Transcript safe hospitals & health risk reduction

SAFE HOSPITALS & HEALTH RISK REDUCTION
Safe Hospitals Initiative
“A health facility whose services remain
accessible and functioning at maximum
capacity and in the same infrastructure, during
and immediately following the impact of a
natural hazard.”
Hospital Safety Index (HSI)
Hospital Safety
Structural
Non-structural
Planning
(Training)
Quantitative assessment tool
• Hazards in the geographical location
• Safety level of structural and non-structural
elements and assets
• Organizational level of functional capacity
• Implementation of disaster planning
• Ability to continue and restore services
• Availability of supplies and resources
Pre-winter assessment (2008)
• Overall looked at 117 facilities
• Combined with the MoH initiative to assess
implementation of their winter
preparedness plan
• Showed significant gaps in winter
preparedness
• Illustrated need for quantitative and
qualitative vulnerability assessment
Applying the “Index” in Tajikistan
• Utilized first within the “Cold Crisis Casestudy” of six key facilities
• In-depth view of the impact of the coldcrisis and the relationship of disaster risk
• Allowed for identification and prioritization
• Risk and vulnerabilities
• Disaster preparedness
• Planning levels
Capacity building - HSI
• During the case-study staff from the MoH
Department for Emergency Situations
actively participated in the assessment
after being trained in the use of the tool
• Assessment and Planning working group
• Prioritized nine (9) additional facilities
• Conducted HSI assessments
Capacity building - PHEM Course
• “Public Health Emergency Management”
• Risk and vulnerability assessment
• Hospital DRR and preparedness plans
• Hospital disaster operational planning
• Incident command system
• Mass casualty management
• Disaster and needs assessment
• Public Health in disasters
• Standards and operational procedures
PHEM utilization
• “10-day” curriculum expanded to 23 days
allowing working time to produce plans
and draft SOPs with facilitators from MoH
• Outcomes:
• Detailed DRR plans for 15 facilities with costing
• Hospital operational and contingency plans
• Expertise developed in MoH and local facilities
in DRR and disaster operations
Integration
• Findings and recommendations utilized in:
• NHCMP development
• Action plan development
• Inclusion of DRR in the Comprehensive Health
Strategy development
• Inclusion of DRR in facility business planning
• Pandemic planning and preparedness
Bottom line
• Assessment tool plus with training lead to:
• In-depth understanding of the needs
• Common terminology
• Quantitative & qualitative information
• Creative local solutions to address vulnerabilities
• Basis for incident command structure
• Contingency and mass casualty plans
•  facility vulnerability
•  health response capacity
REACT
EWS
Assessment
Monitoring
GIS
Databases
CoES
MoH Disaster
Command Center
Information
and
Intelligence
Disaster Management
Training Center
Public Health
Emergency Mngt
DRR
Hospital Planning
Disaster Response
Emergency Care
Environmental
Psychiatric Inter.
Pandemic
MoH Expert
Committee
on DRR
NHCMP
Div. of
Emergency
Situations (MoH)
Action Plan
Health Strategy
SOPs
Indicators
Drug Policy
Contingency stocks
Safe
Hospitals