title: Local perspectives on humanitarian aid in Sri Lanka after the tsunami.
abstract: OBJECTIVE
  To examine the impact of humanitarian aid from the perspectives of local stakeholders in Sri Lanka following the tsunami disaster of December 2004.
  
  
  METHODS
  Qualitative study using key informant and focus group interviews.
  
  
  METHODS
  Key informant and focus group interviews were conducted with tsunami survivors, community leaders, the local authorities and aid workers sampled purposively. Collected data were analysed using thematic analysis.
  
  
  RESULTS
  Aid aggravated social tensions and the lack of community engagement led to grievances. There was a perceived lack of transparency, beneficiary expectations were not always met, and it was difficult to match aid to needs. Rapid participatory approaches to obtain beneficiary feedback in post-disaster settings are possible but have limitations due to respondent bias.
  
  
  CONCLUSIONS
  In order to mitigate adverse social impacts of their programmes, humanitarian aid agencies need to better understand the context in which aid is delivered. Beneficiary feedback is essential in disaster planning and response so that disaster response can be better matched to the needs of beneficiaries.
authors.affiliation: London School of Hygiene and Tropical Medicine, London, UK. andrewlee@doctors.org.uk
authors.forename: A C K
authors.initials: AC
authors.lastname: Lee