Title: Regional Consultation on Emergency Preparedness and Response From Lessons to Action
1Regional Consultation on Emergency Preparedness
and ResponseFrom Lessons to Action
- WHO/SEARO
- Bali, Indonesia
- 29 June 2006
- Day 2
2Yesterday
- Action
- Change
- Growth
- Benefit ? value added
3Quotes of the Day
- Coordination
- Communities???
- Community empowerment
- Experience
- Experience transplant
- Long-term outlook
- Competition
- Duplication
4Quotes of the Day
- Pandemic
- Delegating responsibilities
- Flexibility
- Sharing
- Mobilization of resources
- Regional
- Evidence-based (shown)
5Definitions
- Evaluation? to affix a value to?for whom?
- Research? to answer a question
- Needs assessments
- Compare current level of function with a
baseline?Needs - Integrative process requiring expertise
- Damage
- Function
- Available Resources
- Culture
- Priority-setting
- Results in a Plan
6Other Points of Interest
- Credentialing
- Quality Assurance
- Met defined needs
- Effects met defined goals/objectives
- Self-evaluation vs Outside evaluation
- Monitoring
- Roles of Team Members
- Donors
- Military
- Media
- Religious institutions
- Academics
7- Disasters
- Create
- Windows of Opportunity
8Qualities of Benchmarks
- Define current status of society-at-risk
- Realistic
- Achievable
- Progressive
- Result in BENEFIT to the society-at-risk
- Valid-Effective in multiple settings
9Bangkok Benchmarks
- Well-conceived
- Achievable by steps
- Realistic
- Benefit accrued
- Valid for more than sudden-onset disasters caused
by natural hazards - More refinement
- Add scope
10Summary
- Substantial Growth
- Developing Advocacy
- Needs assessments?
- Plans?Goals/Objectives
- Evaluations and QA
- Coordination/Cooperation/Collaboration
- Disaster Health Team?Role definitions
- There is occurring much ACTION
11- Have a Great Day
- and
- Take Care!!!!
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13- Preparedness
- vs.
- Response
14- Responses
- Depend on
- Preparedness
1512 Bangkok BenchmarksCompressed by PDM Editorial
Staff
- Achieved legal framework for EPR
- Coordination mechanisms including defined roles
in place - National Disaster Plan for EMR in place and
exercised at all levels. Includes - SOPs
- MOUs
- Mechanisms for coordination and control
- Responsibilities
- All hazards and specific hazards approaches
1612 Bangkok BenchmarksCompressed by PDM Editorial
Staff
- 4. Community EPR plans in place
- 5. Communities have capacity to manage crisis
- 6. Countries have line item in budgets for EPR
with access to funds for emergencies - 7. Rules of engagement exist for all external
actors - 8. Awareness advocacy programs for population
implemented - 9. Hazards vulnerabilities identified and
measures implemented to reduce vulnerabilities
1712 Bangkok BenchmarksCompressed by PDM Editorial
Staff
- 10. Appropriate programs to educate AND train
people to cope with events implemented AND
adequate numbers trained and experts available - 11. Heath facilities able to continue to function
- 12. Surveillance EWS in place for population at
risk
18- Benchmarks
- Strategies
- Plans
- Interventions
- Outcomes
- Best Practices
19Strategies from Bangkok (2005)
- Monitoring, evaluation, surveillance, assessments
- Classify risks (country and hazard)
- Enhance surveillance, collection, compilation,
interpretation of data at central level - Strengthen monitoring and evaluation methods
annual analysis - Develop/test standardized tools
20Strategies from Bangkok (2005)
- 2. Education and training
- Identify competencies required
- Education/training based on competencies
- Evaluate efficacy/effectiveness/efficiency/costs/b
enefits - Update knowledge
- Exercises and drills
- Forum for educational standards
- Programs at community and legislative levels
- Sensitization and guidance of donors
21Strategies from Bangkok (2005)
- 3. Information and Communications
- Analysis of strengths, weaknesses, opportunities,
and threats - Static info (current)
- Accessibility of hazard/disaster info
- Enhanced info systems
- Computed directory
- Emergency info units
- Upgrade existing Health info systems
- Improve warning signals
- Risk communications to vulnerable populations
- Terminology
- Annual review of preparedness for region
- Media management strategies
- Reporting mechanisms for finances
22Strategies from Bangkok (2005)
- 4. Legislation, Policy, Authority
- Determine if national enabling legislation exists
- Legislation review
- Engagement of national/international actors
- Authority to use funds in emergency
- Organogram
23Strategies from Bangkok (2005)
- 5. Funding
- Standardize mechanisms
- Assure availability of earmarked funds
- Allocate budgets at all levels
- Simplified reporting system
24Strategies from Bangkok (2005)
- 6. Planning and Preparedness
- Health Task Force for emergencies
- Needs assessments-identify gaps
- Assess National capacities
- Ability to define scale of emergencies
- Define vulnerabilities
- EWS
- Exercises and drills
- Supervision and monitoring system part of plan
- Best-practice guidelines
- Assign roles and responsibilities
- Involve stakeholders
- Cache supplies and dynamic inventories
- Long term recovery plans
- Safe health facilities
25Strategies from Bangkok (2005)
- 7. Coordination and Control
- Define scale of emergency
- Inter-country linkages for info exchange
- Coordination rings
- Involve stakeholders
- Regular audits
- Logistical mechanisms
- Regulate all incoming
- Establish local working group involving all
sectors
26Significance of Bangkok Meeting
- Moved forward from Phuket Conference
- Process produced needed standards for world
community - 67 strategies/mechanisms suggested
- Applicable beyond natural hazards
- Wider distribution
- Expanded by Expert Consultation (Geneva, 2/06)
- 62 Recommendations/13 in addition to Bangkok
Papers!!!
27WHO-Geneva Expert ConsultationFebruary 2006
- Recommendations not reflected in Bangkok
Benchmarks and Strategies - Agency in MoH
- Legislative Review
- Partnerships
- Intersectoral
- Private sector
- Academic
- Role of Military
- Threats to Public Healthinfectious diseases
- Cross-border Issues
- Cooperation (goals)
- Coordination (tasks)
- Collaboration (resources)
- Supplies, Equipment, Personnel
- MORE
28WHO-Geneva Expert ConsultationFebruary 2006
- Recommendations not reflected in Bangkok
Benchmarks and Strategies (continued) - Field Hospitals
- Credentialing/Accreditation/Competence
- Inter-human Conflict-Complex Emergencies
- Communications
- Pilot Projects
- Guidance for Donors
- Similarities rather than differences
29The Language of Disaster
Hazard
Risk 1
Modification
Event
Risk 2
Absorbing Capacity
Damage
Preparedness
Vulnerability
Risk 3
Buffering Capacity
Change in Function
Responses
Risk 4
Disaster
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31Current Status
- Where Are You
- Relative to
- Benchmark
- ????
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33Needs
- Needs BenchmarkCurrent Status
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35Plans
- Plans
- consist of
- selected intervention(s)
- Interventions?Outcomes
- Outcomes?New Current Status
36- Benchmarks
- Strategies
- Plans
- Interventions
- Outcomes
- Best Practices
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38Evaluation
- Must evaluate every intervention for
- Efficacy in reaching benchmark
- Effectiveness in reaching objectives
- Costs (economic, human, opportunity)
- Efficiency-resources consumed for outcome
- Benefits to society-at-risk
39Conclusions
- Preparedness?Safety?Protection?Public Health
- Until Bangkok meeting (2005) Preparedness and
Capacity Building has been all but ignored - Tsunami ? Window of Opportunity
- Countries in Region led the way
- Record positives ? best-practices
- Evaluation-Research ? Outcome vs Benchmark
- Policies, Education, and Training must be based
on what works - Nations?Policies?Communities apply in accord with
local needs