Anne Peterson, MD, MPH, Senior Vice President of Global Programs, Americares discusses how Americares partners with NGOs, donors, governments and business leaders to integrate services and achieve synergies for greater impact during a disaster at the 2018 CCIH conference.

1. Partnerships in Disasters
E Anne Peterson, MD, MPH
Senior Vice President Programs
Americares
CCIH Annual meeting, July 15, 2018

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United States
Puerto Rico
IndiaEl Salvador Liberia
Philippines
Dominica
Tanzania
Jordan
Nepal
Colombia
Haiti
Guatemala
Kenya
Iraq Bangladesh
MyanmarTurkey/Syria
FY18 Disaster/Humanitarian Response
Deep engagement Light footprint
PNG
Peru

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Our Usual Partnerships
What we have been doing
• A2M: Medicine & Medical Supplies donated, shipped
• $982m in FY18
• ~20% in ER or post ER sites,
• Medical outreach teams
• Disaster response:
• Development: Local Health facility (often post disaster)
Who we have partnered with
• Donors, pharma, companies (GE..)
• Airlines, shipping companies
• US based medical teams
• Health facilities: >4000 world-wide, ~60% FBO or church run
• Governments

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Health facilities: HCW & Pt health needs
• Disaster inflicted needs:
• Specific for disaster
• Mental health
• Safety
• Isolated – lack of training
• PTSD & Vicarious traumatic exposure
• Needs due to broken infrastructure, lack of access
• Water/sanitation
• Outbreaks of disease (measles, cholera, vector borne)
• Patient surge – delayed arrival of serious cases, lack of preventive services
• On-going usual health needs, especially for long-term crisis:
• Routine immunization, Vit A
• Geographically specific risks: malaria, dengue…
• Family planning (condoms for Zika)
• Chronic disease meds
• Formula for weaned babies – Lebanon
• Patient surge – workload, insufficient tools to address need, “excess
mortality”

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Disaster management cycle
From: “Disaster Management- Preparedness Methodology in Assam,” UNDP India,
http://data.undp.org.in/dmweb/Article-DRM%20Assam.pdf

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Texas (Harvey)
• A2M - $11m during initial months
• Vaccination & info at Friday night
football games
• Grants
• Health service restoration – insurance
premiums
• Mobile medical units
• Programs:
• Mental health pyschosocial
• preparedness,
• diabetes prevention (CDC, Omada)

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Puerto Rico (Maria)
• Projects
• A2M
• Patient transport
• Mental health -5000 HCWs
• Health center resiliency & Strive to Thrive
• Preparedness and resilience
• Chronic Disease
• Special events and donor visits
New partnerships
• Local airlines, Coast guard (Vieques)
• Diabetes Association
• Primary care association
• Hospice care
• Solar power providers
• Home Depot (Dominica)

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Mental Health Psychosocial (MHPSS)
• MHPSS more than Mental Illness
• Resiliency for Health Care workers
• Tiered approach (PFA,RHC, support groups,
counseling)
• Community based – Nepal
• Partnership with Israid & drama groups
• Integrated with NCD programs (Jordan)
Syrians & hos communities
• MoH & RHAS, academia (publications)
• US: Free clinics, substance abuse centers,
FQHCs, first responders, physician groups,

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Preparedness Programs
• Program sites: Texas, PR, USVI, FL, El
Salvador, Philippines
• Thought Leadership Events: advocacy
• Anticipating need, including MHPSS
New Partnerships:
• Municipalities, chambers of commerce
(mapping needs)
• Construction & engineering
• Regulatory agencies
• First Responders: fire, social
services…

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Chronic Disease
• NCDs skyrocketing across world, increasing
portion of pre-disaster health profile
• Chronic disease has acute care needs
• Access to meds (esp. insulin)
• Access to services
• New partnerships:
• Dialysis Associations
• Medical Transport
• Hotels!

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Insecure Environments
• Americares has always worked in a number
of insecure environments and increasingly
responds to complex emergencies in
insecure/hostile environments
• Populations in insecure settings are
particularly vulnerable
• Complex humanitarian situations are more
difficult to work in and often receive limited
attention from NGOs, UN, and government
• Tele training, 3rd party monitoring etc..GBV
• El Salvador – gang negoatiation
• Rohinga camps –girls leadership NGO
Our El Salvador Clinic

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Country Travel Advisories*
Angola
Djibouti
Equatorial Guinea
Gabon
Liberia
Myanmar
Sao Tome and
Principe
Bangladesh
Cameroon
Republic of the
Congo
Eritrea
Ethiopia
India
Jordan
Kenya
Tanzania
Philippines
PNG
Chad
Democratic Republic
of the Congo
El Salvador
Lebanon
Mexico
Pakistan
Sudan
Turkey
Venezuela
Central African
Republic
Haiti
Iraq
North Korea
Somalia
South Sudan
Syria
Yemen
*Per US State Department which monitors and updates regularly; based on risk of crime, terrorism, piracy, civil unrest, armed conflict
Level 3
“Reconsider Travel” Level 4
“Do Not Travel”
Level 2
“Exercise Increased
Caution”
Level 1
“Exercise Normal
Precautions”

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African Parks
• Conservation & Health NGOs working
together to improve life in insecure
countries
• Possible countries: Malawi
• Benin
• CAR
• Chad
• Congo
• DRC

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Central African Republic
Fewer people than Congo, but even more need
• Maternal death rate – double (MMR: 882/100,000)
• Child death rate – 50% higher (CMR:172/1,000)
Insecure:
• Govt’ controls 20%, no services
• LRA & nomadic cattle herders
African Parks: Amazingly Functional
• MMU for Sudanese herders
• Training within Chinko for locals
• Improved staff care:
• Trauma & nutrition
• WASH & ID, malaria
• RUTF <> plumpy nut ?
• Insecticide impregnated clothing

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Innovation
• For profit entrepreneurs
• Not for profit social investors
• Schools of bioengineering
• PCI & UPS & zipline Partnering on emergency
blood delivery in Rwanda via Drone
• What’s their role?
• Link need to ideas, $, development, production
• What’s our role?
• ID need
• Help test effectiveness, acceptability, feasibility
• Introduce & Disseminate

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Let’s work together
to do great and new
things!