Purpose – Satellite and airborne images are increasingly used at different stages of disaster management, especially in the detection of infrastructure damage. Although semi- or full automatic techniques to detect damage have been proposed, they have not been used in emergency situations. Damage maps produced by international organisations are still based on visual interpretation of images, which is time- and labour-consuming. The purpose of this paper is to investigate how an automatic mapping of damage can be helpful for a first and rapid assessment of building damage. Design/methodology/approach – The study area is located in Port-au-Prince (Haiti) stricken by an earthquake in January 2010. To detect building damage, the paper uses optical images (15 cm of spatial resolution) coupled with height data (LiDAR, 1 m of spatial resolution). By undertaking an automatic object-oriented classification, the paper identifies three categories of building damages: intact buildings, collapsed buildings and debris. Findings – Data processing for the study area covering 11 km2 took about 15 hours. The accuracy of the classification varies from 70 to 79 per cent depending to the methods of assessment. Causes of errors are numerous: limited spectral information of the optical images, resolution difference between the two data, high density of buildings but most importantly, certain types of building collapses could not be detected by vertically taken images (the case of data in this study). Originality/value – The automatic damage mapping developed in this paper proves to be reliable and could be used in emergency situations. It could also be combined with manual visual interpretation to accelerate the planning of humanitarian rescues and reconstruction.

BackgroundThe geographical accessibility of health services is an important issue especially in developing countries and even more for those sharing a border as for Haiti and the Dominican Republic. During the last 2 decades, numerous studies have explored the potential spatial access to health services within a whole country or metropolitan area. However, the impacts of the border on the access to health resources between two countries have been less explored. The aim of this paper is to measure the impact of the border on the accessibility to health services for Haitian people living close to the Haitian-Dominican border.MethodsTo do this, the widely employed enhanced two-step floating catchment area (E2SFCA) method is applied. Four scenarios simulate different levels of openness of the border. Statistical analysis are conducted to assess the differences and variation in the E2SFCA results. A linear regression model is also used to predict the accessibility to health care services according to the mentioned scenarios.ResultsThe results show that the health professional-to-population accessibility ratio is higher for the Haitian side when the border is open than when it is closed, suggesting an important border impact on Haitians’ access to health care resources. On the other hand, when the border is closed, the potential accessibility for health services is higher for the Dominicans.ConclusionThe openness of the border has a great impact on the spatial accessibility to health care for the population living next to the border and those living nearby a road network in good conditions. Those findings therefore point to the need for effective and efficient trans-border cooperation between health authorities and health facilities. Future research is necessary to explore the determinants of cross-border health care and offers an insight on the spatial revealed access which could lead to a better understanding of the patients’ behavior.

Background Since climate change, pandemics and population mobility are challenging healthcare systems, an empirical and integrative research to studying and help improving the health systems resilience is needed. We present an interdisciplinary and mixed-methods research protocol, ClimHB, focusing on vulnerable localities in Bangladesh and Haiti, two countries highly sensitive to global changes. We develop a protocol studying the resilience of the healthcare system at multiple levels in the context of climate change and variability, population mobility and the Covid-19 pandemic, both from an institutional and community perspective. Methods The conceptual framework designed is based on a combination of Levesque’s Health Access Framework and the Foreign, Commonwealth and Development Office’s Resilience Framework to address both outputs and the processes of resilience of healthcare systems. It uses a mixed-method sequential exploratory research design combining multi-sites and longitudinal approaches. Forty clusters spread over four sites will be studied to understand the importance of context, involving more than 40 healthcare service providers and 2000 households to be surveyed. We will collect primary data through questionnaires, in-depth and semi-structured interviews, focus groups and participatory filming. We will also use secondary data on environmental events sensitive to climate change and potential health risks, healthcare providers’ functioning and organisation. Statistical analyses will include event-history analyses, development of composite indices, multilevel modelling and spatial analyses. Discussion This research will generate inter-disciplinary evidence and thus, through knowledge transfer activities, contribute to research on low and middle-income countries (LMIC) health systems and global changes and will better inform decision-makers and populations.

Mobilité transfrontalière et itinéraire thérapeutique des Haïtiennes et des Haïtiens de la région de Ouanaminthe Cross-border mobility and therapeutic itinerary of Haitians in the Ouanaminthe region

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