Make hospitals safe in emergencies.
What is a hospital safe from
emergencies & disasters?
A safe hospital …
… will not collapse in disasters, killing patients
… can continue to function and provide its
services as a critical community facility when it is
… is organized, with contingency plans in place
and health workforce trained to keep the network
… whose health workers are trained to respond
in an emergency.
Why is safe hospital initiative is
Health facilities are touchstone of public
faith in government and society.
They are sanctuaries for people who need
care, when they are most vulnerable.
It is important to keep hospital safe for the
health of the community during & after
emergencies as well as to protect massive
‘The most costly hospital is the one
Health facilities & Health services are
most needed aftermath of disasters
Days after Disaster
Socioeconomic impact of a disaster in the health sector
Benchmarking is a strategic process often
used by businesses to evaluate and
measure performance in relation to best
practices of their sector.
At a regional meeting in Bangkok, Thailand
in November 2005, 12 benchmarks ? on
emergency preparedness and response
were formulated by all 11 SEA Region
Benchmark 11 is dedicated to looking at
the safety of health facilities ?.
Tools for hospital safety
WHO PAHO — the Hospital Safety
WHO WPRO — the Field Manual for
Capacity Assessment of Health Facilities
in Response to Emergencies.
WHO SEARO and the National Society
for Earthquake Technology (NSET)
Nepal — guidelines on structural and
nonstructural assessments for health
Level of protection in
Life protection is the minimum level of
protection that every structure must comply
with. It ensures that a building will not
collapse and harm its occupants.
Investment protection involves
safeguarding infrastructure and equipment.
Operational protection is meant to ensure
that health facilities can function in the
aftermath of a disaster. This is the optimal
level of protection.
Prevention is cost-
Low cost design safety: New hospitals
The cost of a disaster-safe hospital or
health facility is negligible when included in
early design considerations. Planning
processes for new hospitals can be easily
targeted by advocacy, and should be a
Low cost retrofitting: Targeted protection
Retrofitting non-structural elements costs
only about 1-2 % while protecting up to
90% of the value of a hospital.
Training programs for safe
HOPE (Hospital Preparedness for
PEER (Program for Enhancement of
MCM (Mass Casualty Management)
Who can do What?
Health institution & health workforce
Architects & Engineers
International & regional agencies & NGOs
Financial Institution & donors
Universities, schools & professional bodies