HEALTH CLUSTER RECOVERY and REHABILITATION PLAN FOR BICOL. Plans of Action Actions taken Status Gaps Actions to be taken DOH conducts

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1 Health Cluster Objectives Health Promo Sub-Cluster: Promote y/quality life in the affected communities thru education and promotion (UNFPA, OXFAM, NNC, UNICEF, PLAN, PNRC, IFRC, WHO, DOH) 1.1 Health Promotions Toolkit HEALTH CLUSTER RECOVERY and REHABILITATION PLAN FOR BICOL Plans of Action Actions taken Status Gaps Actions to be taken DOH conducts 1.Develop a IEC campaigns promotions toolkit a. Develop and produce a compendium of key messages in disaster situation. The target audience will be the general public b. Produce a. Organization of TWC (DOH, NNCC, Save the Children, PNRC, OXFAM, UNFPA, WHO) b. Parameters, format, contents identified Ongoing revision of draft To be able to engage all agencies to contribute to promotional activities, there isa a need to provide them with key messages and access to IEC materials Coordinated promotions activities by government and NGOs - 2. Health Promotions Plan a. Manual pretesting (last week of Feb) b. Manual development and reproduction c. distribute copies to gov t and NGOs Target Health promotions toolkit developed and distributed

2 manual in hard and electronic form for both IEC mat. And key messages c. Include inventory and compilation of available IEC materials from all the cluster members c. Sub-cluster meetings conducted d. Contractor for the job identified e. To be funded by WHO f. Collation of all key messages and IEC materials 1.2 Health Promotions Plan g. Target Completion of the draft of the manual Jan. 31 DOH conducts IEC campaigns Detailed promo/educati onal activities by NGOs not yet included in WHO/WHAT/ WHERE Health promotions plan which will engage/coordinate actions both by gov t and NGOs 1. Identify specific priority topics to be covered by promotional activities for the next month based on current situation 2. Prepare promo plan at Coordinate d promotion activities conducted

3 2. Infrastructure Sub-Cluster a. damage reports b. Establishment of alternate field hospitals b. Provision of generators to hospitals c. Provision of water tanks and water containers d. Provision of drugs, medicines,, and equipment a. No comprehensive report on damages and needs of including cost b. Still absence of electricity in some c. Prioritization of that need immediate repair d. Need for GIS or mapping of field level: WHO/WHAT/WH ERE (as of last cluster meeting) a. Project to assess damages including costs of hospitals in Albay (WHO) b. Repair of 4 hospitals: BRTTH, BMC, BS, Duran District Hospital (GOP) c. Repair of BHS/HC of 6 barangays affected in Legazpi d. Reconstruction of other affected HC/BHS e. Health Facility Mapping Project

4 in Albay (WHO) f. Renovation of hospital in Ziga (MSF) g. Rehabilitation pf 27 damaged BHS and 4 RHUs (IFRC, PNRC) h. Provision of requested generators for local hospitals: Duran Dist. Hosp., Pantao Dist. Hosp., Cagraray Dist. Hosp., Manito Mun. Hospital 2.1 structural damage assessments/priorit ization Restoration of damaged (hospitals, centers, BHS, laboratories) Preliminary assessments done by NGOs and reports from gov t; WHO-DOH Technical Gov t has set aside P300M for rehabilitation of damaged hospitals in all regions Determine if there is a need to perform similar technical evaluation in other provinces; Determine if budget of Gov t sufficient i. Rehab. Of delivery rooms (UNFPA) Final list and documentation of agencies which are undertaking or will undertake structural repair and rehab of Provision for structural rehab of made

5 2. 2 power supply for Restoration of electricity/power in the, including laboratories Evaluation Team to present report to cluster 21 Feb 07; UNFPA and WHO doing site visits in other provinces -same - Provision of generators to hospitals affected; P250M for LGU -Same -some hospitals have received generators already to cover equipment needs as well -finalize list of needing generators with detailed specs which the gov t cannot provide identified (hospitals/rhu/b HS) for coordination purposes (see WHO/WHAT/WH ERE document) DOH to provide final list of hospitals which still need generators with specs and to match these with agencies willing to provide the same; DOH to coordinate with LGU for finalization and delivery arrangements -same All with power supply 2.3 water supply for Hospitals have made provisions for water supply needs -same -same -finalize need which cannot be covered by gov t and coordinate with WATSAN cluster All with adequate safe water supply 2.3. Need for Provision of Medicines and -for Need for improved DOH to prepare Essential

6 medical and equipment 4. personnel needs 5. GIS mapping of needed equipment, Augmentation of medical teams if outbreaks occur WHO to send GIS engineer to do GIS mapping of in Albay delivered to DOH already Augmentation done during acute phase of disaster; WHO already commissioned GIS expert for the project in Albay distribution -some reports say some areas still need medicines and Problem of inadequate staffing of present even before disaster GIS engineer already in Albay gathering data mechanism for flow of requests for needs and delivery mechanisms and tracking No acute need for additional personnel at present To determine if there is similar need and feasibility of similar project in other provinces list of needs for and equipment of specific and agencies to coordinate with DOH DOH- HEMS and regional) as to final destination of their donated good related to ; DOH to coordinate with LGU for finalization of and equipment needs, and delivery arrangements Long-term solution c/o gov t Await results medical and equipment available for emergency services Availability of personnel during emergencie s GIS mapping of in Albay

7 3. Control of Communicable Diseases. Reduce mortality and morbidity due to communicable diseases in times of disaster a. Strengthening disease surveillance system b. Provision of logistical support for disease control c. Promote early diagnosis and treatment of diseases d. Conduct disease prevention activities e. Personnel augmentation a. Disease surveillance especially in evacuation centers and hospitals b. Provision of emergency drugs, medicines and medical c. Provision of emergency diagnostic kits for early diagnosis and treatment d. Provision of hospital services for disease diagnosis and treatment for trauma cases and serious cases e. Vaccination Medical and various equipment delivered to DOH-HEMS and CHD V; Rapid diagnostic kit for cholera and enteric diseases to be delivered from WHO soon; Ongoing strengthening of Health Information Management System of DOH a. Delayed reporting from the community b. Lack of trained staff on surveillance c. Lack of comprehensive protocols and guidelines for disease/case management d. There are laboratories that are still non-functional due to lack reagents a. Training of disease surveillance up to community level b. Development of Information Management System (WHO- DOH) c. Revitalization of public laboratory of the region d. Development of comprehensive manual of treatment protocols of the 10 top leading causes of diseases with during disaster (DOH & WHO) Standard case managemen t protocols for common problems in disaster settings available Improved information managemen t system Improved capability of public laboratory in the region Essential medical

8 of 0-5 yrs. Old for measles and polio in evacuation centers f. Provision of Vit. A, and deworming and equipment available Training for community -based surveillance g. Fielding of medical teams including local and international volunteers to severely affected areas (assessment teams, surveillance teams, and hospital teams) 4. Psychosocial Support and Mental Health : Provide Psychosocial interventions provided to evacuees, victims, and responders (DOH, DSWD); mental Coordination of NGOs with DOH being done; various psychosocial interventions done by DOH Matrix being updated No standard government guidelines/ regarding psychosocial interventions WHO to support DOH in coordination, and development of plan for orientation/training /planning Orientation and training of response workers; Establishm ent of referral

9 psychosocial support and facilitate healing of any psycho-social trauma of the affected population services available as needed teams and NGOs; Training and planning workshop organized by Simon of Cyrene in collaboration with CHD; Psychosocial assessment team sent by UNICEF; IASC guidelines for psychosocial support and mental in disaster situations distributed by WHO; Training of Trainers on Psycho-social Intervention for Teachers and Non-teaching Health Personnel (DOH-DEPED Project) Scheduled Feb, Legaspi Awaiting results Inadequate psychosocial interventions at the community level Lack of psychosocial teams to cover the entire population Regional personnel are themselves victims Need to refer some cases for further treatment: referral network must be established workshop of response workers from the gov t and NGOs; Psychosocial assessment of communities; Establishment of referral network; Development of policy/guidelines/ management protocols, referral system on psychosocial interventions (DOH, DSWD, WHO) system; developme nt of guidelines; provision of psychosoci al support to affected populations

10 5. Coordination Issues 6. Management of the Dead and the Missing Manage the dead, the missing persons and their bereaved families according to culturally accepted manner Cluster approach adopted Provided policy to LGUs on the proper management of dead, missing, and bereaved families Coordination of assessments, reporting, planning, implementation and monitoring activities within the cluster and among clusters Cluster established ; Regular meetings; regular distribution of meeting reports and other relevant information; Need to streamline coordination mechanisms GO- GO, GO-NGO, NGO-NGO particularly with flow of requests, delivery of and reporting of plans and activities Develop and strengthen coordination mechanisms within the cluster and among clusters Finalization of the MDM Policy for approval of the Secretary of DOH Dissemination of info on policy on MDM Coordinate d response to issues LGUs and line agencies aware of MDM policy