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Program for Enhancement

of Emergency Response (PEER)

ENHANCING EMERGENCY RESPONSE CAPACITY IN ASIA SINCE 1998

PEER Background The Program for Enhancement of Emergency Response (PEER) is

a regional program initiated by USAID/OFDA in 1998. The goal is to enhance local and regional disaster preparedness and response capacities of vulnerable countries within the Asia region through institutionalization of sustainable disaster preparedness training programs and emergency response systems. PEER has completed two stages and has commenced PEER 3 in July 2009.

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BackgroundPEER 1 1998-2003:

USAID-OFDA

India

Indonesia

Nepal

Philippines

PEER 2 2003-2009

USAID-OFDA

Bangladesh Pakistan

PEER 3 2009-2014:

USAID-OFDA / ARC

Lao PDR

Cambodia

Vietnam

Program Rationale• PEER aims to enhance disaster response capacity, reduce mortality, and

increase the survival rate of disaster victims in nine Asian countries; Bangladesh, Cambodia, Indonesia, India, Lao PDR, Nepal Pakistan, Philippines, and Vietnam.

• Since its inception in 1998, PEER has laid the foundation for a more developed emergency response system in the participating countries. The significant achievements to date of the program are the development of regional and national cadre of well trained and qualified instructors and institutions implementing PEER and providing training to emergency responders.

• PEER works to institutionalize disaster preparedness training programs and provide ongoing training to professional and non-professional emergency responders.

PEER 3 Program GoalPromote sustainable national

capacity building programs to enhance emergency preparedness & response

that will contribute in achieving the country’s targets in the Hyogo Framework for Action

to build resilience of communities to disasters.

PEER Stage 3 Objectives

COMMUNITY ACTION FOR DISASTER RESPONSE

(CADRE):

To establish system for enhancing community-

level first responder capacity in disaster-prone

communities

HOSPITAL PREPAREDNESS FOR EMERGENCIES

(HOPE):

To improve the capacity of hospitals and medical facilities to be prepared

to manage mass casualty incidents

MEDICAL FIRST RESPONDER (MFR) & COLLAPSED STRUCTURE SEARCH AND RESCUE

(CSSR):

To build capacity of professional emergency responders to safely locate, extricate, stabilize and transport victims of disasters

Program Targets

1) To develop current and relevant curriculums and simulation/practical station exercises that develop the core capability and competences of professional and non- professional response personnel in communities and medical facilities in the nine PEER countries

2) To develop training processes to effectively deliver the training program through sustainable training methodology, that incorporates best practice adult learning principles and self-evaluation

3) To establish core groups of instructors who are capable of delivering the training materials, training new instructors nationally, and nationally adapting and revising the training materials and processes in the light of self evaluation and ongoing experiences

4) To develop advocacy and awareness raising initiatives aimed at policy-makers, general public and donor

SUB-NATIONAL AND LOCAL

Implementation of emergency response

courses

Support to enhance emergency preparedness

Development of model communities and hospitals

Expansion to other provinces and communities

NATIONAL CAPACITY BUILDING

Instructor development National adaptation and translation

Sustainable institutionalization

Support for emergency systems development

REGIONAL AND SUB REGIONAL

Development, adaptation and standardization of curriculums and training systems

Exchange of experiences, best practices and lessons on emergency preparedness and response

CADRE Targets1. Develop emergency response training for community-based

first responders2. Enhance basic life-saving skills for the first 24-72 hrs while

waiting for professional responders to arrive.3. Curriculum to include elements of medical first response

and light search and rescue.4. Integrate the communities to the national response system5. Develop community-based skills in mass casualty

management and management of mass-fatalities.

CADRE Pilot Communities Selection Criteria

1. High / moderate risk of natural hazards2. Characteristic population density and other relevant demographics that add to

vulnerability of a particular area 3. Low capacity for disaster management e.g. Inadequate preparedness and response

mechanisms4. Few resources/services available to local and national authorities and institutions e.g.

limited DM capacity 5. Demonstrated community interest/demonstrated commitment to participation 6. Possible pre-established community-based organizations and/or committees for

disaster management or health programming 7. Youth/women and other active civil society groups are present / active and keen to

be mobilized.

Contents of CADRE Training• Common Hazards and community response group• Securing family and preparing for response• First Aid and Basic Life Support• Incident Command system and Triage• Dead Body Management • Fire Emergencies• Basic Search and Rescue• Water Emergencies• Final Practical exercise

AccomplishmentsApril 2009 to present

Philippines

IndonesiaNepal

India

Pakist

an

Bangla

desh

Cambodia

Lao PDR

Vietnam

0

20

40

60

80

100

120

140 129

2

27

0

20

3 9

51

34

72

2

32

014

09

2410

First Responders trained with CADRE Basic Course

CADRE Instructors trained with CADRE TFI-IW

Benefits of CADRE• Simple and easy to replicate in communities

• Teaches basic life saving skills that can be applied in day-to-day emergencies

• Promotes inter-operability between professional responders and the community

Impact of CADRE• Increasing demand from other community

based organizations including sub-national and local government

• Increasing interest from non-PEER countries

• 161 CADRE instructors and 275

community responders

• Vietnamese, Laos. Khmer,

Bangladeshi CADRE materials

Partial Funding Assistance ProgramPhilippines, Indonesia, Nepal, India,

Pakistan & Bangladesh

Partnership with Health Ministries and WHO

Institutionalization with Medical Training Institutes and

Universities

Development of Model Hospitals

Expansion CountriesCambodia, Lao PDR & Vietnam

National Pilot & Adaptation

Instructor Development

Development of Model Hospitals

Contents of HOPE Training• Disaster types and risk management• Disaster epidemiology and patterns of injury• Hospital structural components and seismic hazards• Principles of disaster medicine, triage and emergency care• Creating a Hospital Disaster Plan• Emergency department operations• Preparing for functional collapse and operational tools• Mental health and psychosocial care• Hospital disaster management of agencies and media

AccomplishmentsPEER 3 -April 2009 to present

Philippines

IndonesiaNepal

India

Pakist

an

Bangla

desh

Cambodia

Lao PDR

Vietnam

0

10

20

30

40

50

60

70

80

90

100

39

110

48

0 0 0

48 48

2420

0 0 0 0 08 9 8

Hospital Staff Trained with HOPE Course

New Instructors trained with HOPE-TFI

Impact of HOPE

• 45 new HOPE instructors

• 319 hospital staff trained

• Khmer, Vietnamese & Lao

HOPE materials

• Institutionalized in DOH Philippines with regular government funding

• Modules used to cascade training in hospitals

• Recognized by WHO and other medical associations as one of the capacity building activities in making hospitals safe from disasters

• Increasing interest from non-PEER countries - Thailand, Oman, Sri Lanka, Bhutan, Myanmar

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