SAFE HOSPITALS & HEALTH RISK REDUCTION

Safe Hospitals Initiative

“A health facility whose services remain

accessible and functioning at maximum

capacity and in the same infrastructure, during

and immediately following the impact of a natural

hazard.”

Hospital Safety Index (HSI)

Hospital Safety

Structural Non-structural Planning(Training)

Quantitative assessment tool• Hazards in the geographical location

• Safety level of structural and non-structural elements and assets

• Organizational level of functional capacity

• Implementation of disaster planning

• Ability to continue and restore services

• Availability of supplies and resources

Pre-winter assessment (2008)

• Overall looked at 117 facilities

• Combined with the MoH initiative to assess implementation of their winter preparedness plan

• Showed significant gaps in winter preparedness

• Illustrated need for quantitative and qualitative vulnerability assessment

Applying the “Index” in Tajikistan

• Utilized first within the “Cold Crisis Case-study” of six key facilities

• In-depth view of the impact of the cold-crisis and the relationship of disaster risk

• Allowed for identification and prioritization• Risk and vulnerabilities

• Disaster preparedness

• Planning levels

Capacity building - HSI

• During the case-study staff from the MoH Department for Emergency Situations actively participated in the assessment after being trained in the use of the tool

• Assessment and Planning working group• Prioritized nine (9) additional facilities

• Conducted HSI assessments

Capacity building - PHEM Course• “Public Health Emergency Management”

• Risk and vulnerability assessment

• Hospital DRR and preparedness plans

• Hospital disaster operational planning

• Incident command system

• Mass casualty management

• Disaster and needs assessment

• Public Health in disasters

• Standards and operational procedures

PHEM utilization

• “10-day” curriculum expanded to 23 days allowing working time to produce plans and draft SOPs with facilitators from MoH

• Outcomes:

• Detailed DRR plans for 15 facilities with costing

• Hospital operational and contingency plans

• Expertise developed in MoH and local facilities

in DRR and disaster operations

Integration

• Findings and recommendations utilized in:

• NHCMP development

• Action plan development

• Inclusion of DRR in the Comprehensive Health

Strategy development

• Inclusion of DRR in facility business planning

• Pandemic planning and preparedness

Bottom line• Assessment tool plus with training lead to:

• In-depth understanding of the needs

• Common terminology

• Quantitative & qualitative information

• Creative local solutions to address vulnerabilities

• Basis for incident command structure

• Contingency and mass casualty plans facility vulnerability health response capacity

Div. of Emergency

Situations (MoH)

MoH Disaster Command Center

Disaster Management Training Center

Public Health Emergency Mngt

DRRHospital PlanningDisaster ResponseEmergency CareEnvironmental

Psychiatric Inter.Pandemic

Safe Hospitals

MoH ExpertCommittee

on DRR

NHCMPAction Plan

Health Strategy

SOPs

Indicators

Drug Policy

Contingency stocks

CoES

Informationand

Intelligence

EWS GISAssessmentMonitoring

DatabasesREACT