Haitian natural disaster nursing intervention primary prevention secondary prevention and tertiary p

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Haitian natural disaster nursing intervention primary prevention secondary prevention and tertiary p

Ensure outbreak control and effective disease surveillance. Ensure adequate water supply and environmental health. Reactivation of basic health care services for a more integrated health system based on primary health care.

Haitian natural disaster nursing intervention primary prevention secondary prevention and tertiary p

Ensure treatment and rehabilitation of injured patients. Ensure availability of essential drugs and medical supplies. Needs Analysis Short-term needs until May: The January earthquake in Haiti caused massive mortality and countless injured who require surgery and trauma care.

Many of the victims became disabled and will need specialized care. Homeless people gathered under improvised shelters or public spaces leading to overcrowding that, combined with poor living conditions, facilitates the spread of air- water- and vector-borne diseases as well as the potential for epidemic diseases.

The population has been strongly emotionally-affected and will require mental health and psycho-social support. The whole health system has been deeply affected in its infrastructure and organization affecting the capacity of the system to respond to the pressing health needs of the population.


Livelihoods were lost, availability of food decreased, with particularly adverse effect on vulnerable groups including children. People with chronic diseases and HIV have been faced with the interruption of their treatment.

Haitian natural disaster nursing intervention primary prevention secondary prevention and tertiary p

SGBV is a looming risk. The rainy and hurricane seasons will start in the coming months, thus further complicating an already disastrous situation. The immediate risks include diarrhoea and waterborne diseases. Priority actions until May will focus on primary health care and mobile clinics to reduce morbidity and mortality among homeless people living in overcrowded conditions with poor sanitation.

Specific preventive measures aiming at reducing the incidence of diarrhoea include the provision of adequate sanitation and in particular latrine building. Overall needs Coordination, needs assessment, monitoring and evaluation Health services are being provided by all functional health centres in Port-au-Prince, other affected areas and areas hosting displaced populations.

More than teams, including local organizations and teams from different countries and INGOs, are supporting government efforts to treat the injured and ill.

This tremendous influx of human resources and supplies has generated a substantially increased need for coordination, with health partners as well as with local authorities.

Good decisionmaking depends on the availability of information on needs, trends, risks, local and external resources. It is essential that the support and assistance for the relief phase be linked to sustenance of essential health services.

The revitalization and recovery of the health system needs to take place in a coordinated, coherent and comprehensive manner, so that no critical gaps are left during the transition from relief to early recovery. In order to harmonize the reactivation of services and efforts to better rebuilding the health system, it is key to work in coordination with and under the leadership of the NHA.

Indeed, the vision and leadership of the NHA with regard to the post-disaster needs assessment PDNA exercise must help to align efforts of key players in order to make the best possible use of the resources available to rebuild a more efficient and equitable health system.

Outbreak Control and Disease Surveillance Population displacement results in spontaneous, overcrowded resettlement areas, raising the risk of transmission of certain communicable diseases, such as vaccines preventable diseases, in particular measles and diphtheria, but also meningitis, HIV, TB, acute respiratory infections and diarrhoeal diseases.

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In the acute phase of this emergency, the potential interruption to anti-TB and HIV treatment services and loss of patient follow-up is likely to be a significant problem. Patients who have been injured during the earthquake or who will get injured as a consequence of the environmental hazards resulting from destruction are at risk of tetanus, which is already highly endemic in Haiti, both in its neonatal and post-neonatal forms.

In addition, displaced populations may be at an increased risk of malaria and dengue due to an increased exposure to vectors. Epidemiologic surveillance, outbreak prevention, disease control measures and immunization are therefore essential.

Water supply and environmental health More than a million people are living roofless and many will remain poorly sheltered at the arrival of the rainy season in an environment of poor sanitation related to poor waste and excreta management and risk of water contamination.

The structural damage to the already weak water, sanitation and electricity systems, the interruption in service that occurred in water provision and solid waste collection and the increase in the number of patients and therefore the quantity of medical waste, solid waste and excreta in health care facilities have resulted in an increased environmental risk to health through inadequate quantity and quality of water, inadequate sanitation and the disruption in the cold chain systems morgues, storage of medicines and food.

Providing safe water is all the more essential for medical use, for hygiene and for human consumption. Damage to water infrastructure of health services, poor management of waste, including health care waste, can potentially expose health care workers, waste handlers, patients and the community at large to infection, toxic effects and injuries as well as increasing the risk of polluting the environment.

The collection of solid waste and medical waste is essential to control the spread of vectors, and the collection of sewage limits the spread of infectious and water-borne diseases. The current situation promotes the proliferation of vectors and therefore vector-borne diseases mosquitoes, rodents and flies.

Basic health care services The destruction of health infrastructure and the displacements of population following the earthquake have increased the need of support with regard to the delivery of basic health care services in all health facilities, not only those directly affected by the earthquake.

The capacity of the national health institutions must be repaired and strengthened, health facilities need to be re-equipped.Primary, Secondary and Tertiary Prevention Interventions Haiti Primary prevention nursing interventions Primary prevention and nursing interventions.

My Account. Search. My Account; secondary prevention would occur during the acute stage of the disaster. These interventions of course would differ depending on the type and scope of the /5(1). With secondary prevention, the goal is to mitigate the health consequences of a disaster by providing education about injury control during the clean-up and recovery period.

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