Leadership and management during an infectious disease outbreak response

Transcription

1 Leadership and management during an infectious disease outbreak response HHI Ali Ardalan MD, PhD Associate Prof. and Director, Disaster & Emergency Health Academy, TUMS Adviser to Deputy Minister, Director of Disaster Risk Mgmt. Office, Ministry of Health Visiting Scientist and Senior Fellow, Harvard Humanitarian Initiative Central Asia Representative, Global Network of Disaster Reduction WHO Temporary Advisor

2 A presentation for Global Health Risk Framework: A Workshop on Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks August 5-7, 2015 Accra, Ghana

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4 A successful pandemic response requires a leader trusted by the people, who knows how to minimize deaths in this complex disaster, and has the authority to do it. Source: WHO/PAHO

5 Leadership The action of leading a group of people or an organization, or the ability to do this.

6 Management The process of dealing with or controlling things or people or the function that coordinates the efforts of people to accomplish goals and objectives by using available resources efficiently and effectively Basic functions Planning Organizing Coordinating Commanding Controlling Managerial Skills Political Conceptual Interpersonal Diagnostic Leadership Technical Kleiman, Lawrence S

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9 Political leadership is critical during a public health crisis, whether the crisis results from natural causes or from bioterrorism. Critical roles: Symbol System-builder Decision-maker

10 Iranian Minister of Health warns about Ebola!

11 WHO should be the global health leader. Under its constitution, WHO was envisaged as the directing and coordinating authority on international health work.

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14 WHO Leadership Statement WHO will Engage with national authorities Develop capacity to respond rapidly and effectively This will require a directing and coordinating mechanism to bring together the world s resources to mount a rapid and effective response Commit to expanding core staff working on diseases with outbreak potential and health emergencies Create a Global Health Emergency Workforce Establish a Contingency Fund Recognize that emergency situations demand a command and control approach and we commit to seamless collaboration between headquarters, regional offices, and country offices Strengthen the International Health Regulations.

15 It is strongly recommended that your leadership team work within existing disaster preparedness and response structures.. There is no reason to change a disaster management system that works! In fact, existing plans and resources are the foundation on which to build a local pandemic plan. Source: WHO/PAHO

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17 Incident Command System (ICS) a standardized approach to the command, control, and coordination of emergency response providing a common hierarchy within which responders from multiple agencies can be effective a component of the National Incident Management System (NIMS) in the US, and as a pattern for similar approaches internationally Key concepts Unity of command Common terminology Management by objective Flexible and modular organization Span of control

18 IDER Plan is compliant with the State Emergency Management System (SEMS) and National Incident Management System (NIMS) and is based on the Incident Command System (ICS).

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20 Satish K. Pillai, et al. Developing an Incident Management System to Support Ebola Response Liberia, July August MMWR. ctober 17, 2014 / 63(41);930-3.

21 Satish K. Pillai, et al. Developing an Incident Management System to Support Ebola Response Liberia, July August MMWR. ctober 17, 2014 / 63(41);930-3.

22 Limitation: No high level evidence to support / compare effectiveness / efficiency of different management models in pandemics!

23 The Cluster Approach

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26 Q: Is IHR integrated into the national / international health emergency systems?