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 on the Impact of Disasters on the Health Sector

Study of the Socio-Economic Impact of disasters on the Health sector

Vulnerability Assessment of the health Facilities – Hospital Safety

Index

National Advocacy Workshop

National Action Plan for Safe Health Facilities (NAPSHF)

Stakeholder Input

Local Research organization

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

National Action Plan

Structural Measures Non-Structural Measures

Non-Structural Components

Structural Components

New construction Retro-fitting

Hospital Emergency Planning - ICS

Trauma Management

Mass Causality Management

Dead Body Disposal ManagementGuidelines, Training,

Capacity Building

Steps for Safer Health

Facilities

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 Objective:

Mainstreaming of DRR Into Pipeline Projects for Health Facility Construction

Output Key Activities Potential Partner Institutions Time frame Indicative Budget

All pipeline projects have construction of safe buildings 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

MOH as Lead, with support from WB, ADB, UN Agencies, JICA, DANIDA, GTZ and other institutional donors 2 years $ 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 Disaster Risk Reduction Component

S M L

Budget

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 Timeframe DRR

Component Level

of Risk

Planned Actions

Level of Priority S M L

Budget Responsible Department / Partners

1 2 3

Comments and Suggestions

Thank You