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The study was a survey method. Data were collected through interviews, observations, and document reviews by referring to the form checklist of the Hospital Safety Index. Data consisted of disaster potentials, structural safety, non-structural safety, and functional aspects that were then synthesized to determine the disaster preparedness level of five hospitals in North Sumatra Indonesia. The Hospital Safety Index Level for RS A, RS B, and RS E are "B" level, indicating that their ability to function during and after emergencies and disasters is potentially at risk, thus intervention measures are needed in the short term. RS C and RS D are at level "A", indicating that both hospitals will remain operational during emergencies and disasters. The analysed data will be useful in contributing to health policies and preparedness of hospitals and other health facilities in the face of disasters and for further research on the impact of hospital services during and after disasters. It will also provide insights to stakeholders and those at the managerial level of hospitals formulating appropriate intervention plans to address or mitigate problems during disasters and after disasters to patients, disaster victims, health workers, and facilities.
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Introduction: As a disaster-prone country, hospital preparedness in dealing with disasters in Indonesia is essential. This research, therefore, focuses specifically on hospital preparedness for COVID-19 in Indonesia, which is important given the indication that the pandemic will last for the foreseeable future. Methods: During March to September 2022, a cross-sectional approach and a quantitative study was conducted in accordance with the research objective to assess hospital preparedness for the COVID-19 pandemic. This research shows the level of readiness based on the 12 components of the rapid hospital readiness checklist for COVID-19 published by the World Health Organization (WHO). Evaluators from 11 hospitals in four provinces in Indonesia (Capital Special Region of Jakarta, West Java, Special Region of Yogyakarta, and North Sumatra) filled out the form in the COVID-19 Hospital Preparedness Information system, which was developed to assess the level of hospital readiness. Results: The results show that hospitals in Capital Special Region of Jakarta and Special Region of Yogyakarta have adequate level (≥ 80%). Meanwhile, the readiness level of hospitals in West Java and North Sumatra varies from adequate level (≥ 80%), moderate level (50% - 79%), to not ready level (≤ 50%). Conclusion: The findings and the methods adopted in this research are valuable for policymakers and health professionals to have a holistic view of hospital preparedness for COVID-19 in Indonesia so that resources can be allocated more effectively to improve readiness.
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COVID-19 , Planejamento em Desastres , Humanos , Indonésia/epidemiologia , Pandemias/prevenção & controle , COVID-19/epidemiologia , HospitaisRESUMO
Despite the significant contribution of the construction industry to national and global economies, the risk it poses to the health and safety of its workers is concerning. With substantial improvement in physical health and safety performance, especially in industrialised and developed economies, attention has shifted to the mental health of construction workers. The construction industry has implemented several worker-focused and management-oriented intervention programs, but problems related to poor mental health persist, and the industry ranks high in suicide figures. Entering the Construction 4.0 era, the use of technologies and new construction methods have been touted to have the potential to improve mental wellbeing. Therefore, this research addresses this lingering problem by: (1) identifying and classifying stressors of mental health and (2) assessing the relevance of adopting prefabricated construction to improving mental health. A two-phased PRISMA-guided systematic review was conducted due to the nonavailability of past studies that combine the concepts of prefabrication and mental health. Mental health stressors were grouped into three categories, with industry-related identified as having an influence on management/organisational and personal stressors. Prefabricated construction, on the other hand, by virtue of its benefits over traditional construction, is found to be capable of eliminating, or at least reducing, the impact of industry-related stressors and, by extension, promoting good mental health.
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Implementing a safety program is an essential step toward improving safety performance. This research aims to develop an overall project success (OPS) model for building projects through investigating the direct and indirect impact of safety critical success factors (CSFs) on OPS mediated by safety program elements. First, interviews were carried out with experts in the Iraqi construction industry, and then a questionnaire survey was utilized to obtain feedback from construction professionals. The results revealed that 20 elements are needed to confirm and improve effectiveness. These elements were categorized into four constructs: management commitment and employee involvement, worksite analysis, hazard and prevention control, and health and safety training. The analysis confirms that the relationship between safety CSFs and OPS are mediated by safety program elements. These findings offer a glimmer of hope for implementing safety programs in the Iraqi construction sector, and can also be used to enhance safety performance.
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Indústria da Construção , Humanos , Local de Trabalho , Inquéritos e Questionários , Gestão da SegurançaRESUMO
The construction sector is recognized as one of the most dangerous industries in the world. The situation is worsening in Iraq, as a result of a lack of attention to safety in the building industry and the poor implementation of safety programs. This research aims to identify the critical safety factors (CSFs) of safety program implementation in the Iraqi construction industry. The CSFs were first identified from a review of literature before being verified by construction practitioners, using semi-structured interviews. A questionnaire, based on the verified CSFs, was distributed to construction practitioners in Iraq. Exploratory factor analysis (EFA) was used to analyze the quantitative data, and the results show that the CSFs can be categorized into four constructs: worker involvement, safety prevention and control system, safety arrangement, and management commitment. Following that, partial least square structural equation modelling (PLS-SEM) was executed to establish the connection between safety program implementation and overall project success. The result confirms that safety program implementation has a significant, positive impact on project success. This article contributes to knowledge and practice by identifying the CSFs for implementing safety programs in the Iraqi construction industry. The successful implementation of a safety program not only improves safety performance, but also helps to meet other project goals.
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Indústria da Construção , Análise Fatorial , Iraque , Inquéritos e QuestionáriosRESUMO
The construction industries' unsafe conditions require increased efforts to improve safety performance to prevent and reduce accident rates. Safety performance in the Iraqi construction industry is notoriously poor. Despite this condition, safety research has so far been neglected. Implementing a safety program is a proven initial step to improve safety. Therefore, the aim of this study is to identify the key elements of a safety program in the Iraqi construction industry. To verify and validate a list of safety program elements identified in the literature review, a mixed method approach was used by using interviews and questionnaire surveys. A final list of 25 elements were then analyzed using exploratory factor analysis. The analysis found that these elements can be grouped into four interrelated dimensions: management commitment and employee involvement, worksite analysis, hazard prevention and control systems, and safety and health training. This study contributes to the body of knowledge on safety in the Iraqi construction sector, a research area which has not been adequately investigated previously. They also help decision-makers focus on key elements that are needed to start improving safety performance in this context.
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Indústria da Construção , Saúde Ocupacional , Iraque , Gestão da Segurança , Local de TrabalhoRESUMO
The Indonesian construction industry is the second largest in Asia and accounts for over 30% of all occupational injuries in the country. Despite the size of the industry, there is a lack of safety research in this context. This research, therefore, aims to assess safety climate and develop a framework to improve safety in the Indonesian construction industry. Quantitative and qualitative data were collected from 311 construction workers. The results show a moderately healthy safety climate but reflect numerous problems, particularly around perceived conflicts between production and safety logics, cost trade-offs being made against other competing project priorities, poor safety communication, poor working conditions, acceptance of poor safety as the norm, poor reporting and monitoring practices, poor training and a risky and unsupportive working environment which prevents workers from operating safely. Two new safety climate paradoxes are also revealed: contradictions between management communications and management practices; contradictions between worker concern for safety and their low sense of personal accountability and empowerment for acting to reduce these risks. A low locus of control over safety is also identified as a significant problem which is related to prevailing Indonesian cultural norms and poor safety policy implementation and potential conflicts between formal and informal safety norms, practices and procedures. Drawing on these findings, a new integrated framework of safety climate is presented to improve safety performance in the Indonesian construction industry.
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Indústria da Construção , Saúde Ocupacional , Gestão da Segurança , Adolescente , Adulto , Ásia , Feminino , Humanos , Indonésia , Masculino , Pessoa de Meia-Idade , Cultura Organizacional , Segurança , Adulto JovemRESUMO
From both practical and theoretical perspectives, understanding the health and safety (H&S) implications of the characteristics and foundation upon which the construction industry in developing countries is built and operates is essential for H&S management within the industry. While many studies have provided evidence of factors affecting construction H&S in developing countries, none has fully considered the H&S implications of the industry's characteristics. The current study thus examined how the peculiar characteristics of the construction industry in developing countries impact on the industry's H&S management. Data were collected using questionnaire surveys from construction industry professionals in Ghana. Nine distinct characteristics were identified and ranked, as well as their relationships and statistical significance determined through correlation and analysis of variance (ANOVA), respectively. The findings showed that these characteristics of the construction industry in developing countries, particularly the lack of skilled and educated workforce, reliance on labour intensive methods and lack of single regulatory authority, present huge challenges to the management of H&S. Accordingly, this research recommended strategic interventions which are tailored towards the context of the industry's characteristics. With the construction industry in developing countries exhibiting similar characteristics, the findings of this research can serve as a framework for country-specific study. The study contributes to the broader H&S performance improvement research in developing countries by throwing light on the characteristics of the industry that pose challenges to H&S performance.