PUBLIC HEALTH IN EMERGENCIES

Transcription

1 H Sandbladh, MD/IFRC 2003

2 Malaria Msls epid Waterborn diseases eg diarrhoea Anemia Acute THE KILLER DISEASES Injur Nutr Respir Infect

3 HEALTH INTERVENTION AREAS CO-ORD ORD HIS SAR and FA WATSAN incl VECTOR HEALTH and EPID CTRL RELIEF and SHELTER FOOD and NUTR MCH/RH and EPI PSY SOC LOGISTICS MOBILISAT HUMAN RESOURC TRANSP SEC/PROT TELEC / IT INFO REP MEDIA ADMIN FINANCE

4 Malaria Anemia THE COMMUNITY APPROACH Injur Msls epid HIS HIS Community health HIT/CHW/TBA/VOL HIT/CHW/TBA/VOL Community health Basic Health Care Basic Health Care Referral System Referral System Epidemic Control Epidemic Control Water & Sanitation Water Sanitation Vector control Vector control MCH/RH Nutr Diarrhoea Acute Respir Infect

5 CO-ORD ORD HMS/HIS LOGISTICS MOB HUMAN RESOURC TRANSP SEC/PROT TELEC/IT INFO REP MEDIA ADMIN FINANCE PUBLIC HEALTH IN EMERGENCIES SUPPORT MECHANISMS SAR WATSAN HEALTH RELIEF and FOOD MCH/RH and incl and EPID SHELTER and and FA VECTOR NUTR EPI PSY SOC

6 THE TOOL BOX HMS P HEALTH GUIDE FOOD BASKET DMIS DELEGATE HANDBOOK RISK ANALYSIS EVAL SAR/First Aid Community health Basic Health Care Epid/disease control Social Welfare, eg UAM Water & Sanitation Reprod Health Pych Supp OD/DP - CAPACITY BUILD DISTRICT HEALTH WHO STDS SPHERE MEDIA FACT ERU RDRT TL NEHK '98

7 DISTRICT HEALTH CARE NORM WHO Ess Drug lists WHO std treatm protocol FIRST REFERRAL LEVEL/ SURGERY PERIPHERAL CLINIC COMMUNITY ACTIVITIES

8 A Humanitarian Charter The Sphere Project Humanitarian Charter and Minimum Standards in Disaster Response Minimum Standards in Disaster Response - to alleviate human suffering caused by disaster or conflict -A handbook Peoples right to dignity Peoples right to basic assistance -Broad process to collaboration - Expression of committment to quality and accounatibilty 2004 EDITION

9 A web based working tool Gateway to Red Cross/Red Crescent Operational Information Preparedness: Trend reports from the field and DP tools Response: Efficient information flow during disasters and various tools such as for logistics, FACT etc

10 Rapid response tool for IFRC and its NSs in disasters Operational - within 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's UNDAC system and DART

11 Sectoral focus logistics, telecom, relief, watsan, health Pre-packed self-sustainable, ready to be deployed standardised modules Pre-trained teams of technical experts Sponsored by National Societies Deployment coordinated by IFRC/GVA

12 Water sanitation modules: Specialised Water Treatment & Supply Line Distribution & Trucking Mass Sanitation Basic Health Care Referral Hospital Telecom & I T Logistics Relief

13 HIS software (EXCEL 2000) CD-ROM Starts with few diseases/parameters, to be extended to many parameters Identifies trends and epidemics OPD - IPD Data can be transitted via (text) Several collection points, clinics, hospitals

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15 target pop 4 months Preventive/community health Basic clinic, OPD only 5-6 expat professionals

16 target pop 4 months Referral hospital w surgery beds (extendable) IPD and OPD expat professionals

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18 FOUR MODULES TO BE USED TOGETHER OR SEPERATELY 1/ Treatment & Supply Module beneficiaries 2/ Distrib & Trucking benef at 9 locations 3/ Specialized Water & Sanitation or health institutions 4/ Mass Sanitation beneficiaries

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23 FACT/RDRT/ERU TELECOM/IT ERU FACT assessm & coord BASIC HEALTH CARE ERU RELIEF ERU LOGISTIC ERU WATSAN ERU REFERRAL HOSPITAL ERU REFERRAL HOSPITAL PERIPHERAL CLINIC COMMUNITY HEALTH RDRT assist Local Health Authorities HIT, CHW, TBA Volunteers Elders, "local authorities", communities

24 OCHA RELIEF- WEBS MEDIA PAHO CDC DART UNDAC GOV NGO.s PNS/ /IDRU PUBLIC HEALTH IN EMERGENCIES MONITORING - DMIS ALERT OP MANAGER/DMC DREF - RDRT- FACT - ALERT ERU FIELD ASSESSM, OP AND COORDINATION DEPLOYMENT (Logistics, ERU, staff etc) MONITORING, EVALUATION/ REPORTS, STABILISATION OF OP SECR PNS ONS DELEGATIONS DEL/CD/DMC INFO BULLETIN PREL APPEAL OP UPDATE A P P E A L REHAB AND DEVELOPM ASSESSMENT OP UPDATE