RAPID: Local Health-Related Capacities in Northern Haiti Response

RAPID：海地北部应对当地卫生相关能力

• 批准号: 1034772
• 负责人: Deborah Thomas
• 金额: $ 4万
• 依托单位: University of Colorado at Denver-Downtown Campus
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1034772&HistoricalAwards=false
• 关键词: RAPID; Local; Health; Related; Capacities

This Rapid Response Research (RAPID) grant provides funding to conduct a case study centered on the two main hospitals that serve the northern region of Haiti, using semi-structured interviews and an analysis of organizational networks, the research will: 1) examine what local health-related resources were available in the northern region of Haiti, 2) how these were, or were not, made use of in response efforts, and 3) the level of coordination and collaboration among health delivery groups. The northern region of Haiti was relatively unaffected by the 7.0 magnitude earthquake on January 12, 2010, that caused extreme physical damage experienced in the areas in and around Port-au-Prince and the southern region. One might question what the role of an already fragile health system could, or would be, during response and recovery in the face of such an extensive catastrophe. The underdeveloped nature of the health system might support an argument for top-down response from international sources, particularly in the absence of leadership from the Haitian government or Haitian disaster management structures. This research explicitly takes the view, however, that even in a place that is the "poorest in the Western Hemisphere," structures and resources exist through which international assistance and response could work to draw on capacities within the local system. Through an assessment of what health-related Haitian and NGO resources were operating in this region and an articulation of the level of coordination and cooperation between them, the research will contribute to an understanding of local capacity, particularly in a developing country setting. The study also recognizes that any attempt at sustainable recovery planning and/or disaster mitigation necessitates directly incorporating the Haitian health sector as a building block and so the data collection will establish a baseline for future assessment of the recovery process. The findings can also suggest possibilities for hospital disaster planning beyond Haiti in places with stressed health systems. Most significantly, this research incorporates a partner with a long standing presence in Haiti and a design with a feedback loop so that findings have greater potential for use in capacity building at this location.

这项快速反应研究 (RAPID) 拨款提供资金，以服务于海地北部地区的两家主要医院为中心开展案例研究，采用半结构化访谈和组织网络分析，该研究将：1) 检查海地北部地区有哪些当地卫生相关资源，2) 如何在应对工作中利用或不利用这些资源，以及 3) 卫生服务团体之间的协调和协作水平。 2010 年 1 月 12 日发生的 7 级地震对海地北部地区的影响相对较小，此次地震对太子港及其周边地区和南部地区造成了极大的物理破坏。人们可能会质疑，面对如此广泛的灾难，在应对和恢复过程中，本已脆弱的卫生系统可以或将会发挥什么作用。卫生系统的不发达性质可能支持国际来源自上而下应对的论点，特别是在海地政府或海地灾害管理机构缺乏领导的情况下。然而，这项研究明确认为，即使在“西半球最贫困”的地方，也存在国际援助和应对措施可以利用当地系统内能力的结构和资源。 通过评估海地和非政府组织在该地区运作的卫生相关资源以及阐明它们之间的协调与合作水平，该研究将有助于了解当地能力，特别是在发展中国家的情况下。该研究还认识到，任何可持续恢复规划和/或减灾尝试都需要直接将海地卫生部门作为基础，因此数据收集将为未来评估恢复过程建立基线。研究结果还表明，在海地以外的卫生系统压力较大的地区，医院灾难规划的可能性是存在的。最重要的是，这项研究纳入了在海地长期存在的合作伙伴以及带有反馈循环的设计，因此研究结果在该地区的能力建设中具有更大的应用潜力。