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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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