Framework for Hospitals Safe from Disasters- Sambal member upload

Framework for Hospitals Safe from Disasters Hospitals Safe from Disasters For any community health system has vital role in making the life of people safe. Especially hospitals are critical assets for communities in normal time as well as in the

BY: Sanjay Pandey
Organization: Yuganter
Original Source / Author: Community and Regional Resilience Institute 21 Jun, 2017
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Framework for Hospitals Safe from Disasters

 

Hospitals Safe from Disasters

For any community health system has vital role in making the life of people safe. Especially hospitals are critical assets for communities in normal time as well as in the time of emergency response.  There are several examples when health system and hospitals face the damage after the disaster and become unable to provide health services when the communities require them most. As millions of people were affected due to destruction of thousands of health facilities after disasters in Gujarat, India (2001), in Indonesia’s northern Aceh province (2004), in Pakistan (2005), in Myanmar (2008), and in several parts of the world.). In India it is most often that heath services get affected during disasters like flood, tsunami, earthquake and other hazards.

 

Making hospitals and health facilities safe from disasters is a social, moral, ethical necessity and an economic requirement. Health facilities are only truly safe from disasters when they are accessible and functioning, at maximum capacity, immediately after a hazard strikes.

Realizing the critically important role of health system and hospital WHO provided frame-work for safe Hospital.

It identifies hospital role s in three perspectives.

1. Hospitals have direct responsibility to provide health services to their surrounding communities and catchment populations

 

2. Hospitals have a broader role within the overall health system, acting as referral centre or other health-care providers, providing specialist, subspecialist and community services, acting as teaching and research institutions, and contributing to surveillance and public health data-gathering.

 

3. Hospitals   are critical assets in disaster risk management. Hospital exists within and across the public, private and nongovernmental sectors. Hospital is not only providers of clinical services for treatment, but are also integral to promoting health and preventive actions in the community in which they function.

 

 

Components of the safe hospital programmes:-

 

1. Legislation

 

  • Safe hospital policies and program
  • Norms for safe hospital design and construction
  • Hospital accreditation for safety and preparedness
  • Hospital safety as an integral part of national and community DRM policies
  • Hospitals as an integral part of national emergency legislation

2. Coordination and   service delivery

 

  • Hospital emergency risk management systems
  • Referral plans an mechanisms for patient   movement
  • Mass casualty management system
  • Coordination of local, national and international health assistance to hospitals
  • Hospitals supporting community Preparedness

 

3. Resources management

 

  • Safe construction of hospitals
  • Strengthening the hospital workforce for emergencies
  • Capacity-building of medical teams for rapid response
  • Safety and security of health workers
  •  Management of equipment and supplies
  • Financial resources management for safe hospitals
  • Energy efficiency and  reliability

 

4. Knowledge and information management

 

  • Hospital safety assessment
  • Health information system for DRM
  • Hospitals central to information systems and assessments for DRM
  • Research agenda and mechanisms on making hospitals safer
  • Monitoring and  evaluation mechanisms for hospital safety
  • Guidelines and tools

 

 

 

Guiding Principles for implementation of the safe hospital framework

 

    • Strengthen coordination mechanisms to build and move forward with a national Safe Hospital programme.
    • Build evidence and apply good practices and risk-informed approaches to safe hospitals.
    • Position safe hospitals as a key component of policies and programmes for disaster risk   management at national and local levels
    • Engage key stakeholders, including communities, in Safe Hospital programmes and activities
    • Ensure continuous monitoring and evaluation of the Safe Hospital programme based on a set of agreed indicators.

 

  Proposed targets related to safe hospitals

 

  •  By 2030, all new hospitals and 80% of other new health facilities are built to withstand hazards in accordance with the safety and building codes of the country.

 

  • By 2030, 50% of existing hospitals and health-care facilities requiring improved safety are retrofitted, in accordance with the safety and building codes of the country.

 

  • By 2030, all hospitals and health facilities have emergency response plans for continuing health care in disasters.

 

 

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Government of Bihar

Disaster Management Department