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INTER-REGIONAL TRAINING COURSE ON PUBLIC HEALTH AND EMERGENCY MANAGEMENT IN ASIA AND THE PACIFIC PHEMAP 9 MODULE 3 HEALTH EMERGENCY MANAGEMENT CAPACITY.

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Presentation on theme: "INTER-REGIONAL TRAINING COURSE ON PUBLIC HEALTH AND EMERGENCY MANAGEMENT IN ASIA AND THE PACIFIC PHEMAP 9 MODULE 3 HEALTH EMERGENCY MANAGEMENT CAPACITY."— Presentation transcript:

1 INTER-REGIONAL TRAINING COURSE ON PUBLIC HEALTH AND EMERGENCY MANAGEMENT IN ASIA AND THE PACIFIC PHEMAP 9 MODULE 3 HEALTH EMERGENCY MANAGEMENT CAPACITY

2 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 2 Learning Objectives By the end of this module, the participant should be able to: Describe the elements of capacity to manage health risks of emergencies Identify key elements of capacity for specific health service delivery functions Describe the role of a health emergency manager in health emergency management systems and in developing health emergency management capacity

3 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 3 Outline of the presentation: I.Relevance of Risk Management to Health Emergency Management Capacity Development II.Elements of capacity to manage health risks of emergencies III.Elements of capacity for specific health service delivery functions V.Roles of a health emergency manager in developing health emergency management capacity

4 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 4 Challenges Roles of HEM in Disaster Risk Mgt. concepts Risk mgt. services Delivery of functions/Services: Preparedness Response Recovery Health Emergency Management Capacity

5 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 5 Risk = Hazard x Vulnerability Capacity In managing Risk: Reduce Hazard Reduce vulnerability Increase Capacity Relevance of Risk Management to HEM Capacity Development

6 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 6 ANATOMY OF COMMUNITY RISK MANAGEMENT hazard community vulnerability readiness multisectoral, all hazards Community risk indicators: probability scale/magnitude/ strength/intensity spread duration biological hazards: season, infectivity, latency, transmission resistance, etc. natural phenomena famine diseases of epidemic potential events/crowds intoxification infestations transport accidents structural failures industrial accidents chemical accidents pollution refugees war terrorism Prevention & Mitigation Programme = = People: access to health care measles vaccination under 5 nutrition under 5 mortality access to clean water access to sanitation adequate housing employment/ income female literacy Property: health infrastructure vehicles medical supplies Services: curative care services ambulance services public health services health info system Environment: water/soil/air quality Vulnerability Reduction Programme policy, plans, procedures knowledge, skills, attitudes resources legislation national & sectoral policy administrative procedures response & recovery plans preparedness plans technical guidelines management structure institutional managements information systems warning systems human resources material resources financial resources simulations & training education public information community participation research publications Emergency Preparedness Programme risk of: death injury (mental/ physical) disease (mental/physical) loss of life displacement loss of property loss of income secondary hazards breakdown in security damage to infrastructure breakdown in services Contamination Community Risk Management

7 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 7 Group Activity I What do you understand by the term capacity in the context of health emergency management?

8 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 8 Defining Capacity System definition of capacity Capacity includes capability (or capacity) of the component parts, the resources (financial, equipment) which support the system, and the relationships which together form the system. Capacity is a quantitative measure Measurement of human and material resources i.e. number or volume or size. For example, the capacity of the hospital is 500 beds

9 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 9 Defining Capacity Sum of: capability resources relationships Within community organization country region world Aims Reducing illness, disability and death from risks Promoting health, safety and security

10 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 10 Health Emergency Management Capacity Capacity to perform the following functions: Reduce hazard Reduce vulnerability Respond to reduce and manage consequences Recover and reconstruct to reduce and manage consequences

11 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 11 Disaster Risk Management Framework Response Preparedness Recovery Prevention Mitigation (Capacity utilization) (Capacity building)(Capacity rebuilding for better) (Capacity to Reduce/prevent Hazard) (Capacity to Lessen Impact of hazard)

12 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 12 Elements Of capacity To manage Health risks of emergencies Organizations Systems People

13 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 13 In Risk Management Module: Capacity is directly associated to health emergency preparedness 10 elements of Health Emergency Preparedness: Legal framework Policies Guidelines Procedures Resources Plans Knowledge Attitude Skills Organizations Systems People

14 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 14 Group Activity II What do you understand by organizations, in the context of health emergency management? Give examples. What are systems in health emergency management? Give examples. How does people contribute to organizations and systems?

15 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 15 Organizations In the context of health emergency: Designated/organized body Defined organizational structure Clear roles and directions United action or functions Legal framework

16 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 16 Systems Definition: a regularly interacting or interdependent group of items forming a unified whole (Merriam Webster Dictionary) an orderly grouping of facts, principles, or methods in a certain field; any formulated method or plan; a manner of arrangement or procedure (The Random House Dictionary)

17 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 17 Systems to Manage Health Risks of Emergencies Systems systems operating at each administrative level systems in specific sectors systems to manage specific types of risks (hazards and vulnerabilities) systems for specific functions or services

18 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 18 Systems to Manage Health Risks of Emergencies Systems Logistics Management Information Management Coordination and Networking Surveillance System Human Resource Development Communication and Public Information Mass Casualty Management

19 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 19 People People contribute to organizations and systems by providing: skills, knowledge and attitudes Competency People may be: Career (or paid), volunteer and community Managers, coordinators, operators or responders

20 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 20 Elements Of capacity Perform Functions Organizations Systems People

21 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 21 Group Activity III What are the health risks expected from the hazard assigned to your group? What are the roles and function of the ministry of health in response to the hazard?(You may identify your organization or identify the level of administration) What capacities must they have in place in order for them to perform their roles and functions

22 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 22 ANATOMY OF COMMUNITY RISK MANAGEMENT hazard community vulnerability readiness multisectoral, all hazards Community risk indicators: probability scale/magnitude/ strength/intensity spread duration biological hazards: season, infectivity, latency, transmission resistance, etc. natural phenomena famine diseases of epidemic potential events/crowds intoxification infestations transport accidents structural failures industrial accidents chemical accidents pollution refugees war terrorism Prevention & Mitigation Programme = = People: access to health care measles vaccination under 5 nutrition under 5 mortality access to clean water access to sanitation adequate housing employment/ income female literacy Property: health infrastructure vehicles medical supplies Services: curative care services ambulance services public health services health info system Environment: water/soil/air quality Vulnerability Reduction Programme policy, plans, procedures knowledge, skills, attitudes resources legislation national & sectoral policy administrative procedures response & recovery plans preparedness plans technical guidelines management structure institutional managements information systems warning systems human resources material resources financial resources simulations & training education public information community participation research publications Emergency Preparedness Programme risk of: death injury (mental/ physical) disease (mental/physical) loss of life displacement loss of property loss of income secondary hazards breakdown in security damage to infrastructure breakdown in services Contamination Community Risk Management

23 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 23 EMERGENCY AND HEALTH EMERGENCY COMMUNITY VULNERABILITIES CAPACITIES DIRECT IMPACT INDIRECT IMPACT ASSOCIATED FACTORS Climate/ weather/ time of the day Location Security situation Political environment Economic environment Socio-cultural environment Morality, solidarity, spirit Competence, corruption DAMAGE AND NEEDS HEALTH RESPONSE Search and rescue First Aid Triage Medical evacuation Primary care Disease surveillance and control Curative care Blood banks Laboratories Referral system Special units (burn, spinal) Evacuation centers Shelter and Water Food and nutrition Energy and Security Environmental health Primary Health Care Care of the dead Psychosocial care Disability care Recovery and Reconstruction

24 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 24 EPIDEMIC EMERGENCIES OUTBREAK Specific morbidity and mortality - in the community - in health facilities Risk for health and lab workers Difficult access Agent unknown HEALTH RESPONSE Case definition Admission criteria Case confirmation Case management Discharge criteria Contact tracing Vector control Environmental controls Surveillance system Referral system Professional education Public Information and awareness Laboratory plans Hospital plans Supplies and equipment Borders control Quarantine Animal culling Commerce/ trade NEEDS

25 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 25 Health Emergency Capacity Development Plan Matrix

26 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 26 General or Cross-cutting Functions Risk communication Occupational health and safety Facility design Organization-based disaster planning Managing critical supplies and protecting infrastructure

27 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 27 General or Cross-cutting Functions Communication and transport Information management Health surveillance Mental health Reproductive health Environmental health Food safety, emergency feeding and nutrition Water supply management Waste management

28 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 28 Specific Emergency Response and Emergency Recovery Functions First aid, self-aid and first-responder health assistance Incident site management Assessing needs Mass-casualty management Decontamination Epidemiological investigation

29 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 29 Specific Emergency Response and Emergency Recovery Functions Forensic investigation Management of the dead and the missing/ fatality management Shelter and temporary accommodation (including evacuation shelters) Community support Longer-term issues (health effects, recovery, rehabilitation, reconstruction)

30 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 30 Specific Emergency Response and Emergency Recovery Functions Hazard and Risk Reduction functions Preparedness Functions Recovery & Response Functions General and Cross Cutting Functions Functions for specific services CAPACITY 10 Elements of Preparedness Service Delivery

31 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 31 Evacuation Site Scenario Damaged lifelines Overcrowding Poor environmental sanitation No access to safe water Inadequate sanitary toilets Health workers are direct victims Disrupted basic health services

32 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 32 Group Activity IV As Health Emergency Manager, what could be the priority service that you could deliver to reduce the possible secondary health risks in the evacuation site? Name just one. What capacities must you have to be able to deliver such health services to manage the risk? People Organization System

33 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 33 Evacuation Site Scenario: Typhoon Poor environmental sanitation No access to safe water Inadequate sanitary toilets No community surveillance system Disrupted basic health services Foul smell of decomposing bodies Severe depression of the bereaved and other health workers

34 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 34 Group Activity V In your group, address one of the following: 1.Environmental health 2.Communicable disease 3.Management of the dead and the missing 4.Mental health and psychosocial support Assess the risk and identify capacity needed in terms of organization, systems and people. Write your answers on a flip chart for presentation. (20 minutes)

35 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 35 Health Emergency Capacity Development Plan Matrix

36 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 36 Environmental Health in Evacuation Center Environmental health risks are assessed, including: Water supply services Waste handling and disposal Food safety Garbage disposal Local Capacity ( laboratory services, sampling, diagnosis and analysis; equipment etc.) Inventory of organizations with environmental health roles and responsibilities (laboratories, surveillance, chemical industries, water supply services, waste disposal services, fire service, etc.) Availability of supplies, reagents, medicines

37 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 37 Environmental Health in Evacuation Center Environmental health risks: Food and water borne diseases Environmental Capacity Environmental assessment, surveillance Environmental teams Environmental logistics including systems of distribution Laboratories and other confirmation devices Reporting, monitoring, evaluation

38 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 38 Communicable Disease Communicable health risks are assessed including: Diseases of Epidemic Potential Vaccine Preventable Diseases Vector Born Diseases Diseases of Public Health Significance Considerations: Health status Local capacity, program implementation Inventory of Organizations Availability of health services, facilities Availability of drugs, medicines, supplies, vaccines

39 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 39 Communicable Disease Communicable health risks: Epidemic and Outbreak Communicable Disease Capacity Surveillance System in place in evacuation centers Surveillance teams available Case definition etc.. Epidemiological investigation logistics including systems of distribution Laboratories and other confirmation devices Reporting, monitoring, evaluation Networking and referral system

40 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 40 Management of the Dead and Missing MDM Issues: Identification of the Dead Cultural Considerations Final Disposal of the Dead Management of the Relatives Considerations: Legal framework, functioning coordination mechanisms and organizational structure in place for health emergency preparedness and response Local capacity Inventory of Organizations Mortuary System

41 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 41 Management of the Dead and Missing MDM health risks? Myths and realities about dead bodies Mass burial MDM Capacity Organizational/Institutional Arrangements; roles and responsibilities; management structures Procedures (identification, keeping of records,fingerprinting, dental records, DNA and photographing) Provisions for notification of relatives (next of kin) Logistics Reporting, monitoring, evaluation Networking and referral system

42 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 42 Mental Health and Psychosocial Support Psychosocial health risk assessment: Coverage Silent victims, Family displacement Medical Responders/Leaders Early identification and referral Considerations: Local capacity for emergency provision of essential services and supplies Inventory of organizations, health facilities, Availability of drugs, medicines, supplies, Availability of training modules and trainers

43 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 43 Mental Health and Psychosocial Support Psychosocial health risks: Long lasting; affects rehabilitation and recovery (children, responders, etc.) Psychosocial Capacity Policies and Plan Training modules, pool of trainers ; range of services Advocacy and awareness through education, information management and communication Health facilities, drugs and medicines Reporting, monitoring, evaluation Networking and referral system;Inter and Intra sectoral coordination Local capacity for emergency provision of essential services and supplies

44 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 44 Group Activity VI In your group, discuss the role of the Health Emergency Manager in developing health emergency management capacity

45 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 45 Role of the Health Emergency Manager Determine the risk and plan to manage it Identify the capacity needed in terms of Organization, Systems and People Determine strategies to reach the goals set Determine resource requirements (Compare from what is available to what is required and what is the gap) Look for resources, identify partners, co share Determine a point person, time frame and indicators Monitor and evaluate

46 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 46 Health Emergency Capacity Development Plan Matrix

47 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 47 Learning Objectives By the end of this module, the participant should be able to: Describe the elements of capacity to manage health risks of emergencies Identify key elements of capacity for specific health service delivery functions Describe the role of a health emergency manager in health emergency management systems and in developing health emergency management capacity.

48 HEALTH EMERGENCY MANAGEMENT CAPACITY PHEMAP 9 48 THANK YOU


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