This guide provides a reliable and practical method for identifying the contribution an agency makes to changes to people s lives in the recovery period following disasters. It outlines 11 steps that take evaluators through designing quantitative and qualitative methods through to collecting field data and developing a narrative of evidence and change. The Contribution to Change tool encourages recognition of the efforts of the community itself, as well as the impact of other actors such as government or community-based groups.As the number of people affected by disasters has risen, so have the expectations placed on humanitarian agencies by donors, the public and the affected populations themselves. Agencies must now provide evidence of impact of their interventions. But applying conventional evaluation methods can pose problems. How can we assess the difference that intervention makes? Is it ethical to consign some disaster-affected communities to control groups? How feasible is it to collect baseline data among people who have just been traumatized?"

Flood hazards and the risks they present to human health are an increasing concern across the globe, in terms of lives, well-being and livelihoods, and the public resources needed to plan for, and deal with, the health impacts. This book is the first detailed assessment and discussion of the global health implications of flooding and future flood risk. It combines an analysis of the human health impacts of flooding with analysis of individual and societal response to those risks, and sets these findings in light of potential future increases in flood hazard as a result of climate change. Written and edited by leading researchers and practitioners on flood hazards and human health, the volume brings together findings from epidemiological, environmental, social and institutional studies, with analysis rooted in an approach that emphasizes the developmental as well as environmental causes of flood risk, and the socially differentiated nature of vulnerability and coping capacity. The first part of the book sets out the scope of the issues, and provides a detailed discussion of the global health impacts of floods and the nature of human response to the health risks posed. The second part presents new research evidence on specific health aspects of floods covering mental health, infectious diseases, local level responses and the responses of health systems - drawing on case study material from Europe, Africa, Asia and North America, including the impact of Hurricane Katrina in 2005. The conclusion synthesizes insights from the previous chapters and discusses priorities for policy, practice and research. It draws out implications for present and future adaptation to flooding, and emphasizes the need to integrate action on health with the broader agenda of long-term risk reduction. This is indispensable reading for professionals and researchers working on hazard and disaster planning, risk reduction and public health in all countries and contexts.

Flood hazards and the risks they present to human health are an increasing concern across the globe, in terms of lives, well-being and livelihoods, and the public resources needed to plan for, and deal with, the health impacts. This book is the first detailed assessment and discussion of the global health implications of flooding and future flood risk. It combines an analysis of the human health impacts of flooding with analysis of individual and societal response to those risks, and sets these findings in light of potential future increases in flood hazard as a result of climate change. Written and edited by leading researchers and practitioners on flood hazards and human health, the volume brings together findings from epidemiological, environmental, social and institutional studies, with analysis rooted in an approach that emphasizes the developmental as well as environmental causes of flood risk, and the socially differentiated nature of vulnerability and coping capacity. The first part of the book sets out the scope of the issues, and provides a detailed discussion of the global health impacts of floods and the nature of human response to the health risks posed. The second part presents new research evidence on specific health aspects of floods covering mental health, infectious diseases, local level responses and the responses of health systems - drawing on case study material from Europe, Africa, Asia and North America, including the impact of Hurricane Katrina in 2005. The conclusion synthesizes insights from the previous chapters and discusses priorities for policy, practice and research. It draws out implications for present and future adaptation to flooding, and emphasizes the need to integrate action on health with the broader agenda of long-term risk reduction. This is indispensable reading for professionals and researchers working on hazard and disaster planning, risk reduction and public health in all countries and contexts.

Alors que le nombre de personnes touchees par des catastrophes augmente, il en va de meme pour les attentes placees dans les organisations humanitaires par les bailleurs de fonds, le public et les populations touchees. Les organisations doivent a present fournir des preuves de l'impact de leurs interventions, mais l'application de methodes d'evaluation conventionnelles peut poser probleme. Comment pouvons-nous evaluer la facon dont notre intervention change la donne ? Confiner certaines communautes touchees par une catastrophe dans des groupes de controle est-il conforme a l'ethique ? Quel est le degre de faisabilite d'une collecte de donnees de base parmi les personnes souffrant d'un traumatisme recent ? Ce guide fournit des methodes fiables et pratiques pour identifier la contribution d'une organisation a l'heure de changer la vie des personnes lors de la phase de relevement suivant une catastrophe. Il presente 11 etapes qui accompagnent les evaluateurs dans la conception de methodes quantitatives et qualitatives, la collecte de donnees sur le terrain et le developpement d'une description des preuves et du changement. L'approche Contribution au changement encourage a reconnaitre les efforts de la communaute meme, ainsi que l'impact des autres acteurs tels que le gouvernement ou les groupes communautaires. Le guide Contribution au changement est destine aux responsables humanitaires et au personnel de terrain, ainsi qu'aux chercheurs specialises dans l'aide humanitaire et le developpement international.