Post-Cyclone Needs Assessment: Health Sector (PDNA Matthew)
- Counts 133 health facilities affected, 128 damaged and 5 destroyed, with Sud and Grand'Anse accounting for two thirds of them, and finds primary-level establishments the most fragile at 77 percent of everything damaged.
- Sets damage at 28,491,386 US dollars (1,883,280,598 gourdes), losses at 73,916,500 dollars and total reconstruction and recovery needs at 133,753,859 dollars (8,841,130,073 gourdes) with 6 percent inflation included.
- Splits damage as 19,392,360 dollars of infrastructure (68 percent), 6,464,120 of equipment (23 percent) and 2,634,906 of inputs (9 percent), with Sud at 12,226,319 and Grand'Anse at 11,131,235, together 82 percent of the total.
- Puts more than half the losses in post-disaster risk control rather than in care: cholera vaccination, health promotion, vector control and water and sanitation reach 39.6 million dollars (54 percent), against 29.9 million (40 percent) for services and 3.26 million (4 percent) for infrastructure, and the cholera EMIRA response alone is 25,201,500 dollars.
- Records a human toll of 546 dead, 438 injured and 128 missing.
- Sets the shock against a chronically weak baseline: life expectancy at birth of 62 years for men and 66 for women in 2015, maternal mortality of 330 per 100,000 births, infant mortality of 50 per 1,000 live births, more than 60 percent of facilities mixed or private, direct payment above a third of health spending, and a national health budget under 5 percent of the total in 2015.
One of the thirteen sector volumes behind Haiti's post-disaster needs assessment for Hurricane Matthew, which crossed the Tiburon peninsula on 4 October 2016. The MSPP ran the assessment with PAHO/WHO, the World Bank, UNAIDS, UNFPA, Abt Associates and MSH, using mixed methods over aerial and field surveys, literature and expert judgement, and covering all four directly hit departments: Grand'Anse, Nippes, Sud and Sud-Est. The volume follows the standard PDNA structure: context, effects of the hurricane, recovery objectives and sector needs, human and social impact, sector priorities, and the sector policies and constraints that bear on recovery. It was published as approved by the ministry, with a notice that any divergence from the consolidated PDNA report of 31 January 2017 is unintentional, so it is the place to look for how the sector arrived at its figures rather than the summary in the consolidated report.
How to cite
Ministry of Public Health and Population (MSPP), 2016, Post-Cyclone Needs Assessment: Health Sector (PDNA Matthew), https://www.undp.org/fr/haiti/publications/rapport-sectoriel-sante