1. SAFE HOSPITALS & HEALTH RISK REDUCTION

2. 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.”

3. Hospital Safety Index (HSI) Hospital Safety StructuralNon-structural Planning (Training)

4. 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

5. 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

6. Applying the “Index” in Tajikistan Utilized first within the “Cold Crisis Case- study” of six key facilities In-depth view of the impact of the cold- crisis and the relationship of disaster risk Allowed for identification and prioritization Risk and vulnerabilities Disaster preparedness Planning levels

7. 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

8. 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

9. 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

10. 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

11. 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

12. Div. of Emergency Situations (MoH) MoH Disaster Command Center Disaster Management Training Center Public Health Emergency Mngt DRR Hospital Planning Disaster Response Emergency Care Environmental Psychiatric Inter. Pandemic Safe Hospitals MoH Expert Committee on DRR NHCMP Action Plan Health Strategy SOPs Indicators Drug Policy Contingency stocks CoES Information and Intelligence EWSGIS Assessment Monitoring Databases REACT