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3.3. Other health priorities for reconstruction

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In addition to rebuilding health facilities seriously damaged or destroyed in a disaster, planning for reconstruction in the health sector should look to the future and prioritize other areas where strengthening contributes to improved preparedness and response, including:

 

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3.4. Challenges in reconstruction

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Reconstruction is extremely complex, from a political, strategic, and funding standpoint. The time it takes to execute reconstruction works poses serious challenges for the health sector, including the following:

  • The necessary financial resources to implement programs. Many countries exhaust their available resources during the emergency phase FOR response activities.
  • Health must compete with other priorities; government officials often give greater priority to strategic and production sectors.

 

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3.5. Components of a reconstruction plan

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Post-disaster reconstruction is a complex challenge that requires careful intersectoral and multidisciplinary planning. The essential components at this stage are:

3.5.1. Damage and loss assessment to estimate the socioeconomic impact of the disaster (DaLA) and post-disaster needs assessment (PDNA)

Assessing the damage and losses caused by a disaster—its impact on the economy, impact on the society, the economic value of lost infrastructure, impact on the social fabric, and finally, impact on development is of paramount importance.

The Economic Commission for Latin America and the Caribbean (ECLAC) has developed a methodology for assessing the socioeconomic and environmental impact of disasters (DaLA). Initially, the methodology concentrated on natural hazards only, but it has expanded and is now looks at the health impact as well. In use in over 45 events, it has repeatedly demonstrated the Iink between disasters and development. 

 

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