Health

International experience shows that in the aftermath of a natural disaster, a transition strategy for restoring and maintaining health care services should be developed while planning for rebuilding a better health care system over the next 5-10 years. A rapid assessment should be carried out to determine the population profile and the epidemiological profile. The health needs of the people in the affected areas should be assessed without delay and periodically reassessed, with particular attention to existing and newly emerged vulnerable populations. The needs identified should be addressed in both the transition and reconstruction strategies. The transition phase should prioritize a rapid restoration and revitalization of an undisrupted supply of essential health care services. Reconstruction is often better led and coordinated by a strong national or provincial authority as this improves implementation effectiveness and equity. The roles and responsibilities should be clearly designed for different levels of government, sectors, communities, and individuals. The Wenchuan earthquake provides an opportunity for health sector reform in China. First, it is better that reconstruction address the immediate key issues faced by the health sector such as health financing to reduce out-of-pocket expenditures among the affected population; provide better health insurance coverage and benefits; and improve leadership of and coordination by the government were evident during the emergency, ensuring placement of health care teams and temporary hospitals to cover affected populations.

Bibliographic Details

Main Authors:	Haq, Inaam, Wang, Shiyong, Langenbrunner, John C.
Language:	English
Published:	World Bank, Washington, DC 2010-12
Subjects:	BASIC HEALTH CARE, BUDGET ALLOCATION, CAPACITY BUILDING, CLINICAL SERVICES, COMMUNICABLE DISEASES, COMMUNITY MENTAL HEALTH SERVICES, COSTS OF HEALTH CARE, DIAGNOSTIC SERVICES, DISASTER PREPAREDNESS, DISASTER PREVENTION, DISASTERS, EARTHQUAKE, EMERGENCIES, EMERGENCY PREPAREDNESS, ENVIRONMENTAL IMPACT, EPIDEMIC, EPIDEMICS, EPIDEMIOLOGY, ESSENTIAL CARE, ESSENTIAL HEALTH CARE, EXERCISES, EXPENDITURES, FAMILY CARE, HEALTH CARE, HEALTH CARE CENTERS, HEALTH CARE COSTS, HEALTH CARE FACILITIES, HEALTH CARE NEEDS, HEALTH CARE REFORMS, HEALTH CARE SERVICES, HEALTH CARE SYSTEM, HEALTH CARE SYSTEM MANAGEMENT, HEALTH CARE SYSTEMS, HEALTH CARE WORKERS, HEALTH CENTERS, HEALTH FACILITIES, HEALTH FINANCING, HEALTH INFRASTRUCTURE, HEALTH INSTITUTIONS, HEALTH INSURANCE, HEALTH INSURANCE COVERAGE, HEALTH INSURANCE SCHEMES, HEALTH NEEDS, HEALTH ORGANIZATION, HEALTH PROBLEMS, HEALTH PROMOTION, HEALTH SECTOR, HEALTH SECTOR REFORM, HEALTH SERVICES, HEALTH STRATEGY, HOSPITALS, HUMAN CAPITAL, HUMAN HEALTH, HUMAN RESOURCE DEVELOPMENT, INPATIENT CARE, INTEGRATION, MENTAL DISORDERS, MENTAL HEALTH, MENTAL HEALTH CARE, MENTAL HEALTH SERVICES, MULTIPLE PARTNERS, NATURAL DISASTER, NONGOVERNMENTAL ORGANIZATIONS, POCKET PAYMENTS, POPULATION SIZE, POPULATION SUBGROUPS, POST­TRAUMATIC STRESS, PREVENTION EFFORTS, PRIMARY HEALTH CARE, PRIMARY HEALTH CARE SERVICES, PROVISION OF SERVICES, PSYCHOLOGICAL SUPPORT, PSYCHOSOCIAL SUPPORT, PUBLIC HEALTH, PUBLIC HEALTH CARE, PUBLIC HEALTH PROGRAMS, PUBLIC HEALTH SERVICES, PUBLIC SECTOR, QUALITY OF CARE, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, REHABILITATION, SERVICE DELIVERY, SERVICE PROVISION, SERVICES FOR PEOPLE, SUSTAINABLE DEVELOPMENT, TECHNICAL CAPACITY, TRAUMA, VULNERABILITY, VULNERABLE GROUPS, VULNERABLE POPULATIONS, WASTE, WORKERS, WORKFORCE, WORLD HEALTH ORGANIZATION,
Online Access:	http://documents.worldbank.org/curated/en/2010/12/13338760/health https://hdl.handle.net/10986/10134
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