national training on safe hospitals - sri lanka - module 1 session 3 - 14sept22-24

Module 1: Safe Hospital Concepts

Module 1 Sessions Session Number and Title Topics Time

AllotmentSession 1: Risk ManagementFramework

- 7 Fundamental Terms- Framework for Community Risk

Management- Risk Management Framework

~2 hours

Session 2: Role of Hospitals inEmergencies and Disasters

Roles of Hospitals in Different Contexts

~1 hour

Session 3: Concepts of Safe Hospitals

- Safe Hospital Campaign - Concepts of a Safe Hospital- Elements of a Safe Hospital

~2 hours

Session 4: Ensuring Safe Hospitals:Roles of Stakeholders

- Stakeholders’ Roles- Advocacy for Safe Hospitals

~1 hour

Mod 1 Session 3Links to Previous

Session (Session 2)

Mod 1 Session 2:Roles of Hospitals in Emergencies and Disasters

• Health Promotion and Restoration

• Emergency Med Mgt

• Public Health Mgt

NORMAL TIMES

• Emerg / Disaster Mgt

• Emerg Med Mgt

• Health Restoration and Promotion


EMERG / DISASTER TIMES

Preparedness

SAFE HOSPITAL

Mod 1 Session 3:Concepts of Safe

Hospitals

Mod 1 Session 3 Objectives

Session 3 Objectives

At the end of the session, the participants will be able to:

•Appreciate the concepts of safe hospitals.

•Discuss the interrelatedness of the elements of safe hospitals.

•Identify elements of safe hospitals that require strengthening in their respective hospitals.

Topic 1:Safe Hospital Campaign

Topic 1: Safe Hospital Campaign

INQUIRY - INTERACTION


Why is SAFE HOSPITAL the focus of Global Disaster Risk Reduction?



Global

National

Regional

SAFE


Global

National

RegionalSAFE



Why is SAFE HOSPITAL the Focus of Global Disaster Risk Reduction?

• Receiving end of victims• Responder to

emergencies/disasters• Direct life-saving roles• Symbol of social

progress• Prerequisite for social

stability and economic development



The World Disaster Reduction Campaign on Hospitals Safe from Disasters aims to raise awareness and effect change that will:

•Protect the lives of patients and health workers by ensuring the structural resilience of health facilities;




•Make sure health facilities and health services are able to function in the aftermath of emergencies and disasters, when they are most needed; and




•Improve the risk reduction capacity of health workers and institutions, including emergency management.



If there is one structure that should be left standing and operational during and after a disaster,

it should be a hospital!

Roles of Hospitals in Emergencies and Disasters




NORMAL TIMES


• Emerg Med Mgt




Preparedness

SAFE HOSPITAL

How can the hospital perform its roles during emergency/disaster if it is not “SAFE”!!!


How can the hospital perform its roles during emergency/disaster if it is not “SAFE”!!!

if it is DESTROYED!!!


Devastating consequences of natural disasters!Human lives lostPeople injured

People displacedProperty destroyedEconomy damaged




World Disaster Report 2013 - (2003-2012)-Asia = continent most frequently affected, with 40.6% of all disasters. Africa comes second with 24.4%.

-Total number of people killed in natural disasters, Asia = continent highest, 61%; America, second with 22%. -Total number of people reported affected, Asia = highest, 81%; Africa, second with 14%.




Sri LankaNatural Disasters from 1980 – 2010(preventionweb)

No of events: 62No of people killed: 36,982Average killed per year: 1,193No of people affected: 17,457,668Average affected per year:

563,151

Economic Damage (US$ X 1,000):

1,674,364(billion)

Economic Damage per year (US$ X 1,000):

54,012(million)


Global and national clamor for safe hospitals since 2005

• Hyogo Framework for Action 2005-2015 - Safe Hospitals – one of Priority Actions


Emphasized importance of “making hospitals safe from disasters” as a key activity to reduce underlying disaster risk factors by ensuring that all new hospitals are built with a level of resilience that strengthens their capacity to remain functional in disaster situations and implement mitigation measures to reinforce existing health facilities, particularly those providing primary health care.


• 2008-2009 World Disaster Reduction: “Hospitals Safe from Disasters - Reduce Risk, Protect Health Facilities, Save Lives”



• 2009 Kathmandu Declaration – Protecting Health Facilities from Disasters


• MOH of Sri Lanka is strengthening its activities for SAFE HOSPITALS as part of the overall activities for disaster risk management in the country.


• Lessons have been learnt as to hospitals and health facilities being affected by the tsunami of 2004, conflict situations and other disasters in the country.



Global

National

Regional

SAFE


Global

National

Regional

SAFE

Your

Topic 2:Concepts of a Safe

Hospital

Topic 2: Concepts of a Safe Hospital



What is a SAFE HOSPITAL?


A “SAFE HOSPITAL” during disaster is operationally defined

as a health facility whose services remain accessible and functioning at maximum capacity and

in the same facility or infrastructure, during and immediately following the impact of a disaster.



SAFE HOSPITALS

hospitals that have the capacity and capability to remain functional and operational during and even after disaster

those whose health services remain accessible and functioning at maximum capacity during and immediately after disasters/emergencies

they must be physically resilient and able to remain operational and continue providing vital health services


A safe hospital

will not collapse in disasters, killing patients and staffwill be able to continue to function and provide critical services in emergencieswill be organized, with contingency plans in place and health personnel trained to keep the network operational


Special Considerations in a “Safe Hospital” Concept

The most expensive hospital is the one that fails:

Hospitals and health facilities represent an enormous investment for any country.

Their destruction imposes major economic burdens.



Disasters are a health and a social issue:

Not only is health treatment critical in the aftermath of a disaster,

damage to health facilities and systems affects development long into the future.



Protecting critical health facilities from disasters is possible and cost effective:

Including risk reduction in the design and construction of all new health facilities, and reducing vulnerability in existing health facilities through selecting and retrofitting the most critical facilities,

costs less than might be expected.



The health workforce must be agents of disaster risk reduction:

Health workers are central to identifying potential health risks from natural hazards and promoting personal and community risk reduction measures.

Topic 3:Elements of a Safe

Hospital

Topic 3: Elements of a Safe Hospital



What are the critical elements of a hospital that make it SAFE and CONTINUOUSLY OPERATIONAL in times of

disasters?



Critical Elements of a Safe Hospital

Safe Hospital

StructuralComponent

Non-structuralComponent

FunctionalComponent


Structural Components

Primary load-bearing components that make a building stand Foundation Column (posts and pillars) Beams (girders, joists) Floors Walls Roofs

product of

structural engineers, masons, labor contractors


Structural Components

Load-bearing components of a building


Non-structural Components

All non-load-bearing parts including contents of the building or attached to the structure • Ceilings, windows, partitions• Pipes, mechanical and electrical systems• HVAC (heating, ventilating, air con)• Equipment, supplies• Furnishings• etc.

done by: architects, interior designers

mechanical and electrical engineers purchased by owners after construction

Non-load-bearing parts of building or attached to the structure

Non-structural Components


Functional Components



Safe Hospital

StructuralComponent


FunctionalComponent


What element/s affected?Structural? Non-structural? Functional?

Safe Hospital

StructuralComponent

Emergency Exit System

LifelineFacilities

MedicalFacilities

ArchitecturalElements


FunctionalComponent

Electricity System

Medical Gas Supply System

Fire System

Communication System

Water Supply SystemCritical Systems

National Training on Safe Hospitals - Sri LankaNational Training on Safe Hospitals - Sri LankaCritical Elements of a Safe Hospital


What is the probability that your hospital will NOT

collapse if there is a strong natural disaster?


Probability 1 to 10?

Why?


What is the probability that your hospital will be able to

continue to function and provide critical services in

emergencies?



Why?


What is the probability that your hospital will be organized, with contingency plans in place and

health personnel trained to keep the network operational?



Why?


Global

National

Regional

SAFE

Your

Closing:Module 1 Session 3

Session 3 Objectives

At the end of the session, the participants will be able to:

•Appreciate the concepts of safe hospitals.

•Discuss the interrelatedness of the elements of safe hospitals.

•Identify elements of safe hospitals that require strengthening in their respective hospitals.

Mod 1 Session 2:Roles of Hospitals in Emergencies and Disasters




NORMAL TIMES


• Emerg Med Mgt




Preparedness

SAFE HOSPITAL

A “SAFE HOSPITAL” during disaster is operationally defined

as a health facility whose services remain accessible and functioning at maximum capacity and

in the same facility or infrastructure, during and immediately following the impact of a disaster.



A safe hospital

will not collapse in disasters, killing patients and staffwill be able to continue to function and provide critical services in emergencieswill be organized, with contingency plans in place and health personnel trained to keep the network operational

Safe Hospital

StructuralComponent

Emergency Exit System

LifelineFacilities

MedicalFacilities

ArchitecturalElements


FunctionalComponent

Electricity System

Medical Gas Supply System

Fire System

Communication System

Water Supply SystemCritical Systems

National Training on Safe Hospitals - Sri LankaNational Training on Safe Hospitals - Sri LankaCritical Elements of a Safe Hospital



Safe Hospital

StructuralComponent


FunctionalComponent



Safer - Safest Hospital

StructuralComponent


FunctionalComponent


Global

National

Regional

SAFE

Your


Your

Mod 1 Session 3

Any questions?

Mod 1 Session 3:Concepts of Safe

Hospitals The End

national training on safe hospitals - sri lanka - module 1 session 3 - 14sept22-24

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