First Aid Volunteers within Disaster Risk Management programme in Madagascar: a Community Perspective

Enrica Leresche, Sybille Gumucio


A qualitative study was conducted in 2011 on the North-East Coast of Madagascar, to explore community perceptions on First Aid Volunteers trained through a Médecins du Monde France (MdM-F) project in line international recommendation (WHO 2007; BNGRC 2010). Group and individual interviews took place in intervention and non-intervention areas. The Disaster Risk Management cycle was used to classify roles played by community first responder (B.Wisner and J.Adams 2002). Participants’ sampling was purposive and interview notes coded into basic themes. Key results are that trained First Aid Volunteers have an impact on routine emergencies, that they contribute to improve immediate victim management irrespective of the Disaster Risk Management cycle and can have a bridging role between the State health system and the community health system. For long-term impact and increased community resilience First Aid Volunteers need to be integrated and Disaster Risk Management resources used to develop the community pre-hospital emergency system


Disaster Risk Management, First Aid, Traditional healer, Community, Pre-hospital emergency health care, Voluntary Service, Médecins du Monde

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