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Building Back Better: Local Health Department Engagement and Integration of Health Promotion into Hurricane Harvey Recovery Planning and Implementation

Author

Listed:
  • Mallory Kennedy

    (The University of Washington School of Public Health Department of Health Services, Seattle, WA 98195, USA)

  • Shannon Gonick

    (The University of Washington School of Public Health Department of Environmental and Occupational Health Sciences, Seattle, WA 98195, USA)

  • Hendrika Meischke

    (The University of Washington School of Public Health Department of Health Services, Seattle, WA 98195, USA)

  • Janelle Rios

    (The University of Texas Health Science Center (UTHealth) School of Public Health, Houston, TX 77030, USA)

  • Nicole A. Errett

    (The University of Washington School of Public Health Department of Health Services, Seattle, WA 98195, USA
    The University of Washington School of Public Health Department of Environmental and Occupational Health Sciences, Seattle, WA 98195, USA)

Abstract

Disaster recovery provides an opportunity to build healthier and more resilient communities. However, opportunities and challenges encountered by local health departments (LHDs) when integrating health considerations into recovery have yet to be explored. Following Hurricane Harvey, 17 local health and emergency management officials from 10 agencies in impacted Texas, USA jurisdictions were interviewed to describe the types and level of LHD engagement in disaster recovery planning and implementation and the extent to which communities leveraged recovery to build healthier, more resilient communities. Interviews were conducted between December 2017 and January 2018 and focused on if and how their communities were incorporating public health considerations into the visioning, planning, implementation, and assessment phases of disaster recovery. Using a combined inductive and deductive approach, we thematically analyzed interview notes and/or transcripts. LHDs reported varied levels of engagement and participation in activities to support their community’s recovery. However, we found that LHDs rarely articulated or informed decision makers about the health impacts of recovery activities undertaken by other sectors. LHDs would benefit from additional resources, support, and technical assistance designed to facilitate working across sectors and building resilience during recovery.

Suggested Citation

  • Mallory Kennedy & Shannon Gonick & Hendrika Meischke & Janelle Rios & Nicole A. Errett, 2019. "Building Back Better: Local Health Department Engagement and Integration of Health Promotion into Hurricane Harvey Recovery Planning and Implementation," IJERPH, MDPI, vol. 16(3), pages 1-12, January.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:3:p:299-:d:200097
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    References listed on IDEAS

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    1. Dzau, V.J. & Lurie, N. & Tuckson, R.V., 2018. "After Harvey, Irma, and Maria, an opportunity for better health-Rebuilding our communities as we want them," American Journal of Public Health, American Public Health Association, vol. 108(1), pages 32-33.
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    Cited by:

    1. Minyoung Ku & Ahreum Han & Keon-Hyung Lee, 2021. "The Dynamics of Cross-Sector Collaboration in Centralized Disaster Governance: A Network Study of Interorganizational Collaborations during the MERS Epidemic in South Korea," IJERPH, MDPI, vol. 19(1), pages 1-15, December.
    2. Mallory Kennedy & Shannon A. Gonick & Nicole A. Errett, 2021. "Are We Ready to Build Back “Healthier?” An Exploratory Analysis of U.S. State-Level Disaster Recovery Plans," IJERPH, MDPI, vol. 18(15), pages 1-10, July.
    3. Kristen Burwell-Naney & Sacoby M. Wilson & Siobhan T. Whitlock & Robin Puett, 2019. "Hybrid Resiliency-Stressor Conceptual Framework for Informing Decision Support Tools and Addressing Environmental Injustice and Health Inequities," IJERPH, MDPI, vol. 16(8), pages 1-19, April.

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