PUBLIC HEALTH IN EMERGENCIES -...

PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

H Sandbladh, MD/IFRC 2003

Acute Respir

Infect

Malaria Waterborn diseaseseg diarrhoea

Anemia

Nutr

Mslsepid

THE KILLER THE KILLER DISEASESDISEASES

Injur


COCO--ORDORDSARSARand and FA FA

WATSAN WATSAN incl incl VECTOR VECTOR

HEALTH HEALTH and EPID and EPID CTRLCTRL

RELIEF and RELIEF and SHELTERSHELTER

FOOD FOOD and and NUTRNUTR

MCH/RH MCH/RH and and EPIEPI

PSYPSYSOCSOC

HISHISLOGISTICS LOGISTICS MOBILISATMOBILISATHUMANHUMANRESOURCRESOURCTRANSPTRANSPSEC/PROTSEC/PROTTELEC / ITTELEC / ITINFO REP INFO REP MEDIAMEDIA

ADMIN ADMIN FINANCEFINANCE

HEALTH INTERVENTION AREASHEALTH INTERVENTION AREAS



Acute Respir

Infect

Malaria Diarrhoea

Anemia

Nutr

Mslsepid

THE COMMUNITYTHE COMMUNITYAPPROACHAPPROACH

Injur

HISHIT/CHW/TBA/VOLCommunity health Basic Health CareReferral System

Epidemic ControlWater & Sanitation

Vector control

HISCommunity health HIT/CHW/TBA/VOLBasic Health CareReferral System

Epidemic ControlWater & Sanitation

Vector controlMCH/RH

COCO--ORDORDSARSARand and FA FA

WATSAN WATSAN incl incl VECTOR VECTOR

HEALTH HEALTH and EPIDand EPID

RELIEF and RELIEF and SHELTERSHELTER

FOOD FOOD and and NUTRNUTR

MCH/RH MCH/RH and and EPIEPI

PSYPSYSOCSOC

HMS/HISHMS/HISLOGISTICS LOGISTICS MOBMOBHUMANHUMANRESOURCRESOURCTRANSPTRANSPSEC/PROTSEC/PROTTELEC/ITTELEC/ITINFO REP INFO REP MEDIAMEDIA

ADMIN ADMIN FINANCEFINANCE

PUBLIC HEALTH IN EMERGENCIESIN EMERGENCIES

PUBLIC HEALTHPUBLIC HEALTHSUPPORT MECHANISMSSUPPORT MECHANISMS


FACTERU

SPHERE

RISK ANALYSIS

HMS

EVAL

OD/DP - CAPACITY BUILD

DMISSAR/First Aid

Community health Basic Health Care

Epid/disease controlSocial Welfare, eg UAM

Water & SanitationReprod Health

Pych Supp

WHO STDS

RDRT

FOOD BASKET

P HEALTH GUIDE

DELEGATEHANDBOOK

MEDIA

TL

DISTRICT HEALTH

THE TOOLTHE TOOLBOXBOX

NEHK '98

COMMUNITY COMMUNITY ACTIVITIESACTIVITIES

PERIPHERALPERIPHERALCLINICCLINIC

FIRST REFERRAL LEVEL/FIRST REFERRAL LEVEL/SURGERYSURGERY

DISTRICT HEALTH CARE DISTRICT HEALTH CARE NORMNORM


WHO std treatmprotocol

WHO EssDrug lists


The Sphere Project

HumanitarianCharter and Minimum Standards in Disaster Response

2004 EDITION

A Humanitarian Charter

Minimum Standards in Disaster Response

- to alleviate human suffering caused by disaster or conflict

Peoples right to dignity

Peoples right to basic assistance

-A handbook

-Broad process to collaboration

- Expression of committment to quality andaccounatibilty


• Gateway to Red Cross/Red CrescentOperational Information

• Preparedness: Trend reports fromthe field and DP tools

• Response: Efficient informationflow during disasters and various toolssuch as for logistics, FACT etc

A web based working tool


Rapid response tool for IFRC and its NSs in disastersOperational - within 12-24 hrs, for 2-6 weeks

Ensure quality, standards and coordination in NSs programme planning

Supports NSs to do assessments & coordination in disaster response

Group of specially trained and experienced disaster relief managers with a variety of technical skills

Compatible with UN/OCHA'sUNDAC system and DART


• Sectoral focus – logistics, telecom, relief, watsan, health

• Pre-packed self-sustainable, readyto be deployed standardisedmodules

• Pre-trained teams of technicalexperts

• Sponsored by National Societies

• Deployment coordinated by IFRC/GVA


• Water – sanitation modules:– Specialised Water– Treatment & Supply Line– Distribution & Trucking– Mass Sanitation

• Basic Health Care• Referral Hospital• Telecom & I T• Logistics• Relief


HIS software (EXCEL 2000)

CD-ROM

Starts with few diseases/parameters, to be extended to manyparameters

Identifies trends and epidemics

OPD - IPD

Data can be transitted via email (text)

Several collection points, clinics, hospitals


20 – 30 000 target pop

4 months

Preventive/communityhealth

Basic clinic, OPD only

5 - 6 expat professionals


150 – 250 000 target pop

4 months

Referral hospital w surgery

120 – 150 beds (extendable)

IPD and OPD

10 – 20 expat professionals


FOUR MODULES TO BE USED TOGETHER OR SEPERATELY

1/ Treatment & Supply Module - 40 000 beneficiaries

2/ Distrib & Trucking- 5 000 benef at 9 locations

3/ Specialized Water & Sanitation– 15 000 or health institutions

4/ Mass Sanitation– 40 000 beneficiaries

COMMUNITY HEALTHCOMMUNITY HEALTH

PERIPHERALPERIPHERALCLINICCLINIC

REFERRAL REFERRAL HOSPITALHOSPITAL

HIT, CHW, TBAVolunteers

Elders, "local authorities",communities

BASIC HEALTH CAREERU

RELIEF ERU

LOGISTIC ERU

TELECOM/IT ERU

WATSAN ERU

REFERRAL HOSPITALERU Local Health

Authorities

PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIESFACT/RDRT/ERUFACT/RDRT/ERU

FACT assessm & coord

RDRT assist

PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIESSECRPNSONSDELEGATIONS

OCHARELIEF-WEBSMEDIAPAHO

CDC

OP MANAGER/DMCDREF - RDRT- FACT - ALERT ERU

MONITORING - DMIS

PREL APPEALFIELD ASSESSM, OP AND COORDINATION

A P P E A L

DARTUNDAC

GOVNGO.sPNS//IDRU

DEPLOYMENT (Logistics, ERU, staff etc)

REHAB AND DEVELOPM ASSESSMENT

MONITORING, EVALUATION/ REPORTS, STABILISATION OF OP

ALERTINFO

BULLETIN

OP UPDATE

DEL/CD/DMC

OP UPDATE

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