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Who Day Presentation 07

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  • 1. Save lives. Make hospitals safe in emergencies.
  • 2. What is a hospital safe from emergencies & disasters? A safe hospital …  … will not collapse in disasters, killing patients and staff;  … can continue to function and provide its services as a critical community facility when it is most needed;  … is organized, with contingency plans in place and health workforce trained to keep the network operational;  … whose health workers are trained to respond in an emergency.
  • 3. Why is safe hospital initiative is important?  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 health investment. ‘The most costly hospital is the one that fails!’
  • 4. Health facilities & Health services are most needed aftermath of disasters Days after Disaster
  • 5. Service situation in our context
  • 6. Socioeconomic impact of a disaster in the health sector
  • 7. BENCHMARK 11  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 Member States.  Benchmark 11 is dedicated to looking at the safety of health facilities ?.
  • 8. Tools for hospital safety  WHO PAHO — the Hospital Safety Index (HSI).  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 facilities.
  • 9. Level of protection in emergencies  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.
  • 10. Prevention is cost- effective  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 priority.  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.
  • 11. Training programs for safe hospitals  HOPE (Hospital Preparedness for Emergencies)  PEER (Program for Enhancement of Emergency Response)  MCM (Mass Casualty Management)
  • 12. Who can do What?  Communities  Governments  Health institution & health workforce  Architects & Engineers  International & regional agencies & NGOs  Financial Institution & donors  Universities, schools & professional bodies
  • 13. Mumbai and Safe Hospitals
  • 14. Mumbai & Emergencies Natural Man-made  Floods  Terrorist attacks  Cyclone  Fire  Earthquake  Nuclear fallout  Tsunami  Landslide