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Are We Ready to Build Back "Healthier?" An Exploratory Analysis of U.S. State-Level Disaster Recovery Plans
Mallory Kennedy1, Shannon A Gonick1, Nicole A Errett1
1Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA 98195, USA.
Summary
State disaster recovery plans often lack sufficient detail on public health activities, especially for long-term needs and data analysis. Enhancing these plans is crucial for effective post-disaster health system recovery.
Area of Science:
- Public Health
- Disaster Management
- Health Systems Research
Background:
- Disaster recovery necessitates robust health system support, a need highlighted by the COVID-19 pandemic.
- State disaster recovery implementation plans are critical documents for guiding post-disaster health and human services.
- Assessing the preparedness of state recovery plans for health system support is essential.
Purpose of the Study:
- To evaluate the inclusion and scope of public health activities within state disaster recovery implementation plans.
- To identify gaps in current state disaster recovery plans regarding health and behavioral health needs.
- To determine the extent to which plans incorporate data collection and analysis for public health recovery.
Main Methods:
- An exploratory, descriptive study design was employed.
- State-wide disaster recovery implementation plans (n=33) were collected from emergency management agency websites.
- Plans were reviewed and coded to identify and categorize health-related activities.
Main Results:
- 70% of plans addressed short-term healthcare needs, and 64% addressed short-term behavioral health needs.
- Less than one-third of plans included activities for long-term healthcare or behavioral health needs.
- Plans demonstrated limited detail regarding health data collection, analysis, and data-driven decision-making processes.
Conclusions:
- State disaster recovery plans require enhanced public health components, including defined roles, responsibilities, and activities.
- Incorporating robust data collection and analysis strategies is vital for evidence-based disaster recovery decision-making.
- Plans should integrate mechanisms for the ongoing evaluation of public health recovery efforts.
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