Hospitals are one of the critical facilities, the role of hospitals in a society will be more vital; when, a mass casualty incident occurs. for example after a large earthquake, the Demands for healthcare services will be strongly increase, while the ability of providing healthcares in vulnerable hospitals will be decrease; because of, direct and indirect disaster effects. To compromise between demands and services, we should reduce the health system vulnerability. The first step for making hospitals less vulnerable to hazards is vulnerability assessment. To know the details of hospital vulnerability, we took “PAHO hospital safety index” and used its checklist (145 questions in 3 divisions) for assessing vulnerability to most priority hazards, in three hospitals in Kerman province. Then the results analyzed by the vulnerability calculator. The results indicate all three hospitals are in level C of Safety, the vulnerability score for most vulnerable hospital is 0.83 (the safety score = 0.27) and for the lowest vulnerable hospital is 0.72 and for the third hospital, the vulnerability score is 0.81. The most vulnerable division in one of them is based on non-structural elements, and in the rest is related to functional capacity. In conclusion, according to the calculated safety levels for the hospitals, in all three hospitals urgent intervention measures are needed, and the hospital’s current safety levels are inadequate to protect the lives of patients and hospital staff during and after a disaster.
