Emergencies: the Role of Private Sector
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Emergencies: the Role of Private Sector . Nilufa Shariff Lecturer Aga Khan University. 7 th August 1998. Case Study. The Nairobi Bomb Blast almost ten years ago (7 th August 1998), was an eye opener and brought home the fact that none of us is immune from such calamities. Case Study . - PowerPoint PPT Presentation
Transcript of Emergencies: the Role of Private Sector
Emergencies: the Emergencies: the Role of Private Sector Role of Private Sector
Nilufa ShariffNilufa ShariffLecturer Lecturer
Aga Khan UniversityAga Khan University
77thth August 1998 August 1998
Case StudyCase Study•The Nairobi Bomb Blast The Nairobi Bomb Blast
almost ten years ago (7almost ten years ago (7thth August 1998), was an eye August 1998), was an eye opener and brought home opener and brought home the fact that none of us is the fact that none of us is immune from such immune from such calamities.calamities.
Case Study Case Study •Many of us who work in the Many of us who work in the
health care set-up learnt health care set-up learnt several lessons for instanceseveral lessons for instance– The spirit of volunteerism and The spirit of volunteerism and
giving was great from the public giving was great from the public and professional alikeand professional alike
Public participationPublic participation– The Matatus gave free The Matatus gave free
transportation to the victims to the transportation to the victims to the hospitalshospitals
– People donated bloodPeople donated blood– People volunteered their services People volunteered their services
for instance serving food for instance serving food – People donated food, blankets etcPeople donated food, blankets etc– Even school children came to helpEven school children came to help
Professional Professional participationparticipation
• Staff came to work to help without Staff came to work to help without even being calledeven being called
• Everyone who came to the hospital Everyone who came to the hospital got caregot care
• A trauma team went to the blast A trauma team went to the blast sitesite
• Crisis counseling intervention was Crisis counseling intervention was offeredoffered
StudyStudy• Done following the blast within the Done following the blast within the
institution found the following areas institution found the following areas that needed improvement:that needed improvement:– Training for staffTraining for staff– Size of the emergency department was Size of the emergency department was
small considering > 300 patients were small considering > 300 patients were receivedreceived
– Crowd management was a problemCrowd management was a problem– Coordination and roles of volunteersCoordination and roles of volunteers– Review and revise protocols in existence Review and revise protocols in existence
• (Connie Muriethi, 1998)(Connie Muriethi, 1998)
Some of the Actions Some of the Actions TakenTaken
• Disaster Preparedness committee Disaster Preparedness committee constituted with clear terms of constituted with clear terms of reference for instance:reference for instance:– Action cards with roles assigned Action cards with roles assigned
formulatedformulated– Mock Drills Mock Drills – Education of StaffEducation of Staff
In the words of His In the words of His Highness the Aga Khan Highness the Aga Khan
(1999)(1999)• “…“…effective reform requires a significant investment in the effective reform requires a significant investment in the personnel responsible for managing health services and personnel responsible for managing health services and providing care. providing care.
• While some programmes have been implemented to While some programmes have been implemented to improve the capacities of those charged with managing the improve the capacities of those charged with managing the reformed health system, little systematic attention has been reformed health system, little systematic attention has been given to enhancing the clinical and managerial competence given to enhancing the clinical and managerial competence of nurses at all levels of the system. of nurses at all levels of the system.
• Nurses in service are a logical focus …are usually the first Nurses in service are a logical focus …are usually the first point of contact for a patient seeking care. They are also point of contact for a patient seeking care. They are also essential to the competent provision of hospital based essential to the competent provision of hospital based tertiary care”.tertiary care”.
EducationEducation• Aga Khan University – Advanced Aga Khan University – Advanced
Nursing Services Programme started Nursing Services Programme started in 2002in 2002
• Started a programme in Accident Started a programme in Accident Emergency and Disaster Emergency and Disaster Preparedness for Registered NursesPreparedness for Registered Nurses
• Our target group is Nurses who work Our target group is Nurses who work both in the public and private sectors.both in the public and private sectors.
To have the right people in the right To have the right people in the right place at the right time?place at the right time?
Programme Objectives Programme Objectives •To equip Registered Nurses with To equip Registered Nurses with
the Knowledge, Skills and the Knowledge, Skills and Attitudes towards caring for Attitudes towards caring for patients who are undiagnosed patients who are undiagnosed and undifferentiated in life and undifferentiated in life threatening or potentially life threatening or potentially life threatening situations within a threatening situations within a hospital setup or otherwisehospital setup or otherwise
ProgrammeProgramme• Among the Modules covered:Among the Modules covered:
– Holistic Disaster ManagementHolistic Disaster Management– Psychosocial emergencies Psychosocial emergencies – Neurological emergenciesNeurological emergencies– Musculoskeletal emergenciesMusculoskeletal emergencies
Programme Programme • For instance the module on Holistic For instance the module on Holistic
Disaster Management:Disaster Management:– Focuses on the nurses’ role in Focuses on the nurses’ role in
comprehensive disaster management. comprehensive disaster management. It enables the learner to gain insight It enables the learner to gain insight in the prevention, mitigation, in the prevention, mitigation, planning, preparation, management planning, preparation, management and recovery of disasters and and recovery of disasters and multiple casualty incidents multiple casualty incidents
Student Evaluations of Student Evaluations of the Programmethe Programme
• Enhanced their knowledge and skills in Enhanced their knowledge and skills in emergency nursingemergency nursing
• Enhanced their knowledge of handling Enhanced their knowledge of handling disastersdisasters
• Built their critical thinking skillsBuilt their critical thinking skills• Built their confidence in handling Built their confidence in handling
emergencies of any nature holisticallyemergencies of any nature holistically• Helped them appreciate the importance Helped them appreciate the importance
of the psychosocial needs of patients, of the psychosocial needs of patients, victims and othersvictims and others
ChallengesChallenges• Students face financial challenges Students face financial challenges • They face challenges in terms of They face challenges in terms of
time off work to attend the time off work to attend the programmeprogramme
• We face challenges of access to We face challenges of access to practice learning environments practice learning environments
• The numbers that we can educate The numbers that we can educate are smallare small
• Students face challenges in affecting Students face challenges in affecting change of practice when the change of practice when the leadership may not be synergy leadership may not be synergy
SuggestionsSuggestions• Partnerships can be built through networking Partnerships can be built through networking
and sharing in forums like this oneand sharing in forums like this one• We can share our knowledge and experiencesWe can share our knowledge and experiences• We are a private institution within this We are a private institution within this
country and internationally and we country and internationally and we collaborate with other organizations like WHOcollaborate with other organizations like WHO
• We could do collaborative research on We could do collaborative research on disaster planning and management which disaster planning and management which could capture indigenous knowledge and could capture indigenous knowledge and home grown solutionshome grown solutions
• We are a university and we educate therefore We are a university and we educate therefore collaboration in this area would be our focuscollaboration in this area would be our focus
QuestionsQuestions• We educate Nurses is it possible to expand the We educate Nurses is it possible to expand the
current scenario?current scenario?• How about a top-bottom and bottom-top approachHow about a top-bottom and bottom-top approach• We need to train the leadership at macro, We need to train the leadership at macro,
organizational and unit levelorganizational and unit level• Education for the volunteers what is the role of an Education for the volunteers what is the role of an
institution like ours?institution like ours?• Others for instance the people who usually are 1Others for instance the people who usually are 1stst
on the scene like the Matatu drivers through their on the scene like the Matatu drivers through their associationassociation
• Public education what is our role in collaboration Public education what is our role in collaboration with the mediawith the media
• Who funds this?Who funds this?
Thank YouThank You
