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PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
H Sandbladh, MD/IFRC 2003
Acute Respir
Infect
Malaria Waterborn diseaseseg diarrhoea
Anemia
Nutr
Mslsepid
THE KILLER THE KILLER DISEASESDISEASES
Injur
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
COCO--ORDORDSARSARand and FA FA
WATSAN WATSAN incl incl VECTOR VECTOR
HEALTH HEALTH and EPID and EPID CTRLCTRL
RELIEF and RELIEF and SHELTERSHELTER
FOOD FOOD and and NUTRNUTR
MCH/RH MCH/RH and and EPIEPI
PSYPSYSOCSOC
HISHISLOGISTICS LOGISTICS MOBILISATMOBILISATHUMANHUMANRESOURCRESOURCTRANSPTRANSPSEC/PROTSEC/PROTTELEC / ITTELEC / ITINFO REP INFO REP MEDIAMEDIA
ADMIN ADMIN FINANCEFINANCE
HEALTH INTERVENTION AREASHEALTH INTERVENTION AREAS
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
Acute Respir
Infect
Malaria Diarrhoea
Anemia
Nutr
Mslsepid
THE COMMUNITYTHE COMMUNITYAPPROACHAPPROACH
Injur
HISHIT/CHW/TBA/VOLCommunity health Basic Health CareReferral System
Epidemic ControlWater & Sanitation
Vector control
HISCommunity health HIT/CHW/TBA/VOLBasic Health CareReferral System
Epidemic ControlWater & Sanitation
Vector controlMCH/RH
COCO--ORDORDSARSARand and FA FA
WATSAN WATSAN incl incl VECTOR VECTOR
HEALTH HEALTH and EPIDand EPID
RELIEF and RELIEF and SHELTERSHELTER
FOOD FOOD and and NUTRNUTR
MCH/RH MCH/RH and and EPIEPI
PSYPSYSOCSOC
HMS/HISHMS/HISLOGISTICS LOGISTICS MOBMOBHUMANHUMANRESOURCRESOURCTRANSPTRANSPSEC/PROTSEC/PROTTELEC/ITTELEC/ITINFO REP INFO REP MEDIAMEDIA
ADMIN ADMIN FINANCEFINANCE
PUBLIC HEALTH IN EMERGENCIESIN EMERGENCIES
PUBLIC HEALTHPUBLIC HEALTHSUPPORT MECHANISMSSUPPORT MECHANISMS
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
FACTERU
SPHERE
RISK ANALYSIS
HMS
EVAL
OD/DP - CAPACITY BUILD
DMISSAR/First Aid
Community health Basic Health Care
Epid/disease controlSocial Welfare, eg UAM
Water & SanitationReprod Health
Pych Supp
WHO STDS
RDRT
FOOD BASKET
P HEALTH GUIDE
DELEGATEHANDBOOK
MEDIA
TL
DISTRICT HEALTH
THE TOOLTHE TOOLBOXBOX
NEHK '98
COMMUNITY COMMUNITY ACTIVITIESACTIVITIES
PERIPHERALPERIPHERALCLINICCLINIC
FIRST REFERRAL LEVEL/FIRST REFERRAL LEVEL/SURGERYSURGERY
DISTRICT HEALTH CARE DISTRICT HEALTH CARE NORMNORM
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
WHO std treatmprotocol
WHO EssDrug lists
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
The Sphere Project
HumanitarianCharter and Minimum Standards in Disaster Response
2004 EDITION
A Humanitarian Charter
Minimum Standards in Disaster Response
- to alleviate human suffering caused by disaster or conflict
Peoples right to dignity
Peoples right to basic assistance
-A handbook
-Broad process to collaboration
- Expression of committment to quality andaccounatibilty
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
• Gateway to Red Cross/Red CrescentOperational Information
• Preparedness: Trend reports fromthe field and DP tools
• Response: Efficient informationflow during disasters and various toolssuch as for logistics, FACT etc
A web based working tool
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
Rapid response tool for IFRC and its NSs in disastersOperational - within 12-24 hrs, for 2-6 weeks
Ensure quality, standards and coordination in NSs programme planning
Supports NSs to do assessments & coordination in disaster response
Group of specially trained and experienced disaster relief managers with a variety of technical skills
Compatible with UN/OCHA'sUNDAC system and DART
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
• Sectoral focus – logistics, telecom, relief, watsan, health
• Pre-packed self-sustainable, readyto be deployed standardisedmodules
• Pre-trained teams of technicalexperts
• Sponsored by National Societies
• Deployment coordinated by IFRC/GVA
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
• Water – sanitation modules:– Specialised Water– Treatment & Supply Line– Distribution & Trucking– Mass Sanitation
• Basic Health Care• Referral Hospital• Telecom & I T• Logistics• Relief
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
HIS software (EXCEL 2000)
CD-ROM
Starts with few diseases/parameters, to be extended to manyparameters
Identifies trends and epidemics
OPD - IPD
Data can be transitted via email (text)
Several collection points, clinics, hospitals
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
20 – 30 000 target pop
4 months
Preventive/communityhealth
Basic clinic, OPD only
5 - 6 expat professionals
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
150 – 250 000 target pop
4 months
Referral hospital w surgery
120 – 150 beds (extendable)
IPD and OPD
10 – 20 expat professionals
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
FOUR MODULES TO BE USED TOGETHER OR SEPERATELY
1/ Treatment & Supply Module - 40 000 beneficiaries
2/ Distrib & Trucking- 5 000 benef at 9 locations
3/ Specialized Water & Sanitation– 15 000 or health institutions
4/ Mass Sanitation– 40 000 beneficiaries
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES
COMMUNITY HEALTHCOMMUNITY HEALTH
PERIPHERALPERIPHERALCLINICCLINIC
REFERRAL REFERRAL HOSPITALHOSPITAL
HIT, CHW, TBAVolunteers
Elders, "local authorities",communities
BASIC HEALTH CAREERU
RELIEF ERU
LOGISTIC ERU
TELECOM/IT ERU
WATSAN ERU
REFERRAL HOSPITALERU Local Health
Authorities
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIESFACT/RDRT/ERUFACT/RDRT/ERU
FACT assessm & coord
RDRT assist
PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIESSECRPNSONSDELEGATIONS
OCHARELIEF-WEBSMEDIAPAHO
CDC
OP MANAGER/DMCDREF - RDRT- FACT - ALERT ERU
MONITORING - DMIS
PREL APPEALFIELD ASSESSM, OP AND COORDINATION
A P P E A L
DARTUNDAC
GOVNGO.sPNS//IDRU
DEPLOYMENT (Logistics, ERU, staff etc)
REHAB AND DEVELOPM ASSESSMENT
MONITORING, EVALUATION/ REPORTS, STABILISATION OF OP
ALERTINFO
BULLETIN
OP UPDATE
DEL/CD/DMC
OP UPDATE