The 2004 tsunami devastated thousands of communities in countries bordering the Indian Ocean. Both urban and rural areas were destroyed along thousands of miles of coastline. But, in the

tsunami’s aftermath, a massive reconstruction and recovery effort was mounted, which has been a spectacular success in many ways. Communities that the waves had reduced to rubble feel normal

today. The rhythms of daily life have been re-established through hard work and perseverance of individuals, families and communities. This was helped by more than US$7 billion in aid that

was committed by the provincial governments, national governments, NGOs, and international donors to help not just rebuild communities that had been destroyed but to “build back better”. Why

that established the Study of the Tsunami Aftermath and Recovery (STAR) to better understand the immediate and longer-term impacts of what happened. STAR builds on a

population-representative survey conducted ten months before the tsunami by Statistics Indonesia that included 30,000 people who, at the time of the tsunami, were living in nearly 500

communities along the Acehnese and North Sumatran coastlines. Destruction was greatest in this area, where 170,000 people perished. Within months of the tsunami, we worked together to trace

and interview the same people. We interviewed them annually for five years and the ten-year follow-up is now underway. Our study includes communities that were very badly damaged by the

tsunami and had a high number of tsunami-related deaths, along with other comparable communities that were nearby but not directly affected. LOST HOMES, LAND AND LIVELIHOODS The tsunami

wrought unfathomable destruction to homes, land and livelihoods. About half a million people were displaced. To understand how the tsunami affected the entire population, it was imperative

that we followed people who moved and our team has managed to interview 96% of the survivors. Most of the displaced lost their homes in the tsunami. Many lost family and friends. About half

moved to camps that were set up for the displaced. The other half moved to other communities and lived with family or friends or rented homes. Fully two-thirds of the population in badly

damaged areas moved away. Five years later, almost all those who moved to a camp have returned but only two-thirds of those who moved elsewhere returned. REBUILDING AND REPLANTING

Home-building was a major component of the recovery effort and 140,000 homes were built. Over half those living in heavily-damaged communities have benefited directly from housing assistance

and 90% of households in those areas own their homes today. This rate, which is slightly higher than its pre-tsunami level, is a steep increase from the 60% rate shortly after the tsunami.

Today, home ownership rates are the same in heavily-damaged and other, comparable areas. While home quality varies, the reconstruction programme played a major role in helping families build

back a key asset they lost in the tsunami. The tsunami destroyed livelihoods including crops and croplands, boats, fishing and aquaculture ponds. Paddies were inundated with seawater

rendering them unsuitable for rice cultivation. Before the tsunami, about one in three households grew rice, the staple crop. In areas not inundated by the tsunami, the fraction rose

slightly the year after the disaster. In areas that were flooded, however, nearly two-thirds of farmers permanently switched out of rice. Some switched to other crops but more than one-third

of farmers have not returned to farming. Non-farming businesses also suffered. Before the tsunami, about 40% of households in tsunami-affected areas ran a business; about 10% lost their

businesses and these too have not re-started their business. RETURN TO WORK But these people did not stop working. Families did everything they could to shore up their incomes – a response

that was seen across all Indonesia at the time of the 1998 financial crisis. Today, men are slightly more likely to be working than they were before the tsunami, while women are far more

likely to be. This is because women who had not traditionally been working outside the home helped out in family businesses or took on other work to shore up family income. The slight

increase among men reflects the new work opportunities from the reconstruction effort. For example, the fraction of young men working is much higher in areas heavily-damaged by the tsunami,

compared to those in less-badly hit areas. Meanwhile, more older men have left the work force at greater rates. The overall impression ten years after the tsunami is of extraordinary

resilience and recovery. But, from an economic perspective, the reconstruction effort did not benefit everyone equally. Some have benefited enormously, others not so much. Continuing to

follow the STAR respondents will provide a richer picture of the longer-term impact of the tsunami and its aftermath on many dimensions of the health and well-being of the Acehnese and North

Sumatrans.