Public Health Emergency Response and Recovery in Limited Resource Setting: Lesson learned from Hanang District Floods and Landslide in Tanzania.

Journal: Disaster medicine and public health preparedness

Volume: 19

Issue: 

Year of Publication: 2025

Affiliated Institutions:  Emergency Preparedness and Response Unit, Ministry of Health, Dodoma, Tanzania. Health Quality Assurance Unit, Ministry of Health, Dodoma, Tanzania. Emergency Medicine Department, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania. National Institute of Medical Research, Dar es Salaam, Tanzania. Directorate of Curative Services, Ministry of Health, Dodoma, Tanzania. Word Health Organization, Tanzania Country Office, Dar es Salaam, Tanzania. Manyara Regional Secretariat, Manyara, Tanzania. Directorate of Preventive Services, Ministry of Health, Dodoma, Tanzania. Emergency Medicine Department, Muhimbili National Hospital, Dar es Salaam, Tanzania. Office of the Permanent Secretary, Ministry of Health, Dodoma, Tanzania. Office of Chief Medical Officer, Ministry of Health, Dodoma, Tanzania. Department of Public Health, University of Dodoma, Dodoma, Tanzania.

Abstract summary 

In December 2023, floods and landslides in Hanang District, Northern Tanzania, caused severe casualties, infrastructure damage, and community displacement. We describe the public health emergency response and lessons learnt during this disaster to guide future mitigations.Retrospective data collection during the disaster was made through quantitative (description of casualties) and qualitative (interviews and focus groups) approaches to provide insights into psychosocial support, coordination, and other response pillars. Microsoft Excel (2019) was used for quantitative data analysis, and MAX Qualitative Data Analysis was used to manage qualitative data.Soft tissue injuries, bruises, and lacerations were the most common (60.43%), with 87.77% of casualties recovering and a notable fatality rate of 12.23%. Mental health and psychosocial support reached over 3300 individuals, offering depression assessments and family reconnections. Establishing a dual-level public health response team and implementing the Incident Management System demonstrated the country's response efficiency.The public health emergency response to the 2023 floods and landslides in Hanang District was largely effective. This demonstrated strong coordination, capacity, and resilience of Tanzania health system; however, the fatality rate highlighted a need for further investment to improve future disaster prevention, preparedness, and response.

Authors & Co-authors:  Kiremeji Michael M Eliakimu Eliudi E Sawe Hendry H Sindato Calvin C Samwel Angela John AJ Heller James J Kwesi Elias Masau EM Slyvanus Erasto E Ubuguyu Omary O Masuma Janeth J Msemwa Faraja F Kayera Damas D Kodi Mohamed M Hokororo Joseph J Massa Khalid K Kapologwe Ntuli N Kilindimo Saidi S Mfinanga Juma J Magembe Grace G Nagu Tumaini T Kibusi Stephen S Jingu John J

Study Outcome 

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Statistics
Citations : 
Authors :  22
Identifiers
Doi : 10.1017/dmp.2025.39
SSN : 1938-744X
Study Population
Male,Female
Mesh Terms
Tanzania
Other Terms
Hanang;Tanzania;disaster;floods;landslide;recovery;response
Study Design
Study Approach
Quantitative,Qualitative
Country of Study
Tanzania
Publication Country
United States