RAPID: Local Health-Related Capacities in Northern Haiti Response

这种快速反应的研究(快速)授予提供资金进行案例研究集中在两个主要医院的医疗服务海地的北部地区,使用半结构化访谈和分析组织网络,研究:1)研究当地健康相关资源可用的北部地区的海地,2)如何,或没有,利用反应的努力,和3)的协调和健康之间的协作水平交付组。2010年1月12日，海地发生7.0级地震，太子港及周边地区和南部地区遭受了严重的物理破坏，海地北部地区相对未受影响。有人可能会问，面对如此广泛的灾难，本已脆弱的卫生系统在应对和恢复过程中可能或将发挥什么作用。卫生系统的不发达性质可能支持由国际来源自上而下作出反应的论点，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，这项研究明确地认为，即使在“西半球最贫穷”的地方，也存在国际援助和反应可以利用当地系统能力的结构和资源。通过评估海地和非政府组织在该区域运作的与卫生有关的资源，以及它们之间协调与合作的程度，这项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/或减灾的尝试都必须直接将海地卫生部门作为一个组成部分，因此数据收集将为未来评估恢复过程建立基线。这些发现还可以为在海地以外卫生系统紧张的地方进行医院灾难规划提供可能性。最重要的是，这项研究结合了一个在海地长期存在的合作伙伴和一个带有反馈回路的设计，使研究结果在该地区的能力建设中具有更大的潜力。

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.