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Project Alliance, Tajikistan, Plan “B” Phase 2 Report
1
14th November 2016
EXECUTIVE SUMMARY
Followinga successful delivery of aid and trainingin November 2015,a team of FIRE AID
members returned to Tajikistan in September 2016 to continue their effective cooperation with
emergency services.The team compromised of representatives of two of FIRE AID’s foundingmembers -
Staffordshire Emergency Services Humanitarian Aid Association (SESHAA) and Eastern Alliance for Safe
and Sustainable Transport (EASST) - delivering life-savingextrication equipment, firefightingPPE, and
other rescue items to fire services in the capital Dushanbeand to the main firestation in the town of
Khorog in the Gorno-Badakhshan Autonomous Region in cooperation with FOCUS Humanitarian
Assistance (an affiliateof the Agha Khan Development Network), EASST road safety partner Young
Generation of Tajikistan, and sponsored by the UK Embassy in Tajikistan – all united to improve
emergency response and to address someof the key risks facingthecountry.
FIRE AID, an organisation established with a small grantfrom the UK Department for International
Development (DFID), brings together UK Fire& Rescue humanitarian aid organisationsunder one
umbrella as well as providingguidance for donation projects,managing an equipment database,and
providing a forum for discussion on issues relevantto its members. SESHAA is a UK regi stered charity,
number 1070739,and has been operating Internationally since1995 with members from Fireand Rescue
Service, Policeand Ambulance Services.The charity is based in Staffordshire,UK.
EASST is an independent UK-registered charity
conducting a range of activities focusingon
both the prevention of, and response to, road
traffic collisions and has established an active
network of NGOs workingacross Eastern
Europe, the South Caucasus and Central Asia.
Due to a delay in fundingfor the full Phase2 of
Project Alliance,a plan (Plan “B”) was put into
action to fulfill partof the original plan to take a
convoy of emergency servicevehicles and an
instructor trainingteamto Tajikistan in
September 2016. With fundingfrom the UK
Foreign and Commonwealth Office, a team of 7 flew out to Dushanbe on the 18th September 2016 as
follows:
Alf Wilson,Chair of SESHAA, Trustee of FIRE AID, Fireand Rescue Service Advisor
Chris Wood,Vice Chair of SESHAA, Steering Group of FIRE AID, Fireand Rescue Service Advisor
JulieUtting. Director of Administration FIREAID, Director of Communications EASST
Adam Gent, Medic Instructor SESHAA, CEO Real FirstAid Ltd
Neil Pedersen, Lead Instructor SESHAA, StaffordshireFireand Rescue Service Instructor
John Kitchener, SESHAA Instructor,StaffordshireFireand Rescue Service Instructor
Damian Armstrong, SESHAA Instructor, StaffordshireFireand Rescue Service Instructor
Partner Organisations:
Ambassador Hugh Philpott, British Embassy Dushanbe
Pete Stevenson, FOCUS Humanitarian Assistance(an affiliateto the Aga Khan Development Network)
Naimjon Mirzorakhimov,Young Generation of Tajikistan
2
14th November 2016
CONTENTS
Executive Summary .........................................................................1
Contents ............................................................................................2
Objectives.......................................................................................3-4
The ProgrammE..........................................................................5-13
POTENTIAL FUNDING PARTNER MEETINGS ..............................14
PHASE 2 Completion-PROPOSAL-May 2017 .............................15
Phase 2 completion-Funding Requirements .............................16
Feedback-STUDENTS TRAINED ON PHASE 2 PLAN “B” COURSES…….16
NOTES ..............................................................................................17
3
14th November 2016
OBJECTIVES
This phaseof the project was the third visitto Tajikistan for the team with previous visits takingplacein
March 2015 for the initial scopingvisitand November 2015 for the firstdonation of rescueand medical
equipment and training.
The objectives of this third visitwere:
- to improve the capacity of Tajikistan emergency services to
respond, particularly to road traffic collisions
- to donate road crash rescueequipment (severely lackingin
Tajikistan),medical equipment and PPE to keep crews safer
- trainingfor crews in how to use the donated equipment, RTC
extrication,control techniques and scene management
- trainingfor FireService Medics in FPOS (FirstPerson on Scene)
- road safety school lessonsand planningof a wider prevention programme with Young Generation of
Tajikistan
- an assessmentof the “Command and Control” of incidents by the Emergency Service Operational
Officers
Trainingwas conducted for Republican FireService Personnel in Dushanbe. Trainingwas conducted for
FireService, Committee for Emergency Situations (COES) and FOCUS personnel in Khorog.
Prior to the arrival of the team, a total of £35,000 of rescue and medical equipment was shipped out to
Dushanbe to be used by those undertaking trainingprogrammes in Dushanbeand Khorog. The
equipment was officially donated to the services once the traininghad been completed. The total amount
of equipment donated to Tajikistan fromthe UK sincethe initial scopingvisitin 2015 is worth in the region
of £75,000.
The total return on the initial £20,000 fromthe British Ambassador in Dushanbeand the UK FCO - taking
into consideration thecourses held,the numbers of students taught and the personnel involved – is
£246,900 if calculated atUK costs, to the date of this report. This gives a return of 12.4 times the
investment. This does not includethe value of lives saved in Tajikistan through use of the donated
equipment and training.
Now going forward, itis planned to complete phase 2 once the convoy of emergency vehicles arrivein
spring2017 if the required funding is secured.The project is atthis stage is envisaged to be three to five
years from the initial scopingvisitthatwas undertaken in March 2015.
The project’s focus is on Post-Crash Careand Road Safety Education given that RTCs currently cause18.8
deaths per 100,000 population (WH0) in Tajikistan –a considerably high road death rate. 90% of road
deaths and injuries occur in low- and middle-incomecountries that have only 48% of the world's
registered vehicles.
4
14th November 2016
The team were assisted by EASST’s local partner,Young Generation of Tajikistan,who arecurrently
conductinga road safety projectseeking to reduce road deaths in the Firdavsi Districtof Dushanbe, and
by FOCUS (AKDN) who have a project to providedisaster preparedness and responseextending
humanitarian relief and recovery followingnatural or man-made disasters in Tajikistan and particularly in
GBAO.
Particularmention must go to Ambassador Hugh Philpott (British Ambassador to Tajikistan) for his
supportthroughout the project2015/2016. Without his assistancewewould not be this far forward.
5
14th November 2016
THE PROGRAMME
Monday 19th September 2016
Day 1 - Equipment Check and Testing
Venue: FOCUS Warehouse
The rescue and medical equipment had been shipped out to Tajikistan in August2016. The shipment once
in Dushanbe was safely stored in the FOCUS privatewarehouse. Followinga few hours rest from the
journey to Tajikistan via Istanbul and thearrival in Dushanbe at03:45hrs,the team undertook a thorough
auditof the equipment and once verified, the equipment was thoroughly tested, prior to delivery at the
Republican FireServiceTrainingSchool and
transportation of the allocated equipment to Khorog,
GBAO Region.
The items allocated to the DushanbeFire Servicewere
dispatched to the TrainingSchool,where itwould be
stored until the startof the courseproper on the 20th
September 2016.
Planning, Planning and More Planning.
Although the projectplan and trainingprogramme had been meticulously formulated in the UK
throughout a 10 month period and had been communicated to the Ministers and General of the
Republican FireServicewith a copy of the Memorandum of Understanding delivered by YGT, some
months before our arrival,a few of the importantrequirements had not been completed.
The accommodation for the instructors had notbeen arranged,the request for scrap vehicles for the RTC
extrication trainingwere not availableand indeed the information was that there were no scrap vehicles
availablein Dushanbe. There were no students en route to the trainingschool.
A number of calls to the Republican FireServiceDeputy General to confirmthe instructors’hotel resulted
in the hotel being hastily arranged,however, itwould not be availableuntil the20th. The instructors,
through some local research,managed to find a vehiclereclamation yard where they would spend three
hours negotiating the payment, delivery and recollection atthe end of the courseof two, what we could
loosely call scrap vehicles. Several other issues would ariseduringthe visit;“adaptability”is the byword
for this type of work.
Working Dinner with Peter Stevenson, Focus Humanitarian Assistance (affiliate of the Aga Khan
Development Network.
The working dinner established again thesupport and assistanceof FOCUS and its confirmation of the
supply of transportand interpreters for the project, both in Dushanbe and the Khorog, GBAO.
6
14th November 2016
Tuesday 20th September 2016
Day 2.
The Chief of the Republican FireService General Ibrohimzoda was not in Dushanbe, he had been called to
a meeting with the President Emomalii Rahmon, who was in the Khorog on an official visit.
The team held a meeting with the Republican
FireService Deputy General and Young
Generation of Tajikistan atthe FireService HQ
in Dushanbe. The absence of the General was
explained and apologies given.The problems
that presented themselves on the firstday were
discussed and the attendance of the students
was confirmed. The arrangements for the
purchased scrap carswere agreed and the
allocation of classrooms and food for the
instructors and students delivered.
The students arrived from various stationsaround
Dushanbe. The instructors detected an air of
apprehension,which is normal on the firstday of
any course, especially an international one.
The lead instructor Neil Pedersen with the officer
in charge of the group welcomed them to the
courseand put them at ease by introducingall
the instructor team and the courseprogramme.
The scrap cars arrived,notideal for the course,
the wheels were missingbutat leastthe rest of
the vehiclewas intactand followingsome
adaptation by the instructors the suitability of
the cars improved. Preparation for the next full
day of the courseprogramme was completed,
the next day would be the start of the course
proper.
7
14th November 2016
Wednesday 21st September 2016
Day 3, RTC Extrication Course and FPOS Course
The day started with the instructors havingbreakfastatthe trainingschool with the students. The 36
students who attended were separated into Fire
Service and Fire Medics.The classes werealso formed
and the introduction given by the lead instructor Neil
Pedersen.
The students would be given some technical
instruction for the startof the courseand progress to
the drill yard where a familiarisation of the equipment
to be used would be given.
The enthusiasmof the students became apparent and
the willingnessto take part in the coursewas a
positivestart.
The management team, Alf Wilson,JulieUtting,and
Chris Wood met with the British Ambassador Hugh
Philpottat the British Embassy.The Ambassador
emphasised the importance of the projectto the Tajik
Emergency Services and that he would liketo
continue to support the project.
The meeting went on to establish supportfor the
completion of Phase2 of the project for 2017.
Followingthe British Embassy meeting Alf Wilson,Julie
Utting and Chris Wood attended a meeting at the local
office of Young Generation of Tajikistan.The meeting
was focused on RTC education and future support for
YGT through the project. The education in relation to
road safety is atthe heart of the projectand in
partnership with EASST the completion of phase2
will havea dedicated team to deliver to schools and
colleges.
A donation of High Visibility clothingfrom EASST and
Keir Group will assistin protectingat risk groups.
8
14th November 2016
Thursday 22nd September 2016
Day 4 continuation of the courses in Dushanbe.
The students turned up enthusiastically for the courseand the RTC and
Medical practical lessonson the drill yard.
For the students, it was the experience of learningnew techniques at
the Republican FireService TrainingSchool.The initial trainingwas in
relation to how the extrication equipment can be used and its
limitations and its strengths.The maintenance and handlingof the
equipment is also as importantas its safeuse.
This would be the firsttime that some of students had used the dedicated
jaws,spreaders and cutters of the hydraulic extrication equipment that
had been donated. There was no shortage of willingvolunteers to take the
firststeps toward usingthe equipment on the vehicles. The equipment
provided can be used to extricatecasualtieswho are trapped in the body
of the vehiclebut the misuseof such equipment can be as dangerous to
the casualty and rescuepersonnel alike.The correctand safeuse of the
equipment, its handling,maintenanceand cutting techniques areall partof
the course.
The trainingof the Fire Service Medics is also an importantpartof
the integrated attendance at the RTC scene and post-crash care.
The Medic students undergo a practical scenario with an
unconscious casualty.The dangers on approach arehighlighted and
a thorough check of the casualty vital. The highlightingof who is the
most important person at the scene is given, that person is you, the
rescue person, without your initial assessmentand safety check,
you yourself could become a casualty and the rescue of injured
persons and savingof lives put at risk.The integrated use of both
Firefighter rescuers and medics at the scene will providethe
optimum chanceof casualty survival.
9
14th November 2016
Friday 23rd September 2016
Day 5, Team Travel the Pamir Highway to Khorog, GBAO
Friday morning 06:00, the SESHAA Team with Pete
Stevenson FOCUS (AKDN) took the Pamir Highway, the M41,
to the Khorog/ Afghan Border, a road traversingthe Pamir
Mountains through Afghanistan,Uzbekistan, Tajikistan,and
Kyrgyzstan. The trip alongthis road took the team
approximately 12 hours. Drivingthe Pamir Highway from
Dushanbe to Khorog, the team experienced first-hand the
dangers of the road in Tajikistan. Aid workers engaged in
humanitarian work often find themselves in extreme
environments – facingrisks fromnatural disasters,terrorist
attacks and crime. But the greatest risk they face is often
unrecognised: road deaths. Accordingto Paul Jansen,
Executive Director of Fleet Forum, “Road Traffic Collisions arethenumber one killer of aid workers.” The
poor road conditions of the mountain road caused a lorry to become lodged on a corner of the Pamir
Highway followingthe failureof its brakes,on this occasion therewere no casualties although the driver
had not only losthis vehiclebut also his livelihood,mostvehicles arenot insured.
Arrival in Khorog,2,600 meters above sea level, followingthe 12-hour drive, which is tiringto say the
least,the team were exhausted. The temperature in Khorog was hot, even at 18:30 in the evening,
however the team gathered at their accommodation for a briefingwith the Khorog FOCUS Officeteam
members.
Saturday 24th September
Day 6, Khorog Pamir Mountains/Afghan Border, GBAO.
Khorog, Gorno-Badakhshan Autonomous Region
The management team visited the Committee of Emergency
Situations (COES) HQ to meet the Colonel in charge and plan
for future cooperation.The plans goingforward are to
establish a COES TrainingSchool atthe HQ. The Colonel
thanked SESHAA/FIREAID for all their supportregardingthe
donated equipment and trainingcourses,both on this visit
and the previous visitin November 2015.
The Instructor team quickly went to work at the Fire Station,
the scrap cars werein situ,one of them had become redundant followingitbeing hit by a Rocket
Propelled Grenade some months before. The donated equipment was in the station awaitinginspection
by the instructors before being used on the courses.
Students attending from Fire, COES and Focus were divided into two classes for training –one RTC class
and one FPOS class.Thetrainingcourses went ahead with visibleenthusiasmfromthe students.
10
14th November 2016
Sunday 25th September
Day 7, Khorog Pamir Mountains/Afghan Border, GBAO.
The training continues with further RTC and medical input. The
students are extremely enthusiastic.Adam (Medic Instructor)
conducted his classes in both English and Tajik.The RTC
instructors outon the trainingground have adapted to the
different trainingenvironment.
The students are also learningaboutthe new RTC extrication
equipment, its safeuse, handlingtechniques and
maintenance. The technical inputis proving to be fruitful,the
students showed that the information had been remembered
and were effective in the extrication techniques used.
Monday 26th September
Day 8, at 05:00 the team prepare to leave.
The trip back to Dushanbe by 4x4 via the Pamir Highway,the
journey is notlooked forward to the second time, knowing
what’s ahead the approximate12-hour journey is only exciting
the firsttime it is done. The team reached Dushanbeat 18:30
for a well-earned meal and rest.
11
14th November 2016
Tuesday 27th September
Day 9, Republican Fire Service Training School, Dushanbe
The instructors and students reaffirmthe previous weeks training.
The instruction continued into the week. The British Ambassador
Hugh Philpott,arrived atthe trainingschool to thank the instructors
for sharingtheir knowledge with the students and congratulatethe
students on their efforts.
The Ambassador was extremely interested in the trainingand asked
some in depth questions of the instructors and to the students in
Tajik.
The whole team, both instructors and students, enjoyed the
experience of the Ambassador’s visitand itgave a boost to
show the importance that the UK Embassy placeon this kind
of interaction and aid development.
The trainingresumed after lunch where the students were
given additional responsibility of formingone crew of both
Medics and Firefighters to take part in a hands-on exercise
on the trainingground to prepare for Thursday, when they
would be taking chargeof an RTC scenario for the General’s
visitand official handingover of the donated equipment.
The opportunity to show the new skillsand equipment
acquired seemed to give the students an added incentive and
the involvement of both Firefighters and Medics drew the
teams closer.
12
14th November 2016
Wednesday 28th September
Day 10, Schools Road Safety visit and presentation.
Whilstthe instructors carried on with the lastday of
hands on trainingat the TrainingSchool,Alf Wilson,
Chris Wood,JulieUtting and Damian Armstrong visited
a local school organised by YGT. The purpose of the
visitwas to deliver a lesson in “Road Safety” Training.
The lesson and presentation that followed would assist
us to gauge how this type of lesson would be received
by the teachers and pupils.The plan to complete phase
2 involves the inclusion of the “Road Safety” modules,
and going forward this type of education will beat the
heart of the project with YGT
The lesson and presentation were very well received and the Principleof the school discussed with the
team the effectiveness of such education as the ratio of deaths of young people is devastating as 50%of
the country’s population is under 30 years old.
The Principleasked if we could look at her school again for future involvement in the project. She
informed us that when she attends the next meeting of the teacher’s association shewould speak to
them in relation to further schools takingpartin 2017.
The management team next met with the United Nations
Development Programme (UNDP). Alf Wilson,Chris Wood and Julie
Utting met with Firdavs Faizulloev (Programme Manager) and
Nargizakhon Usmanova (Programme Analyst) to discuss any
cooperation and partnership that could be formed.
13
14th November 2016
Thursday 29th September
Day 11, RTC demonstration and official handover of the donated
equipment.
The firsthalf of the morning was taken up with preparation and practice
for the demonstration. The students were well prepared and got on
with the job at hand. The closer it got to the General’s arrival themore
nervous but determined they became.
The ceremony and demonstration took placeonce General Ibrohimzoda
and politiciansarrived.Deputy Ambassador Jonathan Layfield attended
on behalf of the British Ambassador.Thestudents carried out the
demonstration which went extremely well and the General was
surprised and delighted at the team’s performance. General
Ibrohimzoda in his speech to his personnel,who had demonstrated
their skills,stated thathe would have them do a similardemonstration
for the Presidenton the 2nd October at the opening of the new Fire
Station in the Khatlon Region. A high honor indeed for the newly skilled students and their newly acquired
equipment.
The students that qualified were presented with
certificates of achievement by General Ibrohimzoda
on behalf of SESHAA/FIREAID. The whole of the
course, both Firefighters and Firefighter Medics
posed proudly for a team photo.
Traditionally SESHAA has always held a raffleof
International firefightingequipment and clothingfor
the students at the end of any course and the team in
Tajikistan were no exception. The students once
chosen randomly by a number picked out of a hat, are
called outto the front of the class.The student has a
choiceof prize that awaits them on the table. The final
award is given to the student that has shown most
promise, skill and leadership duringthecourse the
“Star Student”. The award for this student is the most
prized of any course.
14
14th November 2016
POTENTIAL FUNDING PARTNER MEETINGS
United Nations Development Programme
Alf Wilson,Chris Wood and JulieUtting met with Firdavs Faizulloev and Nargizakhon Usmanova to discuss
any cooperation and partnership thatcould be formed.
The UNDP representative explained that they are preparinga programme in partnership with the
Japanese to look at future partnerships in the Disaster Recovery and Rescue field.We explained that we
were in partnership with and have trained the COES and FOCUS (AKDN) team members and such training
was part of the overall project,partof which had been the Khorog training.The meeting ended with
Nargizakhon and Firdavs statingthatthey would be meeting with FOCUS (AKDN) that day and following
discussion atthe meeting and the draftingof partnership proposals they would make contact.
Toyota
The meeting with Toyota was held at the Toyota Head Office. Alf Wilson,ChrisWood and JulieUtting met
the CEO of DushanbeToyota Ziya Aligulov.The discussion was in relation to a possiblesupportor
partnership with Toyota in relation to the convoy of firefightingvehicles and ambulance,scheduled for
spring2017.
General Ibrohimzoda
A meeting took place,hosted by General Ibrohimzoda,the General in charge of the Tajikistan Republican
FireService. The guests were Alf Wilson,Chris
Wood, JulieUtting, Jonathan Layfield the chargés
d'affaires to the British Ambassador and the
Instructor Team. The meeting was informal,which in
the firstinstancetook the form of a celebratory
dinner as a thank you from the General and his
Officer Cadre for the continued partnership and
supportof SESHAA/FIRE AID. Followingthe dinner,
the General asked for a document to be forwarded
to himdetailingthe cost of the Spring2017 convoy
from the UK to Dushanbeto approach the President
for a contribution.
The document had to includedetails and photos of the vehicles,estimates of the costof transportingthe
convoy of vehicles,the drivers and accommodation and miscellaneouscosts enroute. The total valueof
the proposed 2017 donation,takinginto accountthe value of the vehicles and associated equipment,
training etc. is £317,000.The sumrequired to deliver this is £70,000.On the adviceof the General, it was
suggested to seek a contribution of £20,000 from the President.
The document was completed by JulieUtting and Naimjon Mirzorakhimov and signed by Alf Wilson,Chair
of SESHAA, Trustee of FIRE AID and Project lead.The General revealed that the document is to be
presented to the President atthe meeting of officialsin theKhatlon Region of Tajikistan.At the time of
writingthe report, we awaitthe outcome of the meeting.
15
14th November 2016
PHASE 2 COMPLETION-PROPOSAL-MAY 2017
The focus of Phase2, Plan “B” September to October 2016,was Post-Crash Careand Road Safety
Education to address the fact the road traffic collisions currently cause18.8 deaths per 100,000
populations in Tajikistan.Aproject to supply road safety education, equipment and trainingto the
Republican FireServiceand other emergency services
in Tajikistan was delivered.
The plan for Spring 2017,is to supply four firefighting
vehicles,equipped with standard firefighting
equipment plus an RTC extrication capability which
should be splitbetween two firestation areas of
Dushanbe and Dangara. An Emergency Ambulance will
be supplied for the useof the Ministry of Health for its
attendance by its medics at Road Traffic Collisions. A
further rescuecapability in the form of a 4x4 will be
situated in the Khorog, Pamir mountains for the use of
the combined Rescue Teams of the COES and FOCUS Agha Khan Foundation.
Assistanceis also proposed for the Policein Dushanbe.All equipment and vehicles are being sourced as
redundant donations from Fire& Rescue Services,Ambulance Services and manufacturers in the UK and
Europe. The 2017 phase donated equipment and vehicles areto be transported by road convoy from the
UK to Dushanbe travellingsome 4,261 miles.A team of instructors areto be flown into Dushanbeto
undertake further trainingcourses with the venue for the training to be the Republican FireService
TrainingSchool.Courses to be delivered: Vehicleand equipment familiarisation- RTC extrication Course-
Trauma TrainingCourse(F&RS personnel) Inter serviceLiaison CourseRTC- Command and Control at the
Scene. Trauma trainingRTC coursefor Medics to be undertaken at the FireService TrainingSchool where
possible.
The Road Safety Education programme will bedelivered to selected schools by SESHAA instructors in
partnership with YGT.
The proposed RTC/Rescue vehiclefor the Pamirs, researched by personnel during plan “B” phase2 will be
put in placeby a second trainingteam that will bebased in the Khorog. The appropriatetraining,RTC,
swiftwater rescue, linerescue and Mountain Rescue to be delivered to the combined COES/FOCUS
Teams.
The proposed dates for Phase 2 completion -2017;
The Convoy sets out from the UK, Staffordshire,May 2017,confirmation of date to be forwarded once the
Convoy funding is in place.Itis envisaged that the vehicles will takeapproximately 12 days to complete
the route. A small FIREAID team will arrivein Dushanbebefore the arrival of the convoy to set up the
trainingschool baseand get ready for arrival of convoy and instructors etc. Instructors fly outto Tajikistan
from the UK at a date to be arranged once funding in place,but in time for the convoy arrival. All Phase2
completion teams will beaccommodated in locally sourced Hotels or B&B where available.
A Memorandum of Understanding to be agreed and signed by the partner and recipient organisations.
16
14th November 2016
PHASE 2 COMPLETION-FUNDING REQUIREMENTS
The total valueof the proposed 2017 donation,takinginto accountthe valueof the vehicles and
associated equipment, trainingto be delivered etc. is £317,000.The sum required to deliver this is
estimated ata maximum of £70,000 includingsomecontingency and staff costs.On the adviceof the
General, it was suggested to seek a contribution of £20,000 from the President. EASST will submita third
application to the FCO for £10,000. EASST and the British Embassy arepursuingother avenues for the
remainder of the funds required, such as crowd fundingopportunities.
FEEDBACK FROM STUDENTS TRAINED ON PHASE 2 PLAN “B” COURSES
“Extrication – lots of new techniques – very helfpul.I am seeeing this for the firsttime”.
“This has always been my wish to extricate – this is what they taught us.I really liked itand now I know
there are lots of ways. Thank you for the practice.”
“I love you guys. You are amazing.Hope to see you next time.”
“A million thanks to FOCUS for helpingthe GBAO Region.”
“Today we learnttechniques for extrication and how to keep ourselves safe.”
“Very good theory on medical and I learnthow to provide firstaid.I would likemore practical activitiesin
the future too.”
“The extrication trainingiscompletely new to us.”
“We have learnta lotof new things and we are very grateful to the trainers.Great equipment for
extrication.A thousand thanks to the team. Pleasecome back.”
“Extrication trainingmostimportant for me.”
“I really likethe way Adam explained firstaid training –he helped explain things twice. In Johnny Bek class
we learnta lotabout extrication.It was very useful.”
Dushanbeand the Khorog, Tajikistan
18th September to 1stOctober 2016.
alfredwilson@sky.com - julie@easst.co.uk
17
14th November 2016
NOTES

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Final Version Plan B Report. Tajikistan Project Alliance-Sept to Oct 2016

  • 1. Project Alliance, Tajikistan, Plan “B” Phase 2 Report
  • 2. 1 14th November 2016 EXECUTIVE SUMMARY Followinga successful delivery of aid and trainingin November 2015,a team of FIRE AID members returned to Tajikistan in September 2016 to continue their effective cooperation with emergency services.The team compromised of representatives of two of FIRE AID’s foundingmembers - Staffordshire Emergency Services Humanitarian Aid Association (SESHAA) and Eastern Alliance for Safe and Sustainable Transport (EASST) - delivering life-savingextrication equipment, firefightingPPE, and other rescue items to fire services in the capital Dushanbeand to the main firestation in the town of Khorog in the Gorno-Badakhshan Autonomous Region in cooperation with FOCUS Humanitarian Assistance (an affiliateof the Agha Khan Development Network), EASST road safety partner Young Generation of Tajikistan, and sponsored by the UK Embassy in Tajikistan – all united to improve emergency response and to address someof the key risks facingthecountry. FIRE AID, an organisation established with a small grantfrom the UK Department for International Development (DFID), brings together UK Fire& Rescue humanitarian aid organisationsunder one umbrella as well as providingguidance for donation projects,managing an equipment database,and providing a forum for discussion on issues relevantto its members. SESHAA is a UK regi stered charity, number 1070739,and has been operating Internationally since1995 with members from Fireand Rescue Service, Policeand Ambulance Services.The charity is based in Staffordshire,UK. EASST is an independent UK-registered charity conducting a range of activities focusingon both the prevention of, and response to, road traffic collisions and has established an active network of NGOs workingacross Eastern Europe, the South Caucasus and Central Asia. Due to a delay in fundingfor the full Phase2 of Project Alliance,a plan (Plan “B”) was put into action to fulfill partof the original plan to take a convoy of emergency servicevehicles and an instructor trainingteamto Tajikistan in September 2016. With fundingfrom the UK Foreign and Commonwealth Office, a team of 7 flew out to Dushanbe on the 18th September 2016 as follows: Alf Wilson,Chair of SESHAA, Trustee of FIRE AID, Fireand Rescue Service Advisor Chris Wood,Vice Chair of SESHAA, Steering Group of FIRE AID, Fireand Rescue Service Advisor JulieUtting. Director of Administration FIREAID, Director of Communications EASST Adam Gent, Medic Instructor SESHAA, CEO Real FirstAid Ltd Neil Pedersen, Lead Instructor SESHAA, StaffordshireFireand Rescue Service Instructor John Kitchener, SESHAA Instructor,StaffordshireFireand Rescue Service Instructor Damian Armstrong, SESHAA Instructor, StaffordshireFireand Rescue Service Instructor Partner Organisations: Ambassador Hugh Philpott, British Embassy Dushanbe Pete Stevenson, FOCUS Humanitarian Assistance(an affiliateto the Aga Khan Development Network) Naimjon Mirzorakhimov,Young Generation of Tajikistan
  • 3. 2 14th November 2016 CONTENTS Executive Summary .........................................................................1 Contents ............................................................................................2 Objectives.......................................................................................3-4 The ProgrammE..........................................................................5-13 POTENTIAL FUNDING PARTNER MEETINGS ..............................14 PHASE 2 Completion-PROPOSAL-May 2017 .............................15 Phase 2 completion-Funding Requirements .............................16 Feedback-STUDENTS TRAINED ON PHASE 2 PLAN “B” COURSES…….16 NOTES ..............................................................................................17
  • 4. 3 14th November 2016 OBJECTIVES This phaseof the project was the third visitto Tajikistan for the team with previous visits takingplacein March 2015 for the initial scopingvisitand November 2015 for the firstdonation of rescueand medical equipment and training. The objectives of this third visitwere: - to improve the capacity of Tajikistan emergency services to respond, particularly to road traffic collisions - to donate road crash rescueequipment (severely lackingin Tajikistan),medical equipment and PPE to keep crews safer - trainingfor crews in how to use the donated equipment, RTC extrication,control techniques and scene management - trainingfor FireService Medics in FPOS (FirstPerson on Scene) - road safety school lessonsand planningof a wider prevention programme with Young Generation of Tajikistan - an assessmentof the “Command and Control” of incidents by the Emergency Service Operational Officers Trainingwas conducted for Republican FireService Personnel in Dushanbe. Trainingwas conducted for FireService, Committee for Emergency Situations (COES) and FOCUS personnel in Khorog. Prior to the arrival of the team, a total of £35,000 of rescue and medical equipment was shipped out to Dushanbe to be used by those undertaking trainingprogrammes in Dushanbeand Khorog. The equipment was officially donated to the services once the traininghad been completed. The total amount of equipment donated to Tajikistan fromthe UK sincethe initial scopingvisitin 2015 is worth in the region of £75,000. The total return on the initial £20,000 fromthe British Ambassador in Dushanbeand the UK FCO - taking into consideration thecourses held,the numbers of students taught and the personnel involved – is £246,900 if calculated atUK costs, to the date of this report. This gives a return of 12.4 times the investment. This does not includethe value of lives saved in Tajikistan through use of the donated equipment and training. Now going forward, itis planned to complete phase 2 once the convoy of emergency vehicles arrivein spring2017 if the required funding is secured.The project is atthis stage is envisaged to be three to five years from the initial scopingvisitthatwas undertaken in March 2015. The project’s focus is on Post-Crash Careand Road Safety Education given that RTCs currently cause18.8 deaths per 100,000 population (WH0) in Tajikistan –a considerably high road death rate. 90% of road deaths and injuries occur in low- and middle-incomecountries that have only 48% of the world's registered vehicles.
  • 5. 4 14th November 2016 The team were assisted by EASST’s local partner,Young Generation of Tajikistan,who arecurrently conductinga road safety projectseeking to reduce road deaths in the Firdavsi Districtof Dushanbe, and by FOCUS (AKDN) who have a project to providedisaster preparedness and responseextending humanitarian relief and recovery followingnatural or man-made disasters in Tajikistan and particularly in GBAO. Particularmention must go to Ambassador Hugh Philpott (British Ambassador to Tajikistan) for his supportthroughout the project2015/2016. Without his assistancewewould not be this far forward.
  • 6. 5 14th November 2016 THE PROGRAMME Monday 19th September 2016 Day 1 - Equipment Check and Testing Venue: FOCUS Warehouse The rescue and medical equipment had been shipped out to Tajikistan in August2016. The shipment once in Dushanbe was safely stored in the FOCUS privatewarehouse. Followinga few hours rest from the journey to Tajikistan via Istanbul and thearrival in Dushanbe at03:45hrs,the team undertook a thorough auditof the equipment and once verified, the equipment was thoroughly tested, prior to delivery at the Republican FireServiceTrainingSchool and transportation of the allocated equipment to Khorog, GBAO Region. The items allocated to the DushanbeFire Servicewere dispatched to the TrainingSchool,where itwould be stored until the startof the courseproper on the 20th September 2016. Planning, Planning and More Planning. Although the projectplan and trainingprogramme had been meticulously formulated in the UK throughout a 10 month period and had been communicated to the Ministers and General of the Republican FireServicewith a copy of the Memorandum of Understanding delivered by YGT, some months before our arrival,a few of the importantrequirements had not been completed. The accommodation for the instructors had notbeen arranged,the request for scrap vehicles for the RTC extrication trainingwere not availableand indeed the information was that there were no scrap vehicles availablein Dushanbe. There were no students en route to the trainingschool. A number of calls to the Republican FireServiceDeputy General to confirmthe instructors’hotel resulted in the hotel being hastily arranged,however, itwould not be availableuntil the20th. The instructors, through some local research,managed to find a vehiclereclamation yard where they would spend three hours negotiating the payment, delivery and recollection atthe end of the courseof two, what we could loosely call scrap vehicles. Several other issues would ariseduringthe visit;“adaptability”is the byword for this type of work. Working Dinner with Peter Stevenson, Focus Humanitarian Assistance (affiliate of the Aga Khan Development Network. The working dinner established again thesupport and assistanceof FOCUS and its confirmation of the supply of transportand interpreters for the project, both in Dushanbe and the Khorog, GBAO.
  • 7. 6 14th November 2016 Tuesday 20th September 2016 Day 2. The Chief of the Republican FireService General Ibrohimzoda was not in Dushanbe, he had been called to a meeting with the President Emomalii Rahmon, who was in the Khorog on an official visit. The team held a meeting with the Republican FireService Deputy General and Young Generation of Tajikistan atthe FireService HQ in Dushanbe. The absence of the General was explained and apologies given.The problems that presented themselves on the firstday were discussed and the attendance of the students was confirmed. The arrangements for the purchased scrap carswere agreed and the allocation of classrooms and food for the instructors and students delivered. The students arrived from various stationsaround Dushanbe. The instructors detected an air of apprehension,which is normal on the firstday of any course, especially an international one. The lead instructor Neil Pedersen with the officer in charge of the group welcomed them to the courseand put them at ease by introducingall the instructor team and the courseprogramme. The scrap cars arrived,notideal for the course, the wheels were missingbutat leastthe rest of the vehiclewas intactand followingsome adaptation by the instructors the suitability of the cars improved. Preparation for the next full day of the courseprogramme was completed, the next day would be the start of the course proper.
  • 8. 7 14th November 2016 Wednesday 21st September 2016 Day 3, RTC Extrication Course and FPOS Course The day started with the instructors havingbreakfastatthe trainingschool with the students. The 36 students who attended were separated into Fire Service and Fire Medics.The classes werealso formed and the introduction given by the lead instructor Neil Pedersen. The students would be given some technical instruction for the startof the courseand progress to the drill yard where a familiarisation of the equipment to be used would be given. The enthusiasmof the students became apparent and the willingnessto take part in the coursewas a positivestart. The management team, Alf Wilson,JulieUtting,and Chris Wood met with the British Ambassador Hugh Philpottat the British Embassy.The Ambassador emphasised the importance of the projectto the Tajik Emergency Services and that he would liketo continue to support the project. The meeting went on to establish supportfor the completion of Phase2 of the project for 2017. Followingthe British Embassy meeting Alf Wilson,Julie Utting and Chris Wood attended a meeting at the local office of Young Generation of Tajikistan.The meeting was focused on RTC education and future support for YGT through the project. The education in relation to road safety is atthe heart of the projectand in partnership with EASST the completion of phase2 will havea dedicated team to deliver to schools and colleges. A donation of High Visibility clothingfrom EASST and Keir Group will assistin protectingat risk groups.
  • 9. 8 14th November 2016 Thursday 22nd September 2016 Day 4 continuation of the courses in Dushanbe. The students turned up enthusiastically for the courseand the RTC and Medical practical lessonson the drill yard. For the students, it was the experience of learningnew techniques at the Republican FireService TrainingSchool.The initial trainingwas in relation to how the extrication equipment can be used and its limitations and its strengths.The maintenance and handlingof the equipment is also as importantas its safeuse. This would be the firsttime that some of students had used the dedicated jaws,spreaders and cutters of the hydraulic extrication equipment that had been donated. There was no shortage of willingvolunteers to take the firststeps toward usingthe equipment on the vehicles. The equipment provided can be used to extricatecasualtieswho are trapped in the body of the vehiclebut the misuseof such equipment can be as dangerous to the casualty and rescuepersonnel alike.The correctand safeuse of the equipment, its handling,maintenanceand cutting techniques areall partof the course. The trainingof the Fire Service Medics is also an importantpartof the integrated attendance at the RTC scene and post-crash care. The Medic students undergo a practical scenario with an unconscious casualty.The dangers on approach arehighlighted and a thorough check of the casualty vital. The highlightingof who is the most important person at the scene is given, that person is you, the rescue person, without your initial assessmentand safety check, you yourself could become a casualty and the rescue of injured persons and savingof lives put at risk.The integrated use of both Firefighter rescuers and medics at the scene will providethe optimum chanceof casualty survival.
  • 10. 9 14th November 2016 Friday 23rd September 2016 Day 5, Team Travel the Pamir Highway to Khorog, GBAO Friday morning 06:00, the SESHAA Team with Pete Stevenson FOCUS (AKDN) took the Pamir Highway, the M41, to the Khorog/ Afghan Border, a road traversingthe Pamir Mountains through Afghanistan,Uzbekistan, Tajikistan,and Kyrgyzstan. The trip alongthis road took the team approximately 12 hours. Drivingthe Pamir Highway from Dushanbe to Khorog, the team experienced first-hand the dangers of the road in Tajikistan. Aid workers engaged in humanitarian work often find themselves in extreme environments – facingrisks fromnatural disasters,terrorist attacks and crime. But the greatest risk they face is often unrecognised: road deaths. Accordingto Paul Jansen, Executive Director of Fleet Forum, “Road Traffic Collisions arethenumber one killer of aid workers.” The poor road conditions of the mountain road caused a lorry to become lodged on a corner of the Pamir Highway followingthe failureof its brakes,on this occasion therewere no casualties although the driver had not only losthis vehiclebut also his livelihood,mostvehicles arenot insured. Arrival in Khorog,2,600 meters above sea level, followingthe 12-hour drive, which is tiringto say the least,the team were exhausted. The temperature in Khorog was hot, even at 18:30 in the evening, however the team gathered at their accommodation for a briefingwith the Khorog FOCUS Officeteam members. Saturday 24th September Day 6, Khorog Pamir Mountains/Afghan Border, GBAO. Khorog, Gorno-Badakhshan Autonomous Region The management team visited the Committee of Emergency Situations (COES) HQ to meet the Colonel in charge and plan for future cooperation.The plans goingforward are to establish a COES TrainingSchool atthe HQ. The Colonel thanked SESHAA/FIREAID for all their supportregardingthe donated equipment and trainingcourses,both on this visit and the previous visitin November 2015. The Instructor team quickly went to work at the Fire Station, the scrap cars werein situ,one of them had become redundant followingitbeing hit by a Rocket Propelled Grenade some months before. The donated equipment was in the station awaitinginspection by the instructors before being used on the courses. Students attending from Fire, COES and Focus were divided into two classes for training –one RTC class and one FPOS class.Thetrainingcourses went ahead with visibleenthusiasmfromthe students.
  • 11. 10 14th November 2016 Sunday 25th September Day 7, Khorog Pamir Mountains/Afghan Border, GBAO. The training continues with further RTC and medical input. The students are extremely enthusiastic.Adam (Medic Instructor) conducted his classes in both English and Tajik.The RTC instructors outon the trainingground have adapted to the different trainingenvironment. The students are also learningaboutthe new RTC extrication equipment, its safeuse, handlingtechniques and maintenance. The technical inputis proving to be fruitful,the students showed that the information had been remembered and were effective in the extrication techniques used. Monday 26th September Day 8, at 05:00 the team prepare to leave. The trip back to Dushanbe by 4x4 via the Pamir Highway,the journey is notlooked forward to the second time, knowing what’s ahead the approximate12-hour journey is only exciting the firsttime it is done. The team reached Dushanbeat 18:30 for a well-earned meal and rest.
  • 12. 11 14th November 2016 Tuesday 27th September Day 9, Republican Fire Service Training School, Dushanbe The instructors and students reaffirmthe previous weeks training. The instruction continued into the week. The British Ambassador Hugh Philpott,arrived atthe trainingschool to thank the instructors for sharingtheir knowledge with the students and congratulatethe students on their efforts. The Ambassador was extremely interested in the trainingand asked some in depth questions of the instructors and to the students in Tajik. The whole team, both instructors and students, enjoyed the experience of the Ambassador’s visitand itgave a boost to show the importance that the UK Embassy placeon this kind of interaction and aid development. The trainingresumed after lunch where the students were given additional responsibility of formingone crew of both Medics and Firefighters to take part in a hands-on exercise on the trainingground to prepare for Thursday, when they would be taking chargeof an RTC scenario for the General’s visitand official handingover of the donated equipment. The opportunity to show the new skillsand equipment acquired seemed to give the students an added incentive and the involvement of both Firefighters and Medics drew the teams closer.
  • 13. 12 14th November 2016 Wednesday 28th September Day 10, Schools Road Safety visit and presentation. Whilstthe instructors carried on with the lastday of hands on trainingat the TrainingSchool,Alf Wilson, Chris Wood,JulieUtting and Damian Armstrong visited a local school organised by YGT. The purpose of the visitwas to deliver a lesson in “Road Safety” Training. The lesson and presentation that followed would assist us to gauge how this type of lesson would be received by the teachers and pupils.The plan to complete phase 2 involves the inclusion of the “Road Safety” modules, and going forward this type of education will beat the heart of the project with YGT The lesson and presentation were very well received and the Principleof the school discussed with the team the effectiveness of such education as the ratio of deaths of young people is devastating as 50%of the country’s population is under 30 years old. The Principleasked if we could look at her school again for future involvement in the project. She informed us that when she attends the next meeting of the teacher’s association shewould speak to them in relation to further schools takingpartin 2017. The management team next met with the United Nations Development Programme (UNDP). Alf Wilson,Chris Wood and Julie Utting met with Firdavs Faizulloev (Programme Manager) and Nargizakhon Usmanova (Programme Analyst) to discuss any cooperation and partnership that could be formed.
  • 14. 13 14th November 2016 Thursday 29th September Day 11, RTC demonstration and official handover of the donated equipment. The firsthalf of the morning was taken up with preparation and practice for the demonstration. The students were well prepared and got on with the job at hand. The closer it got to the General’s arrival themore nervous but determined they became. The ceremony and demonstration took placeonce General Ibrohimzoda and politiciansarrived.Deputy Ambassador Jonathan Layfield attended on behalf of the British Ambassador.Thestudents carried out the demonstration which went extremely well and the General was surprised and delighted at the team’s performance. General Ibrohimzoda in his speech to his personnel,who had demonstrated their skills,stated thathe would have them do a similardemonstration for the Presidenton the 2nd October at the opening of the new Fire Station in the Khatlon Region. A high honor indeed for the newly skilled students and their newly acquired equipment. The students that qualified were presented with certificates of achievement by General Ibrohimzoda on behalf of SESHAA/FIREAID. The whole of the course, both Firefighters and Firefighter Medics posed proudly for a team photo. Traditionally SESHAA has always held a raffleof International firefightingequipment and clothingfor the students at the end of any course and the team in Tajikistan were no exception. The students once chosen randomly by a number picked out of a hat, are called outto the front of the class.The student has a choiceof prize that awaits them on the table. The final award is given to the student that has shown most promise, skill and leadership duringthecourse the “Star Student”. The award for this student is the most prized of any course.
  • 15. 14 14th November 2016 POTENTIAL FUNDING PARTNER MEETINGS United Nations Development Programme Alf Wilson,Chris Wood and JulieUtting met with Firdavs Faizulloev and Nargizakhon Usmanova to discuss any cooperation and partnership thatcould be formed. The UNDP representative explained that they are preparinga programme in partnership with the Japanese to look at future partnerships in the Disaster Recovery and Rescue field.We explained that we were in partnership with and have trained the COES and FOCUS (AKDN) team members and such training was part of the overall project,partof which had been the Khorog training.The meeting ended with Nargizakhon and Firdavs statingthatthey would be meeting with FOCUS (AKDN) that day and following discussion atthe meeting and the draftingof partnership proposals they would make contact. Toyota The meeting with Toyota was held at the Toyota Head Office. Alf Wilson,ChrisWood and JulieUtting met the CEO of DushanbeToyota Ziya Aligulov.The discussion was in relation to a possiblesupportor partnership with Toyota in relation to the convoy of firefightingvehicles and ambulance,scheduled for spring2017. General Ibrohimzoda A meeting took place,hosted by General Ibrohimzoda,the General in charge of the Tajikistan Republican FireService. The guests were Alf Wilson,Chris Wood, JulieUtting, Jonathan Layfield the chargés d'affaires to the British Ambassador and the Instructor Team. The meeting was informal,which in the firstinstancetook the form of a celebratory dinner as a thank you from the General and his Officer Cadre for the continued partnership and supportof SESHAA/FIRE AID. Followingthe dinner, the General asked for a document to be forwarded to himdetailingthe cost of the Spring2017 convoy from the UK to Dushanbeto approach the President for a contribution. The document had to includedetails and photos of the vehicles,estimates of the costof transportingthe convoy of vehicles,the drivers and accommodation and miscellaneouscosts enroute. The total valueof the proposed 2017 donation,takinginto accountthe value of the vehicles and associated equipment, training etc. is £317,000.The sumrequired to deliver this is £70,000.On the adviceof the General, it was suggested to seek a contribution of £20,000 from the President. The document was completed by JulieUtting and Naimjon Mirzorakhimov and signed by Alf Wilson,Chair of SESHAA, Trustee of FIRE AID and Project lead.The General revealed that the document is to be presented to the President atthe meeting of officialsin theKhatlon Region of Tajikistan.At the time of writingthe report, we awaitthe outcome of the meeting.
  • 16. 15 14th November 2016 PHASE 2 COMPLETION-PROPOSAL-MAY 2017 The focus of Phase2, Plan “B” September to October 2016,was Post-Crash Careand Road Safety Education to address the fact the road traffic collisions currently cause18.8 deaths per 100,000 populations in Tajikistan.Aproject to supply road safety education, equipment and trainingto the Republican FireServiceand other emergency services in Tajikistan was delivered. The plan for Spring 2017,is to supply four firefighting vehicles,equipped with standard firefighting equipment plus an RTC extrication capability which should be splitbetween two firestation areas of Dushanbe and Dangara. An Emergency Ambulance will be supplied for the useof the Ministry of Health for its attendance by its medics at Road Traffic Collisions. A further rescuecapability in the form of a 4x4 will be situated in the Khorog, Pamir mountains for the use of the combined Rescue Teams of the COES and FOCUS Agha Khan Foundation. Assistanceis also proposed for the Policein Dushanbe.All equipment and vehicles are being sourced as redundant donations from Fire& Rescue Services,Ambulance Services and manufacturers in the UK and Europe. The 2017 phase donated equipment and vehicles areto be transported by road convoy from the UK to Dushanbe travellingsome 4,261 miles.A team of instructors areto be flown into Dushanbeto undertake further trainingcourses with the venue for the training to be the Republican FireService TrainingSchool.Courses to be delivered: Vehicleand equipment familiarisation- RTC extrication Course- Trauma TrainingCourse(F&RS personnel) Inter serviceLiaison CourseRTC- Command and Control at the Scene. Trauma trainingRTC coursefor Medics to be undertaken at the FireService TrainingSchool where possible. The Road Safety Education programme will bedelivered to selected schools by SESHAA instructors in partnership with YGT. The proposed RTC/Rescue vehiclefor the Pamirs, researched by personnel during plan “B” phase2 will be put in placeby a second trainingteam that will bebased in the Khorog. The appropriatetraining,RTC, swiftwater rescue, linerescue and Mountain Rescue to be delivered to the combined COES/FOCUS Teams. The proposed dates for Phase 2 completion -2017; The Convoy sets out from the UK, Staffordshire,May 2017,confirmation of date to be forwarded once the Convoy funding is in place.Itis envisaged that the vehicles will takeapproximately 12 days to complete the route. A small FIREAID team will arrivein Dushanbebefore the arrival of the convoy to set up the trainingschool baseand get ready for arrival of convoy and instructors etc. Instructors fly outto Tajikistan from the UK at a date to be arranged once funding in place,but in time for the convoy arrival. All Phase2 completion teams will beaccommodated in locally sourced Hotels or B&B where available. A Memorandum of Understanding to be agreed and signed by the partner and recipient organisations.
  • 17. 16 14th November 2016 PHASE 2 COMPLETION-FUNDING REQUIREMENTS The total valueof the proposed 2017 donation,takinginto accountthe valueof the vehicles and associated equipment, trainingto be delivered etc. is £317,000.The sum required to deliver this is estimated ata maximum of £70,000 includingsomecontingency and staff costs.On the adviceof the General, it was suggested to seek a contribution of £20,000 from the President. EASST will submita third application to the FCO for £10,000. EASST and the British Embassy arepursuingother avenues for the remainder of the funds required, such as crowd fundingopportunities. FEEDBACK FROM STUDENTS TRAINED ON PHASE 2 PLAN “B” COURSES “Extrication – lots of new techniques – very helfpul.I am seeeing this for the firsttime”. “This has always been my wish to extricate – this is what they taught us.I really liked itand now I know there are lots of ways. Thank you for the practice.” “I love you guys. You are amazing.Hope to see you next time.” “A million thanks to FOCUS for helpingthe GBAO Region.” “Today we learnttechniques for extrication and how to keep ourselves safe.” “Very good theory on medical and I learnthow to provide firstaid.I would likemore practical activitiesin the future too.” “The extrication trainingiscompletely new to us.” “We have learnta lotof new things and we are very grateful to the trainers.Great equipment for extrication.A thousand thanks to the team. Pleasecome back.” “Extrication trainingmostimportant for me.” “I really likethe way Adam explained firstaid training –he helped explain things twice. In Johnny Bek class we learnta lotabout extrication.It was very useful.” Dushanbeand the Khorog, Tajikistan 18th September to 1stOctober 2016. alfredwilson@sky.com - julie@easst.co.uk