DISASTER-LECTURE-VOLU

disaster VOLUNTEER & LOGISTICMANAGEMENT

SULANTO SALEH-DANU R., dr., SpFK SULANTO SALEH-DANU R., dr., SpFK

► DEPT. OF PHARMACOLOGY & THERAPY ;

►CENTER FOR POLCY & MANAGEMENT HEALTH CARE;

FACULTY OF MEDICINE;

UNIVERSITAS GADJAH MADA.

JOGJAKARTA.

1

JAPAN TSUNAMIJAPAN TSUNAMI

2

JAPAN TSUNAMIJAPAN TSUNAMI

3

EARTHQUAKEEARTHQUAKE

4

EARTHQUAKEEARTHQUAKE

5

ERUPTION

6

ERUPTION

7

FLOODFLOOD

8

TORNADO

9

OBJECTIVE THIS SESSION :

- HOW TO MANAGE THE VOLUNTEER DURING DISASTER - - HOW TO MANAGING THE LOGISTIC (MEDICAL & NON-MEDICAL) : SELECTIONS PROCUREMENT STORAGING DISTRIBUTING RECORD & REPORTING HOW TO MANAGE THE WASTED LOGISTIC

10

5. Disaster Management

4.3.2 PYROCLASTIC FLOW IN NOVEMBER 22, 1994 RESULTED FROM THE COLLAPSE OF THE 1994’S DOME

RIVER GENDOL COVERED BY LAHAR FLOW OF MERAPI ERUPTION 2010

An area coved by nue ardente (hot cloud)

4.3 Volcanic Disaster

Two different eruption types of volcano

Types of volcanic hazardTypes of volcanic hazard

1) Volcanic earthquake

2) Pyroclastic falls

3) Lava flow

4) Nue ardente or glowing cloud

5) Collapsing of lava dome

6) Hot lahars flow

7) Rain lahar flow

8) Subsidence

9) Flash flood

10) Drought

11) Toxic gas

Hazard susceptibility of volcanic hazardHazard susceptibility of volcanic hazard

1.1. Type of the volcanoType of the volcano2.2. Relief Relief 3.3. Slope Slope 4.4. Geological structureGeological structure5.5. Landform conditionLandform condition6.6. RainfallRainfall7.7. Wind Wind 8.8. Drainage pattern and densityDrainage pattern and density9.9. Morphometry of the valleyMorphometry of the valley10.10. Land use or land cover.Land use or land cover.

HAZARD MAPHAZARD MAP

Illustration of flood and flash flood

Figure Landslide

Landslide (Koto Tangah Sub-district, Padang, 30 Sep 2009)

Vulnerability(provided by nature + augmented by man)

Response

Buffering Capacity

DISASTERDISASTER

HAZARD HAZARD

MODIFICATION

RISK

PREVENTION

IMPACT

EVENT

DAMAGE

(The destruction and Injuries resulting from The event

Absorbing Capacity

Resilience Resilience

(PERSI-Adib Yahya)22

23

VOLUNTEERRELAWAN

LOGISTIC

24

VOLUNTEERRELAWAN

DISASTERDISASTER

VOLUNTEERRELAWAN

VOLUNTEERRELAWAN

VOLUNTEERRELAWAN

LOGISTIC

LOGISTIC

LOGISTIC

LOGISTIC

25

DISADISA

STERSTER

SS

STUDENTSSTUDENTS

MASYARAKAT

PRAMUKA

PENGANGGUR

VETERAN , DLL

VOLUNTEERVOLUNTEER//RELAWAN :RELAWAN :

1. KERUSAKAN :FISIK;

SOS-EK-BUD;dll.

2. KORBAN BENCANA3. KESEHATAN4. PENCARIAN

KORBAN(SAR)

5. PANGAN6. TEMPAT

BERTEDUH/ BERLINDUNG7. KOMUNIKASI

8. TRANSPORTASI9. LOGISTIK

10. DLL

DISADISA

STERSTER

SS

MEDICAL STUDENTS

TEAM :TEAM :-DISASTER;DISASTER;

- SAR;SAR;-MED-MED-EMRG;EMRG;-Etc..Etc..

OBJECTIVE and TARGETS The TEAM

MEDICAL STUDENTSVOLUNTEER

DISADISASTERSTER

SS

26

TEAM :TEAM :-DISASTER/DISASTER/

- SAR/SAR/-MEDICAL,MEDICAL,

-Etc..Etc..

VOLUNTEERRESOURCES

QUANTITY :QUANTITY :How many studentsHow many students

QUALITY : healthy; QUALITY : healthy; knowledge & skillsknowledge & skills

ORGANITATION ORGANITATION THE VOLUNTEERTHE VOLUNTEER

The leaders?The leaders?Member job discript ?Member job discript ?

ID CARD ?ID CARD ?

FASCILITY, LOGISTIC &EQUIPMENT

INDIVIDUAL / PERSONINDIVIDUAL / PERSONTEAM OF VOLUNTEER TEAM OF VOLUNTEER

OPERATIONALOPERATIONAL

FINANCE &BUDGETING

OWN SELF ?OWN SELF ? ORGANITATION ?ORGANITATION ?

DONATION ?DONATION ?

27

VOLUNTEER ( HUMAN ) RESOURCES

( VR )

QUALITY : healthy; QUALITY : healthy; knowledge & skillsknowledge & skills

QUANTITY :QUANTITY :How many studentsHow many students

Must be healthMust be health (physic & psychic)Have knowledge Have knowledge : - first aid - basic life support: - referral system - communication SKILLS :SKILLS : First Aid Basic Life Support (Driving) & Referral procedure

How many TEAM ?How many TEAM ? ( Evacuation Team; Medical Emergency Team;Social Team; or others )Member each TEAM ?Member each TEAM ?

28

ORGANITATION ORGANITATION OF THE VOLUNTEEROF THE VOLUNTEER

TEAM / GROUPTEAM / GROUP

The leaders?The leaders?Member job discript ?Member job discript ?

The Leader ( Commander ) : > known and had leader skill ( the INCIDENTS COMMAND SYSTEM – ICS the INCIDENTS COMMAND SYSTEM – ICS ) > communication – information .system;

Coordination with others organitations The member of the VolunteerTeam : > volunteer / recruiment > knowledge and skills background of the volunteer.Operation ( plan and action) ? Administration ? Logistics ? - etc

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NATIONAL &LOCAL GOVERN

NEIGHBORINGREGIONS

RESIDENTSOF AFFECTED

SPEIALIZEDINSTITUTIONS

FOREIGNGOVERNMENT

NGOs

MILITARYINSTITUTIONS

MULTILATERAL AGENCIES

PRIVATESECTOR

TARGETTARGET

COORDINATION &COOPERATION

ACTORSACTORS

VOLUNTEERVOLUNTEERGROUPGROUP

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Insident Command SystemInsident Command SystemDisaster Team OrganizationDisaster Team Organization

S afe ty In fo rm ation

L ia ison

O p era tion s P lan n in g L og is tic s F in an ce

Com m and

Medical StaffOfficer

Planning31

32

S afe ty In fo rm ation

L ia ison

O p era tion s P lan n in g L og is tic s F in an ce

Com m and

Medical StaffOfficer

Planning

VOLUNTEERVOLUNTEER

FIELD TEAM : basic equip.& log.FIELD TEAM : basic equip.& log.team composition :

• team leaders (commander)

( who can activate teams )• medical equipment • protective clothing• communications

• situation reports to base camp• transportation arrangements

• roles & responsibilities of team members

( job description )• briefing & debriefing arrangements

• duties on return to base camp


• An Incident is anything out of the ordinary day-to-day activities that necessitates a response.

– Emergencies and Disasters Emergencies and Disasters – Outbreaks– Vaccination Programs– Important meeting/conference

What is an Incident?

( HW-Ics )© Denver Center for Public Health Preparedness

34

I. Understand the Incident Command System (ICS) - in the context of Disaster / Public Health

II. Understand the five primary functions of the ICS.

III. Identify the elements of the ICS roles as well as the personal characteristics needed to fill the positions in both general and command staff.

IV. Develop a clear understanding of the Incident Action Plan (IAP), and its utility.

V. Successfully complete the final examination for the Federal Emergency Management Agency (FEMA) basic ICS course (and get a certificate!)

© Denver Center for Public Health Preparedness35

ICSICSFive Management FunctionsFive Management Functions

Operations LogisticsLogistics

Planning Finance /Administration

Command


ICS = tool i.e., hammerICS = tool i.e., hammer


http://www.acmehowto.com/images/hammer.jpg

ICS as a toolICS as a tool

• For the command, control and coordination of resources during an activity and/or incident

• Consisting of procedures for organizing personnel, facilities, equipment, and communications during an activity and/or incident

Merlin, 1999:2© Denver Center for Public Health Preparedness38

COMMAND AND MANAGEMENT DISASTER:COMMAND AND MANAGEMENT DISASTER:

- Initiate the response and recovery activities

- Notify staff and external authorities

- Identify and assign staff

- To manage the hospital’s resources

- To be the “face of the hospital” to the outside world


Reasons to useReasons to use ICS ICS

• Mandated by Office of Homeland Security

• Creates a safer work environment for response personnel

• Establishes a clear focus on objectives and lines of authority

• Removes emotion from the decision making process


ICSICS Challenges for ALL Management Challenges for ALL Management

• To establish clear objectives and priorities• To clarify decision making and resource

allocation • To minimize direct reports and establish clear

lines of authority• To facilitate effective communication among

all responders and with external agencies


ICSICSFunctional ResponsibilitiesFunctional Responsibilities

COMMAND = = Overall responsibility

OPERATIONS = Carry out the planPLANNING = Thinking, what’s

going to be needed in hours/days to

comeLOGISTICS = Provide supportFINANCE / ADMINISTRATION

= Tracking cost andprocurement


ICSICSIncident Incident CommanderCommander

• Overall incident responsibility-(i.e., individual with the most experience with the particular incident)q24

• Determines the Public Health incident objectives and strategy– Objective(s): What can be accomplished during an

operational period (24 hours)– Strategy(s): What needs to be done (activities) to

accomplish the objective. • Develops an organizational structure that can

effectively manage the incident


ICSICSIncident Incident CommanderCommander

Within the first responder community the initial Incident Commander is the first person responding to the scene, who will then be replaced as needed.q1

He or she will establish a command as soon as possible, and set up an incident command post (ICP).q3,4


ICSICS Command StaffCommand Staff

• Information Officer– Coordinates all information dissemination

to the public q36,45

• Safety Officer– Anticipates, detects, and corrects unsafe

situations q20

• Liaison Officer– Serves as contact point for representatives

of assisting and cooperating agencies q14,44


ICSICSOperations SectionOperations Section

• Participates in the planning process

• Operationalizes the strategy of the Incident Action Plan

• Accomplishes the incident objectives

(Gets the work done!)


ICSICSPlanning SectionPlanning Section

• Determines resource need, assess the situation q41

• Gathers and analyzes data– Surveillance, data collection

• Provides situational information– Geographic Information System (GIS), mapping, graphs

• Estimates future probabilities– Modeling

• Prepares alternative strategies– What’s next?


ICSICSLogistics SectionLogistics Section

• Acquires resources (personnel, equipment, services, and support) q8

– Gets what’s needed

• Obtains supplies (food, water, TP)

• Manages internal communications equipment

• Maintains equipment


ICSICSFinance/Administration SectionFinance/Administration Section

• Provides financial management and accountability q7

• Authorizes expenditures• Maintains reimbursement records• Maintains injury, death and damage

documentation• Negotiates contracts with vendors• Tracks cost associated with mutual aid

agreements with other agencies


OPERASIONAL PLAN :OPERASIONAL PLAN :

• PATIENT TREATMENTPATIENT TREATMENT• EVACUATION / REFER EVACUATION / REFER • ALTERNATIVE CAREALTERNATIVE CARE

SITESSITES• SECURITYSECURITY• REESTABLISHING USUALREESTABLISHING USUAL OPERATIONS AFTER OPERATIONS AFTER THE EMERGENCYTHE EMERGENCY

disaster Event

??


http://den-web011.seacor.net/php/gallery/view_photo.php?full=1&set_albumName=album11&id=Haz_decon_layout_ex

ICSICSElementsElements

1.1. Management by objectivesManagement by objectives2.2. Unity and chain of commandUnity and chain of command3.3. Organizational flexibilityOrganizational flexibility4.4. Span of controlSpan of control5.5. Common terminologyCommon terminology6.6. Personal accountabilityPersonal accountability7.7. Integrated communicationIntegrated communication8.8. Resource managementResource management


ICSICS Challenges for ALL Management Challenges for ALL Management

• To establish clear objectives and priorities

• To clarify decision making and resource allocation

• To minimize direct reports and establish clear lines of authority

• To facilitate effective communication among all responders and with external agencies


Universal ResponsibilitiesUniversal Responsibilities

• Before:Before:– Locate and read your agency’s emergency Locate and read your agency’s emergency

response planresponse plan– Know the location of your agency’s emergency Know the location of your agency’s emergency

operations centeroperations center– Identify your own BT competencies and shortfalls Identify your own BT competencies and shortfalls

and identify training needed to get up to speedand identify training needed to get up to speed– Be aware of the role you agency expects you to Be aware of the role you agency expects you to

playplay– Maintain any BT equipment in your possession in Maintain any BT equipment in your possession in

working conditionworking condition


> Recruitment ( VOLUNTEER ).> Recruitment ( VOLUNTEER ).

►► From Public ?From Public ? Military/Police ?Military/Police ? NGO ?NGO ? University ?University ? or Private Sector ? or Private Sector ?

► ► Quantity ?Quantity ? Qualification ?Qualification ?

54

ICSICS(Incident Command

System)> COORDINATION

VOLUNTEERTEAM ???

-RESOURCES : - HUMAN - FASCILITIES & FINANCING-ORGANIZATION & RECRUIT. JOB DESCRIPTION-INFORMATION SYSTEM-BACK-UP ( FAC.; STUD.ORG; INTSTITUTION; etc )

TARGETS :PhasePhase : preparedness; event;

rehabilitation/recovery; mitigation.Type Type of disaster;

PopulationPopulation;Location;Location;

ActivityActivity (medical/social/culture; etc)

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ORGANIZED ?

56

RELAWANRELAWANBEBAN KERJA:BEBAN KERJA:

-VOLUME-VOLUME-MACAM-MACAM

-LOKASI & WAKTULOKASI & WAKTU-DURASI-DURASI

BENCANABENCANA

RELAWANRELAWAN

RELAWANRELAWAN

RELAWANRELAWAN

????

57

BEBAN KERJA:BEBAN KERJA:-VOLUME-VOLUME-MACAM-MACAM

-LOKASI & WAKTULOKASI & WAKTU-DURASI-DURASI

> INVENTARISASI JENIS PEKERJAAN YGDIPERLUKAN

> KUALIFIKASI YG DIPERLUKAN

> KUANTITAS/JUMLAH YG DIBUTUHKAN

> SARANA-PRASARANA

> KESELAMATAN

RELAWANRELAWAN

RELAWANRELAWAN

RELAWANRELAWAN

RELAWANRELAWAN IDENTITAS DIRI

(lengkap)

DISESUAIKAN

DIMONITOR

DIEVALUASI Lokasi penempatanLokasi penempatan Daftar kegiatanDaftar kegiatan Daftar kehadiranDaftar kehadiran Hasil pekerjaanHasil pekerjaan

TO DETERMINE IMPORTANT LOGISTIC TO DETERMINE IMPORTANT LOGISTIC FOR THE RESCUE TEAMFOR THE RESCUE TEAM - HOW - HOW TO TO MANAGING THE LOGISTIC MANAGING THE LOGISTIC (MEDICAL & NON-MEDICAL) :(MEDICAL & NON-MEDICAL) : SELECTIONSSELECTIONS PROCUREMENTPROCUREMENT STORAGINGSTORAGING DISTRIBUTINGDISTRIBUTING RECORD & REPORTINGRECORD & REPORTING HOW TO DESTROY THE WASTED LOGISTICHOW TO DESTROY THE WASTED LOGISTIC

FASCILITTY, FASCILITTY,

LOGISTICLOGISTIC and and

EQUIPMENTEQUIPMENT

LOG.LOG.

58

MENGAPA PERLU PENGELOLAAN LOGISTIKMENGAPA PERLU PENGELOLAAN LOGISTIK

1. BENCANA DAPAT MEMPENGARUHI KEHIDUPAN MANUSIA MEMPENGARUHI KEHIDUPAN MANUSIA : KESELAMATAN HIDUP KESEHATAN SOSIAL-EKONOMI maupun BUDAYA KELANGSUNGAN HIDUP LINGKUNGAN 2. PENANGGULANGAN DAN PENCEGAHAN AKIBAT ADANYA BENCANA SANGATSANGAT MEMERLUKAN SUMBERDAYA MEMERLUKAN SUMBERDAYA YANG MENCUKUPI, TEPAT GUNA SERTA

CEPAT.3. SUMBERDAYA YANG DIMAKSUD : MANUSIA MANUSIA

LOGISTIKLOGISTIK SARANA-PRASARANASARANA-PRASARANA PENDANAANPENDANAAN4. AGAR SUMBERDAYA YANG TERSEDIA DAPAT BERMANFAAT OPTIMAL, EFISIEN DAN EFEKTIF DIPERLUKAN DIPERLUKAN SISTEM PENGELOLAAN/MANAJEMEN YANG SISTEM PENGELOLAAN/MANAJEMEN YANG

BAIK.BAIK.

........ before the fighting proper, the battle is won or lost by quartermasters ...........................

( Rommel “The desert lion “ 2nd World War)

60

LOG.LOG.

LOGISTIC ( originally from military procedure for : procurement; maintenance; material transportation; facilities; personal ).

a system whose parts interact smoothly to help reach a good promptly and effectively to optimized use of resources.

in EMERGENCY : logistic are required to support the organization and implementation of response operation in order to ensure their timeliness and efficiency

(PAHO-WHO, 2001)

LOG.LOG.LOG.LOG.

61

62

PERMASALAHANLOGISTIK OBAT /

BARANGDARI

DONATOR(fase akut)

ORGANISASI&

MEKANISME KERJA

SUMBER DAYAMANUSIA

SISTEM INFORMASI

PEMBIAYAAN

BENCANA GEMPAD.I.Y. & JA-TENG:

ORGANISASI & MEKANISME KERJA :

-Lambat;-Tumpang-tindih;

-Banyak “pemimpin”;-Birokrasi panjang.

SUMBER DAYAMANUSIA:

-Kurang: kualitas &kuantitas;

-SOP belum tersusun;-Tanggung jawab tidak

jelas;

SISTEM INFORMASI:-Belum tertata &belum berfungsi;

SUMBER PEMBIAYAAN:-Belum tertata;

-Birokrasi yang panjang &berbelit;

-SOP tidak jelas;-Tim pengendali (BPK,KPK)

(Zaenab,N., Diah, 2006)

63

BENCANA GUNUNG - MERAPI BENCANA GUNUNG - MERAPI OKTOBER-NOPEMBER 2010OKTOBER-NOPEMBER 2010

BANTUANBANTUAN

BANTUANBANTUANBANTUANBANTUAN

BANTUANBANTUAN

BANTUANBANTUAN

POSKOPOSKO

POSKOPOSKO

POSKOPOSKOPOSKOPOSKO

POSKOPOSKO

LOGISTICSLOGISTICS• Responsible for the procurement and provision

of personnel, equipment (medical equipment; non-medical equipment) and

support services needed to sustain the refugee camp response, including food,

drink, linen, and supplies witch are critical .• Back up internal and external communications.• Transportation of patient, staff and necessities.

• Facilities for isolation and decontamination area.

(PERSI-Adib Yahya)

LOG.LOG.

64

1. MEDICINES1. MEDICINES 2. HEALTH SUPPLIES / KITS2. HEALTH SUPPLIES / KITS 3. WATER and ENVIRONMENTAL HEALTH 3. WATER and ENVIRONMENTAL HEALTH 4. FOOD4. FOOD 5. LOGISTIC / ADMINISTRATION5. LOGISTIC / ADMINISTRATION 6. SHELTER-ELECTRICAL-CONSTRUCTION6. SHELTER-ELECTRICAL-CONSTRUCTION 7. PERSONAL NEEDS / EDUCATION7. PERSONAL NEEDS / EDUCATION 8. HUMAN RESOURCES8. HUMAN RESOURCES 9. AGRICULTURE / LIVESTOCK9. AGRICULTURE / LIVESTOCK 10. UNCLASSIFIED / OTHERS 10. UNCLASSIFIED / OTHERS

LOGISTIC / HUMANITARIAN SUPPLIESLOGISTIC / HUMANITARIAN SUPPLIESLOG.LOG.

65

TO DETERMINE IMPORTANT LOGISTIC FOR THE RESCUE TEAM - HOW TO MANAGING THE LOGISTIC (MEDICAL & NON-MEDICAL) : SELECTIONS PROCUREMENT STORAGING DISTRIBUTING RECORD & REPORTING HOW TO MANAGE THE WASTED LOGISTIC

LOGISTIC forLOGISTIC forthe RESCUE TEAM the RESCUE TEAM

IndividualIndividual personal of the team (prepared by team member)

Rescue teamRescue team: for daily life for team protection communication transportation

Team operational :operational : type of disaster; amount of victims; diseases pattern, etc.

LOG.LOG.

66

IndividualIndividual personal of the team (prepared by each member of the team)

-Bath equipment-Underwear-Cloths -Payama / sarong-Prayer mat-Private medicine -Sandal – shoes-Sleeping back-Communication (hp)-Note / diary-Flashlight-Back pack, etc etc.

Calculate :how long team stayin disaster location

LOG.LOG.

67

LOGISTIC for Rescue TeamLOGISTIC for Rescue Team:

> for daily life for daily life

>> for team for team protectionprotection

> communicationcommunication

>> transportationtransportation

-shelter / tend-toilets-lighting / generator-kitchen equipment : stove; gas; etc-food for the team (rice; bread; vegetables ?; noodles; corned; etc, etc)

Calculate :how long team stayin disaster location

-gloves-gloves-masker-masker-goggles -goggles -apron-apron-protective clothes (depend disaster type) -protective clothes (depend disaster type) -spec. shoes (depend disaster type)-spec. shoes (depend disaster type)-helmets (depend disaster type)-helmets (depend disaster type)

-radio comm. (amatir band/satelit); handy-talky; hp.-radio comm. (amatir band/satelit); handy-talky; hp.-loudspeaker, etc, etc.-loudspeaker, etc, etc.

-personal carrier-personal carrier-ambulance-ambulance-truck-truck-bicycle/motorcycle ( !? )-bicycle/motorcycle ( !? )

LOGISTIC for The RescueLOGISTIC for The RescueLOG.LOG.

68

69

Disaster Management Timeline

Haz

ard

Su

rge

Eve

nt

Haz

ard

Su

rge

Eve

nt

HazardHazardEpisodeEpisodeContinuous Possible HazardsContinuous Possible Hazards

Ev

ac

ua

tio

n &

Ev

ac

ua

tio

n &

Ac

ute

Me

dic

al

Em

erg

en

cy

Ac

ute

Me

dic

al

Em

erg

en

cy

R.A.R.A.O.P.O.P.

L.L.L.L.R.P.R.P.

ResponseResponse

RehabilitationRehabilitationMitigationMitigation

PreparednessPreparedness

ManagementManagement

RedevelopmentRedevelopmentPlanPlan

Hazard EvaluationHazard EvaluationDisasterDisasterManagementManagement

PlanPlan

MitigationMitigationPlanPlan

RiskRiskAssessmentAssessment

EarlyEarlyWarningWarning

ContinuousContinuousPossible HazardsPossible Hazards

TimeTime

RA Rapid Assessment, OP Operational Plan, LL Lessons Learned, RA Rapid Assessment, OP Operational Plan, LL Lessons Learned,

RP Rehabilitation PlanRP Rehabilitation Plan

LOGISTIC for : OPERATIONAL in DISASTERS

LOGISTIC RESOURCES LOGISTIC RESOURCES MOBILIZINGMOBILIZING

DISASTERDISASTER

RESPONSESRESPONSES

RAPID ASSESSMENT OPERATIONAL PLAN

LOG. NEEDS : population operationalCAPACITY : - local, province, national - resources - infrastructure

What is neededWhat is needed How much is neededHow much is needed When is it needed (urgency ?)When is it needed (urgency ?) Where is it neededWhere is it needed

LOG.LOG.

70

RESOURCES and AVAILABILITY RESOURCES RESOURCES FOR LOGISTICAL SUPPORT:

- STOCK AT NATIONAL – PROVINCE LEVEL, LOCAL - CAPACITY OF TRANSPORT SYSTEM - CAPACITY OF PORTS : SEAPORTS; AIRPORT - POTENTIAL SITE FOR LOGISTIC BASES - AVAILIBILITY OF SPARE PARTS and SERVICES

REVIEWING : GOVERNMENT POLICIES, PLANS and PREPARATION

ACTIVITY ACTIVITY Assessing KEY INFRASTRUCTURE : Assessing KEY INFRASTRUCTURE : mapping & evaluating TRANSPORT INFRASTRUCTURE mapping & evaluating TRANSPORT INFRASTRUCTURE historical national meteorological recordshistorical national meteorological records monitoring major new construction or changesmonitoring major new construction or changes

LOG.LOG.

71

What is neededWhat is needed How much is needed How much is needed When is it needed (urgency ?)When is it needed (urgency ?) Where is it neededWhere is it needed

-TYPE OF EVENT/DISASTERTYPE OF EVENT/DISASTER-DISEASE PATTERNDISEASE PATTERN-RESPONSIBLE PERSON RESPONSIBLE PERSON

POPULATION AFFECTED :POPULATION AFFECTED : - total- total - age, sex- age, sex - culture- culture

• TYPE OF EVENT/DISASTERTYPE OF EVENT/DISASTER• SIZE OF DISASTERSIZE OF DISASTER• PHASE OF DISASTERPHASE OF DISASTER• LOCATION OF DISASTERSLOCATION OF DISASTERS

LOCATION AREA AFFECTEDLOCATION AREA AFFECTED TRANSPORTATION INFRASTRUCTURETRANSPORTATION INFRASTRUCTURE COMMUNICATIONCOMMUNICATION

LOGISTICS FOR LOGISTICS FOR OPERATIONAL OPERATIONAL OF THE TEAM : OF THE TEAM :

type of disaster; amount of victims;type of disaster; amount of victims; diseases pattern, etc. diseases pattern, etc.

LOG.LOG.

72

CATEGORIES EMERGENCY LOGISTICSCATEGORIES EMERGENCY LOGISTICS & SUPPLIES & SUPPLIES

1. MEDICINES1. MEDICINES 2. HEALTH SUPPLIES / KITS2. HEALTH SUPPLIES / KITS

3. WATER and ENVIRONMENTAL HEALTH3. WATER and ENVIRONMENTAL HEALTH 4. FOOD4. FOOD

5. LOGISTIC / ADMINISTRATION5. LOGISTIC / ADMINISTRATION 6. SHELTER-ELECTRICAL-CONSTRUCTION6. SHELTER-ELECTRICAL-CONSTRUCTION

7. PERSONAL NEEDS / EDUCATION7. PERSONAL NEEDS / EDUCATION 8. HUMAN RESOURCES8. HUMAN RESOURCES

9. AGRICULTURE / LIVESTOCK9. AGRICULTURE / LIVESTOCK 10. UNCLASSIFIED / OTHERS 10. UNCLASSIFIED / OTHERS

(PAHO, 2001)

MEDICAL LOGISTICS : > Medical Supplies and EquipmentMEDICAL LOGISTICS : > Medical Supplies and Equipment > Selected Essential Medicines> Selected Essential Medicines > Guideline for Donations of Medicines> Guideline for Donations of Medicines

LOG.LOG.

73

What is neededWhat is needed

How much is needed How much is needed When is it needed (urgency ?)When is it needed (urgency ?) Where is it neededWhere is it needed

-TYPE OF EVENT/DISASTER : - manmade : wars; conflict etcTYPE OF EVENT/DISASTER : - manmade : wars; conflict etc - NATURAL : tsunami; earthquake; flood;- NATURAL : tsunami; earthquake; flood; landslide; typhoon; etclandslide; typhoon; etc

DISEASES PATTERN : traumaticDISEASES PATTERN : traumatic infectioninfection communicable diseasescommunicable diseases chronic ( DM; hypertension;chronic ( DM; hypertension; psychiatric; etc ). :psychiatric; etc ). :

RESPONSIBLE PERSON : specialist; physician; nurse;RESPONSIBLE PERSON : specialist; physician; nurse; MEDICAL STUDENT (1MEDICAL STUDENT (1stst; 2; 2ndnd; 3; 3rdrd; 4; 4thth year) year)

LOG.LOG.

74

What is neededWhat is needed

How much is needed How much is needed

When is it needed (urgency ?)When is it needed (urgency ?) Where is it neededWhere is it needed

POPULATION AFFECTED :POPULATION AFFECTED : - total- total - age, sex- age, sex - culture- culture

HOW MUCH IS NEEDED :HOW MUCH IS NEEDED : formula : - Indonesian MoH, 2007formula : - Indonesian MoH, 2007 - Sundnes, K O., 2002- Sundnes, K O., 2002

LOG.LOG.

75

AVAILABLE RESOUCES (AR) = NI + St – CR – IR

where : NI = New Input St = Stores CR = Consumption of the resources IR = Inaccessible resources

RESOURCES FUNCTION(OUTPUT)

DISASTERS / EVENT

(PROCESS)

INPUT

(Sundnes, K O., 2002)(Sundnes, K O., 2002)

RESOURCES

LOG.LOG.

76

OPTIMAL STOCK = WS + SO + LT + BS - S

where WS = Working stock SO = Stock out LT = Lead time BS = Buffer stock S = Stock in hand

(MoH / DepKesRI,2007)

LOG.LOG.

77

How to Calculate

Target population at risk

Stock need for population

Stock in Store(Stock in hand +

Known stock coming)

Specific Item Standard unit calculation on need(1000 x 250 units = 250,000)

Stock needed

Buffer stock

Stock need for population

Stock needed 20 % (MultiplicationOf Magnitude Time)

=

=

x =

Stock needed Buffer stock =+ Stock to Order

( VIJAJ, 2006 )LOG.LOG.

78

Multiplication of Magnitude - Time

• Search Time / Purchase Time / Order Time (In days)

• Lead Time From Source (in Days)• Lead Time To Affected Area (In Days) • Storage Time (in Days)• No supplies available (0)

MMT ST / PT / OT LT - F LT - T ST NS x= + + +

= 7 + 5 + 5 + 320 (%)( VIJAJ, 2006 )

LOG.LOG.

79

CONDITION IN GREAT VICTIMS POPULATION CONDITION IN GREAT VICTIMS POPULATION AT LEAST 10.000 FOR 3 MONTHS HEALTH CARE :AT LEAST 10.000 FOR 3 MONTHS HEALTH CARE :

The NEW EMERGENCY HEALTH KIT (WHO) :The NEW EMERGENCY HEALTH KIT (WHO) :

Detail supplies see attachment (copy)Detail supplies see attachment (copy)

1.0001.000

1.0001.0001.0001.000 1.0001.000 1.0001.000 1.0001.000

1.0001.000 1.0001.000 1.0001.000 1.0001.000 10 x 1 basic units10 x 1 basic units

10.000 1 supplementary unit1 supplementary unit

1 EMERGENCY HEALTH KIT1 EMERGENCY HEALTH KIT for 10.000 personsfor 10.000 persons

for 3 monthsfor 3 months

LOG.LOG.

}

80

1 basic units1 basic units-DRUGS-RENEWABLE SUPPLIES-EQUIPMENTS

1 supplementary 1 supplementary unitunit

-DRUGS-RENEWABLE SUPPLIIES-EQUIPMENT



LOG.LOG.

81

1. Organization and Command System / Coordinator ? Which Task Force ? Responsibility ?2. Logistic (Medical) – who will be charge of overall COORDINATION the System ?3. What kind of logistic need ?4. How much must be prepared?5. When must be procured?6. Storage ?7. Where and must be distribute?8. What about the management support: Human Resources Management Information System Finance support Faciliteis, etc., etc. 9. What alternative action can be implemented ?

SOME QUESTIONS in LOGISTIC PROBLEMS

LOG.LOG.

82

CYCLE ofCYCLE ofMEDICAL LOGISTIC MANAJEMENT & MEDICAL LOGISTIC MANAJEMENT &

PHARMACEUTICAL GOODSPHARMACEUTICAL GOODS

LOGISTICSELECTION

PROCUREMENT

STORAGING &DISTRIBUTION

THE USE OF LOGISTICS

MANAGEMENTMANAGEMENTSUPPORT:SUPPORT:-organization & mechanism of action-organization & mechanism of action-human resources-human resources-management information systems-management information systems-financing-financing

LOG.LOG.

83

WHAT’S WHAT’S THE PROBLEMSTHE PROBLEMS

1.1. SELECTION ?SELECTION ?

2.2. PROCUREMENT ?PROCUREMENT ?

3.3. STORAGING & DISTRIBUTION ?STORAGING & DISTRIBUTION ?

4.4. USING THE MEDICINES ?USING THE MEDICINES ?

5. MANAGEMENT SUPPORT ?5. MANAGEMENT SUPPORT ? - Organization and Mechanism of Action- Organization and Mechanism of Action - Human Resources- Human Resources - Management Information Systems- Management Information Systems - Financing- Financing

PREPAREDNESSPREPAREDNESS

ACUTE / EMERGENCYACUTE / EMERGENCY

RECOVERY/RECOVERY/REHABILITATIONREHABILITATION

LOG.LOG.

84

PREPAREDNESS (US/ICS)PREPAREDNESS (US/ICS)READYNESS (N.Z., AUS)READYNESS (N.Z., AUS)

THETHETEAMSTEAMS

(OFFIC &(OFFIC &VOLUNT.)VOLUNT.)

??????

OFFICIAL & VOLUNTEEROFFICIAL & VOLUNTEER

RECRUITMENTCOURSE-TRAINING & PRACTICES

COORDINATION – COMMUNICATION

TEAM TYPE :TEAM TYPE :DISASTER TEAM/DISASTER TEAM/

SAR TEAM/SAR TEAM/MED. EMERG / etcMED. EMERG / etc

PREPARE :PREPARE :FASCILITY;FASCILITY;

EQUIMENT;EQUIMENT;NETWORKING :NETWORKING :

-logistic-logistic-transportation-transportation-other instituion-other instituion

1

2 2

- ACTION OF THE TEAM - ACTION OF THE TEAM IN DISASTER.IN DISASTER.

85

RECRUITMENTCOURSE-TRAINING & PRACTICESCOURSE-TRAINING & PRACTICES

COORDINATION – COMMUNICATION

STUDENT GRADESTUDENT GRADESPECIAL SKILLS (certificate)SPECIAL SKILLS (certificate)FROM OTHERS ORGANIZATION/FROM OTHERS ORGANIZATION/ PROFFESSIONPROFFESSION

FIRST AID;FIRST AID;BASIC - ADVANCE BASIC - ADVANCE LIFE SUPPORTLIFE SUPPORTVICTIMS TRANSPORTATION/VICTIMS TRANSPORTATION/ REFFERALREFFERALEtc., etc.Etc., etc.

With other ORGANIZATION / INSTITUTION:With other ORGANIZATION / INSTITUTION: Red Cross; NATIONAL BOARD for DISASTER;Red Cross; NATIONAL BOARD for DISASTER; POLICE; Military (ARMY; NAVY; AIR FORCE);POLICE; Military (ARMY; NAVY; AIR FORCE); HEALTH OFFICE; HOSPITALS ; etc., etc HEALTH OFFICE; HOSPITALS ; etc., etc

1

86

TEAM TYPE :TEAM TYPE :““DISASTER “ TEAM/DISASTER “ TEAM/

““SAR” TEAM/SAR” TEAM/““MED. EMERG” / etcMED. EMERG” / etc

PREPARE :PREPARE :FASCILITY;FASCILITY;

EQUIMENT;EQUIMENT;NETWORKING :NETWORKING :

-logistic-logistic-transportation-transportation-other instituion-other instituion

“DISASTER” & “SAR” Team : -prepare all disaster type (healthy; strong; powerful- member) -could driving; swimming, exploring; special skill; etc - first-aids skill.

“MED. EMERGENCY” Team : - first aid skill & knowledge; Basic-Advance Life Support; Patient/victim transportation; driving;

2

2

“DISASTER” & “SAR” Team : - transportation (truck, ambulance, boat, rope, fire-protection, air transportation, etc - stretchers; - first aids equipment - life supply (team and victims); etc.“MED.EMERGENCY” Team : - transportation ( personal carrier, ambulance – with stretchers ) - shelters (for team and patients) - first aids equipment; - medical instruments (minor surgery; oxygen tank + accessories; - medical logistic: health care operational, etc

87

in LIMITED CONDITION :

- RESOURCES : - human resources (volunteer) - facilities/logistics - financing - NET WORKING - COORDINATION – COMMUNICATION etc. etc.

VOLUNTEER :VOLUNTEER : - Supporting Medical Care;- Supporting Medical Care; - Supporting another activities: :- Supporting another activities: : Welfare suppliesWelfare supplies Foods suppliesFoods supplies Education (especially children & Education (especially children & geriatric)geriatric) Psyche / mental supportPsyche / mental support

ANOTHERACTION /ACTIVITY

88

CORE PRINCIPLES OF A DONATION:

1. MAXIMUM BENEFIT TO THE RECIPIENT

2. RESPECT FOR WISHES AND AUTHORITY OF THE RECIPIENT

3. NO DOUBLE STANDARDS IN QUALITY

4. EFFECTIVE COMMUNICATION BETWEEN DONOR AND RECIPIENT

DONATION

(WHO)

LOG.LOG.

89

DISASTERSDISASTERS

DONATIONS : MEDICINES,MEDICAL SUPPLIES, etc.

DONOR RECEIVER

STORAGING

DISTRIBUTION

RECORD & REPORTING

PROBLEMS

LOG.LOG.

90

TERIMA KASIH

TERIMA KASIH

&&

Wassalamu’alaikum wr wb

Wassalamu’alaikum wr wb

91

DISASTER-LECTURE-VOLU

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