Inclusion for disaster risk management in hospitals of the Instituto Mexicano del Seguro Social

Objective: Determine the level of inclusion in hospital disaster risk management of the Mexican Social Security Institute. Methods: The methodology Disability Inclusion in Hospital Disaster Risk Management (INGRID-H) of the Pan American HealthOrganization was adapted for self-assessment in 276 hospitals.Expert advice sessions were conducted using a cascade format, including verification visits, and 180 days between each evaluation.Results: In the first self-assessment, 220 hospitals submitted their reports, and in the second, 236.186 met inclusion criteria and were selected for analysis.In the first selfassessment the mean obtained for the level of inclusion was 36.70%, and in the second was 52.03%, with a correlation of 0.410 and p < 0.001, with a confidence interval of 95%, being statistically significant.Conclusions: The adaptation of the INGRID-H tool using self-assessments and tutorials with experts made it possible to obtain a national diagnosis and increase the level of inclusion for disaster risk management in hospitals.