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First National Course on Public Health Emergency Management

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Health Workforce in Emergency First National Course on Public Health Emergency Management 12 23 March 2011. Muscat, Oman – PowerPoint PPT presentation

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Title: First National Course on Public Health Emergency Management


1
Health Workforce in Emergency
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

2
Health Workforce
  • all persons currently participating in the
    health
  • labor market or health care delivery

Health Workers
  • all people engaged in actions whose primary
    intent is
  • to enhance health
  • Physician, Nursing and midwifery personnel
  • dentistry personnel
  • pharmaceutical personnel
  • laboratory health workers
  • environmental and public health workers
  • community and traditional health workers
  • other health service providers
  • health management and support workers
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

3
  • Public health workforce
  • is diverse and includes all those whose prime
  • responsibility is the provision of core public
    health
  • activities, irrespective of their
    organizational base
  • they are central to the performance of health
  • systems, very little is known about its
    composition,
  • training or performance.
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

4
  • Front-line health workforce
  • consists of all actors supporting and
    strengthening the
  • health, safety and resilience of communities
    to
  • emergencies at the local level including
    community-
  • based health workers, mid-level health
    workers and
  • volunteers such as those affiliated with Red
    Cross/Red
  • Crescent societies, civil society and actors
    from other
  • relevant sectors
  • essential component of the health workforce
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

5
  • Front-line health workforce
  • Nurses and midwives play a significant role in
    emergencies
  • and are often at the front line at the
    community-level
  • Direct emergency risk management
  • They play critical role in training,
    supervising and
  • equipping community-based health workers for
    their
  • role in emergencies
  • reduce health related risks and limit the
    impact of
  • emergencies on communities along with other
    key sectors
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

6
Roles of the front-line health workforce in Risk
Reduction
  • Health risk assessment.
  • Identify the hazards and vulnerabilities that
  • will form the basis of planning
  • Epidemiology functions.
  • Maintain and improve the systems to monitor,
  • detect, and investigate potential hazards,
  • particularly those that are environmental,
  • radiological, toxic, or infectious.
  • Public engagement.
  • Educate, engage, and mobilize the public to be
  • full and active participants in public
    health
  • emergency preparedness.
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

7
Roles of the front-line health workforce in Risk
Reduction
  • Mitigation strategies.
  • Develop, test, and improve community mitigation
  • strategies (ex isolation, quarantine,
    social distancing)
  • Public information and communication
  • Develop, practice, and improve the capability to
  • rapidly provide accurate and credible
    information to
  • the public in culturally appropriate ways
  • Resource Management
  • Identify critical resources for public health
    emergency
  • response and practice and improve the
    ability to
  • deliver these resources throughout the
    supply chain
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

8
Roles of the front-line health workforce in Risk
Reduction
  • Operations
  • Ready workers and volunteers with skills and
    capabilities to perform in health emergency
  • Leadership.
  • Local leaders to mobilize resources, engage the
    community, develop interagency relationships,
    communicate with the public
  • 9. Provide accurate and credible messages to
    the public during a crisis
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

9
Roles of the front-line health workforce in
emergencies
  • providing critical front line health services
  • key actors in conducting
  • health education and promotion,
  • social mobilization,
  • delivery of health services,
  • community-based health risk assessments,
  • emergency health operations,
  • first aid, basic life support,
  • support to epidemic control, among others
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

10
  • FHW contributes to safe/resilient community
  • Improving health outcomes on a routine basis
    (reducing underlying vulnerability)
  • Prevention and management of common illnesses
  • Promotion of key family practices and health
    promotion for disease prevention,
  • Provide selected essential newborn and sexual and
    reproductive health intervention
  • Support facility-based health promotion,
    prevention and management of chronic illnesses
  • Support essential trauma care at basic facility
    level
  • Providing community-based rehabilitation for
    people with disabilities
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

11
  • FHW contributes to safe/resilient community
  • 2. Prevent, mitigate and prepare for emergencies
  • Conducting risk assessment(hazards,
    vulnerabilities and
  • capacitates)
  • Help detect, prevent, and manage diseases of
    epidemic or
  • pandemic potential
  • Contribute to climate change adaptation (CCA)
    activities
  • through reducing vulnerability of
    communities, short term
  • forecasting and working closer with other
    key sectors
  • Providing risk awareness and health promotion
    messages
  • including health education and social
    mobilization
  • Contribute to emergency preparedness for
    families,
  • communities and health systems
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

12
  • FHW contributes to safe/resilient community
  • Responding to and recovering from emergencies
  • Continue priority essential health services at
    the home
  • and in the community
  • Provide first aid and basic life support
  • Provide psychosocial services and community
    support
  • through community participation, providing
  • information to reduce anxiety and
    psychological first aid
  • Support mass casualty management including
    essential
  • trauma care at basic facility level and
    essential surgical
  • care
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

13
FHW contributes to safe/resilient community
  • Play vital role in achievement of the health
    related
  • Millennium Development Goals (MDGs)
  • They are component of well functioning health
    systems to deliver lifesaving services
  • During emergency they perform health service
    delivery at household and community levels
    reducing the demand for health facility-based
    services and can improve access to services when
    health systems are destroyed, disrupted or
    overwhelmed
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

14
Thank You
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

15
Capacity Building for Health Workforce  
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

16
Learning Objectives
  • By the end of this module, the participant should
    be able to
  • Describe the elements of capacity to manage
    health
  • risks of emergencies
  • Identify key elements of capacity for specific
    health
  • service delivery functions
  • Describe the role of a health emergency manager
    in
  • health emergency management systems and in
  • developing health emergency management capacity
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

17
Defining Capacity
  • Sum of
  • capability
  • resources
  • relationships
  • Within
  • community
  • organization
  • country
  • region
  • world
  • Aims
  • Reducing illness, disability and death from risks
  • Promoting health, safety and security
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

18
Defining Capacity
  • System definition of capacity
  • Capacity includes capability (knowledge,
    attitude
  • and skills) of the component parts, the
    resources
  • (financial, equipment) which support the
    system,
  • and the relationships which together form
    the
  • system.
  • Capacity is a quantitative measure
  • Measurement of human and material resources
  • i.e. number or volume or size. For example,
    the
  • capacity of the hospital is 500 beds
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

19
Health Workforce
  • all persons currently participating in the
    health
  • labor market or health care delivery

Health Workers
  • all people engaged in actions whose primary
    intent is
  • to enhance health
  • Physician, Nursing and midwifery personnel
  • dentistry personnel
  • pharmaceutical personnel
  • laboratory health workers
  • environmental and public health workers
  • community and traditional health workers
  • other health service providers
  • health management and support workers
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

20
Relevance of Risk Management to HEM Capacity
Development
  • Risk 8 Hazard x Vulnerability
  • Capacity
  • In managing Risk Capacity is needed
    to
  • Reduce Hazard
  • Reduce vulnerability
  • Increase Capacity
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

21
Health Emergency Management Capacity
  • Capacity to perform the following functions
  • Reduce hazard
  • Reduce vulnerability
  • Respond to reduce and manage Response
  • consequences
  • Recover and reconstruct for better Recovery

Preparedness
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

22
Disaster Risk Management Framework

Response
(Capacity utilization)
Preparedness
(Capacity building)
Recovery
(Capacity rebuilding for better)
(Capacity to Reduce/prevent Hazard)
(Capacity to Lessen Impact of hazard)
Mitigation
Prevention
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

23
ANATOMY OF COMMUNITY RISK MANAGEMENT
Community risk
readiness
community

hazard
?
vulnerability
multisectoral, all hazards
indicators
indicators
indicators
indicators
probability scale/magnitude/ strength/intensity
spread duration biological hazards season,
infectivity, latency, transmission
resistance, etc.
policy, plans, procedures knowledge, skills,
attitudes resources legislation national
sectoral policy administrative procedures response
recovery plans preparedness plans technical
guidelines management structure institutional
managements information systems warning
systems human resources material
resources financial resources simulations
training education public information community
participation research publications
People access to health care measles
vaccination under 5 nutrition under 5
mortality access to clean water access to
sanitation adequate housing employment/
income female literacy Property health
infrastructure vehicles medical
supplies Services curative care
services ambulance services public health
services health info system Environment water/so
il/air quality
risk of death injury (mental/ physical) disease
(mental/physical) loss of life displacement loss
of property loss of income secondary
hazards breakdown in security damage to
infrastructure breakdown in services Contamination

natural phenomena famine diseases of epidemic
potential events/crowds intoxification infestation
s transport accidents structural
failures industrial accidents chemical
accidents pollution refugees war terrorism
Prevention Mitigation Programme
Vulnerability Reduction Programme
Emergency Preparedness Programme

Community Risk Management
?
?
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

24
Preparedness Capacity to manage risks of
emergencies
  • Legal framework
  • Policies
  • Guidelines
  • Procedures
  • Resources
  • Plans
  • Knowledge
  • Attitude
  • Skills
  • Provide necessary
  • tools

Organizations
Systems
People
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

25
Preparedness Capacity to manage risks of
emergencies
Leadership/Good Governance
Health Workforce
2. Health System Development
Service Delivery
Information
Medical Products, Vaccines Technologies
Health Financing System
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

26
3. Human Resource Development Programme
  • Categories of Stakeholders
  • Leaders
  • Managers
  • Operation Center Staff
  • Responders
  • Community
  • Trainers
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

27
4. Governance
  • Policy, planning, priorities and political
    commitment
  • Legal and regulatory systems
  • Integration with development policies and
    planning
  • Integration with emergency response and
    recovery
  • Institutional mechanisms, capacities and
    structures
  • allocation of responsibilities
  • Partnership
  • Accountability
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

28
4. Risk Assessment
  • Hazards/Risks data assessment
  • Vulnerability and impact data assessment
  • Scientific and technical capacities and
    innovation

5. Knowledge and Education
  • Public awareness, knowledge and skills
  • Information management sharing
  • Education and training
  • Cultures, attitudes, motivation
  • Learning and research
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

29
6. Risk Management and Vulnerability
Reduction
  • Environment and natural resource management
  • Health and well being
  • Sustainable livelihoods
  • Social protection
  • Financial instruments
  • Physical protection structural and technical
  • measures
  • Planning regimes
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

30
7. Disaster Preparedness and Response
  • Organizational capacities and coordination
  • Early Warning Systems
  • Preparedness and contingency planning
  • Emergency resources and infrastructure
  • Emergency response and recovery
  • Participation, volunteerism, accountability
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

31
8. Established network and partnerships
  • Coordination
  • Referral system
  • Established network
  • Common agreements and SOPs
  • Established areas of collaboration
  • Inventory and sharing of resources
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

32
Q A How do we develop trainings or training
Program?
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

33
  • Developing a training or
  • training program
  • Target audience
  • TNA
  • Training Curriculum
  • Training calendar
  • Training database
  • Application of training
  • Monitoring and Evaluation
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

34
Stakeholders Training Needs Analysis (Roles and
Functions)
Stakeholders Preparedness Response Recovery
1. Leaders
2. Managers
3. Hospital Responders
4. Public Health Responders
5. OPCEN Staff
6. Community
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

35
Stakeholders Training Needs Analysis (core
competencies to carry out functions)
Stakeholders Preparedness Response Recovery
1. Leaders
2. Managers
3. Hospital Responders
4. Public Health Responders
5. OPCEN Staff
6. Community
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

36
Stakeholders Training Program/Curriculum
  • Training Title
  • Training Content

Stakeholders Training Title Training Content
1. Leaders
2. Managers
3. Hospital Responders
4. Public Health Responders
5. OPCEN Staff
6. Community
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

37

Thank You
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

38
Response Teams for immediate deployment
RHA Team
ICS Support Team
First Aid Team
Rapid Assessment First Aid Search and Rescue EMS
(transport and logistics) Evacuation Center
SAR Team
Evac. Center Team
EMS Team
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

39
Response Teams for further Deployment (After 24
hours)
Medical Team
MHPSS Team
WASH Team
Response Operation at Evac. Center
Logistics Management Team
Nutrition Team
Hospital Team As needed
Surveillance Team
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

40
Health Roles in Managing Risks Over Time
stage stage time-frame general needs health needs
immediate immediate first 24 hours search and rescue evacuation / shelter food water public information system first aid
immediate immediate first 24 hours search and rescue evacuation / shelter food water public information system triage
immediate immediate first 24 hours search and rescue evacuation / shelter food water public information system primary medical care
immediate immediate first 24 hours search and rescue evacuation / shelter food water public information system transport / ambulances
immediate immediate first 24 hours search and rescue evacuation / shelter food water public information system acute medical and surgical care
emergency communication, logistics and reporting systems (including injury and disability registers) emergency communication, logistics and reporting systems (including injury and disability registers) emergency communication, logistics and reporting systems (including injury and disability registers) emergency communication, logistics and reporting systems (including injury and disability registers) emergency communication, logistics and reporting systems (including injury and disability registers)
short-term end of first week end of first week security energy (fuel, heating, light, etc.) environmental health services for vector control personal hygiene sanitation, waste disposal etc. emergency epidemiological surveillance for Vector Born Disease, Vaccine Preventable Disease, Diseases of Epidemic Potential
short-term end of first week end of first week security energy (fuel, heating, light, etc.) environmental health services for vector control personal hygiene sanitation, waste disposal etc. control of disease of public health significance
short-term end of first week end of first week security energy (fuel, heating, light, etc.) environmental health services for vector control personal hygiene sanitation, waste disposal etc. control of acute intestinal and respiratory disease
short-term end of first week end of first week security energy (fuel, heating, light, etc.) environmental health services for vector control personal hygiene sanitation, waste disposal etc. care of the dead
short-term end of first week end of first week security energy (fuel, heating, light, etc.) environmental health services for vector control personal hygiene sanitation, waste disposal etc. general curative services
short-term end of first week end of first week security energy (fuel, heating, light, etc.) environmental health services for vector control personal hygiene sanitation, waste disposal etc. nutritional surveillance and support (including micronutrient supplementation)
short-term end of first week end of first week security energy (fuel, heating, light, etc.) environmental health services for vector control personal hygiene sanitation, waste disposal etc. measles vaccination and Vitamin A
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

41
Health Roles in Managing Risks
stage time-frame general needs health needs
medium term end of first month protection (legal and physical) employment public transport public communications psychosocial services (re) establishment of the health information system
medium term end of first month protection (legal and physical) employment public transport public communications psychosocial services restoration of preventive health care services such as EPI, MCH, etc.
medium term end of first month protection (legal and physical) employment public transport public communications psychosocial services restoration of priority disease control programmes such as TB, malaria, etc.
medium term end of first month protection (legal and physical) employment public transport public communications psychosocial services restoration of services of non-communicable diseases / obstetrics
medium term end of first month protection (legal and physical) employment public transport public communications psychosocial services care of the disabled
long term end of 3 months education agriculture environmental protection reconstruction and rehabilitation
long term end of 3 months education agriculture environmental protection specific training programmes
long term end of 3 months education agriculture environmental protection health information campaigns / health education programmes
long term end of 3 months education agriculture environmental protection disability and psychosocial care
conclusion compensation / reconstruction evaluation of lessons learned
restitution / rehabilitation revision of policies, guidelines, procedures and plans
prevention and preparedness upgrade knowledge and skills, change attitudes
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

42
Response Teams for further Deployment
  • Considerations
  • Need to establish health system
  • Need to support the treatment of injuries
  • Need to support the medical cases
  • Provision of public health services to include
    disease
  • surveillance
  • Support for resource management
  • Support risk communication
  • Provide protection and safety of victims and
  • responders
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

43
EPIDEMIC EMERGENCIES
RESPONSE CAPACITIES Case definition Admission
criteria Case confirmation Case
management Discharge criteria Contact
tracing Vector control Environmental
controls Surveillance system Referral
system Professional education Public Information
and awareness Laboratory plans Hospital
plans Supplies and equipment Borders
control Quarantine Animal culling Commerce/
trade
Specific morbidity and mortality
OUTBREAK
NEEDS
- in the community
- in health facilities
- in health facilities
Risk for health and lab workers
Difficult access
Agent unknown
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

44
General or Cross-cutting Functions
  • Communication and transport
  • Information management
  • Health surveillance
  • Mental health
  • Reproductive health
  • Environmental health
  • Food safety, emergency feeding and
  • nutrition
  • Water supply management
  • Waste management
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

45
Specific Emergency Response and Emergency
Recovery Functions
  • First aid, self-aid and first-responder
  • health assistance
  • Incident site management
  • Assessing needs
  • Mass-casualty management
  • Decontamination
  • Epidemiological investigation
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

46
Specific Emergency Response and Emergency
Recovery Functions
  • Forensic investigation
  • Management of the dead and the missing/
  • fatality management
  • Shelter and temporary accommodation (including
  • evacuation shelters)
  • Community support
  • Longer-term issues (health effects, recovery,
  • rehabilitation, reconstruction)
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman

47
Role of the Health Emergency Manager
  • Determine the risk and plan to manage it
  • Identify the capacity needed in terms of
  • Organization, Systems and People
  • Determine strategies to reach the goals set
  • Determine resource requirements (Compare from
  • what is available to what is required and
    what is
  • the gap)
  • Look for resources, identify partners, co
    share
  • Determine a point person, time frame and
    indicators
  • Monitor and evaluate
  • First National Course on Public Health Emergency
    Management
  • 12 23 March 2011. Muscat, Oman
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