to develop themes and categories useful for policy development and further research. Findings: International humanitarian aid and domestic disaster response within the realm of health had similar issues complicating effective planning and responses despite contextual differences. Silos, public image, politics and bureaucracy serve as barriers to collaborative activities or can influence decision making and coordination. People and relationships and informal networks facilitated collaboration and problem solving on multiple levels. Recommendations for enhancing government and organizational communication, collaboration and planning were developed through analysis. Discussion and Conclusion: Collaboration is crucial for effective disaster responses. Knowledge sharing and educational benefits for organizations and individuals can be facilitated through networks or communities of practice, which may translate into improved health outcomes for communities affected by natural disaster.