emergency and disaster risk management

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    Emergency and Disaster Risk Management

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    World largest archipelago: area 1,919,440 km2

    Over 17,000 Islands, more than 500 languages and dialects

    4th largest populated country: 234 million people in 33 provinces

    3 time zones with flying time of 9 hrs from west to east

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    The Geographic Nature

    The World Tectonic PlatesEarth Quakes

    Ring Of FireVolcanoes

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    Why we need contingency planning?

    Because we live in a world wherethings happen with or without priornotice.

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    Because of our negligence on facts,

    They come to us in a surprise

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    Basic Principle is developing Plans in thefield of Emergency and Disaster

    Risk ?

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    Risk Management

    Risk = Hazard x Vulnerability---------------------

    Capacity

    Hazard

    Vulnerability

    Capacity

    Risk

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    RiskProgramme Definition

    Risk is defined as measurable andequitable value of having chance,probability, potential threat leadingtowards a damage, injury, liability, loss,negative occurrences cost by internal orexternal forces to person, thing, property,

    system, environment and developmentdepending on the status of 3 majorcontributing components, hazard,vulnerability and capacity in a givencondition and situation.

    Key factors influencing the degree of Risk

    Types of harmful effects known as Hazard

    Exposure to harmful effects known asVulnerability

    Knowledge, skill and practice to manageharmful effects known as Capacity

    Am I

    risky ?Why

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    HazardTypes of harmful effects

    Programme Definition

    Hazards is defined aspossible potential sourceof danger or harm or

    adverse effect, threat tolife, health, property,environment to somethingor some one resulting

    possibility of incurringloss or misfortune and ifhappens, causingemergency or disaster in agiven condition and

    situation.

    ?

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    Earthquake & Tsunami

    Volcanoes Eruption

    Floods

    Flash floods & Landslides

    Conflict Social unrest

    Bomb Blast

    Industrial Accident

    Transportation Accident Cyclone

    Earthquake

    Infectious Diseases

    Black Outs

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    Type of Hazard Geological

    Earthquake, tsunami,landslides, volcano

    Hydro-meteorological Flood, storm, drought, flash

    flood

    Biological Epidemics, plant diseases,

    Technological Transportation and

    industrial accidents

    Environmental Bush fires, fire,

    deforestation etc.

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    VulnerabilityExposure to harmful effects

    Programme Definition

    Vulnerability is defined as theexposure, susceptibility, closenessto undesirable physical oremotional injury or attack oradverse effects.

    Vulnerable Group Identification

    Vulnerable groups are identified in twotypes.

    Population living and facilitiessituated close or potentiallyexposed to different hazards.

    Group of people who needs specialattention during emergencies anddisasters such as children,pregnant women, old aged,disables and ill patients.

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    CapacityKnowledge, skill and practice to manage harmful effects

    Programme Definition

    Capacity is defined as mental,physical, academical ability andcapability to retain knowledge,skill and practice to perform,hold, receive, absorb, act,

    manage and develop to amaximum response to adverseeffects to minimize damages in agiven condition and situation.

    Capacity Identification

    Human, supplies, structure,operating system and funds areidentified as 5 main resources tobe build up as capacity.

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    Emergencies and Disasters Emergency = The Risk that can be manage with

    support from existing condition in a givensituation.

    Disaster = The Risk that can only be managed withextra support outside existing condition in a givensituation.

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    Management

    Mobilize and utilize available resources most

    effectively and strategically in a given situationto obtain maximum output .

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    Crisis

    Programme Definition

    Crisis is defined as exposureto risk resulting fromEmergency or Disaster

    affecting a sector (s) or areaof work in a geographiclocation for a period of time.It could be acute or chronicor acute on chronic. One

    example is Health Crisiswhere the health sector isaffected by emergency ordisaster.

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    Conflict

    Conflict is actual

    or perceivedopposition ofneeds, values andinterests.

    A conflict can beinternal (withinoneself) orexternal (between

    two or moreindividuals)

    Conflict can leadto WAR

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    Risk Reduction PlanRisk Mapping

    To obtain a map which hasidentify potential hazards,violability and capacity.

    Contingency PlanIf emergency or disasters

    hit, what to do.

    Operation PlanWhen emergency or

    disaster hits, how tomanage.

    Standard OperatingProcedure (SOP)

    Guidelines to guide how tomanage specific field of

    interest

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    Risk Mapping

    Risk Mapping

    (Hazard, Vulnerability andCapacity Mapping)

    Method

    Vertical Mapping(Geographic basevillage to National) (*)

    Horizontal Mapping (Facilitybase household tomega structures)

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    Risk - Triage Rings

    Use red, yellow andgreen rings toidentify:

    High Risk

    Medium Risk Low Risk

    Identify the areas

    where multi riskrings overlapped.

    Prioritized the areafor capacity building

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    Hazard Mapping

    Find appropriate map ordevelop a map of the areaconcern.

    Identify the potential areasthat could tern into hazards -specific (volcano, river, dam,factory, etc).

    Hazards General (fire,earthquake, storm, etc)

    Identify the most vulnerablefacilities health, schools,fire fighting station, powerstation, water reservoir,

    police, governor office,markets, stores, air train-port

    Identify evacuation sitesreligious building, sport field,vacant land, ceremonialhalls, schools

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    Vulnerability Mapping

    Identify the mostvulnerable facilitieshealth, schools, firefighting station, powerstation, water reservoir,police, governor office,markets, stores, airtrain-port

    Identify evacuationsites religiousbuilding, sport field,vacant land, ceremonialhalls, schools

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    Resource Mapping

    Use excel table toidentify:

    Existingresources. (Man,Material, Money)

    Resourcesneeded.

    Where neededresources can bereached.

    Attached the excel data andinformation to themap

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    Public Alert System

    Serine / Bell

    Communitywatch

    Traffic light

    indicators Maps for

    evacuation

    Mark shelters Call signs

    Media alert

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    What is Contingency Planning ?

    ContingencyWhat to do if changes happen

    Un-wanted or Wanted / Unexpected or Expected / Goodor Bad / Harmful or Un-harmful / Negative or Positive

    PlanningSystematic arrangement of

    activities to be implementedin a given condition andsituation.

    PhasesPre-during-post

    ?

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    Contingency Plan base on SOPCentral, Peripheral and Sector

    based

    1. Command Posts2. Rescue and Relief3. Rapid Assessment4. Information and

    Communication and Reporting5. Multi Sector / ClusterCoordination and resourceMobilization

    6. Management of Death, Injured7. IDP Camp Management8. Supply Management9. Community and Facilities

    Recovery, Rehabilitation,Reconstruction

    10. Stream lining back to routineprogramms and development

    Scenarios building Exercise -Simulation

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    Operational Plan and SOP

    Based on the contingencyplan, given situation andcondition, developoperational plan

    Operational Map and Plan

    Identification of theavailable resources

    Identification of resourcesneeded base on rights

    WHO, Where, When, What,Why, How and ExpectedOutput

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    Standard Operation Procedures (SOP)

    Updated annually:

    1st version launched in 2006

    2nd version launched in 2007

    RESPONSEPREPAREDNESS R id A t

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    EMERGENCY

    PreparednessPlan

    ContingencyPlan

    OperationalPlan

    RehabilitationPlan

    Re/DevelopmentPlan

    Mitigation

    Plan

    DisasterManagement

    Plan

    Early warning

    REHABILITATIONMITIGATION

    RESPONSEPREPAREDNESS Rapid Assessment

    Hazard evaluation

    LessonslearnedReview

    Time Money

    Human

    SuppliesSOP

    Values3 Cs

    Info

    Management Wheel is driven by

    power generated from

    Informationmoving forward

    through 3Cs

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    Risk Reduction Plan -Components

    Risk Mapping

    Standard Operating Procedure

    Operational PlanContingency Plan

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    Risk Reduction PlanGeographic Risk Reduction Plan

    (RRP) - Vertical For province, district, sub-district

    and village levels, contingencyand operation plans will bedeveloped, practiced and

    integrated with risk mapping toformulate RRP.

    Facility Risk Reduction Plan(RRP) - Horizontal

    For each public health facility,health offices and hospital,contingency and operation planswill be developed, practiced andintegrated with risk mapping to

    formulate RRP.

    V

    H

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    33Web Link:www.who.or.id/download/docs/eha/DRR-Programme-Concept-Paper

    http://www.who.or.id/download/docs/eha/DRR-Programme-Concept-Paperhttp://www.who.or.id/download/docs/eha/DRR-Programme-Concept-Paperhttp://www.who.or.id/download/docs/eha/DRR-Programme-Concept-Paperhttp://www.who.or.id/download/docs/eha/DRR-Programme-Concept-Paperhttp://www.who.or.id/download/docs/eha/DRR-Programme-Concept-Paperhttp://www.who.or.id/download/docs/eha/DRR-Programme-Concept-Paperhttp://www.who.or.id/download/docs/eha/DRR-Programme-Concept-Paperhttp://www.who.or.id/download/docs/eha/DRR-Programme-Concept-Paper
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    Disaster Management Phases

    Prevent

    Rehabilitate

    Recover Respond

    Prepare

    Relief

    Rescue

    Reconstruct

    Develop

    Disaster

    Mitigate

    Golden Hr

    Golden Week

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    Challenges for Health Sector

    Death Injured and infected

    IDPs / RefugesInfrastructure

    Wh D W N d C di i I

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    We already have toomany challenges to

    manage.So many of them

    coming now.Who are they?

    What can they help?When can they do

    it?Where can they go?

    Why they came?How can I manage?

    Why Do We Need Coordination InHealth Emergencies / Crisis ?

    UNINGOs

    NGOs

    PrivateSectror

    LocalGroups

    Individual

    Media

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    Chain of Command and Communication

    Filter at port of entry

    I know! I know!, You guys wantto help me. But please wait ya, I

    will tell you what I need.

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    Health Sector and Cluster Structural andMethodology used in Indonesia

    Heath Sector / ClusterGeneral Coordination

    Sub Groups Coordination andpresentation

    ImmunizationChild, reproductive and maternal

    Water and SanitationSurveillance and outbreak controlMental Health

    Mobile Clinics

    Field Hospitals

    Hospital care

    Supplies

    Health

    EmergencyInformationOperation

    Center

    Government CoordinationMeeting

    UN ClusterCoordination Meeting

    OperationalMapping

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    Role of Regional Crisis Centers

    Hospitals Public HealthFacilities

    Universities

    Each Crisis Centers is formed by 3 Basic Structural Components of the HealthSystem. Hospitals, Public Health Facilities and Universities.

    Emergency Operational Units Emergency Supplies Depot

    Emergency ShelterTraining Centers

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    Crisis CenterCentral Operation Unit

    MoH,

    Early warning Information

    CoordinationResource MobilizationReview, monitoring

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    Emergency Situation Reports

    Emergency First CallSMS / Radio

    Call, Fax, Email

    AdvanceEmergency

    SituationInformation

    EmergencySituation Report

    Situation Report

    SurveillanceReport

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    What will be our future????

    Practice make perfect.

    When there is a will, there is a way.

    Hope for the best, prepare for the worst.

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