Assessing factors affecting flood-induced public health risks in Kassala State of Sudan

Abstract Objective: The objective of this study is to prioritize the effective intervention measures for reducing the risk of waterborne and vector-borne diseases in the context of flooding in Kassala State. Method: This study uses the Analytic Hierarchy Process (AHP) based on the judgments and opinions of experts with different relevant backgrounds and serving on federal and state levels. Results: The main health risks related to flood are identified as vector and water borne diseases. Exposure to vectors and availability of emergency health care service are the main factors that directly affect the public health risks in Kassala State. On the other hand, inaccessibility, damaged and non-functioning health facilities are the main indirect factors. Conclusion: AHP is a useful and cost effective method to assess, prioritize and plan for health risk interventions. Addressing the root causes through integrated risk, multi-hazard management is essential to reduce the health risks. The main areas of intervention are; access to basic service, safety of the health centers, and environmental health management.

[1]  M. Clark,et al.  Health Impacts of Floods , 2010, Prehospital and Disaster Medicine.

[2]  Adnan Mahmood,et al.  SOFTWARE IMPLEMENTATION OF HIERARCHICAL DECISION MODELING AND HIERARCHICAL DECISION MODELING SENSITIVITY ANALYSIS , 2011 .

[3]  N. Mulder Validating the analytic hierarchy process for eliciting colorectal cancer screening preferences in an online questionnaire , 2011 .

[4]  Alan C. Brent,et al.  Application of the analytical hierarchy process to establish health care waste management systems that minimise infection risks in developing countries , 2007, Eur. J. Oper. Res..

[5]  Ricardo Viana Vargas USING THE ANALYTIC HIERARCHY PROCESS (AHP) TO SELECT AND PRIORITIZE PROJECTS IN A PORTFOLIO , 2010 .

[6]  José Fabiano da Serra Costa A Genetic Algorithm to Obtain Consistency in Analytic Hierarchy Process , 2011 .

[7]  B. Wisner,et al.  At Risk: Natural Hazards, People's Vulnerability and Disasters , 1996 .

[8]  Douglas H. Johnson THE COMPARISON OF USAGE AND AVAILABILITY MEASUREMENTS FOR EVALUATING RESOURCE PREFERENCE , 1980 .

[9]  Eltayeb E. Mohammed,et al.  Maternal mortality in Kassala State - Eastern Sudan: community-based study using Reproductive age mortality survey (RAMOS) , 2011, BMC pregnancy and childbirth.

[10]  T. Theander,et al.  A marked seasonality of malaria transmission in two rural sites in eastern Sudan. , 2002, Acta tropica.

[11]  Parisa Oviedo,et al.  The analytic hierarchy process in decisionmaking for caprine health programmes. , 2012, Revue scientifique et technique.

[12]  Hongyi Chen,et al.  A sensitivity analysis algorithm for hierarchical decision models , 2008, Eur. J. Oper. Res..

[13]  José María Moreno-Jiménez,et al.  A note on AHP group consistency for the row geometric mean priorization procedure , 2004, Eur. J. Oper. Res..

[14]  Keith Smith Environmental Hazards: Assessing Risk and Reducing Disaster , 1991 .

[15]  Metin Dagdeviren,et al.  Using the analytic network process (ANP) in a SWOT analysis - A case study for a textile firm , 2007, Inf. Sci..

[16]  M. Kirk,et al.  Risk factors for cholera in Pohnpei during an outbreak in 2000: lessons for Pacific countries and territories. , 2005, Pacific health dialog.

[17]  Metin Dağdeviren,et al.  Developing a fuzzy analytic hierarchy process (AHP) model for behavior-based safety management , 2008, Inf. Sci..

[18]  María Teresa Lamata,et al.  Consistency in the Analytic Hierarchy Process: a New Approach , 2006, Int. J. Uncertain. Fuzziness Knowl. Based Syst..

[19]  Matthew J. Liberatore,et al.  The analytic hierarchy process in medical and health care decision making: A literature review , 2008, Eur. J. Oper. Res..

[20]  M. T. Escobar,et al.  The Core of Consistency in AHP-Group Decision Making , 2008 .

[21]  J. Gil,et al.  A stated preference analysis comparing the Analytical Hierarchy Process versus Choice Experiments , 2011 .

[22]  Evangelos Triantaphyllou,et al.  USING THE ANALYTIC HIERARCHY PROCESS FOR DECISION MAKING IN ENGINEERING APPLICATIONS: SOME CHALLENGES , 1995 .

[23]  M. Wilson,et al.  Sustainable Control of Water-Related Infectious Diseases: A Review and Proposal for Interdisciplinary Health-Based Systems Research , 2009, Environmental health perspectives.

[24]  Thomas L. Saaty,et al.  DECISION MAKING WITH THE ANALYTIC HIERARCHY PROCESS , 2008 .

[25]  Saul I. Gass,et al.  The Analytic Hierarchy Process - An Exposition , 2001, Oper. Res..

[26]  Ernest H. Forman,et al.  Promoting shared health care decision making using the analytic hierarchy process , 1999 .

[27]  R. Martorell,et al.  Summary and recommendations. , 2002, The Journal of nutrition.

[28]  Narasimha Bolloju,et al.  Aggregation of analytic hierarchy process models based on similarities in decision makers' preferences , 2001, Eur. J. Oper. Res..

[29]  John Watson,et al.  Epidemics after Natural Disasters , 2007, Emerging infectious diseases.

[30]  A. Linscott Natural disasters — a microbe's paradise , 2007 .

[31]  D. Morgan,et al.  Improvements to water purification and sanitation infrastructure may reduce the diarrheal burden in a marginalized and flood prone population in remote Nicaragua , 2010, BMC international health and human rights.

[32]  J. K. Routray,et al.  A semi-quantitative risk assessment model of primary health care service interruption during flood: Case study of Aroma locality, Kassala State of Sudan , 2013 .

[33]  K. Patric,et al.  Cholera: a continuous epidemic in Africa , 2002, The journal of the Royal Society for the Promotion of Health.

[34]  Rozann Whitaker,et al.  Validation examples of the Analytic Hierarchy Process and Analytic Network Process , 2007, Math. Comput. Model..

[35]  Rehan Sadiq,et al.  Risk-based environmental decision-making using fuzzy analytic hierarchy process (F-AHP) , 2006 .

[36]  R A Cash,et al.  Impediments to global surveillance of infectious diseases: consequences of open reporting in a global economy. , 2000, Bulletin of the World Health Organization.

[37]  Thomas L. Saaty,et al.  Making and validating complex decisions with the AHP/ANP , 2005 .

[38]  Xingli Li,et al.  Morbidity and mortality among populations suffering floods in Hunan, China: the role of socioeconomic status , 2009 .