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Building a global network to transform health systems
- 1. BUILDING A GLOBAL NETWORK TO TRANSFORM HEALTH SYSTEMS M. Ahmed IDHAMMAD Head of Sustainable Development Mohammed VI University Hospital of Marrakesh, Morocco a.idhammad@gmail.comDay 2 - Morning plenary | Thursday, 20th October 2016 The 5th CleanMed Europe Conference UN City, Copenhagen, Denmark 19th-21st October 2016 1 Kingdom of Morocco
- 2. An Overview of the African HealthCare System 2 MATERNAL MORTALITY RATIO, PER 100,000 LIVE BIRTHS, 08 AFRICA: 620 – EUROPE:21 – WORLD: 260 UNDER-5 MORTALITY PER 1,000 LIVE BIRTHS, 11 AFRICA: 107 – EUROPE:13 – WORLD: 51 PHYSICIANS PER 1,000 PEOPLE, 10 AFRICA: 2.3 – EUROPE:33.3 – WORLD: 14.0 LIFE EXPECTANCY AT BIRTH, 09 AFRICA: 54 – EUROPE:75 – WORLD: 68 HOSPITAL NEEDS HEALTHCARE RISK MANAGEMENT AND PATIENT SAFETY DEGRADED STATE HEALTHCARE INFRASTRUCTURE
- 3. Moroccan health system in brief NationalHealth SysteminMorocco Private (fot-profit)Public 270 private units2 458 Basic Health Facilities 124 Hospitals 7 Military hospitals National Institutes and Laboratories Health care establishments run by mutual benefit societies: 13 CNSS the National Social Security Fund 5 500 beds26 000 beds 1 800 beds 16%79% 5% Kingdom of Morocco in brief Capital: Rabat Population (2014): 33 848 242 inhabitants Gross Domestic Product: 100.36 billion US dollars Life expectancy at birth (2014) : 72 years Population distribution % urban: 60.35 % population Under 15: 28.0 Total area: 710 850 km2 Coastline : 1 835 Km Population density : 73,1 people /km2 Language : Arabic , Berber To the north, the climate is Mediterranean, Atlantic to the west, and Saharan to the south* Regional hospitals National university hospitals Provincial hospitals Heathcare Center (local) Polyclinics Diagnostic Centers PublicHospitalSystem Morocco 3*Source: www.invest.gov.ma; www.hcp.ma ; worldbank.org*Source: http://www.who.int Private (non-profit)
- 4. Climate change challenges in Africa and Morocco 4 Impact of Climate Change on Human Health Asthma, cardiovascular disease Malaria, dengue, encephalitis, hantavirus, Rift valley fever, Lyme disease, Chikungunya, West Nile virus Respiratory allergies, asthma Cholera, cryptosporidiosis, campylobacter, leptospirosis, harmful algal blooms Malnutrition; diarrheal disease Heat- related illness and death, cardiovescu lat failure Forced migration, civil conflict, mental health impacts Injuries, fatalities, mental health impacts Evolution and landmark events in Morocco *Source: http://www.cdc.gov/
- 5. The Mohammed VI University Hospital of Marrakesh: By the numbers 5 Hospitals 1 548 Beds 2 455 Professional Staff 147 000 m² Constructed area 172 273 Emergency Visits 200 805 Outpatient consultations 48 151 Day-care admissions 53 526 Classic admissions 29 128 Surgical Interventions 15 663 Births 1 049 781 € Electric consumption 399 159 € water consumption 180 000 € Gas consumption 260 tons/year Healthcare risk waste production 5 47 million € Operating budget 3 million € Investment budget 108 % Average occupancy rate 7,6 days Average hospital stay 19 780 € Diesel consumption
- 6. Implementation of Sustainable Development 6 A Timeline of Sustainable Development at Marrakesh University Hospital … 2011 2014 2012 2016 … Individual and Local Initiatives Creation of the Sustainable Development Committee Commitment to sustainable development Integrating sustainability into our strategic planning
- 7. Our Sustainable Development Policy 7 Sustainable Development Policy Promotion of social progress • Ensure the health, safety and well-being of employees in the workplace; • Take into consideration the points of view of all stakeholders and create a work environment based on the seven values of the institution; • Include social responsibility in our management system; Preservation of the environment and natural resources • Identify environmental aspects and impacts of the establishment's operational activities; • Reduce greenhouse gas emissions and improve the energy efficiency of buildings; • Promote products and processes that are more respectful of the environment; • Promote source reduction, reuse, sorting, recycling, recovery and disposal of waste safely; • Support the implementation of renewable energy projects Encouraging responsible economic • Apply a responsible purchasing policy that aims to make suppliers aware of CSR; • Continue to improve awareness and communication aimed to reduce consumption and improve energy efficiency; • Develop a sustainable economic development strategy; • Ensure the integration of ecodesign principles in new investment projects. The Sustainable Development Committee meets at least twice a year The Sustainable Development Committee, consisting of managers of various departments and General manager The mission of the Sustainable Development Committee is mandated to develop, promote and coordinate all activities related to sustainable development. Its mission is also to oversee the preparation of annual action plans, monitor their implementation and capitalize on experience Sustainable Development Committee
- 8. Our Key Achievements 8 • Conducting of two Energy Audits • Training and awareness • Rationalization of electric power consumption • Counting system and energy management • Reduction of water consumption • Environmentally Responsible Purchasing • The dematerialization policy and Paperless office • Renewable energy: Solar and Geothermal energy • Green Days and Reforestation Days • Potentially infectious medical waste treatment is done in-situ • Development of international cooperation • Green building integration management • Management of air-conditioning systems The use of solar energy does not release sulfur dioxide and other particulate matters impacting human health. In 2015, 4 million Dirhams was invested on solar installations in our hospitals, through many projects: -Solar photovoltaic systems (SPV) for outdoor lighting and the pumping and irrigation processes: 90% of outdoor lighting is provided through solar energy. -Solar thermal energy: More than 70% of all buildings are equipped with solar collectors. We've also committed to invest nearly 7 million Dirhams in renewable energy projects this year. Currently, there is about 80 kilowatts-peak (kWp) of installed capacity and we will install 200 kWp by the end of 2016. With regard to low-temperature geothermal energy, The geothermal system will be used to heat and cool the building covers an area of two hundred square-meter. Several actions have been made to reduce water consumption : -Retrofit new water-efficient plumbing fixtures: the electronic sensor faucets that replaces standard faucets and Replace your old water-guzzling toilet with a low-flow one. Older toilets use between 20 to 25 litres per flush. New ultra-low-flow toilets use just six litres per flush. - Drip irrigation lines direct water directly to where plants need it.
- 9. Joining the GGHH network 9 WHY JOIN THE GGHH NETWORK? •Exchange of know-how on climate change and sustainable development •Participate in international events, briefings and networking activities in the world • Have access to various professional development tools • Build and develop leadership skills WHEN • September 2014 MEMBERSHIP •October 2014
- 10. 10 Kingdom of Morocco M. Ahmed IDHAMMAD Head of Sustainable Development The Mohammed VI University Hospital of Marrakesh a.idhammad@gmail.com | The 5th CleanMed Europe Conference - UN City, Copenhagen, Denmark, 19th-21st October 2016 |