Barriers and Enablers to Emergency Preparedness and Service Continuity: A Survey of Australian Community-Based Health and Social Care Organisations

Community-based organisations (CBOs) play a crucial role supporting clients during emergencies yet often lack adequate preparation. This study examined how Australian CBOs perceived and enacted dual responsibilities: ensuring service continuity during emergencies and facilitating person-centred preparedness for high-risk populations. A national cross-sectional online survey of community-based health and social care organisations was conducted between December 2021 and April 2022, employing strategic outreach and snowball sampling. Among 244 respondents, disability services (69%) and housing and homelessness services (27%) were the most common providers. Many organisations showed strong emergency preparedness, including comprehensive insurance, staff empowerment, and adaptive service delivery. Barriers to business continuity plans (BCPs) included resource constraints and limited emergency information access. Organisations with established networks and collaborations with emergency services demonstrated greater capacity for sustained service delivery (p < 0.001). Logistic regression analysis revealed local networking with emergency service agencies was positively associated with CBOs’ ability to support client preparedness (p < 0.001), while lack of tools (p = 0.007) and training (p = 0.037) limited capacity to facilitate person-centred emergency planning for high-risk populations. Embedding business continuity planning within operations and strengthening cross-sector collaboration can enable CBOs to fulfil their aforementioned dual responsibilities, while advancing sustainable organisational resilience and inclusive disaster risk reduction.