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PUBLIC HEALTH IN EMERGENCIES PUBLIC HEALTH IN EMERGENCIES H Sandbladh, MD/IFRC 2003
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  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    H Sandbladh, MD/IFRC 2003

  • Acute Respir

    Infect

    Malaria Waterborn diseaseseg diarrhoea

    Anemia

    Nutr

    Mslsepid

    THE KILLER THE KILLER DISEASESDISEASES

    Injur

    PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

  • COCO--ORDORDSARSARand and FA FA

    WATSAN WATSAN incl incl VECTOR VECTOR

    HEALTH HEALTH and EPID and EPID CTRLCTRL

    RELIEF and RELIEF and SHELTERSHELTER

    FOOD FOOD and and NUTRNUTR

    MCH/RH MCH/RH and and EPIEPI

    PSYPSYSOCSOC

    HISHISLOGISTICS LOGISTICS MOBILISATMOBILISATHUMANHUMANRESOURCRESOURCTRANSPTRANSPSEC/PROTSEC/PROTTELEC / ITTELEC / ITINFO REP INFO REP MEDIAMEDIA

    ADMIN ADMIN FINANCEFINANCE

    HEALTH INTERVENTION AREASHEALTH INTERVENTION AREAS

    PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    Acute Respir

    Infect

    Malaria Diarrhoea

    Anemia

    Nutr

    Mslsepid

    THE COMMUNITYTHE COMMUNITYAPPROACHAPPROACH

    Injur

    HISHIT/CHW/TBA/VOLCommunity health Basic Health CareReferral System

    Epidemic ControlWater & Sanitation

    Vector control

    HISCommunity health HIT/CHW/TBA/VOLBasic Health CareReferral System

    Epidemic ControlWater & Sanitation

    Vector controlMCH/RH

  • COCO--ORDORDSARSARand and FA FA

    WATSAN WATSAN incl incl VECTOR VECTOR

    HEALTH HEALTH and EPIDand EPID

    RELIEF and RELIEF and SHELTERSHELTER

    FOOD FOOD and and NUTRNUTR

    MCH/RH MCH/RH and and EPIEPI

    PSYPSYSOCSOC

    HMS/HISHMS/HISLOGISTICS LOGISTICS MOBMOBHUMANHUMANRESOURCRESOURCTRANSPTRANSPSEC/PROTSEC/PROTTELEC/ITTELEC/ITINFO REP INFO REP MEDIAMEDIA

    ADMIN ADMIN FINANCEFINANCE

    PUBLIC HEALTH IN EMERGENCIESIN EMERGENCIES

    PUBLIC HEALTHPUBLIC HEALTHSUPPORT MECHANISMSSUPPORT MECHANISMS

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    FACTERU

    SPHERE

    RISK ANALYSIS

    HMS

    EVAL

    OD/DP - CAPACITY BUILD

    DMISSAR/First Aid

    Community health Basic Health Care

    Epid/disease controlSocial Welfare, eg UAM

    Water & SanitationReprod Health

    Pych Supp

    WHO STDS

    RDRT

    FOOD BASKET

    P HEALTH GUIDE

    DELEGATEHANDBOOK

    MEDIA

    TL

    DISTRICT HEALTH

    THE TOOLTHE TOOLBOXBOX

    NEHK '98

  • COMMUNITY COMMUNITY ACTIVITIESACTIVITIES

    PERIPHERALPERIPHERALCLINICCLINIC

    FIRST REFERRAL LEVEL/FIRST REFERRAL LEVEL/SURGERYSURGERY

    DISTRICT HEALTH CARE DISTRICT HEALTH CARE NORMNORM

    PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    WHO std treatmprotocol

    WHO EssDrug lists

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    The Sphere Project

    HumanitarianCharter and Minimum Standards in Disaster Response

    2004 EDITION

    A Humanitarian Charter

    Minimum Standards in Disaster Response

    - to alleviate human suffering caused by disaster or conflict

    Peoples right to dignity

    Peoples right to basic assistance

    -A handbook

    -Broad process to collaboration

    - Expression of committment to quality andaccounatibilty

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    • Gateway to Red Cross/Red CrescentOperational Information

    • Preparedness: Trend reports fromthe field and DP tools

    • Response: Efficient informationflow during disasters and various toolssuch as for logistics, FACT etc

    A web based working tool

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    Rapid response tool for IFRC and its NSs in disastersOperational - within 12-24 hrs, for 2-6 weeks

    Ensure quality, standards and coordination in NSs programme planning

    Supports NSs to do assessments & coordination in disaster response

    Group of specially trained and experienced disaster relief managers with a variety of technical skills

    Compatible with UN/OCHA'sUNDAC system and DART

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    • Sectoral focus – logistics, telecom, relief, watsan, health

    • Pre-packed self-sustainable, readyto be deployed standardisedmodules

    • Pre-trained teams of technicalexperts

    • Sponsored by National Societies

    • Deployment coordinated by IFRC/GVA

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    • Water – sanitation modules:– Specialised Water– Treatment & Supply Line– Distribution & Trucking– Mass Sanitation

    • Basic Health Care• Referral Hospital• Telecom & I T• Logistics• Relief

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    HIS software (EXCEL 2000)

    CD-ROM

    Starts with few diseases/parameters, to be extended to manyparameters

    Identifies trends and epidemics

    OPD - IPD

    Data can be transitted via email (text)

    Several collection points, clinics, hospitals

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    20 – 30 000 target pop

    4 months

    Preventive/communityhealth

    Basic clinic, OPD only

    5 - 6 expat professionals

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    150 – 250 000 target pop

    4 months

    Referral hospital w surgery

    120 – 150 beds (extendable)

    IPD and OPD

    10 – 20 expat professionals

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

    FOUR MODULES TO BE USED TOGETHER OR SEPERATELY

    1/ Treatment & Supply Module - 40 000 beneficiaries

    2/ Distrib & Trucking- 5 000 benef at 9 locations

    3/ Specialized Water & Sanitation– 15 000 or health institutions

    4/ Mass Sanitation– 40 000 beneficiaries

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIES

  • COMMUNITY HEALTHCOMMUNITY HEALTH

    PERIPHERALPERIPHERALCLINICCLINIC

    REFERRAL REFERRAL HOSPITALHOSPITAL

    HIT, CHW, TBAVolunteers

    Elders, "local authorities",communities

    BASIC HEALTH CAREERU

    RELIEF ERU

    LOGISTIC ERU

    TELECOM/IT ERU

    WATSAN ERU

    REFERRAL HOSPITALERU Local Health

    Authorities

    PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIESFACT/RDRT/ERUFACT/RDRT/ERU

    FACT assessm & coord

    RDRT assist

  • PUBLIC HEALTH IN EMERGENCIESPUBLIC HEALTH IN EMERGENCIESSECRPNSONSDELEGATIONS

    OCHARELIEF-WEBSMEDIAPAHO

    CDC

    OP MANAGER/DMCDREF - RDRT- FACT - ALERT ERU

    MONITORING - DMIS

    PREL APPEALFIELD ASSESSM, OP AND COORDINATION

    A P P E A L

    DARTUNDAC

    GOVNGO.sPNS//IDRU

    DEPLOYMENT (Logistics, ERU, staff etc)

    REHAB AND DEVELOPM ASSESSMENT

    MONITORING, EVALUATION/ REPORTS, STABILISATION OF OP

    ALERTINFO

    BULLETIN

    OP UPDATE

    DEL/CD/DMC

    OP UPDATE


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