Document Detail


The impact of the earthquake and humanitarian assistance on household economies and livelihoods of earthquake-affected populations in Haiti.
MedLine Citation:
PMID:  22916446     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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.
Authors:
Thomas D Kirsch; Eva Leidman; William Weiss; Shannon Doocy
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of disaster medicine     Volume:  7     ISSN:  1932-149X     ISO Abbreviation:  Am J Disaster Med     Publication Date:  2012  
Date Detail:
Created Date:  2012-08-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101291100     Medline TA:  Am J Disaster Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  85-94     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
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