partnership and impact project: the meaning of health security for disaster resilience in bangladesh...

Partnership and Impact

Project: The Meaning of Health Security for Disaster Resilience in Bangladesh

Dr. Andrew Collins

[email protected]/ddc

DFID

The Meaning of Health Security for Disaster Resilience in Bangladesh

1.Project Overview2.Partnership and Impact

ESRC-DFID Partnership and Impact 2

Health Security in Disaster Resilience 3

Time

Health and Wellbeing Indicator

A = Point of disasterB = Lowest point of disasterC = Recovery point at x yearsY = Change in (health) indicator due to disasterX = Rate of recovery

A

Y

B

X

C

Theoretical basis: Simplified notion of change in health security through critical incidents


Pathogens

People

Perceptions

Politics

Places

Pathways

Health Ecology Approach to Health Security at Global, Community and

Individual Levels

Notional

differentiation

between hazards

(H)

and vulnerability

(V)

H

V

5

Household based resilience building

H

Capabilities Assets Access

Strategies

Activities

Outcomes: More income Improved well-being Reduced

vulnerability Improved food

security Sustainable use of

natural resources

Vulnerability: Shocks Trends Seasonality

Institutions: Government Culture Religion The Market Politics Private Sector Law

Adapted from DFID (2000)

Book (2009)

6

D & D Implications and Applications Routledge Perspectives on Development

Disaster and Development

Andrew E. Collins


Project Rationale

Potentially:1.Health security reduces disaster impact2.Health security indicators facilitate

preparedness for changing risk thresholds3.Health security enables people to be resilient

to disaster and development impacts


Project Objectives

• Objective 1: Identify how health security influences vulnerability and resilience to disasters, and explore how health security is interpreted in terms of disaster vulnerability.

• Objective 2: Assess how health security monitoring can facilitate early warning and preparedness against changing thresholds of disaster risk.

• Objective 3: Evaluate which approaches to health security enable people to monitor resilience as an aid to mitigating the impact of disaster events.


Questions

Institutionally;• What added value does health security bring to

livelihood security (DFID 1998, Care 1999) and risk reduction frameworks? (DFID 1997, ISDR 2004, DFID 2005, 2006)

• Involves knowing how health security is interpreted in terms of disaster vulnerability


Questions – more practically• Which health security indicators of pre-disaster preparedness and

sustainable development apply best in contexts of high risk major incidents?

• How can people monitor health security themselves as part of self-care for disaster resilience at local and wider levels?

• What are the circumstances within which different scales of health security monitoring – local, sub regional, and national can facilitate early warning of changing thresholds of disaster risk?

• What aspects of health security (i.e. infectious diseases) in Bangladesh make people and places vulnerable or resilient to disasters?

• What is the theoretical basis for implementing an integrated infectious disease risk and poverty reduction agenda as part of disaster risk reduction in Bangladesh?

• How can health security (self-care HS and that provided externally) be made more readily accessible to people through health risk management communication and participation?

• What does it mean to mainstream health security into disaster risk reduction?


Applied Value

• Implications for practitioners.• Feeding into policy on how health security can be built into the

livelihoods and disaster risk reduction frameworks.• How risk management can be made accessible to people as part of

the poverty reduction or climate adaptation agendas.• How people make their own assessments of vulnerability, resilience

and health risks to prevent ill health.• Raising the profile of risk diagnostics and vulnerability

interpretation in Bangladesh and beyond.• Communication of ideas and experiences from areas with recent

history of disasters.• Exploring the extent to which poverty intervention strategies might

orient health security as part of disaster risk reduction.


Combined Methodologies

• Specialist and lay perspectives• Qualitative and quantitative• Secondary data, questionnaires, FGDs, in

depth interviewing, household observation• Ongoing evaluation, dissemination and

learning through doing, with communities, practitioners policy makers and practitioners


Domar

Matlab

Chakoria

Field Sites

References• Alam, E. and Collins, A.E. (2010) ‘Cyclone Disaster Vulnerability and Response Experiences in Coastal

Bangladesh’, Disasters, 34:4. http://www3.interscience.wiley.com/cgi-bin/fulltext/123497735/PDFSTART• Williams, L. Collins, A.E., Bauaze, A. and Edgeworth, R. (2010) ‘The role of risk perception in reducing

cholera vulnerability’, Risk Management: an International Journal, 12, pp.163-84.• Ray-Bennett, N.S., Collins, A.E., Edgeworth, R. et al. (2010 in press) ‘Promoting disaster resilient

communities through health security approach: the case of Bangladesh’, Journal of Natural Resources Policy Research (NRPR) Special Issue on Disaster Management, Routledge.

• Nahar, P. Alamgir, F., Collins, A.E., and Bhuiya, A. (2010) ‘Contextualising disaster in relation to human health in Bangladesh’, Asian Journal of Water, Environment and Pollution, 7:1, pp.55-62.

• Ray-Bennett, N., Collins, A.E., Bhuiya, A., Edgeworth, R., Nahar, P and Alamgir, F. (2010) ‘Exploring the meaning of health security for disaster resilience through people's perspectives in Bangladesh’, Health and Place, 16: pp.581-9. http://dx.doi.org/10.1016/j.healthplace.2010.01.003

• Nahar, P. Alamgir, F., Bhuiya, A., Ray-Bennett, N. and Collins, A.E., (2010) ‘Interrelations between water, health and livelihood in disasters’, Text book chapter of Readers text SaciWater: South Asia Consortium for Interdisciplinary Water Resources Studies. Delhi, Sage Publication.

• Collins, A.E. (2009) ‘The people centred approach to early warning systems and the ‘Last Mile’, International Federation of the Red Cross and Red Crescent Societies (IFRC), World Disaster Report, Chapter 2, pp. 39-68.

• Collins, A.E. (2009) Disaster and Development, Routledge Perspectives in Development Series, London. (Book contains 29 plates, 24 figures, 17 tables and 18 boxes) http://www.routledge.com/978-0-415-42668-8

• Alamgir, F., Nahar, P., Collins, A.E., Shankar Ray-Bennett, N. and Bhuiya, A. (2009) ‘Climate change and food security: health risks and vulnerability of the poor in Bangladesh’, The International Journal of Climate Change Impacts and Responses, 1: pp.37-54. ISSN Common Ground Publishing.


References• Collins, A.E. (2008) ‘Climate Change and Infectious Disease Risk Reduction’, Proceedings of the UK – Asia

Scientists and Practitioners Seminar, a Pre-event of the 3rd Asian Ministerial Conference on Disaster Risk Reduction, Kuala Lumpur, Malaysia, 1st December.

• Collins, A.E. (2008) ‘Health Security or Climate Change Adaptation? What do we really mean by Disaster Risk Reduction in times of disease?’ Proceedings of the International Disaster and Risk Conference (IDRC), Davos, Switzerland, August 25th – 29th, pp. 136-139.

• Alam, E. and Collins, A.E. (2008) ‘Understanding Vulnerability and Local Responses to Cyclone Disasters: Experiences from the Bangladesh Coast’, Proceedings of the International Disaster and Risk Conference (IDRC), Davos, Switzerland, August 25th – 29th, pp. 768-770.

• Manyena, S.B., Mutale, S.B. and Collins, A.E. (2008) Sustainability of rural water supply and disaster resilience in Zimbabwe, Water Policy 10:6, pp. 563-575.

• Collins, A.E., Lucas, M.E., Islam, M.S., and Williams, L.E. (2006) Socio-economic and environmental origins of cholera epidemics in Mozambique: guidelines for tackling uncertainty in infectious disease prevention and control, International Journal of Environmental Studies Special Issue on Africa, 63:5, pp. 537-549.

• Edgeworth, R. and Collins, A.E. (2006) Self-Care as a Response to Diarrhoea in Rural Bangladesh: Empowered Choice or Enforced Adoption? Social Science and Medicine, 63, pp. 2686-97.

• Collins, A.E. (2006) Infectious disease risk management in Africa, conference paper for Epidemics and Disasters Session of the XVI International Sociological Association (ISA) World Congress of Sociology, Durban, South Africa, 23-29 July.

• Collins, A.E. (2006) Health ecology in disaster reduction strategies: lessons from Mozambique, conference paper and Chair for Africa Disasters Session of the XVI International Sociological Association (ISA) World Congress of Sociology, Durban, South Africa, 23-29 July.

• Collins, A.E. and Williams, L.E. (2006) Community engagement with integrated disease risk management, Proceedings of the International Disaster Reduction Conference (IDRC), Davos, Switzerland, 27 Aug – 1 Sept, pp. 120-123.


2. Partnership and Impact: Outline

Build on:• Rationale

- Demand led• Opportunity

- Clear foundation to partnership• Continuity

- Commitment, vision, dissemination

16ESRC-DFID Partnership and Impact

Rationale – demand led project

e.g)• Offset disaster through health security• Understand health security in terms of

resilience • Implication and application of findings

- Bringing lay persons perspectives to bare in policy making

- For monitoring and managing risk- For identifying paths to capacity


Opportunity – clear foundation to partnership

• i.e. Based on Disaster and Development Centre (DDC) and ICDDR, Bangladesh link

• Strong theoretical basis – i.e. DRR, Livelihoods, Health Ecology, others ...

• Applied linkages – institutional relevance beyond the academy


Continuity – commitment and vision

• Makes sense in the long term• Can link widely• Inspires dedication and investment

individually• Can be published in a variety of outlet types


Maximising impact

• Links to wider poverty reduction concerns• Is likely to need an integrated approach• Can be understood in a Government Policy

context• Can be delivered in a wide range of subject

specialist and broader dissemination outlets

Ends.


partnership and impact project: the meaning of health security for disaster resilience in bangladesh...

Documents

meaning of health security

mainstream health security

aspects of health security

health indicator

health risks

ill health

health security selfcare

development disaster