Guidance Notes on Safe Health Facilities Sanjaya Bhatia Focal Point Disaster Resilient Schools & Hospitals

Steps Coordination Platform with Ministry of Health, Country Office World Bank, WHO, National Disaster Management Organization, Ministry of Finance Formation of a Technical Working Group Assessment of Vulnerability of Hospitals using Hospital Safety Index Study on the impact of disasters on the health sector National Workshop

What can be done Ensure all new health facility buildings adhere to building codes that incorporate disaster resilience (design, location, construction materials and methods, inspection, monitoring and maintenance). Conduct a vulnerability assessment of existing health infrastructure Set time-bound targets for repair, refit and rebuilding – National Action Plan Develop a legal and institutional framework for systematically implementing, monitoring and evaluating safety, involving stakeholders from all levels.

What can be done Study on the Impact of Disasters on the Health Sector Study of the Socio-Economic Impact of disasters on the Health sector Vulnerability Assessment of the health Facilities – Hospital Safety Index National Advocacy Workshop National Action Plan for Safe Health Facilities (NAPSHF) Stakeholder Input Local Research organization

Significance of the National Action Plan Develop Policy & Legal framework for safe health facilities sectoral component of the National Action Plan / Strategy / Policy for DRR. Develop guidelines for construction of safe buildings. Review to strengthen existing construction designs and guidelines Capacity building of health staff, engineers, architects, brick layers (masons), contractors and other public and private sector stakeholders

What the National Action Plan covers Retro fitting New Construction – Mainstreaming Emergency preparedness

What the National Action Plan covers Vulnerability Assessment National Action Plan Structural MeasuresNon-Structural Measures Non-Structural Components Structural Components New constructionRetro-fitting Hospital Emergency Planning - ICS Trauma Management Mass Causality Management Dead Body Disposal Management Guidelines, Training, Capacity Building Steps for Safer Health Facilities

The GN can provide Case studies and guidelines for construction of safer buildings List of reference material for retro-fitting List of reference material and guidelines for non- structural safety List of reference material and guidelines for preparedness List of reference material for capacity building Case studies and list of reference material for costing

Template for National Action Plan INTRODUCTION Background ……………………………………………………………. Purpose and Objective ……………………………………………….… Planning Process ………………………………………………………… Linkages with National Development Policies and Plans ……………….. DISASTER RISK Hazard Profile ……………………………………………………………. Floods Drought Disease Outbreaks and Epidemics Storms Forest and Land Fires Climate Change Technological Disasters Earthquakes, etc. ACTION PLAN FOR DISASTER RISK REDUCTION DRR Priorities First Level Priorities Second Level Priorities Third Level Priorities Summary of Disaster Risk Reduction Priority Projects IMPLEMENTATION Implementation Mechanism Institutional Arrangements Funding Monitoring and Evaluation

First Level Priorities This would be hospitals which are to be built under pipeline projects. The urgency is to integrate DRR concerns before the construction begins, so as to ensure strong buildings.

First Level Priority (Example)

Second Level Priorities These could be facilities in hazard prone areas, with higher risk level as identified in the assessment. This could also include emergency planning and other non-structural mitigation measures.

Third Level Priorities These could be health facilities which need minor retro-fitting as they are located in less hazard prone areas of the country.

Summary of Prioritization of Projects for Safe Schools

Plan Format

Comments and Suggestions Thank You