Guidance Notes on Safe Health Facilities by dfu19616

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									  Guidance Notes
         on
Safe Health Facilities



                                             Sanjaya Bhatia
          Focal Point Disaster Resilient Schools & Hospitals
                         Steps
   Coordination Platform with Ministry of Health,
    Country Office World Bank, WHO, National Disaster
    Management Organization, Ministry of Finance
   Formation of a Technical Working Group
   Assessment of Vulnerability of Hospitals using
    Hospital Safety Index
   Study on the impact of disasters on the health
    sector
   National Workshop
              What can be done
   Ensure all new health facility buildings adhere to
    building codes that incorporate disaster resilience
    (design, location, construction materials and
    methods, inspection, monitoring and
    maintenance).
   Conduct a vulnerability assessment of existing
    health infrastructure
   Set time-bound targets for repair, refit and
    rebuilding – National Action Plan
   Develop a legal and institutional framework for
    systematically implementing, monitoring and
    evaluating safety, involving stakeholders from all
    levels.
         What can be done

Study of the Socio-Economic Impact of                     Vulnerability Assessment of the
    disasters on the Health sector                       health Facilities – Hospital Safety
                                                                        Index

                                        Local Research
                                         organization




                            Study on the Impact of Disasters on the
                                         Health Sector



   Stakeholder                   National Advocacy Workshop
      Input




                                National Action Plan for Safe Health
                                       Facilities (NAPSHF)
           Significance of the National
                    Action Plan
   Develop Policy & Legal framework for safe health
    facilities
       • sectoral component of the National Action Plan / Strategy /
         Policy for DRR.
   Develop guidelines for construction of safe
    buildings.
   Review to strengthen existing construction designs
    and guidelines
   Capacity building of health staff, engineers,
    architects, brick layers (masons), contractors and
    other public and private sector stakeholders
What the National Action Plan covers



  Retro fitting
  New Construction –
   Mainstreaming
  Emergency preparedness
       What the National Action Plan covers

                                                                  Vulnerability Assessment

 Steps for
Safer Health
 Facilities                                                             National Action Plan




                           Structural Measures                                                 Non-Structural Measures




                                                                                                        Hospital Emergency
                                                                                                          Planning - ICS
          Non-Structural                       Structural Components
           Components

                                                                                                          Trauma Management



                            New construction                           Retro-fitting
                                                                                                     Mass Causality Management




                                                                                                         Dead Body Disposal
                                          Guidelines, Training,                                             Management
                                           Capacity Building
                 The GN can provide

   Case studies and guidelines for construction of safer
    buildings
   List of reference material for retro-fitting
   List of reference material and guidelines for non-
    structural safety
   List of reference material and guidelines for
    preparedness
   List of reference material for capacity building
   Case studies and list of reference material for costing
        Template for National Action Plan
       INTRODUCTION
              Background …………………………………………………………….
              Purpose and Objective ……………………………………………….…
              Planning Process …………………………………………………………
              Linkages with National Development Policies and Plans ………………..
       DISASTER RISK
       Hazard Profile …………………………………………………………….
           •        Floods
           •        Drought
           •        Disease Outbreaks and Epidemics
           •        Storms
           •        Forest and Land Fires
           •        Climate Change
           •        Technological Disasters
           •        Earthquakes, etc.
       ACTION PLAN FOR DISASTER RISK REDUCTION
              DRR Priorities
           •        First Level Priorities
           •        Second Level Priorities
           •        Third Level Priorities
              Summary of Disaster Risk Reduction Priority Projects
       IMPLEMENTATION
              Implementation Mechanism
              Institutional Arrangements
              Funding
              Monitoring and Evaluation
     First Level Priorities


   This would be hospitals which
    are to be built under pipeline
    projects.
   The urgency is to integrate DRR
    concerns before the
    construction begins, so as to
    ensure strong buildings.
             First Level Priority
                          (Example)
Priority            Mainstreaming of DRR Into Pipeline Projects for Health
Objective:          Facility Construction

Output               All pipeline projects have construction of safe buildings

Key Activities       Conduct DRR awareness raising for officials of Ministry
                     Establish a technical working group
                     Technical group examines the building designs to incorporate
                      disaster resilience features
                     Conduct training of engineers, architects and other
                      stakeholders in the modified designs and construction practices
                     Secure additional funding necessitated due to design change
                     Implement construction of safer buildings

Potential Partner   MOH as Lead, with support from WB, ADB, UN Agencies, JICA,
Institutions        DANIDA, GTZ and other institutional donors

Time frame          2 years

Indicative Budget   $ 300,000 (without cost of new buildings)
       Second Level Priorities

   These could be facilities in hazard
    prone areas, with higher risk level
    as identified in the assessment.
   This could also include emergency
    planning and other non-structural
    mitigation measures.
     Third Level Priorities



   These could be health facilities
    which need minor retro-fitting as
    they are located in less hazard
    prone areas of the country.
          Summary of Prioritization of Projects for Safe
                                                   Schools

                    Summary of Prioritization of Projects for Safe Hospitals

                                                                       Timeframe   Budget
                 Disaster Risk Reduction Component
                                                                       S   M   L
1     Mainstreaming of DRR Into Pipeline Projects for Hospital Construction
1.1   Hospital name
1.2   Hospital name
1.3   Hospital name
2     Retro-fitting In Hospitals in Hazard Prone areas
2.1   Hospital name
2.2   Hospital name
3     Emergency Planning in Hospitals – Safe Hospitals
3.1   Development of National Guidelines
3.2   Training
3.3   Conduct of Annual Mock drills
4     Capacity Building for Safe Hospitals
4.1   Selection and Training of Master Trainers
4.2   Development of Training Modules
4.3   Localized Training
      TOTAL

Legend:

S     Short term (1-3 years)
M     Medium term (4-10 years)
L     Long term (10-15 years)
                    Plan Format



          NATIONAL ACTION PLAN FOR SAFE HOSPITALS
  DRR      Level Planned Level of Timeframe Budget Responsible
Component   of   Actions Priority S M L            Department
           Risk                                     / Partners
1
2
3
Comments and Suggestions




                    Thank You

								
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