PEER 3 PROGRAM QUARTERLY PROGRAM PROGRESS REPORT. Implemented by: ADPC. Submitted to: USAID. Reporting Period: April-June 2011

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1 PEER 3 PROGRAM QUARTERLY PROGRAM PROGRESS REPORT Implemented by: ADPC Submitted to: USAID Reporting Period: April-June 2011 The PEER 3 program objectives that the activities fall under are: PEER Objective 1: Community Action for Disaster Response (CADRE): Establish a system for enhanced community level first responder capacity in disaster prone communities in PEER s six core countries (Bangladesh, India, Indonesia, Nepal, Pakistan, and the Philippines) with expansion to Cambodia, Lao PDR and Vietnam (nine countries in total for PEER 3). Please note: This is the ARC-supplementary funded component of PEER PEER Objective 2: Hospital Preparedness for Emergencies (HOPE): Continuation of the Hospital Preparedness for Emergencies (HOPE) courses in the six PEER countries and extension of the HOPE courses to the three new PEER countries (Cambodia, Lao PDR, and Vietnam). Please note: This is the USAID-OFDA funded component of PEER 1

2 REPORT CONTENTS 1. EXECUTIVE SUMMARY 2. ACTIVITY SUMMARY 2.1. SUMMARY OF GENERAL PROGRAM ACTIVITIES 2.2. SUMMARY OF CADRE PROGRAM ACTIVITIES 2.3. SUMMARY OF HOPE PROGRAM ACTIVITIES 3. DETAILED ACTIVITIES THIS REPORTING QUARTER: 3.1. PROGRAM MANAGEMENT ACTIVITIES Bilateral meeting ADPC, PEER Team / USAID-OFDA Bilateral meeting ADPC, PEER Team / ARC Teleconference: ADPC, PEER Team / NSET, PEER Team 3.2. CADRE ACTIVITIES CADRE Nepal National Pilot Course Adaptation Workshop and TFI-IW CADRE Bangkok Regional Training 20 April 4 May CADRE Philippines: Basic + TFI-IW Aurora, Philippines 3.3. HOPE ACTIVITIES: HOPE Philippines HOPE Nepal HOPE-TFI Philippines HOPE Indonesia HOPE- Cambodia HOPE- LAOS 4. PROGRESS OF THE PROGRAM FOR THIS REPORTING PERIOD 4.1. PROGRAM MANAGEMENT 4.2. PROGRAM SCHEDULE: PLANNED VS. ACTUAL ACHIEVEMENTS 4.3. ACCOMPLISHMENTS AND CHALLENGES ENCOUNTERED MATRIX OF PROGRAM ACCOMPLISHMENTS AND CHALLENGES UPDATED FOR THIS REPORTING QUARTER: Program Activities Objective 1 - CADRE Objective 2 - HOPE 5. PLANNED ACTIVITIES FOR THE NEXT REPORTING QUARTER ANNEXES ANNEX 1 ANNEX 2 GRAPH OF CADRE PARTICIPANTS / INSTRUCTORS NUMBERS BY COUNTRY PEER COMMUNICATIONS, INFORMATION AND ADVOCACY PEER NEWSLETTER PEER PRESS RELEASES AND PEER PRESS RELEASE PROTOCOL PEER 3 COUNTRY COORDINATOR S REPORT PEER COUNTRY FOCAL POINTS PROGRAM ACTIVITIES SCHEDULE ANNEX 3 ANNEX 4 ANNEXS 5-6 ANNEX 7 FEDERAL FINANCIAL REPORT JUNE 2011 ANNEX 8 DISEMBURSEMENT REPORT APRIL-JUNE

3 1. EXECUTIVE SUMMARY Program activities which took place in this Reporting Quarter include the CADRE Nepal National Pilot Course, Curriculum Development Workshop and TFI-IW in April Regional CADRE Courses took place in Pathum Thani near Bangkok which included the Basic Course for Cambodia, followed by a regional TFI-IW in Bangkok Thailand for participants from Vietnam and Laos to join these participants from Cambodia. In addition, Regional ADPC staff, ADPC HQ staff, and other National Society members present in-country (i.e. German Red Cross staff from Vietnam and Thai Red Cross) were also trained in CADRE. Invitation was extended for nominations from RCNS Information also sent to IFRC and ARC / OFDA delegates. The outcomes from this training are reported herein. During the last Reporting Quarter the HOPE Regional TFI took place for National HOPE Graduate participants from Vietnam, Cambodia and Lao PDR. Since then, these new HOPE instructors have been utilized as Instructors for HOPE implementations in Lao PDR and Cambodia. The first Model Hospital for HOPE has been assigned the Khmer-Soviet Friendship Hospital (KSFH) in Phnom Penh. Under the HOPE Technical Assistance component, a full Hospital Assessment was carried out at KSFH following the HOPE training in association with the KSFH and Ministry of Health Cambodia. Reports on these significant advancements of the HOPE program are contained herein. In Kathmandu, Nepal, HOPE took place for a second time in April Details of this implementation are in this report. HEART/HOPE and HOPE-TFI in the Philippines under the Partial Funding Assistance Program (PFAP) also took place in April In Indonesia, HOPE was conducted under the implementation of PEER partners Ambulan 118, in June in Jogjakarta, with representatives from 16 hospitals attending, For both CADRE and HOPE the program is moving beyond the National level, to the Community level and the priority now is the designation of model communities and hospitals for PEER countries. This is a feature of this reporting quarter and ongoing. Program management changes have been significant this quarter with the appointment of the new COP and CADRE Training Manager. Meetings have been held with ARC ad USAID-OFDA, and communications have been ongoing with NSET for program coordination and data management, the PEER Database and other matters of logistics and scheduling. This has included teleconferences and information sharing, as well as participation of NSET staff in ADPC PEER activities. NSET staff personnel also participated in CADRE Nepal. The PEER Database rebuild is underway for PEER 3. Statistics and information has been gathered and organized ahead of data-entry into the database. This is being managed on a 2-agency basis for completion in the forthcoming quarter An ongoing action item is the identification of CADRE and HOPE instructors from in-country where possible, (e.g. in PEER 2 countries where there are suitable PEER graduates). This was carried out successfully for CADRE in Nepal. 2. ACTIVITY SUMMARY: PLEASE SEE ANNEX 1: GRAPH OF CADRE PARTICIPANTS / INSTRUCTORS NUMBERS BY COUNTRY [as of] June SUMMARY OF GENERAL PROGRAM ACTIVITIES: PEER Team Personnel: o Commencement of CADRE Training Manager o Commencement of new PEER COP o PEER Country Coordinator recruitment 4 recruited and ongoing Discussion on Cost-Cutting in Budget for Trainings and method for increasing activity level in-country Submission of Third Annual Work Program (3AWP) to USAID-OFDA drafts 2-4 [APPROVED AS OF TIME OF WRITING JULY 2011] Coordination and Collaboration with NSET including teleconferences Bilateral meeting with Andrea Tracy, Regional Advisor USAID-OFDA Bilateral meetings with Rebecca Scheurer ARC [MOVED FROM BANGKOK POSTING TO U.S IN THIS REPORTING QUARTER] Planning for CADRE Pakistan, CADRE Laos and CADRE Bangladesh Planning for Country Planning Meeting, New Delhi, India o CPM mission was planned for May [now rescheduled for August due to MHA] 3

4 o Request communicated to OFDA that follow-up needed to push the agreement through the Disaster Management Agency - Andrea offered to request for USAID mission in India to intercede and move the agreements and letter through the NDMA, set dates for training etc. CPM SUBSEQUENTLY SCHEDULED: Country Planning Meeting (PEER India) Date: 4 August 2011 Venue: NDMA, Bhawan, A-1, Safdarjung Enclave, New Delhi (4 Party) Coordination Meeting (USAID-ADPC-NSET) ARC cannot attend Date: 5 August 2011 Venue: The Park Hotel, 5 Parliament Street, New Delhi , India Ongoing Communications and Networking : [PLEASE SEE ANNEX FOR PEER NEWSLETTER AND PEER PRESS RELEASES AND PR PROTOCOL DEVELOPED THIS REPORTING QUARTER] o PEER Press Releases for HOPE in Cambodia and Laos o PEER Website updates and maintenance o PEER social network building o PEER Photographic Database on Flickr o PEER e-newsletter (May 2011) 2.2. SUMMARY OF CADRE PROGRAM ACTIVITIES CADRE Nepal Basic Course / CADRE Nepal Curriculum Development Workshop / CADRE Nepal TFI Course / Nepal, Basic National Pilot (B2B) basic course + Adaptation + TFI-IW o Utilized PEER-in-country MFR / CSSR instructors from NSET, Nepal Red Cross and Nepal Army o 24 participants in Basic passed and 21 participants in Instructors TFI-IW passed o Encouragement in the acceptance of the training in the Adaptation workshop, when good comments were given from NRCS and acceptance of all of the training o Rebecca Scheurer attended closing ceremony, and head of Nepal Red Cross Implementation of CADRE National Pilot (Regional Training) for Cambodia in Bangkok, (Pathum Thani) alongside Regional Course with the participants from the Cambodian and Vietnam National Societies and representatives of Thai Red Cross and 14 staff personnel from ADPC HQ and in-country (Cambodia and Vietnam Country Office) Implementation of CADRE Adaptation Workshop for Cambodia Implementation of CADRE TFI-IW for 24 combined participants from Cambodia, Vietnam and Thailand including 7 ADPC staff members. Cost cutting initiative to run all these courses together in Thailand - Reducing cost running B2B (this is also highlighted in the 3AWP) o International instructors costs are lower with holding the courses for the three counties in Pathum Thani. Some difficulties had been encountered in integrating Cambodia in the program, but holding the course in Thailand was positive, and the newly trained instructors are now pushing for the CADRE course themselves in Cambodia this is a success for in-country ownership and institutionalization of CADRE. o Cambodia, Vietnam, Thailand now have CADRE instructors o Lao PDR participants from LRCS invited but after accepting the invitation they withdrew because of the National Elections scheduled Planning for CADRE Pakistan, CADRE Laos, CADRE Bangladesh (postponed until September after the Ramadan Fasting Month) o CADRE in Bangladesh will be held at the FSCD training center (Fire Service) this is where MFR and CSSR is also conducted Following Laos non-participation in CADRE, HOPE Training Manager / DCOP PEER John Abo met with LRCS Dr. Bountheung, to discuss this in Vientiane (during implementation of the HOPE course - f 6-10 June ) to plan the move forward with LRCS, and Implement the following activities from April March 2012: o CADRE Training for Instructors Course and Instructors Workshop 4

5 o CADRE basic Course in 2 Pilot Communities (1 Rural and 1 Urban) o Simulation Exercise in 1 pilot communities o Completing the Training equipment o Basic Emergency Response Kits for pilot communities 2.3. SUMMARY OF HOPE PROGRAM ACTIVITIES HOPE Nepal: Implementation of HOPE Course in Nepal under PFAP for Shree Birendra Military Hospital of the Nepal Army with the assistance of Dr. Pradeep Vaidya, HOPE focal point from T. University Teaching Hospital. Nepal HOPE was scheduled simultaneously with CADRE which was taking place in Banepa, Kavre District, near the Kathmandu Valley. HOPE Philippines basic course at the Aloha Hotel, Malate, Manila, April 4-8, 2011 HOPE-TFI Philippines at the Fontana Resort Hotel, Clark Field, Angeles City, Pampanga, Philippines, April 2011 HOPE Indonesia under Partial Funding Assistance Program (PFAF) with Ambulan 118 (co-funder the Bethesda Hospital) at Bintang Fajar Hotel (BIFA) -Jogjakarta, Indonesia on June 2011 HOPE- Cambodia at the Khmer-Soviet Friendship Hospital (KSFH), on Boulevard Yothapol Khemarak Phoum, Phnom Penh, June 2011 HOPE- LAO PDR at the National University of Laos, Faculty of Medical Science, Vientiane 6-10 June 2011 Planning for the HOPE Lao PDR in Luang Prabang, for July 2011 Planning for the 3 rd HOPE in Nepal in association with the Armed Police Force 3. DETAILED ACTIVITIES THIS REPORTING QUARTER: 3.1. PROGRAM MANAGEMENT ACTIVITIES: Bilateral meeting ADPC, PEER Team / USAID-OFDA Date: 1 June 2011 Location: ADPC Office, Bangkok Participants: Ms Andrea Tracy Regional Adviser USAID-OFDA Mr. Boon Tiong Tay, Finance Director-ADPC Mr. John Abo, Senior Project Manager-ADPC and Deputy Chief of Party-PEER Ms. Hla Hla, Finance Department Manager -ADPC Mr. Zay Yar Min, Senior Finance Dept. Coordinator - ADPC Ms. Esther Lake, Communications, Information and Networking Coordinator, ADPC-PEER Mr. Wichai Dornam, Project Associate, ADPC-PEER Discussions: Update on upcoming activities and 3AWP [NOW APPROVED AS OF TIME OF WRITING JULY 2011] o Third draft submitted 1 June 2011 o Details amended and added in third draft include: - o Amends and additions to PEER contacts in-country o Amends and additions to PEER proposed schedule o Addition of PEER proposal or outline for ACPC-PHE additional activities supplemental to HOPE (HEPR) o Additional information on CADRE Instructors (which has been ed to Lisa Mantilla 20/05) o 2nd draft was submitted to Lisa Mantilla 29/04 with additional information on PEER reporting plan and updated schedule, following brief comments on the 1st draft, sent 07/04 o Approval process for the 3AWP travel plan - pending during this reporting period, - redrafted and resubmitted. [NOW APPROVED AS OF TIME OF WRITING JULY 2011] 5

6 Update to USAID-OFDA on current/forthcoming activities on CADRE and HOPE in countries. [INFORMATION EXCHANGE ON ACTIVITIES SINCE APRIL 2011 CONTAINED IN THIS REPORT] Upcoming: o CADRE Basic + TFI-IW Philippines 27 May-8 June 2011 [ Full report contained herein] o HOPE Lao PDR 6-10 June 2011 [ Full report contained herein] o HOPE Laos coming up and meeting to identify Model Hospital 6-10 June in Laos MOH meetings identify model hospital [ Full report contained herein] o HOPE Cambodia Khmer Soviet Friendship Hospital, Phnom Penh June 2011 [ Full report contained herein] o CADRE Basic + Adaptation + TFI-IW Bangladesh 1-15 August 2011 [postponed Sept-Oct dates confirmed] o CADRE Basic + Adaptation + TFI-IW Pakistan 4-18 July 2011 o Pakistan CADRE agreed and dates identified o o HOPE July in Islamabad CADRE July 2011 in Lahore B2B (back to back) Advise sought on whether PEER team should operate a Branding Waiver due to security situation: Andrea recommended not to operate a branding waiver although recognize that the situation in Pakistan has become difficult for the operation of donor activities PEER Team to check on the security situation and USAID-OFDA policies / processes / priorities and security in Pakistan no different processes in place ADPC will conduct a Briefing for the foreign training manager who ll be travelling to Pakistan Andrea Tracy not available to attend opening or closing of these trainings Leahy vetting processes will be conducted Confirmation of PEER personnel o CADRE TM and COP [Full report contained herein] o PEER Country Coordinators [Full report contained herein] Proposal for PEER Budget amends [Full report contained herein] Possible expansion of PEER - Bhutan, Thailand and Sri Lanka o ADPC PEER Team offered to produce program proposals for these countries as agreed, based on our knowledge of these countries disaster risk and DRR activities due to ADPC involvement in projects there and the RCC. o ADPC can draw on the rationale for why these countries require PEER which the government representatives (NDMA) expressed in meetings during the 25th Anniversary Meetings [reported QR Jan- March 2011] o Thailand not advised by Andrea Tracy with the rationale that Thailand seems well prepared o Andrea Tracy has forthcoming mission to Bhutan and Sri Lanka in this quarter. ADRC is planning the DRM conference where ongoing discussions can be scheduled on possibilities for extending PEER PEER Database [covered elsewhere in this report] Other Discussions: Pakistan policy, USAID priorities & security, India CPM Andrea informed PEER team that Pakistan policy is to remain the same on PEER and logos should be used as usual. CBDRM in Pakistan o Set budget for the NDMA is to be adhered to o Materials cost kept down - funding from the WB has been pulled out at last minute o ADPC Training Services Unit Manager Sisira Kumar contact for CBDRN training in Pakistan which may incorporate some elements of CADRE Bilateral meeting ADPC, PEER Team / ARC Date: 15 June

7 Location: ADPC Office, Bangkok Participants: Ms Rebecca Scheurer ARC Regional Representative Mr. Sajedul Hasan, COP PEER Mr. John Abo, Program Manager-ADPC and Deputy Chief of Party-PEER Ms. Esther Lake, Communications, Information and Networking Coordinator, ADPC-PEER Mr. Wichai Dornam, Project Associate, ADPC-PEER Discussions: Introduction and welcome to Mr. Sajedul Hasan as newly appointed COP Update on current activities on CADRE and HOPE in countries o Recent updates from Laos [ Full report contained herein] o Upcoming CADRE in Pakistan and Bangladesh scheduled o Status of National Society Involvement: Review of process of involving PMI since they have declined to be involved at National Level in the reporting period the RCNS will be involved at local / district / chapter level and invited to courses which will be implemented through Ambulan 118 Establishing the alternatives to involving PMI at HQ level (Working with Ambulan 118 and involving RC at District / Chapter Level India developments and strategies to work at local level through local government and / or NGOs Recent PEER / CADRE Indicators Matrix sent to HQ ARC / Internal Services Division (ISD) a New set of matrix indicators, for this division, involving numbers trained in CADRE PEER Country Coordinators new recruitment and rationale [Full report contained herein] Recent USAID-OFDA Meeting update and Proposal for PEER Budget amends [Full report contained herein] Minutes were shared with Rebecca Possible expansion of PEER / CADRE - Bhutan, Thailand (?) and Sri Lanka there are no RCNS in Bhutan, and Sri Lanka they may be reluctant to fund Thailand is unlikely. The option could be Mongolia. Movements and priorities over the next few months upcoming plans etc Rebecca announced her plans to leave Thailand and be based in U.S Teleconference: ADPC, PEER Team / NSET, PEER Team Date: 22 June 2011 NSET Mr. Tika Sharma, Finance Director, NSET Ms. Maritess Tandingan, Lead Trainer, NSET-PEER Ms. Neelam Parajuli, Communications and Publications Coordinator, NSET-PEER Mr. Rabin Shrestha, Information Management Specialist, NSET-PEER Mr. Ranjan Ghimire, Project Accountant, NSET-PEER ADPC Mr. Sajedul Hasan, Chief of Party-PEER Mr. John Abo, Senior Project Manager-ADPC and Deputy Chief of Party-PEER Ms. Esther Lake, Communications, Information and Networking Coordinator, ADPC-PEER Mr. Wichai Dornam, Project Associate, ADPC-PEER Discussions: Welcome and introduction to Mr. Sajedul Hasan Update of activities undertaken March-June 2011 Brief review of activities since PEER regional Planning Meeting in Manila, March 2011 Discussion of the 1 st 4-Party Meeting in Manila, 1 April 2011 (please see Quarterly Report Jan-March 2011) Forthcoming PEER activities in the next 2-3 months Planning next PEER 4-Party Meeting (NSET / ADPC / ARC / USAID-OFDA) o Possible dates for PEER personnel availability o Possible location(s) o Potential for Bangkok meeting if NSET PEER personnel are passing through Bangkok on activities (since no budget for travel for planning meetings) PEER Database (finalization) 7

8 o Database Budget o Database MOU o Database Technical Specification o Database Timescale 3.2. CADRE ACTIVITIES: CADRE Nepal National Pilot Course Adaptation Workshop and TFI-IW Dates: 6-9 April 2011 CADRE Nepal National Pilot Course 10 April Adaptation Workshop April TFI-IW Location: Training Center of the Nepal Red Cross, Banepa, Kavre District Participants: Twenty-four participants were nominated and invited from the Nepal Red Cross, coming from across Nepal; from Jumla, Nepalganj, Dhangadi, Biratnagar, Bharatpur, Bhadrapur, Janakpur, Bhairahawa, Kathmandu, Lalitur, Bhaktapur, Nuwakot, Dhading and Kavre. Three participants also came from Kathmandu NRCS Headquarters. Review and Outcomes: CADRE Nepal Pilot Course took place in Kavre where isolated communities and a lack of infrastructure which could withstand a major earthquake, leaves villages particularly vulnerable to disasters. Overall, CADRE in Nepal has been warmly welcomed as a step in the right direction towards disaster preparedness, to build skills in first response for local people, which complements the significant ongoing work of the Nepal Red Cross. The 24 participants nominated from across 14 provinces of Nepal from NRCS were considered by the instructors to be committed and able. All 24 graduated from the CADRE Basic Course, and 21 graduated as Instructors following the TFI- IW. The participants were guided by experienced and skilled instructors, all graduates of PEER 1-2 MFR and CSSR, from Nepal Army and Nepal Red Cross, as well as PEER implementing partner National Society for Earthquake Technology Nepal (NSET) supported by Master Instructors from Philippines and ADPC. Mr. Pitambar Aryal, Director, Disaster Management Department, NRCS gave the welcome address at the CADRE opening ceremony on 6 April Mr. Krishna Ghimire, Program Manager, First Aid Section, NRCS was the Course Coordinator, assisted Mr. Bhoj Raj Ghimire and by Mr. Dharma Pandey. The Nepal Red Cross support and facilitation was good in terms of suitable facility provision and willingness to assist and accept CADRE as a considerable asset to training implementation. At the closing ceremony for the CADRE Basic Course, the graduates, instructors and PEER team organizers were delighted to welcome Mr. Umesh Prasad Dhakal, Executive Director, Nepal Red Cross, and Ms. Rebecca Scheurer, ARC. Both congratulated CADRE Nepal graduates and assured them of their long-term support. Both Mr. Umesh and Ms. Rebecca also witnessed some of the Simulation exercises for the final assessment of CADRE, which took place in 2 group exercises in the area around the training center on 9 April. Initially there were some challenges in making the Red Cross Training Facility suitable for the conducting of the CADRE course. The ADPC team arrived 2 days ahead of the training commencing, with the new Training Manager for CADRE Mr. Ryan Abrera - also arriving one day ahead of the training commencing. There was once again a need to move the concrete slabs, which had been wrongly located near to a precipitous drop, so were unsafe. These were re-located to a safer location. Much of the training facility grounds are taken up by a building site for a new training centre, which is partially completed. Some of this area was deemed unsafe for participants during external exercises, so this was roped off. The remaining area comprised a large concrete platform, which was suitable for the fire and water exercises. When the new facility is completed, the training center will need to be re-evaluated for CADRE training, and the concrete slabs again moved. Much of the grounds of the training center are sloping, and there are challenges related to the extreme climate. All materials for conducting the courses in Kavre, Nepal were purchased in Kathmandu ahead of the training commencing, and transported to the training center. This included the medical equipment, SAR equipment, fire extinguishers, safety equipment, stationary etc. T-shirts and dummies were transported from Bangkok, but procuring most of the training resources in Kathmandu proved to be an overall cost saving. In addition, the Course Workbooks were mainly printed in Kathmandu, thereby saving on transportation costs and print costs. 8

9 The Pilot Basic Course was immediately followed by a one-day Nepal Curriculum Development Workshop to develop and hone the curriculum to fit the specific needs of Nepal. This was useful and productive, with some recommendations made such as the necessity for Avalanche Preparedness training, and landslide issues to be covered. There was some discussion of the benefits of community risk mapping for CADRE training teams, but the practical aspects of the training were considered more useful. The requirement was also made for the coverage of inclement and extreme weather response activities to be considered as well as the necessity to secure family and community for longer durations, due to the remote locations of many communities in Nepal, and the inability of external teams to reach communities within 48 hours in some cases. Overall the curriculum was considered very suitable for training in Nepal and beneficial for adoption by NRCS. There was discussion on the issue of CPR< involving the ABC method. After this came the CADRE Training for Instructors Course (TFI) and the Instructors Workshop (IW). TFI-IW also ran at the Banepa Red Cross Center, from April 2011, from which 21 participants successfully graduated as CADRE Instructors, achieving the first step towards being able to implement CADRE courses themselves, with the support of experienced Instructors drawn from NSET, the Nepal Army and NRCS amongst other key partners. Challenges encountered during the training included the fairly remote location, which made it difficult to purchase additional equipment. Accommodation was very basic. An ongoing issue was the lengthy power cuts, sometimes for most of the day. This was a challenge for the presentation of power points, and also for general program communications. The lack of internet facilities at the training center (except one computer) was a difficulty for the training instructors and ADPC staff who also needed to be working on other program management issues. Coordination and involvement of NSET in Nepal CADRE Trainings: NSET has agreed to offer help in the conducting of CADRE in Nepal for this training, one instructor was sources from NSET with experience in SAR. NSET are currently offering light SAR training so they are offering support to integrate with the CADRE Program. It has been agreed that the assessment of the suitability of pilot communities and other activities in Nepal will continue to be fully communicated and coordinated with NSET Nepal, including discussions on how we will progress CADRE, and the scheduling of CADRE ADPC will continue to extend invitations to NSET personnel to join the CADRE trainings NRCS have been informed and are in agreement about this The CADRE Courses in Nepal were immediately followed by the CADRE Regional Training in Bangkok. This proved a logistical challenge for management, preparing equipment, all planning, travel arrangements and material preparations. However, the activities were all successfully undertaken, with no significant problems to report. PLEASE SEE ANNEX 2 PEER NEWSLETTER REPORTS ON CADRE NEPAL ETC CADRE Bangkok Regional Training 20 April 4 May 2011 CADRE Basic Training April l2011 Cambodia Red Cross, ADPC Staff, Vietnam Red Cross CADRE Adaptation Workshop 23 April 2011 Cambodia Red Cross CADRE TFI-IW - 25 April 4 May 2011 Cambodia Red Cross, ADPC Staff, Vietnam Red Cross Location: Pine Resort, Pathum Thani near Bangkok Review and Outcomes: CADRE participants from Cambodia and Vietnam joined Thai Red Cross and ADPC staff for a regional CADRE training at the Pine Resort, Pathum Thani near Bangkok, from 20 April to 4 May The international group took part in CADRE Basic Training from April, with 24 participants successfully completing the course, which made full use of the excellent outdoor facilities of the Pine Resort. The third day was taken up by simulation exercises, where participants tackled flood water, fire, building collapse, medical emergencies, mass casualties, night-time disasters and other scenarios. 9

10 This training was immediately followed up by a CADRE Adaptation Workshop for the Cambodian participants, in which all comments and recommendations for the CADRE course in Cambodia were discussed. It was agreed that CADRE would be highly affective for Cambodian Red Cross to utilize in their trainings, with some minor amends and additions to the training package. These are being collated and will be used to feed into the translated Cambodian materials which will be disseminated at Pilot Communities in Cambodia in forthcoming trainings which are currently identified as: Model Community No. 1 CADRE Basic 5-7 October 2011, Kampongthom, Cambodia Model Community No. 2 CADRE Basic October 2011, Phnom Penh, Cambodia CADRE TFI-IW also took place following the basic course, with 20 participants successfully graduating as CADRE Instructors. ADPC gave full institutional support to the training, contributing 14 participants for the Basic Course and 7 for the TFI-IW who were drawn from every department of ADPC including Training Services. A cache of trained CADRE graduates at ADPC helps the CADRE program in the following ways: Maximizing opportunities to synthesize CADRE with other programs of ADPC Raising awareness of CADRE amongst our networks in Asia. Skills-sharing for medical first response with a group, many of whom travel to remote districts in Asia frequently Providing a group of trained CADRE instructors in Asia, who can be drawn upon to act as Regional Instructors as required and as appropriate. Mr. Brian Heidel, Regional Adviser, USAID-OFDA was Guest Speaker at the opening event, in which he said: It s impressive to see this joint effort from Laos, Cambodia and Thailand OFDA is deservedly proud of PEER and CADRE training is unique. Ms. Rebecca Scheurer of ARC also joined the group for the final simulation and award ceremony. She said; CADRE is a credit to everyone involved. A huge well done to you all it s very worth the sweat and effort; these skills will save lives! Participants from Lao PDR (Laos Red Cross Society) were also invited to attend the training, but unfortunately were unable to come due to national elections. The PEER website contains information about the Bangkok Regional Training. The information contained therein constitutes: Full article on CADRE Bangkok: Photo database of activities and gallery : Photo database on Flickr : PLEASE SEE ANNEX 2 PEER NEWSLETTER REPORTS ON CADRE BANGKOK ETC CADRE Philippines: Basic + TFI-IW Aurora, Philippines 27 May-8 June 2011? Participants Review and Outcomes: [NO DETAILS AS YET] 3.3. HOPE ACTIVITIES: HOPE Philippines Venue: Aloha Hotel, Malate, Manila Dates: April 4-8, 2011 Participants: Review and Outcomes: [NO DETAILS AS YET] 10

11 HOPE Nepal Venue: Shree Birendra Military Hospital of the Nepal Army Dates: 1-4 April 2011 Participants: S.B Military Hospital staff, personnel, doctors, nursing and non-medical staff. Review and Outcomes: HOPE Nepal: Implementation of HOPE Course in Nepal under PFAP for Shree Birendra Military Hospital of the Nepal Army with the assistance of Dr. Pradeep Vaidya, HOPE focal point from T. University Teaching Hospital. Nepal HOPE was scheduled simultaneously with CADRE which was taking place in Banepa, Kavre District, near the Kathmandu Valley. Leahy Vetting process undertaken ahead of this training and proceeded with no problems for all participants which took about 2-3 weeks Dr Pradeep Vaidya and his team coordinated with the PFAP support of the Nepal Army. The Nepal Army and Armed Police have a contentious relationship, and the DRR activities / disaster response activities reside with both these groups Nepal Army has been involved since the start of PEER 3 but Armed Police are also picking up HOPE both groups have their own hospitals. The next HOPE Nepal course will be with the Armed Police Hospital some potential for scheduling this in August In these PFAP activities under HOPE in Nepal, the counterpart funder provides the facilities and financing, whereas the PEER program is covering some logistics, some staff time and travel. The Ministry of Health and Population is an important facilitating department for HOPE in Nepal with the Ministry of Home Affairs as the Nodal Agency in-country. FURTHER DETAILS TO FOLLOW IN SUBSEQUENT REPORT HOPE-TFI Philippines Venue: Fontana Resort Hotel, Clark Field, Angeles City, Pampanga, Philippines Dates: April 2011 Participants: 24 Participants - Doctors, Nursing Staff, SAMU Emergency Service, Dentists, as well as Managers and Administration personnel Review and Outcomes: This HOPE TFI course was arranged subsequently to the HOPE Regional TFI in Bangkok in March in which Dr. Edgar Posedas was assigned as Course Coordinator (CC). There were six instructors assigned, including include the CC which is the very minimum number which is able to manage the whole course. One recommendation following the course was for more instructors (at least seven plus one CC) particularly when more lesson will be added as the H-TFI materials are finalized Aside from the CC (qualified and experienced) who steers the team of instructors during the training, it was noted that a Course Monitor (CM) should also be invited to conduct an independent and objective evaluation of the overall conduct of the course based on time tested prescribed standards. This recommendation will be taken into account as appropriate and as budget allows. The course was very successfully carried out in that almost all of the participants were considered by the experienced HOPE instructors to be able to carry out the function of qualified HOPE instructor - based on the prescribed PEER standards. In particular, there were 14 participants who showed notable potential. The previous issues associated with the HOPE / HEART guidelines need a little more clarification since all the participants received PEER-TFI Certification, including, HEART graduates who did not undergo the basic HOPE course which is a basic requirement if they are to undergo the course and be certified by PEER. Amongst the participants was a combination of PEER-HOPE graduates and the DOH-HEMS adaptation, HEART. This was also a challenge for the instructors, who were not clear which material of TFI to use. A challenge for the HOPE TFI course currently is that it is involved in an ongoing process of revision and review. The course materials are constantly being revised, rearranged and repackaged. There are several challenges associated with this; 11

12 some of the previously encountered problems are still being experienced, and there is a challenge for instructors in assessing what course to run and therefore which version of the course materials is to be utilized. In general, there is the generic TFI from PEER 2, as well as the more specific H-TFI being conducted for PEER-HOPE graduates which is being resolved following consultation with organizers, stakeholders and a consensus from among the instructors of the courses. -During this course, it was recognised that there was a challenge in that not all the participants were HOPE graduates. Hence the instructors used appropriate TFI course materials which would be appropriate for graduates of two different but related courses, which have somewhat different materials and teaching methods. The conclusion was reached to be as generic as possible, whilst referring to the TFI and H-TFI materials specifically when necessary and interfacing HEART during the classroom discussions. HOPE-TFI materials which shall be used for future courses will be finalised in an Instructor Workshop, (TBC). The recommendations of USEC Herbosa is being sought in this matter, under the guidance of HOPE Training Manager /DCOP John Abo The issue of instructor remuneration was raised. For HOPE TFI, the Instructors are usually doctors, senior nurses and engineers. Therefore in order to obtain the appropriate technical facilitators and instructors a decent and commensurate compensation should be supplied, which corresponds to their professional and academic qualifications. This would encourage more highly qualified instructors to find interest in teaching the course. The enumeration also needs standardization on regional or local basis HOPE Indonesia Venue: Bintang Fajar Hotel (BIFA) -Jogjakarta, Indonesia Dates: June 2011 Participants: The 118 Emergency Ambulance Service Foundation in collaboration with The Indonesian Hospital Association, Indonesia Surgeons Association & Bethesda Hospital Jogjakarta conducted this HOPE Course with support from ADPC and funded partially y PEER and partially by the Bethesda Hospital. The participants were from 16 Christian Hospitals in Indonesia, invited by PELKESI & Bethesda Hospital, Jogja. Two people attended from each of the hospitals. Most of participants were selected from their hospital because they are part of the team who have responsibility for developing disaster plan hospital. Instructors were Hospital Directors & Managers, Emergency & Disaster Expert, Senior Surgeons and an Earthquake Engineer with experience in Disaster management. See annex for detail. Review and Outcomes: The objectives of this program was to make hospital directors & managers understand that their responsibility is not only in the hospital, but also responsible to the surrounding area served by the hospital. The concept was introduced that every hospital must have a hospital disaster plan - which is a term of requirements Hospital Accreditation by The Indonesian Ministry of Health & the Indonesia Hospital Association. Another important learning throughout the course is the importance of coordination between hospitals (specifically Christian Hospitals in this case) though out Indonesia. The system was established that when disaster strikes in one area, there will be one person in contact with representatives in other provinces. The HOPE course in Indonesia is accredited by The Indonesian Doctors Association and has been adopted by the Indonesian Ministry of Health, Indonesia Hospital Association and Indonesia Surgeons Association. The opening ceremony was attended by the Director of the donor organization Fellowship of Christian Health Services in Indonesia (PELKESI).PELKESI is a focal point for Christian Hospitals in Indonesia to initiate the HOPE Program. Bahasa was used a teaching language, with some slides and materials in Bahasa and some in English. This proved very efficient and effective for this program. The participants were easily able to understand the course content, The instructors in Ambulan 118 are all competent, experienced instructors in HOPE and also experienced in disaster response. They also developed the original HOPE Course. A HOPE film has been created by Indonesia HOPE Team Members, which was shown at the opening ceremony. The Structural Collapse Manual authored by HOPE Instructor Mr. Teddy Boen was also utilized as a source book, assisting participant in assessing the potential for structural collapse. 12

13 Ambulan 118 held faculty meeting on 23 June 2011 to discuss the objective, financing, agenda details and participants. Participants were divided into three groups for daily presentation - to represent the previously covered material every morning before the class began. The evacuation exercise also had three groups with different cases: fire, flood and earth quake in hospitals. The final table-top exercise consisted of two scenarios with mass casualties. Case. 1 was an aircraft accident inside the airport and case 2 was the aircraft accident outside the airport. In this exercise, the participants had to implement their disaster plans for pre hospital phase & hospital phase. In the pre hospital phase they needed to describe their coordination with the rescue, security who in charge in airport, fire and also the hospitals around the site. The objective of the exercise is to hone Management Support & Medical Support as part of the draft hospital plans. Most of the Hospital Directors/Managers omit to involve Management Support in the case of Mass Casualties. The participants were very satisfied with the course. Most had a medical background and gained knowledge to assist their management of day to day emergencies, mass casualties and disaster situations. All course materials given to the participants, including references and supplemental materials in handout & work books were in Bahasa. Overall the HOPE course was run smoothly. Instructors were highly dedicated and expert in managing real disaster sharing their experience and interacting with the participants during class lectures. They asked questions, evaluated activities, and provided feedback HOPE- Cambodia Venue: Khmer-Soviet Friendship Hospital (KSFH), on Boulevard Yothapol Khemarak Phoum, Phnom Penh Dates: June 2011 Participants: 24 Participants - Doctors, Nursing Staff, SAMU Emergency Service, Dentists, as well as Managers and Administration personnel from KSFH. Review and Outcomes: The HOPE activities are on schedule in Cambodia. HOPE was piloted in Phnom Penh in December Following this HOPE Pilot Course, 24 participants also undertook the HOPE Training for Instructors (HOPE TFI) course, in March 2011 in Bangkok. The Instructors for this HOPE Course were these graduates from Cambodia, aided and mentored by master Instructors and ADPC Training Manager / DCOP John Abo. The recently graduated Cambodian HOPE instructors were: Dr. Tim Kosal (Prey Veng Provincial Hospital), Dr. Srey Sin (Kampong Thom Provincial Hospital), Dr. Koung Lo (Preah Vihar Provincial Hospital), Dr. Sourn Samith (Koh Kong Provincial Hospital), Dr. Kak Seila (Battambang Provincial Hospital, Prof. Dr. Chhoeung Yavyen (KSFH) and Dr. Koung Ko as the HOPE Course Coordinator from KSFH. The HOPE Course at KSFH took place ahead of a Hospital Assessment - which is planed under HOPE /PEER as part of HOPE Technical Assistance. The KSFH will also be assigned as a Model Hospital under HOPE. At the HOPE Cambodia National Pilot Course in December 2010, Ministry of Health, Cambodia recommended KSFH as one of the hospital to be provided with support to become more disaster prepared utilising the HOPE course for personnel and the Technical Assistance under the HOPE program. The MOH has provided partial assistance for the running of these HIOPE activities involving KSFH. For this HOPE course, all discussions and exercises undertaken addressed the specific needs of this particular hospital. Mr. Chantola Bi, PEER Cambodia Coordinator from ADPC is present in Phnom Penh was available to assist in managing the HOPE course, together with John Abo, PEER Deputy Chief of Party, ADPC, Bangkok. H.E. Sea Huong, Under Secretary of State, Ministry of Health Cambodia was an honorary guest at the opening ceremony. He endorsed HOPE saying: Many disasters are happening in Cambodia, including floods, stampede and the ongoing complex emergency due to population displacement because of fighting in the Preah Vihar province. The best place to help victims is in the hospital, so it s important that we prepare hospitals and increase their capacity to respond and save more lives. Dr. Say Seng Ly, Director of KSFH also welcomed the participants and guests. He said: Many thanks to Asian Disaster Preparedness Center (ADPC) and USAID-OFDA for bringing HOPE to this hospital. After the disastrous stampede in 13

14 November 2010, most of the victims were brought to the KSFH. We could have responded better if our facility and personnel were prepared. In the chaos we could only do our best. Applying HOPE will help us prepare for future events. The HOPE Technical Assistance Model Hospital Assessment took place immediately after the HOPE course. The ADPC implementing team including Training Manager / DCOP John Abo met with the hospital management team on June to conduct the Hospital Vulnerability Assessment using the tools/guidelines that MoH Cambodia is using, which is based on the WHO Safety Index for Safe Hospitals. The one-day Hospital Assessment at KSFH was very successful drawing many lessons and issues for improvement which was considered highly useful for the disaster management committee at the hospital. KSFH is conducting a more detailed assessment with their staff team, which will be used to compare and contrast with this assessment which was conducted on 27 June. This will be used to validate the findings aiming to be as objective as possible. All information will be compiled to calculate the score for the overall safety level of the hospital. The result of the assessments will be discussed with the KSFH hospital team and MoH to plan a preparedness program that will address the weaknesses found in the assessment. The report and recommendation from these assessment exercises will determine next activities that HOPE / PEER will be providing as part of the Technical Assistance commitment. This may involve meetings, small workshops, planning, and exercises etc whatever is required and deemed appropriate to improve the preparedness of the hospital. The support will focus on the functional side of preparedness and will not include any structural and non structural mitigation. The detailed report is ongoing (for inclusion in forthcoming Quarterly Report). This will develop the preparedness of KSFH, to become a Disaster-Prepared Model Hospital for HOPE. The activities at the KSFH under HOPE were issued in a Press Release to local, national and international media in close coordination with the USAID / U.S. Embassy personnel in Cambodia, as per the PEER Press Release protocol. The objective was to raise awareness in the general public of HOPE and the necessity for hospital preparedness, and also to strengthen our advocacy work in Cambodia working together with the MoH. Good coverage was achieved - including in the following media: o TV media - Bayon TV Cambodia o Agency Reliefweb: PLEASE SEE ANNEX 2 FOR CAMBODIA PRESS RELEASE AND PEER PRESS RELEASE PROTOCOL The program activities were also reported in an article on the PEER website, with several photographs and also shared with the 600+ strong PEER Facebook group. PEER Website link: HOPE- LAO PDR Venue: National University of Laos, Faculty of Medical Science, Vientiane. Dates: 6-10 June 2011 Participants: 24 Participants from hospitals in Vientiane and the University of Health and Science.; Mittaphab Hospital, Chantabouly District, Sisattanak District Hospital, Mahosot Hospital, 103 Hospital, 109 Hospital, Chantabouly District Hospital, Setthalhirath Hospital, Saysettha District Hospital, Mother and Child Hospital and Sykhottabong District Hospital. Outcomes: HOPE Laos was previously piloted at the Napakuang Resort, Vientiane in December Following this HOPE Pilot Course, 9 Laos participants also undertook the Regional HOPE Training for Instructors (HOPE TFI) course in Bangkok in February 2011, which developed their skills to be able to teach and pass on their HOPE skills. At this week s course, several of these new instructors taught and managed the course, supported by the PEER team from ADPC. These were; Dr. Phongsavay Chanthaseng, Technical Officer, Disease Prevention Division, MOH (Course Coordinator), Dr. Supachai Douangchak, Technical Officer (Health Systems), World Health Organization (WHO), Dr. Vilaphanh Yengmala, Technical Officer, Disease Prevention Division, MOH, Dr. Bouasone Bounta, Head of Emergency Department, Mahosot Hospital, Dr. Sengtavanh Vongphachanh, Chief Division, Setthathirat Hospital, Dr. Virasack Raspho, Senior Officer, Faculty of Basic Sciences, University of Health Science, Dr.Thongdy Luangxay, Vice Dean Faculty of Medicine 14

15 University Health, and (Course Monitor) Dr. Phouthone Muongpak, Deputy Director / Anesthesiologist, Mittaphab Hospital. This course in Laos was s delivered in local language, this made different sessions and exercises very interactive and participatory. Local examples were used during discussions, so that participants could relate to the content easily and link it the different concepts that were presented in the course. The Lao translation of the PWB still requires improvement particularly the medical terminologies. This will be reviewed by the national instructors and revised accordingly in preparation for the next Laos HOPE course in October. The Ministry of Health, Laos is offering good support to HOPE in Laos. At the opening ceremony of this HOPE course,, Dr. Douanehan Keoasa, Director of the Department of Hygiene and Prevention (DOHP), Ministry of Health, said: I am delighted to see HOPE becoming established in Laos to support our disaster prevention efforts in our hospitals and clinics. We see increasing natural disasters in Laos due to climate change so we must be prepared. Many thanks to the support from Asian Disaster Preparedness Center (ADPC) and USAID-OFDA. Dr. Sibounhom Arckawong, Chief of Disease Prevention Division, Ministry of Health was also present at the opening ceremony. He said; Not only must we scale-up our preparation to respond to floods, but also many other hazards, such as outbreaks of diseases. Meeting with country partners took place after the course, in which discussions were held with HOPE Training Manager and PEER DCOP Mr. John Abo and the following key partners: Dr. Bountheung, Director Disaster Management Department, LRCS, Peter Haymond, Deputy Chief of Mission, US Embassy Lao PDR, Thomas Daley, Chief Political and Economic Section, US Embassy Lao PDR, John Rogosch, health Program Manager, USAID, US Embassy Lao PDR, Vilaypong Sisomvang, Deputy Director, NDMO Lao PDR Discussions with LRCS also took place to discuss the process of CADRE. Lao Red Cross agreed to continue the activities. ADPC agreed to send an official letter requesting LRCS to commence planning the next course..lrcs suggested Kamuan and Savanaket as the 2 pilot sited for CADRE. In the US Embassy briefing on PEER. It was suggested that the US Mission in Lao be informed of all PEER related activities. The PEER staff after should make it a point to visit the mission and involve them as much as possible in the activities. Brief information about the activity and pictures need to be shared to the mission, I case they wish to issue a press release by the US Embassy. This was carried out during this activity. At the National Disaster Management Office (NDMO), discussion took place regarding the PEER Partnership Agreement. The suggestion of NDMO is to convene a half day meeting with MoH, LRCS, NDMO and representative from MOFA. ADPC agreed to send a request letter to NDMO and identify an appropriate date for this purpose. The NDMO also agreed to provide ADPC feedback about the draft agreement. In the meeting with the Ministry of Health Laos, discussions took place on the next HOPE activity for Lao which will target hospitals in the Northern provinces. Tentative dates [as agreed in this meeting subsequently amended to August] were for October 2011 in Luang Prabang to coincide with the national games in Luang Prabang scheduling of the Luang Prabang course subsequently rescheduled to 104 August 2011] Discussion also took place on the development of model hospital. Initial plans were put in place to commence this activity with Mitthapab Hospital which was identified as suitable. Subsequently, Mitthapab Hospital has been duly nominated to the MoH, and planning is ongoing for the technical Assistance component of HOPE/PEER to commence in Laos. Future Activities forthcoming in Laos under PEER were agreed as: CADRE Course for Kamuan and Savanaket, HOPE Course Luang Prabang, and technical assistance to Mithapaab Hospital as a HOPE model hospital Subsequent to these meetings the following activities are underway. A letter has been sent from ADPC to LRCS with regards to CADRE activities, to commence planning. The possibility is being explored of partnering with MoH and WHO country office in developing poster for hospitals. The process of review, editing and revision of HOPE workbook (Lao Version) is being done by instructors in preparation for the next course. A letter has been sent to NDMO to schedule consultation meeting with MoH, LRCS, NDMO and MOFA with regards to the PEER Agreement. HOPE Training Manager / DCOP John Abo has also initiated plans to visit Mitthapab Hospital to conduct consultation meetings with the hospital management and WHO on the result of an assessment they have just conducted under a DIPECHO project. This looks likely to take place during the 3rd or 4th week of August. 15

16 The HOPE activities in Laos were issued in a Press Release to local, national and international media in close coordination with the USAID / U.S. Embassy personnel in Laos, as per the PEER Press Release protocol. The objective was to raise awareness in the general public of HOPE and the necessity for hospital preparedness, and also to strengthen our advocacy work in Laos working together with the MoH. Good coverage was achieved - including in the following media: o Print and online media - Laos Voices: o Agency - KPL News Agency, Lao PDR o Agency - Reliefweb PLEASE SEE ANNEX 2 FOR THE LAO PDR PRESS RELEASE ISSUED IN ASSOCIATION WITH THE USAID AND U.S. EMBASSY REPRESENTATIVES (MEDIA AND COMMUNICATIONS) IN LAOS - AND PEER PRESS RELEASE PROTOCOL The program activities were also reported in an article on the PEER website, with several photographs and also shared with the 600+ strong PEER Facebook group. PEER Website link: 4. PROGRESS OF THE PROGRAM FOR THIS REPORTING PERIOD 4.1. PROGRAM MANAGEMENT: PEER Personnel Changes: PEER COP has been appointed as Mr. Sajedul Hasan. Mr. Sajedul commenced working as COP PEER at ADPC Bangkok on 13 June 2011 New Training manager for CADRE is assigned as Mr. Ryan Abrera who commenced work in April 2011, replacing Mr Romulo Vilavecer PEER Country Coordinators: New In-Country Coordinators for PEER have been recruited to assist the management of PEER Activities, Liaison and Logistics. Full TOR available in previous QR Jan-March The recent appointments are: o CAMBODIA: Mr. Chantola - PEER Country Coordinator located at the ADPC office in Phnom Penh. Work commenced on 1 April 2011 o LAO PDR: Ms. Phitsamay Khammanivong - PEER Country Coordinator located at the ADPC office in Vientiane. Work commenced on 1 April 2011 o BANGLADESH: Mr Murad Billah ADPC Country Office in Bangladesh o VIETNAM: Ms. Doan Thi My Hoa ADPC Country Office in Vietnam PEER Country Coordinators will also be appointed for the 5 remaining PEER countries in the upcoming months. PEER program management focus is now in-country, now that CADRE and HOPE development stages are now at country level, having moved beyond the regional level. In the forthcoming months, PEER will also move beyond national level, to community level. Therefore this further necessitates personnel involvement in management incountry. The PEER Country Coordinators for PEER will support the program logistically and practically in the roll out of trainings. This will prove a cost-and-time effective method to implement the program at country-level. The Country Coordinators will receive a retainer fee, and will mainly be utilized for the benefit of the program in activities prior, during and after specific program activities as well as for networking, planning and monitoring purposes ongoing. In the remaining PEER countries where there is no ADPC Country Office, the PEER Country Coordinator will be assigned from within Partner Agency or Nodal Agency as appropriate. PLEASE SEE ANNEX 3 PEER 3 Country Coordinator s Quarterly and Periodic Activity Report to PEER Team / Bangkok [From PEER Monitoring and Evaluation Plan] PLEASE SEE ANNEX 4 FOR PEER FOCAL POINTS IN EACH PEER COUNTRY 16

17 4.2. PROGRAM SCHEDULE: PLANNED VS. ACTUAL ACHIEVEMENTS Activities for this reporting period are in line with the Program Work Plans. - PLEASE SEE ANNEXS 5-6 FOR PROGRAM ACTIVITIES SCHEDULE - PLEASE SEE ANNEXS 7-8 FOR REPORT ON FINANCIAL ARRANGEMENTS 4.3. ACCOMPLISHMENTS AND CHALLENGES OF THIS REPORTING QUARTER: PLEASE SEE MATRIX OF PROGRAM ACCOMPLISHMENTS AND CHALLENGES UPDATED FOR THIS REPORTING QUARTER: 17

18 4.3. MATRIX OF PROGRAM ACCOMPLISHMENTS AND CHALLENGES UPDATED FOR THIS REPORTING QUARTER: CADRE HOPE PEER Country / Bangladesh ACCOMPLISHMENTS: Recent / ongoing / upcoming activities and program management matters in-country CADRE national pilot and TFI in Bangladesh are rescheduled for 19 Sept 2 Oct Course location and logistics planning is significantly underway at the FSCD, Dhaka. This is due to the request of BDRCS that the CADRE Training should not be held during Ramadan Fasting Month. Mr. Muhammad Murad Billah has commenced work as PEER Country Coordinator located at the ADPC office in Dhaka. Commenced work on 1 April 2011 MOU / Partnership Agreement is signed by BDRCS and ADPC for activities under CADRE to commence. Mr. Sajit Menon, IFRC Bangladesh is assisting in coordinating the preparation of the National Pilot Course with BDRCS CHALLENGES: Issues, impediments and methods undertake to overcome any problems in implementation CADRE rescheduling as of mid July, due to the timing of Ramadan. Some delays in obtaining nominations for participants and appointing instructors. Instructors will also be drawn from MFR / CSSR trained PEER graduates in TFI under the PEER program as appropriate. It is also necessary to utilize some master instructors regionally CADRE National Pilot course previously postponed due to deployment of BRCS contact Mr. Sikder Ahmed to Pakistan for 6 months. Originally scheduled Oct 10 ACCOMPLISHMENTS: Recent / ongoing / upcoming activities and program management matters incountry ADPC Country Coordinator Mr. Murad Billah supporting the process of connecting with NIPSOM Coordination on-going - letter sent to NIPSOM Director. Follow up meeting- with NIPSOM held with ADPC PHE Team Leader, Dr M. Go in Dhaka to progress the program CHALLENGES: Issues, impediments and methods undertake to overcome any problems in implementation Counterpart funding not available Need to develop more HOPE instructors based in NIPSOM Requirement to negotiate with MOFDM and MOH for support in PEER activities; The Bangladesh Fire Service was tasked by MOFDM to initiate a training program for Community Volunteers with an expected 62,000 participants potentially taking part. It is expected that PEER trainings will be integrated into these training programs involving MFR, CSSR as well as elements or entirety of CADRE. The Process of PEER Database rebuilding is underway which will facilitate (amongst other significant PEER developments in scope and activities / countries) the integration of these large numbers of trainees. ADPC office in Bangladesh are active in program in Bangladesh, with support for translation of materials, logistics, country coordinators etc Cambodia Cambodia National Pilot Course took place in April 2011 as part of a Regional Training Program for CADRE in Bangkok Thailand, also incorporating participants from Vietnam and Lao PDR. It was deemed more suitable to hold the Cambodia National CADRE pilot in Bangkok due to several issues, Limited CRC staff at the NHQ with numerous existing projects is a challenge to coordinate CADRE activities. CRC agreed to hold the pilot course and use the activity to sensitize officials and staff of CRC about CADRE and PEER. HOPE Cambodia took place on June 2011 at the Khmer Soviet Friendship Hospital, Phnom Penh. This was followed up with HOPE Technical Assistance Hospital Assessment for Model Hospital Challenges undertaking the HOPE TFI incountry in part because of political tensions between Thailand and Cambodia in the first 18

19 considering the political tension between Thailand and Cambodia, and bearing in mind the difficulty in conducting activities there with external country involvement. The high cost of travel for regional instructors to travel to various places (rather than just one location for all these trainings) was also a consideration, prompting the decision to hold the regional training in Bangkok. As part of the regional training, the Cambodia CADRE TFI-IW was conducted after the CADRE Basic Course back-to-back to maximize cost-efficiency. ADPC staff from Cambodia Country Office, and Bangkok HQ as well as RCNS participants from Vietnam took part in this training. This was also agreed by NCDM (Sec. Gen. Peou Samy) Ongoing political tension between Thailand and Cambodia. Currently CRCS does not have any training related to SAR and MCI in which CADRE can contribute development in which a disaster preparedness assessment was carried out of KSFH Cambodian TFI graduates from the HOPE TFI Regional Course in Bangkok in February 2011 were utilized as instructors for this course mentored and assisted by experienced Regional Instructors and ADPC. 7 Cambodia representatives present at HOPE Regional TFI-IW in Bangkok in February now trained as HOPE instructors nationally. Quarter 2011 this was overcome by holding the TFI-IW as a regional course in Bangkok which was also more cost effective. Mr. Bi Chantola has commenced work as PEER in country coordinator located at the ADPC office in Phnom Penh. Locations of CADRE Cambodia Pilot Communities is being finalized. And dates for the trainings assigned. These are currently as follows: -Model Community No. 1 CADRE Basic 5-7 October 2011, Kampongthom, Cambodia HOPE National Course scheduled from June 2011 in Phnom Penh using the facilities of Khmer- Soviet Friendship Hospital as one of the model hospital of the program. This course will be a non-residential training in which the participants will be coming from hospitals from Phnom Penh and nearby areas - Model Community No. 2 CADRE Basic October 2011, Phnom Penh, Cambodia Translation of CADRE training package to Khmer is completed with the support of ADPC office in Cambodia. HOPE National pilot and adaptation took place from December in Phnom Penh with Master instructors from Philippines, and Nepal Planned involvement of Cambodia in Regional HOPE TFI in Bangkok in February India India Country Planning Meeting (CPM) scheduled for:4 August 2011, NDMA, New Delhi, India in coordination with India NDMA to be attended from ADPC by Dr. Bhichit Rattakul, Ex Dir ADPC, Mr Sajedul Hassan COP PEER, Mr John Abo, PEER Dep. COP, and Mr. Aslam Perwaiz, ADPC. In India the nodal agency is the Ministry of Home Affairs, with the Emergency Medical Relief-Ministry of Health the lead agency for HOPE, Other partners and implementing orgs include the National Disaster Response Force, and Training Institutions (Central Previous CPM Planning mission tentatively scheduled on May 2011 in New Delhi with Ministry of Home Affairs was cancelled previous attempts to schedule the CPM have been unsuccessful. A meeting with IFRC is also scheduled - to link our activities on CADRE. IFRC in South Asia will be able to provide us some useful guidance and advice on how to deal with Indian RC so as not to Meeting planned with the Emergency Medical Relief-Ministry of Health the lead agency for HOPE, as part of the CPM mission to India. CPM scheduled for May 2011 with letters sent to Mr. RK Srivastava, Joint Secretary to the Government of India, Ministry of Home Affairs RPM in Manila, was an opportunity Delays until final confirmation of the CPM - PEER activities needs to go through NDMA with full integration of all partners. The official start of the program in India in August will mean planning for HOPE can take place 19

20 Industrial Security Force, Border Security Force, Indo Tibetan Border Police Force). The country planning meeting will review past accomplishments of PEER in India and the lessons learned from the first 2 stages of PEER. At the end of the meeting, a draft implementation plan will be composed, constituted of tentative schedule, target participants and location of different activities will be suggested by partners. It will also include recommendation for better coordination of activities by identification of better channels of communication and focal persons from all partner agencies. A bilateral meeting is planned for 5 August with EMR- MOH - Dr. Ravindran - Director of EMR to discuss the implementation of HOPE under the partial funding assistance program. Also to discuss their offer to ADPC of a space in their office to assist in implementing HOPE. Dr. Roderico who is the WHO Regional Adviser of HAC will also join the meeting The 2nd 4-Party Meeting (USAID-ARC, ADPC, and NSET) will be held on5 August 2011, at, The Park Hotel, New Delhi, India. PEER team ADPC will meet Mr. Amod Dixit, Ex. Dir. NSET and reps from USAID. alienate them from the program. This is somewhat sensitive as the Indian RC Secretary General is a former official from MoH and senior to Dr. Ravindran. We aim to gain their support for CADRE and also HOPE. Unfortunately no personnel available from ARC to attend the 2nd 4-Party Meeting (USAID-ARC, ADPC, and NSET) held on5 August 2011, at, The Park Hotel, New Delhi, India - where PEER team ADPC will meet Mr. Amod Dixit, Ex. Dir. NSET and reps from USAID. Support forthcoming from ARC to commence activities for CADRE in India through linking with Branch/Chapter level RCNS not with HQ. Ongoing difficulties working directly with Indian Red Cross HQ. No participation in any PEER 3 activities to date. Funding issues with ARC working through alternative Focal Agency NGOs. Team will work with IRC at branch / district / chapter level for Mr. RK Srivastava to discuss PEER with Dr. Bhichit Rattakul, Executive Director of ADPC and the viability of discussing with MOHA and other PEER partners the implementation of PEER Initial contact with Emergency Medical Relief who is the focal office within MOH India for HOPE who participated in the HOPE Program Review Meeting last year and same ADPC partners on other health emergency management activities in India after this. Notice and letters sent to sent to Mr. RK Srivastava to invite participants to the CPM Support forthcoming from ARC on developing a workable solution for India. Ongoing collaboration with ARC to make this happen and continue the plan of working in India with CADRE. Initial contact with Focus Humanitarian & SEEDS potential partner other than Indian Red Cross Indonesia PEER Team hoping to move ahead in Indonesia by scheduling the commencement of trainings under CADRE in Indonesia in October 2011 with Instructors from Ambulan 118, and participants from PMI to be carried out in Jakarta. Potential instructors are already identified from; Ambulan 118 Indonesian National Board for Disaster Management (BNPB) renewed their commitment to helping out disaster preparedness and response In a letter received in May 2011 from PMI, it transpired that after almost 2 years of negotiation finally PMI decided that they will not implement CADRE. This is despite a signed letter of intent from PMI which was utilised in the PEER proposal. The main reason given by PMI in this letter is that CADRE is not part of the 5 HOPE Indonesia took place at the BIFA hotel in Jogjakarta, through the implementation of Ambulan June This was carried out under partial funding assistance (PFAP) with PEER funding and partial funding from Bethesda Hospital in Indonesia, and also the PELKESI Fellowship of 20

21 associated with the PEER program. Decision taken to commence CADRE in Indonesia through the support and implementation of long-term PEER collaborating partner Ambulan 118. PMI will be encouraged and invited to send participants to the CADRE National Pilot training in Jakarta, as well as the TFI and subsequent Pilot Community trainings, at National HQ and branch/local chapter level. Translation of CADRE curriculum, training materials and other relevant information into Bahasa is underway, conducted by Ambulan 118. When these draft materials are complete in the forthcoming quarter, they will be sent to PMI, ahead of full curriculum comparison and review of PMI / CADRE package. Previous Meeting took place with Pak Budi Adiputro, PMI Secretary General and his team to discuss CADRE held on 1 March 2011 in PMI NHQ in Jakarta. Dr. Bhichit Rattakul, Executive Director and John Abo, DCOP of PEER represented ADPC together with Mr. Tom Alcedo, ARC Country Representative. It was agreed that the draft agreement would be reviewed by PMI. Once finalized and signed, an initial workshop will be planned to review CADRE and how it can be adapted and integrated in existing PMI programs like ICBRR, CBAT and Satgana. year plan of PMI.PMI also indicate that they do not have enough staff to handle this program. Subsequent to receiving this letter, PEER team met with Rebecca Scheurer ARC on 15 June at ADPC. Decision taken is to go ahead in implementing CADRE with Ambulan 118 and invite PMI as participants, particularly in the Pilot Community trainings where the local chapters can be involved. Dr Bhichit, TomAlcedo (ARC) and John Abo had previously had a good meeting with Relationship established with Sec Gen. Mr. Budi Atmadi Adiputro (Pak Budi) and his team in March 2011 in Jakarta and in which they expressed their interest and their enthusiasm to participate in the program. Change in PMI leadership (Secretary General Iyang Sukandar resignation) and subsequent resignation of Dr. Dede Lesmana from PMI who was initially appointed the focal person of PEER in PMI Acting COP and CADRE Training Manager visited Indonesia June, to reaffirm the commitment of PMI to CADRE. Christian Health Services in Indonesia. Continuing dialogue with MOH Indonesia through Prof Aryono. On identifying next HOPE course under PFAP. Schedule for 2011 will be identified after Ambulan 118 Annual Planning Meeting HOPE Basic Course PFAP HOPE Aceh conducted September supported by B-Braun and TAGS; (1) Chimahi, West Java 1-4 July '10 Difficulty in finalizing signing of the MOU on PEER 3 between ADPC and PMI Arifin M. Hadi is the new Head of the Disaster Management Division PMI gained commitment to PEER. Discussed SATGANA new PMI CBDRR project and links/gaps with CADRE. Laos PDR At time of writing CANCELLED DUE TO CYCLONE NOCK TEN] Laos CADRE Pilot Community Course and CADRE TFI-IW scheduled for 24 participants August at Napakuang Resort, Vientiane Province, Lao PDR. The participants will be 2x12 delegates each coming from the two identified model communities from Kammuan CADRE IN LAOS CANCELLED AT VERY SHORT NOTICE DUE TO CYCLONE NOCK TEN Laos CADRE TFI previously scheduled to be carried out in Bangkok integrated with the Regional Training due to the HOPE Laos took place on 6-9 June, at the National University of Laos Faculty of Medical Sciences in Vientiane. Participants came from Hospitals in Vientiane and the University. Corrections required in the translated materials Requirement to organize HOPE National TWG 21

22 and Svanaket as recommended by the Lao Red Cross Society (LRCS). This will be followed by the CADRE TFI-IW for 12 successful participants from Laos CADRE national Pilot Course (held in Vientiane, Dec 2010), and 12 from the CADRE Pilot Community Course earlier in August Ideally this should be 6 participants from each Pilot Community depending on the availability of appropriate participants. Instructors for the Laos CADRE Pilot Community Course and CADRE TFI-IW will be drawn from experienced regional CADRE instructors from Philippines and new instructors developed in CADRE Regional Course in Bangkok in April 2011 utilizing trained ADPC staff from Thailand and Laos. Ms. Phitsamay Khammanivong commenced work as PEER country coordinator located at the ADPC office in Vientiane. Ms. Phitsamay will also work as Instructor for the forthcoming Laos CADRE Pilot Community Course and CADRE TFI-IW. Basic CADRE National Pilot Course undertaken during December 2010 in Laos PDR with Laos Red Cross LRCS participation, support and backing in coordination. and support from ADPC Laos PDR. Also participated by Seng Samban from IFRC, followed by CADRE Curriculum Adaptation Workshop challenges of scheduling all trainings concurrently in Laos, and the relative benefits of running regional courses together with other countries. Laos participants initially agreed to participate and sent nominations for the CADRE Basic and TFI, but subsequently withdrew their applications due to General Elections in Laos, and the necessity for participants to be in-country at this time. Unfortunately the timing was not right for Laos, although encouragement was coming from ARC and German Red Cross regarding Vietnam participants to carry on with the planned dates therefore the Laos Participants could not be accommodated at the regional training at this time. Need to incorporate the issue on Unexploded Ordinance (UXO)in PEER training activities in Laos PDR and link to existing programs of US government in training communities and hospitals to manage UXO victims Instructors newly trained in HOPE TFI from the Regional TFI in Bangkok in February 2011 were utilized as HOPE instructors for this course. Discussions and planning underway for the HOPE Model Hospital and Technical Assistance to be carried out for the Mittaphab Hospital, Vientiane. Planning underway for HOPE courses in Northern Province 0 Luang Prabang as well as Southern provinces, and discussion ongoing with the MoH. Participants from Laos PDR took part in Regional HOPE TFI-IW in Bangkok in February Successfully graduated Laos participants in the HOPE TFI now Laos PDR has first batch of National HOPE instructors HOPE National Pilot and adaptation took place December Translation complete of CADRE Training Curriculum into Laos language for complete training during National Pilot. Links made with Ministry of Labor and Social Welfare Procedural agreement that if CBFA is already widely taught in the country, CADRE can make this as a prerequisite for participants. This will utilize existing certification by national RCS. Dr. Bountheng is the main focal person of LRCS for CADRE with Mr. Bounyong, DMA staff as an alternate. Also participated in the CADRE Curriculum Development workshop in Jan Nepal CADRE Nepal National Pilot Course held in April 2011 at Red Cross Training Center, Banepa (27 km Participants came from across Nepal provinces, and two from the Northern HOPE Course took place on 1-4 April 2011 for Shree Birendra Expressed need in Nepal is to train police 22

23 from Kathmandu City) with 24 participants from several regions of Nepal and the Kavre area. CADRE Nepal TFI Course carried out following the CADRE Nepal National Pilot Course, with 21 successful graduates in Nepal. Utilized existing PEER trainers in Nepal already trained under PEER 2 in CSSR and MFR following an orientation day in the use and teaching of CADRE Materials. Instructors drawn from Nepal Red Cross, Nepal Army and NSET, joining ADPC staff and regional CADRE instructors. CADRE Curriculum Development Workshop carried out after the CADRE Basic Course in Nepal including the Comparative Review of existing training materials with CADRE content, and comparison of CADRE usage and modules, with existing trainings from NRCS. MOU signed between ADPC and NRCS on PEER / CADRE as of November 2010 with the intervention and support of ARC provinces had to use internal flights at additional cost to the program. The PEER team limited the number of internal flights for cost-cutting measures, but there was necessity to use some of the budget for this transportation. Some aspects of CADRE materials necessary for the course were difficult to locate in Kathmandu, and proved more expensive than anticipated, such as the pry bars. NRCS already comprehensively established as First Aid training org in Nepal, with additional existing Light SAR training program running. In Adaptation Workshop it was agreed that CADRE adds value to the NRCS trainings. Military Hospital, Kathmandu Dr Pradeep Vaidya and T.U Hospital team supporting the implementation of HOPE in the Military Hospital. Leahy Vetting secured for all participants in April training Work underway to secure more support from MOH for partial funding: negotiations with Dr. Surya Acharya (Usec) for counterpart funding for HOPE HOPE was previously also conducted in Kathmandu September with WHO and military hospitals which require Leahy Vetting of participants. Time-consuming but no particular impediments encountered in this instance. Currently NRCS has existing Light SAR training program - agreement that there is much that CADRE can offer in terms of additional skills and condensed course ADPC collaborating with NSET on P-PERS stores and training NSET participants in CADRE (further detail in this report) Pakistan CADRE in Pakistan planned for early July 2011, subsequently rescheduled for later in July with activities as follows: - 1. CADRE National Pilot + Adaptation Workshop July 2011, Punjab Emergency Services Academy, Lahore Pakistan - CADRE TFI-IW July 2011, PES Lahore Pakistan 24 participants were invited following NDMA nominations, including members of PRC, PES, Military College of Engineering and Civil Defense Training School. Subsequent to the changes in dates, the participants from Military College of Engineering and instructors from Pakistan army could not attend. Dr. Zafar Iqbal Qadir is the new appointment as head of NDMA. This may necessitate a further planning mission or further coordination, to establish the Program under new management. Additional program management activities will need to be undertaken, to connect with the new NDMA director and ensure support for PEER. General Nadeem has announced his resignation as head of NDMA. As a firm PEER advocate it is uncertain at this point whether this will impact on PEER. Planning underway for HOPE Course in Pakistan - a participants list has been received from Dr Atiya Aabroo, Deputy Director(Training, National Health Emergency Preparedness and Response Network (NHEPRN), Government of Pakistan PIMS Islamabad confirmed as a training venue. Successful CPM in 2010 and full support and endorsement of NDMA and General Nadeem Agreement to schedule course with NDMA and PIMS Gen Nadeem announced his resignation as head of NDMA. It is uncertain at this point whether this will impact on HOPE, but delays in implementing the program may be expected. Pakistan flooding has impacted directly on the operations of NDMA and delayed commencement of PEER program since 23

24 Full report will be made available in the next Quarterly Report (July-Sept 2011). PEER Country planning meeting took place on 7-8 July 2010.Close working relationship already established with lead agency NDMA. Visit undertaken to PRC meeting Sec Gen and key staff members. Materials gathered on all training packages and curriculums related to community disaster and emergency response ADPC already established in Pakistan, working through NDMA including the Regional Consultative Committee (RCC) in which NDMA is an active member. Difficulties setting up and managing the program for both HOPE and CADRE under PEER in Pakistan, due to the devastating floods. CADRE and HOPE in Pakistan were suspended until the NDMA could operate back in normal working arrangements. The security situation in Pakistan is a concern for training location and instructors travelling from outside Pakistan. The necessity of Leahy Vetting for participants coming from the Military Collage or Pakistan Army is expected to cause some logistical challenges for scheduling. Difficulties setting up and managing the program for both HOPE and CADRE under PEER in Pakistan, due to the devastating floods and the security situation. MOU signed with NDMA / NSET / ADPC CPM Change of implementing agency from national health services academy to Pakistan institute of medical sciences CADRE and HOPE in Pakistan were suspended until the NDMA can operate back in normal working arrangements following the floods in 2010 = subsequent to CPM which caused delays commencing activities in Pakistan Activities pending Development of Comparative Review and National Adaptation of Pakistan CADRE usage and modules, with existing trainings from PRC Difficulty coordinating with NDMA focal point Amir Mohayudin. Andrea Tracey suggested new person whom she met in Islamabad, Mr. Ahmed Kamal. Coordination is currently ongoing Philippines Pilot Community established in Silay City, with the pilot community training there carried out during this reporting quarter reported here. Local government DM units have expressed interest to take on CADRE as part of their program to prepare communities including support from city fire Some initial issues raised by PNRC are will CADRE overlap with existing PNRC programs if not what is the added value. - This challenge was worked through and resolved during successful CADRE curriculum development workshop in HOPE Philippines took place at the Aloha Hotel, Malate, Manila on April 4-8, 2011 HOPE-TFI Philippines took place at the Fontana Resort Hotel, Clark Field, Angeles City, Pampanga, Some challenges in incorporating updates and changes to HOPE materials and assimilating HEART materials this process in ongoing 24

25 department National pilot conducted in Bacolod. Ahead compared to the number of activities implemented. Already conducted 2 rounds of TFI-IW, followed by additional CADRE National Course and TFI-IW in Oct 2010 full details in this report Plan to integrate CADRE into the existing PNRC volunteer 143 program in the community is underway Bangkok, subsequent Regional and National CADRE adaptation. Need to identify a training facility in the north; Selection of pilot communities based from Project ready assessment; Silay local government to support CADRE because of recent flooding in the city Philippines April 2011 Philippines HOPE instructors and Course Coordinator were utilized for these trainings. In Philippines, PEER Training Coordinator has discussed with Health Emergency Management Staff (HEMS) Further Pilot communities being selected through consultation with PNRC MOU Agreement signed by Sec Gen Pang with Catherine Martin and Leonardo Ebajo as the designated focal points Local government, Police, and RC Chapters have expressed interested in implementing CADRE Department of Health the issues of PEER Partnership Agreement between DOH- HEMS and ADPC, Developing HEART instructors, HEART Courses with PEER Partial Funding, and Developing model hospitals HEART is now a national program with government funding from DOH. HEART is accepted as the country version of HOPE; Actively engaging still the HOPE master instructors from previous stages as now it s already HEART; PEER will focus more in training instructors for HEART Vietnam Vietnam Red Cross Society participated in Regional Training for CADRE Basic Course and TFI-IW in Bangkok in April Further participants from VNRC who were NOT previously present in Da Nang CADRE Basic Training in 2010 undertook the basic training also, ahead of the TFI-IW in Bangkok. Participation from a representative of German Red Cross in Vietnam in Regional Training for CADRE Basic Course and TFI-IW in Bangkok Training materials for CADRE to be utilized in DRR training by other national societies, training their supported communities / districts / chapters in activities using the CADRE model and materials a significant extension of the CADRE program which will be rolled out over the forthcoming months. Obtaining nominations from VNRC was a lengthy process, despite the push to go ahead with CADRE Regional Course at this time which meant that Laos participants could not join due to the scheduled elections. Identifying a permanent training facility for CADRE and not using hotels/resorts Partnering with VAMS on 3 proposed courses in HCM, Hue and Hanoi - Training venues are planned to be partner institutes of universities, since this will help in the HOPE institutionalization process in Vietnam. (10) HOPE Training Courses, (2) HOPE Training for Instructors and Technical Support for HOPE Model Hospitals are in planning [ongoing] 8 Participants from Vietnam in the Regional HOPE-TFI from Feb 2011 in Bangkok graduated as first National HOPE Instructors in Vietnam. HOPE National pilot and adaptation Integrating existing hospital preparedness project from EC with WHO. Initial discussion started during the consultation meeting to leverage more resources and avoid duplication of efforts 25

26 ARC Vietnam requested ADPC to support the translation of other CADRE training materials (Lesson Plan, TFI-IW Workbook, LP and presentations). In turn, ARC Vietnam will conduct more instructors courses and CADRE Basic Courses in the communities as part of their regular work program. The original allocation for training 2 pilot communities will be used for translating the materials and ARC agreed to take over the cost of actual courses in the country. took place on November 2010 and fully reported in this Quarterly Report Finalizing the revisions of training materials based from adaptation workshop also finalizing the translation of training materials based on amends from the implemented course based on CADRE Adaptation Workshop Focal points within VNRC: Du Hai Duong Director, RC Nnguyen Trang DM Dept Staff 26

27 Program Activities: Accomplishments and challenges: Finalization of 3AWP Agreement on the Third Annual Work Program for PEER has been reached in consultation with USAID, and Third Annual Work Program (3AWP) for the Program Period which will commence in April 2011 was also submitted in draft form for consideration during this Reporting Quarter PEER Budgeting and Financing of Program Activities Discussion has been underway in this Reporting Quarter between USAID-OFDA via exchange and bi-lateral meetings (see report of meeting with Andrea Tracy, Regional Advisor USAID-OFDA contained in this report). The outcome of these meetings has been communicated to Rebecca Scheurer, ARC. Discussions are as follows: Impact of USD foreign exchange and inflation on PEER Budgeting: o PEER is a five year project based on a fixed USD budget for the costs of implementing the programmed activities this has become a very serious financial issue for ADPC because: (i) inflation was not factored into the computation of the USD budget; and (ii) a substantial 15% decline in the value of the USD against the Thai Baht (the currency in which all project expenditures are incurred) since project effectiveness; this issue was discussed in Boon-Tiong s to Andrea (OFDA) and Rebecca (ARC) dated 4 April 2011 o ADPC is looking to work with USAID-OFDA to resolve the adverse impact of the foreign exchange issue and inflation on the availability of funds for implementing PEER ADPC Cost Saving Measures for PEER / reallocation of STTA Technical Assistance budget line Within the STTA technical assistance budget line, there is potential for some to be re-allocated, since it was no longer required by the sub-contractor to IRG, as was initially planned. Advice sought from USAID-OFDA on the best way to proceed on approving reallocation in the STTA budget line to finance program activities directly to supplement some unavoidable budgetary shortfall in new CLV countries due to necessity for external PEER instructors, initial set-up costs, instructor development costs etc. There still remains the requirement to cover the expected THB and local currencies shortfall on training costs. We are taking sensible steps at ADPC towards maximizing our resources, readjustment and reduction of costs where at all possible, by: o Reduce running costs of CADRE trainings through various measures including reducing airfares / flights, reducing international instructors, running trainings back-to-back, etc o o We have planned a catch-up plan which involves running trainings back-to-back etc We aim, if agreement with OFDA is reached, to reallocate some funding from the STTA budget line which is underutilized, to finance directly the training implementations, particularly in the three new PEER countries of Cambodia, Lao PDR and Vietnam ADPC requests to demonstrate in budget revision or reallocation to USAID-OFDA, how we can sensibly reallocate this available funding, to support the training activities and work towards the program requirements within budget. This Revised Budget can be submitted to USAID-OFDA. ADPC hopes to reach agreement with USAID-OFDA on how to best address the issues of inflation and 15% decline in USD against Thai Baht, and requests USAID-OFDA can address this matter internally, and inform ADPC as and when possible. ADPC Budgeting and Cost-Saving on CADRE and HOPE: Trainings in New PEER countries of Cambodia, Lao PDR and Vietnam have proved costly in terms of program management time and also financially, due to the necessity to source instructors from the region, rather than nationally. This has impacted on CADRE financing particularly, but also on HOPE. With the added budget constraint due to the US dollar / Asian currencies matters, there is a necessity to both increase the level of activities undertaken from Jan 2011 onwards, and decrease the budget on a course-by-course basis. PEER team will continue to undertake the following cost-effectiveness measures in order to meet these objectives, the following activities and contingencies are planned: o Where possible reduce the number of instructors o Where possible run trainings concurrently (in different countries / communities) o Where possible run trainings back-to-back in-country o Where possible reduce the number of regional instructors from e.g. Philippines or Nepal and utilize national instructors o Where appropriate use local RCNS training facilities o Where possible run CADRE trainings at same time as HOPE or other ADPC/PHE in-country activities PEER Team have reviewed how we can save costs in CADRE - alongside conducting back-to back courses or doing multiple activities in a single mission. One significant area is the role of regional instructors in the three new countries Cambodia, Lao PDR and Vietnam (CLV). This is very costly but it is necessary to use them especially for the first round of National pilot activities which are being concluded in this quarter and next 27

28 As new countries of PEER, there are no existing PEER master instructors which we can tap and utilize for both CADRE and HOPE. Therefore there is the necessity to fast-track the development of local instructors and where possible, conduct a regional activity rather than rolling-out country-by-country. This is planned in Bangkok for Cambodia and Vietnam (Lao PDR unfortunately let us know late that they cannot attend due to General Elections) at the start of the next Reporting Quarter. This is hoped to significantly reduce the cost of Regional Instructors. At the same time this will develop local instructors who will conduct national courses in their local language CADRE Accomplishments and challenges: Piloting of CADRE Course at Community Level: The overarching challenge for CADRE for the next reporting quarter is the identification of CADRE Pilot Communities and CADRE Trainings carried out in these communities: Accomplishments thus far for CADRE Pilot communities are the identification of suitable communities in Philippines, Lao PDR and Cambodia. Work is ongoing to identify other Pilot Communities, through the guidance of RCNS. Integration of CADRE Materials and RCNS Materials / other NGOs and potential institutionalization partners: The foremost priority for institutionalization in PEER countries is with RCNS where ever possible. The secondary priority is for institutionalization of CADRE with other participating partners. The accomplishment thus far in this regard has been the successful integration of RCNS in all PEER countries except India and Indonesia. In these cases, CADRE will work though the NDMA and alternative organization s as implementing partner (e.g. Ambulan 118). The challenge has been to encourage RCS to take ownership of CADRE, as well as to seek alternative arrangements where necessary. One effect of the CADRE success in Philippines and Pakistan amongst other countries has been the adoption of CADRE amongst other very enthusiastic implementing partners, whilst the RCNS are lagging behind. The challenge is to keep RCNS involved at all levels where possible, whilst laying the foundation for in-country institutionalization amongst other partners at the same time. There is a growing demand and interest in CADRE in all PEER countries, from various partners and collaborative organizations external to RCNS. These organizations often demand increasing involvement and some sense of ownership. This is a great achievement for the awareness-raising of CADRE and community preparedness in general. It is also a considerable endorsement for the strength of the CADRE concept and materials for the three-day course. But this enthusiasm and demand for involvement (external to RCNS) also brings increasing challenges. The RCNS still need to take priority for engagement with CADRE; the RCNS are the priority for institutionalization. The FIRST steps are to get RCNS fully engaged and recognizing the benefits of the program for their own context of RCNS in each country. Strategies are being considered for maintaining the clear RCNS ownership and involvement, whilst also allowing materials to be utilized outside RCNS. These include: o Adherence to strong branding (use of RCNS and ARC logo on materials for wider use) o Utilizing RCNS personnel as CADRE Course monitors, coordinators and instructors (where possible / appropriate) o Involvement of RCNS volunteers in the courses which may be conducted by other agencies (where possible / appropriate). Therefore the priorities for the next reporting quarter also involve continuing to liaise with RCNS on the CBDRR / CBDRM trainings and curriculums ongoing within each National Society, encouraging them to measure these against the CADRE modules and training package, and focus on gaps / challenges / opportunities for CADRE to add value and enhance emergency response preparedness in communities. In-country adaptations of CADRE materials are an ongoing priority. The in-country adaptation can only be achieved on a focused country basis, looking primarily at Bangladesh, Pakistan, and Indonesia in the next reporting Quarter. Nepal, Laos, Vietnam and Cambodia have (as of time of writing) concluded their National Pilot Courses; therefore the process of adaptation according to the recommendations of the RCNS delegates who have undergone the trainings is underway. This includes adapting some modules according to the specific disaster risks faced by each country, replacing pictures, diagrams and illustrations with country-specific examples, aligning recommendations with current practices of RCNS and Government, as well as making sure the practices in the curriculum are entirely culturally relevant and sensitive t national and local customs and regulations.. This is part of ongoing work to promote ownership of CADRE by RCNS. At the same time, it will enable the embedding of CADRE into the context of other organizations work in each country, to widen the outreach and promote increasing institutionalization of CADRE in-country which corresponds to Indicator OTHER REGIONAL COLLABORATIONS. PEER Team (John Abo) has been in discussion with Training Services Unity at ADPC, in association with OFDA to accommodate their request to integrate some components of CADRE into developing the training proposal for CBDRR for the NGO CONCERN - who OFDA is working with in Pakistan. The training was proposed to take place during 8-19 August 2011 for 28

29 CONCERN Pakistan officers. The training period is currently under review with CONCERN Pakistan, given the availability of TSU schedule and the Fasting Month of Ramadan This may necessitate the scheduling of the activities after August The training is for CONCERN Pakistan and the main theme is CBDRR. There is a linkage between the CBDRR training course and CADRE training course, so in alliance with ADPC s regional CBDRR-20 course, the objective is to put part of the CADRE component in the curriculum. The components of the CADRE Curriculum thus included will be amended suit the participants and organizational requirements. There will likely be a CADRE component in this CONCERN CBDRR training as well. The integration of CADRE in other institutional trainings in PEER countries will be monitored and reported in Quarterly Reports HOPE Accomplishments and Challenges: Issues for HOPE remain with the PFAP guidelines: o o o o Some countries have difficulty under PFAP as there is no available counterpart funding available in the training institute of the MOH This Reporting Quarter has seen engagement with WHO regional offices SEARO and WPRO including private sector Working towards seeking out potential resources from the private hospitals, pharmaceutical companies and the bilateral funding from the safe hospitals program of WHO and MOH. Improvements are needed in the translated materials in Laos and Khmer this is being undertaken 5. PLANNED ACTIVITIES FOR THE NEXT REPORTING QUARTER 5.1. Program Management: Plan of Action for next quarter July-Sept 2011 Follow up on MOU and partnership agreements as yet to be signed, and liaison with country focal points Country Planning Meeting in India for HOPE and CADRE Nominations for additional PEER Country Coordinators 5.2. CADRE: Plan of Action for next quarter July-Sept 2011 Overview: Implementation of basic CADRE National Pilot Course in Bangladesh, Pakistan and Indonesia. Dates and location scheduled as of end July 2011: CADRE National Pilot + Adaptation Workshop July 2011, PES, Lahore Pakistan CADRE TFI-IW July 2011, Punjab Emergency Services Academy, Lahore Pakistan CADRE National Pilot + Adaptation Workshop Sept 2011, FSCD, Dhaka Bangladesh CADRE TFI-IW August 2011, FSCD, Dhaka Bangladesh Model Community No. 1 CADRE Basic 5-7 October 2011, Kampongthom, Cambodia Model Community No. 2 CADRE Basic October 2011, Phnom Penh, Cambodia CADRE implementation in Vietnam is ongoing in planning for delivery of the following activities as part of our work program in Vietnam: o (2) Pilot Community CADRE training o Completion of the training equipment for VNRC o Basic Emergency Response Kit for the (2) pilot communities Adaptation and translation of basic CADRE materials for Nepal, Vietnam, Bangladesh, Cambodia. Ongoing review and amending of CADRE Regional Curriculum for each in-country context with county-specific pictures and diagrams, case studies, references etc. In some cases text can be replaced with pictures and diagrams. This will be carried out in reference to the recommendations from the country Adaptation Workshops, which are scheduled after each National CADRE Pilot Course, and ahead of the Pilot Community implementation. These CADRE Adaptation Workshops involve a comparative study of materials, techniques, timescales, approaches of CADRE and current CBDRR or emergency response trainings from each NRCS. Finalizing appropriate venues and equipments for the CADRE courses in country logistics and coordination production of print and collateral materials for courses course work book, course materials, other communications and publications, t-shirts and other necessary equipments particularly for Bangladesh Planning for CADRE Pilot Community Development: o Further study and research into different country contexts for CADRE / CBDRR and integration of CADRE curriculums into these different country contexts o Focus on priority countries of Bangladesh, Pakistan, Indonesia and Nepal. o Identification of Pilot model Communities in Vietnam, Cambodia, Lao PDR, Nepal. 29

30 Completing of CADRE training equipment cache in Philippines, Lao PDR, Vietnam, Cambodia, Bangladesh, Nepal and planning distribution of basic emergency response kits to the pilot model communities Follow up from CPM in India (scheduled 4-5 August 2011) and addressing the challenges in India for CADRE Implementation: o Scheduling the mission underway for August Coordination with MOHA and NDMA including the current PEER Country Consultant Prof. Vinod Sharma under NSET. Follow up on agreements with NDMO in Indonesia, Philippines, Cambodia, Laos, Vietnam, Bangladesh, Nepal and India - since agreements with NDMO will have a bearing on success and support for the program in each country HOPE Plan of Action for next quarter July-Sept 2011 Overview HOPE Basic Course 1-5 August 2011, Health Department Office, Luangprabang, Lao PDR HOPE Partial Funding Sept 2011, Jogyakarta, Indonesia HOPE Course in South Laos: Venue: Attapeu Province: Date: August 2011 Meeting with Emergency Committee: Mithapaab Hospital (Model Hospital):Date: 29 August 2011 ( pm Venue: Mithapaab Hospital, Vientiane Planning HOPE Training for Instructors: Date: 3-7 October 2011: Venue: Vientiane Province, Lao PDR Planning for the following activities in Laos: o Finalization of HOPE Model Hospitals Assessment of the needs of the model hospitals Activity planning o Organizing National HOPE Technical Working Group (HOPE-TWG) Finalization of the HOPE Lao PDR curriculum Review and finalization of translation Developing strategies for outreach o HOPE Course for Central Region Date: (exact dates to be confirmed by MOH) Location: Vientiane [Forthcoming 2011] o HOPE Course for Southern Region Date: December 2011 (exact dates to be confirmed by MOH) Location: Champasak Planning for the following activities in Cambodia:: o Identification of HOPE Model Hospitals Assessment of the needs of the model hospitals Activity planning o Organizing National HOPE Technical Working Group (HOPE-TWG) Finalization of the HOPE Cambodia curriculum Review and finalization of translation Developing strategies for outreach [Forthcoming 2011] o HOPE Course for Central Region Date: October 2011 (exact dates to be confirmed by MOH) Location: Phnom Penh o HOPE Course for Province Date: December 2011 (location and exact dates to be confirmed by MOH) Philippines liaison on HOPE / HEART materials for TFI ongoing incorporation of changes in the modules. Planning for HOPE Vietnam; o Attaining Partnership Agreement with Vietnam Administration for Medical Services (VAMS)-Ministry of Health of Vietnam who are directly involved in preparing healthcare facilities in times of emergencies and disasters. o Working with VAMS on 3 proposed courses in HCM, Hue and Hanoi with the goal to fully institutionalize the program within VAMS and other partners such as Medical Universities and training institutes. The course in each region will target surrounding healthcare facilities in the area bringing the courses in their respective areas. The opportunity has been offered tovams to plan more training courses this year aside from the 3 proposed courses in HCM, Hue and Hanoi, Training venues are planned to be partner institutes of universities, since this will help in the HOPE institutionalization process in Vietnam. o The following activities are in planning [ongoing] (10) HOPE Training Courses (2) HOPE Training for Instructors Technical Support for HOPE Model Hospitals Translation of training materials in priority countries ongoing (Cambodia, Lao PDR, Vietnam) 30

31 Priority is to organize national TWG and as part of the task is to review accuracy of translation HOPE Course in Pakistan ongoing in Planning - participants list has been received from Dr Atiya Aabroo, Deputy Director(Training, National Health Emergency Preparedness and Response Network (NHEPRN), Government of Pakistan NEXT QUARTERLY REPORT TO BE DELIVERED OCTOBER

32 ANNEXES ANNEX 1: GRAPH OF CADRE PARTICIPANTS / INSTRUCTORS NUMBERS BY COUNTRY [as of] June

33 ANNEX 2 PEER COMMUNICATIONS, INFORMATION AND ADVOCACY ANNEX 2 PEER Newsletter May 2011 Sent to PEER Donor representatives, Program Activity Participants, PEER Instructors, PEER Network, Implementing Organizations, Partners, interested associates etc 33

34 ANNEX 2 (cont) PEER PRESS RELEASES 34

35 35