World Health Day 2009


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World Health Day 2009

  1. 1. WORLD HEALTH DAY: Make hospitals safe in emergencies 06 April 2009
  2. 2. Salient Features <ul><li>World Health Day 2009 focuses on the safety of health facilities and the readiness of health workers who treat those affected by emergencies. </li></ul><ul><li>Health centers and staff are critical lifelines for vulnerable people in disasters - treating injuries, preventing illnesses and caring for people's health needs. </li></ul><ul><li>They are cornerstones for primary health care in communities – meeting everyday needs, such as safe childbirth services, immunizations and chronic disease care that must continue in emergencies </li></ul>
  3. 3. How emergencies threaten health facilities and delivery of care <ul><li>Apart from their effects on people, emergencies can pose huge threats to hospitals, clinics and other health facilities. </li></ul><ul><li>Structural and infrastructural damage may be devastating exactly at the time when health facilities are most needed. </li></ul><ul><li>Health workers have been killed in collapsing hospitals . </li></ul><ul><li>Despite international laws, health facilities continue to be targeted or used for military and terrorist operations in conflicts. </li></ul>
  4. 4. Why keep health facilities safe? <ul><li>Save lives, protect health </li></ul><ul><li>During emergencies, health facilities play a vital role. They: </li></ul><ul><li>provide emergency care to the injured (e.g. surgery and blood transfusions) and to the critically ill – as in outbreaks of communicable disease; </li></ul><ul><li>deliver longer-term health care before and after an emergency. People need long-term nursing and medical care, maternal and child health services, rehabilitation of injuries, management of chronic diseases, and psychosocial support long after the emergency is over; </li></ul><ul><li>provide immunization services to prevent outbreaks of communicable diseases such as measles that lead to the needless deaths of more children; and </li></ul><ul><li>Protect investment </li></ul><ul><li>Safeguard social stability </li></ul>
  5. 5. This means: <ul><li>ensuring the structural resilience of health structures with existing technologies; </li></ul><ul><li>keeping the equipment and supplies of these health facilities intact should an emergency happen; </li></ul><ul><li>improving the preparedness and risk reduction capacity of health workers; and ; </li></ul><ul><li>involving communities in this effort. </li></ul><ul><li>Safe health facilities are those that are accessible and function at maximum capacity immediately after a disaster event. health facilities, large or small, urban or rural, are the focus of this work. </li></ul>
  6. 6. EMRI <ul><li>Training to hospital staff / Mock drills </li></ul><ul><li>Training to public at large </li></ul><ul><li>Measures like: </li></ul><ul><ul><li>Strategic placement of ambulances / AVLT </li></ul></ul><ul><ul><li>Triaging patients before shifting them to hospital </li></ul></ul><ul><ul><li>Pre hospital care enroute to reduce Emergency medical officers load in emergency rooms </li></ul></ul><ul><ul><li>Maintaining dynamic database of hospitals in-terms of competency and capability </li></ul></ul><ul><ul><li>Focus on preventing potential emergencies </li></ul></ul><ul><ul><li>Dynamic relocation of ambulances and manpower </li></ul></ul>
  7. 7. EMRI: First responder training <ul><li>TRAINING MODULES </li></ul><ul><li>Introduction to EMRI </li></ul><ul><li>Medical Emergencies </li></ul><ul><li>Trauma Emergencies </li></ul><ul><li>Environmental Emergencies </li></ul><ul><li>Cardio-Pulmonary Resuscitation </li></ul><ul><li>Basic Bandaging and Splinting </li></ul><ul><li>Ambulance Demonstration </li></ul><ul><li>Examination </li></ul><ul><li>Feedback Expression </li></ul>
  8. 8. Practical Training on Manikins
  9. 9. Ambulance Demonstration
  10. 10. Future: <ul><li>Working in co-ordination with Emergency medical services authority (EMS) </li></ul><ul><li>Wider coordination with GSDMA (Gujarat state disaster management authority) </li></ul><ul><li>Police and fire authority </li></ul><ul><li>Application of newer technology: location based mobile access / wireless </li></ul><ul><li>Pre Hospital thrombolysis </li></ul>