amcdrr 2016 eha’s experiences in delivering disability-inclusive disaster risk reduction in...
TRANSCRIPT
![Page 1: AMCDRR 2016 EHA’s experiences in delivering Disability-inclusive Disaster Risk Reduction in Hospitals Resized](https://reader031.vdocument.in/reader031/viewer/2022021814/58a398991a28abb1348b557d/html5/thumbnails/1.jpg)
EHA’s experiences in delivering Disability-inclusive Disaster Risk Reduction in Hospitals
Thematic Session-20 Disability inclusive DRRAsian Ministerial Conference on Disaster Risk Reduction
4 November 2016
Peniel MalakarEmmanuel Hospital Association (EHA), [email protected]
![Page 3: AMCDRR 2016 EHA’s experiences in delivering Disability-inclusive Disaster Risk Reduction in Hospitals Resized](https://reader031.vdocument.in/reader031/viewer/2022021814/58a398991a28abb1348b557d/html5/thumbnails/3.jpg)
EHA’s journey toward Disability inclusive Hospital Disaster Preparedness & Response (DiHDPR) modules• 2009: Hospital DRR Pilot with DIPECHO in 2 hospitals
(implementing HFA-I & MDGs) • 2010: Di HDPR presented & piloted in 1 hospital
http://ehadmmu.com/assets/uploads/downloads/1433564535_DiHDPP%20v4.pdf
• 2009 – till date: more than 14 hospitals undergone (4 in Nepal)
• More than 1200 h/c leaders received training across India and Nepal (government & voluntary)
• 300+ hospitals sensitized on inclusive DRR• 15 hospitals queued up for DiHDPR for 2017 in India & a
few South Asian countries (Nepal; Myanmar; Bangladesh)
![Page 4: AMCDRR 2016 EHA’s experiences in delivering Disability-inclusive Disaster Risk Reduction in Hospitals Resized](https://reader031.vdocument.in/reader031/viewer/2022021814/58a398991a28abb1348b557d/html5/thumbnails/4.jpg)
Common barriers to Inclusive approach• Attitudinal – complacency/stereotype (a bn & growing?)• Communication – health info/promo • Mobility/physical – it’s ok… stretchers/wheel chairs run• Programmatic – time/eqpt or faci design (welfare vs. business) • Socio-economic/stigma – education • Policy/legislation – buildings/transport/risk cover • Prohibitive costs – additional costs for low-Y countries • Inadequate skills/techniques – kits/training etc.
Governments can improve health outcomes for people with disabilities byImproving ACCESS to QUALITY, AFFORDABLE healthcare services.
![Page 7: AMCDRR 2016 EHA’s experiences in delivering Disability-inclusive Disaster Risk Reduction in Hospitals Resized](https://reader031.vdocument.in/reader031/viewer/2022021814/58a398991a28abb1348b557d/html5/thumbnails/7.jpg)
EHA’s initiative toward inclusive DRR in hospitals Piloted (Assam) in one of its 20 hospitals in India,2010 Comprehensive approach through DiHDPR modules -
1. Prelude activities – GB adopts/sensitzn at all levels 2. Assessments – barrier free (b/f) faci 3. Team Formation – people with disabilities included 4. iHospital Disaster Management Plan –
Inclusion; Alarm/EWS; Training; Evacuation; Eqpt; Safety level scoring
5. Training & Capacity Building – include/use vari tools 6. Audit – proactively looking at b/f access 7. Unified Response Mechanism ensures all DPOs engaged
![Page 9: AMCDRR 2016 EHA’s experiences in delivering Disability-inclusive Disaster Risk Reduction in Hospitals Resized](https://reader031.vdocument.in/reader031/viewer/2022021814/58a398991a28abb1348b557d/html5/thumbnails/9.jpg)
Some important realization by h/care fraternity Hospitals are a high capital-intensive spcl instns Disaster impacts on a hosp has a larger collateral impacts
(socio-economic) Patients admitted with critical conditions require special
assistance even though they do not have any disability (ortho, post surgical, weak & pregnant)
H/care (Medical & Nursing) fraternity are found least preferred for non-medical life-saving skills & vice versa (disasters donot discriminate)
No priority treatment observed dg a disaster event for h/care fraternity (evacuation)
Hospitals are the temple of hope for a disaster victim Most of the essential areas are not barrier-free
![Page 21: AMCDRR 2016 EHA’s experiences in delivering Disability-inclusive Disaster Risk Reduction in Hospitals Resized](https://reader031.vdocument.in/reader031/viewer/2022021814/58a398991a28abb1348b557d/html5/thumbnails/21.jpg)
Advocacy for Mainstreaming Disability in Disaster Response at the national level 2015
![Page 22: AMCDRR 2016 EHA’s experiences in delivering Disability-inclusive Disaster Risk Reduction in Hospitals Resized](https://reader031.vdocument.in/reader031/viewer/2022021814/58a398991a28abb1348b557d/html5/thumbnails/22.jpg)
Recommendations… Availability of dis-aggregate data at the village level Village level DMP must include mapping of people with
disabilities for quick evacuation Continuation of medication is critical…
EHA developed a Specialized Relief Kit for First Responders: Do’s & Dont’s/Basic set of questionshttp://ehadmmu.com/assets/uploads/downloads/20150622_1434965435.pdf
Recommend all Response Task Forces Awareness & Sensitization at the school level Hospital Safety Guidelines must include Di approaches
(worst case scenario!) Availability of Di experts essential for practical
implementation