The Recovery of Community Health Centers in Puerto Rico and the US Virgin Islands One Year after Hurricanes Maria and Irma

Appendix Table 1: Change in the number of patients who receive care at health centers since the hurricanes

Percent of health centers where the number of patients since the hurricanes…

All
(N=21)
Puerto Rico
(N=19)
US Virgin Islands
(N=2)
Stayed about the same 10% 11% 0%
Increased by less than 5% 19% 21% 0%
Increased by 5-10% 43% 37% 100%
Increased by more than 10% 10% 11% 0%
Decreased by 5-10% 14% 16% 0%
Decreased by more than 10% 5% 5% 0%
Appendix Table 2: Status of health center operations a year after the hurricanes

Percent of health centers where…

All
(N=21)
Puerto Rico
(N=19)
US Virgin Islands
(N=2)
Operations are mostly back to normal at all sites 81% 79% 100%
Operations remain disrupted in minor ways at some or all sites 14% 16% 0%
Operations remain disrupted in critical ways at some sites 5% 5% 0%
Appendix Table 3: The three biggest challenges currently facing health centers

Percentages reported for responses selected as a top three challenge

All
(N=21)
Puerto Rico
(N=19)
US Virgin Islands
(N=2)
Infrastructure issues 43% 42% 50%
Ability to recruit staff 19% 21% 0%
Ability to retain staff 24% 26% 0%
Loss of patients 29% 26% 50%
Increase in patients exceeding health center capacity 14% 16% 0%
Loss of community providers/reduced capacity of health system overall 14% 5% 100%
Increasing health needs of patients/community members 48% 47% 50%
Insufficient insurance reimbursement 38% 42% 0%
Insufficient grant funding 5% 5% 0%
Impact of broader health system changes 48% 47% 50%
Other challenge 19% 21% 0% 
Issue Brief