| The impact of the earthquake and humanitarian assistance on household economies and livelihoods of earthquake-affected populations in Haiti. | |
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MedLine Citation:
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PMID: 22916446 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: On January 12, 2010, one of the most destructive earthquakes in history struck the Haitian capital Port-au-Prince. This study aims to characterize the impact of the earthquake and humanitarian response on well being of the affected households as means of evaluating the effectiveness of response efforts. DESIGN: A stratified 60 x 20 cluster survey was conducted in Port-au-Prince internally displaced persons camps (n = 600) and neighborhoods (n = 596) in January 2011. Clusters were assigned using probability proportional to size sampling and data were collected using interviewer-administered questionnaires. RESULTS: The earthquake affected incomes in 90 percent of camp and 73 percent of neighborhood households (p < 0.001); camp households were consistently worse off by most measures of economic and food security. As compared to camps, living in a neighborhood was associated with increased odds of better/same income status (Odds ratio, OR: 1.78, Confidence interval, CI: 1.25-2.53), employment (OR: 1.47, 1.01-2.14), and food access (OR: 1.83, CI: 1.33-2.52). With respect to earthquake impacts, damage to the home was associated with decreased odds of better/same food access (OR: 0.55, CI: 0.33-0.93) and injuries with decreased odds of better/same income status (OR: 0.57, CI: 0.37, 0.87). Within 1 month of the earthquake, 89 percent of camp and 46 percent in neighborhood households had received humanitarian assistance (p < or = 0.001); however, receipt of aid was not associated with improved income, employment, or food access at 1 year postearthquake. CONCLUSIONS: The immediate impacts of injury and mortality had marginal influences on long-term household economic security, whereas displacement into camps was stongly associated with negative outcomes for income, employment, and food access. |
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Authors:
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Thomas D Kirsch; Eva Leidman; William Weiss; Shannon Doocy |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: American journal of disaster medicine Volume: 7 ISSN: 1932-149X ISO Abbreviation: Am J Disaster Med Publication Date: 2012 |
Date Detail:
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Created Date: 2012-08-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101291100 Medline TA: Am J Disaster Med Country: United States |
Other Details:
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Languages: eng Pagination: 85-94 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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