Health in Disaster Risk Reduction: Research and Innovation Needs GLOBAL FORUM ON RESEARCH AND INNOVATION FOR HEALTH 2015 25 AUGUST 2015 PHILIPPINE INTERNATIONAL CONVENTION CENTER, MANILA, PHILIPPINES Ronald P. Law, MD, MPH Medical Specialist III Health Emergency Management Bureau Philippine Department of Health
Outline Department of Health role in DRR Role of research in DRR-Health Good practices Research agenda Challenges Way forward
What we do in Disaster Risk Management Goal To contribute to reduction of morbidity and mortality in emergencies and disasters Objectives 1. To institutionalize health emergency management systems at all levels 2. To establish knowledge management system for health emergencies 3. To sustain the development of competent, dynamic, committed and compassionate health emergency personnel 4. To enhance health sector delivery of health emergency services
What governs us Substantial reduction of disaster risk and losses in lives, livelihoods and HEALTH and in the economic, physical, social, cultural and environmental assets of persons, businesses, communities and countries.
How research fits into our work Health RESEARCH Disaster Risk Management Development SCIENCE POLICY PRACTICE - OUTCOMES
Science-Policy-Outcomes Link: Some notable practices Development of a novel surveillance system to detect possible outbreaks of diseases in the aftermath of a big disaster in Metro Manila Conceptualization of a comprehensive program for hospital safety, preparedness and resilience to ensure continuity of health services amidst disasters Development of package of health services and logistics based on epidemiological assessment of disasters monitored by the operations center
Surveillance in Post-Extreme Emergencies and Disasters (SPEED) 700 600 500 400 300 200 100 0 Dec 19-25 Dec 26- Jan1 Jan2-8 Jan9-15 Jan16-22 Jan23-29 Jan 30- Feb 5 Feb 6-12 CDO Iligan Total Feb 13-19 Feb 20-26 Feb 27- March Mar 4 5-11
Hospitals Safe from Disasters
CAMPOLAS Kit (Cotrimoxazole, Amoxicillin, Mefenamic Acid, Paracetamol, Oresol, Lagundi, Vitamin A, Skin Ointment) Reason for consultation Average Number of Cases Skin /wound infections 62,762 Upper Respiratory Tract Infection 6,318 Influenza-like Illness 2,440 Diarrhea 1,729 Food Poisoning 154
What we want to explore NUHRA Major area Research area DRM in Health Topics (some examples) Health Technology Development Information and communication technology (ICT for Health Early warning systems, health intelligence systems, platforms for communication sharing, decisionsupport tools ICT-enabled health services in disasters Health Financing Financial Risk Protection Estimation of health impacts of disasters, health loss assessment, health budgeting Health Service Delivery Improving access to quality hospitals and health care facilities Cost-effectiveness studies of health interventions in disasters Improving public health services in disasters Safe Hospitals implementation: good practices and models Socio-Environmental Concerns Environmental and climate change Correlation of climate-sensitive diseases to increased temperature, rainfall, and humidity Preparedness and response to extreme weather events
Who our stakeholders are UNICEF JICA ASEAN UNFPA DOST PCHRD UN System Regional Offices Other NDRRMC US agencies Embassy LGUs CDC USAID WHO NDRRMC DOH Bureaus HEMB DOH attached agencies Academe International universities UNISDR DOH Hospitals Specialty societies Other UN Orgs Dep Ed DILG DSWD Private Sector EU AUSAID ADPC WPRO NIRS NSET DOH partners Other government agencies Local governments Academe Private sector International organizations
What can international organizations offer Linkage to a bigger network through UNISDR Science and Technology partnership Technical assistance Capacity development Financing
What challenges we are facing Prioritization of research in DRR-Health Capacity and resources to undertake research Utilization of research findings to inform policy and practice and drive outcomes
How we should proceed Proactive involvement of health sector in DRRhealth research Focused sensitization and capacity development of researchers and practitioners Increased engagement of research and practice communities with multisectoral and multi-level involvement
Research creates knowledge, but the knowledge must be translated into changes in practice and policy for the benefits to flow to the users or the populations intended. Dilling L & Lemos M, 2011