Health Sector Coordination Meeting

20 March 2019

Agenda

• Opening remarks- DGHS Coordination Center – 5 minutes

• Review of action points- Health Sector coordination- 5 minutes

• WHO Epi Update- 5 minutes

• Rationalization exercise feedback- Health Sector coordination- 5 minutes

• Upcoming MSNAs- REACH - 5 minutes

• Partners Presentation- Water Safety project highlighting building capacity of first responders- MOAS - 15 minutes

• Health sector contingency planning- Brooke – 10 Minutes

• Any announcements from working groups - 10 minutes

• AOB- 10 minutes

Opening remarks

Action points/Status from last meeting

Action Item StatusTaskforce to follow up on the suggestions and feedback made by the health sector partners;

and develop an action plan.

▪ In progress; training plan underway

Working groups to engage with health sector on preparedness activities.

Emergency referrals-draft SOP – Further Update

WHO EPI Update

Epidemiological Update• Number of Varicella cases going down. A total 5 536 cases reported

this week (7 184 cases in week 10)• There was a review workshop on AWD response plan for 2019 on

13 March 2019• As a outbreak preparedness response plan WHO is organizing first

ever Go.Data super user training in Cox’s Bazar with participation from IEDCR, ICDDRB, MSF, UNICEF, UNHCR, IOM, IFRC, SCI, FH/MTI & RI and WHO regional office and CXB field office; inaugurated by Civil Surgeon Cox’s Bazar.

• One RDT positive Hep E case has been reported and investigated by joint assessment team (JAT) in camp 9.

Health Sector Rationalisation Update

Upcoming Multi-Sector Needs

Assessment(MSNAs)-REACH

Joint Multi-Sector Needs

Assessments

2019

PROPOSED OBJECTIVES

• Provide a comprehensive evidence base of the diverse multi-sectoral needs among refugee population and host communities to inform JRP 2019 and post 2019 response planning.

• Provide an analysis of how refugees’ population and host communities’ needs have changed in 2019.

• Facilitate coordinated joint analysis across and between sectors

The MSNAs aim to reduce data collection – however, harmonised in-depth sector/thematic specific assessments will continue to be required.

LIGHT MSNA IN-DEPTH MSNAs

Results by July

Track JRP Indicators

Refugee communities

Population level

Over time, initial review vulnerability

JRP Indicators and other key info

needs

Results by September

Track JRP Indicators + inform post 2019

planning

Refugee and host communities

Camp/site level

Over time, vulnerability & severity

Multi-sector

Timing

Target groups

Stratification

Analysis approach

Topics

Objective

Core HH characteristics Core HH characteristics

Roles and Responsibilities

ISCG: The assessment will be coordinated by ISCG in collaboration with all sectors involved as

part of JRP 2019, and with support of technical assessment actors REACH, NPM and ACAPS.

A Joint MSNA technical level working group is in charge of the assessment design, implementation,

and analysis, in close consultation with sector and technical experts.

IMAWG The IMAWG will review and validate the detailed assessment approach, methodology

framework, tools and findings.

Sector Coordinator Group: The Sector Coordinator group reviews and validate the overall

assessment approach, participates in joint analysis and validates the findings.

Workplan and Sector/IMAWG input

Sector input

(bilaterals)

First draft shared

(e-mail)

Endorsement

(IMAWG

Meeting)

Assessment methodology 31/03/2019 03/04/2019

Indicators 07/04/2019 07/04/2019 10/04/2019

Questionnaire & Data analysis plan 25/04/2019 25/04/2019 05/05/2019

Data collection June

Initial findings 01/07/2019

Deadline JRP Mid Term Review data 05/07/2019

Deadline JRP Mid Term Review narrative 17/07/2019

Joint JRP analysis 21/07/2019

Assessment outputs End August

In-depth MSNAsAssessment methodology June

Data collection August/September

Initial findings/joint analysis October

Light MSNA

Partner presentation: Water Safety project highlighting building

capacity of first responders- MOAS

Health Sector contingency planning-

IRC

Review and updating 2019 Health Sector Contingency Plan (current plan updated in Nov 2018)

No TWG under Health Sector Review/update section in Health Sector Cyclone

Preparedness and Response Plan (Nov 2018)

1 SRH Consider adding section under response

2 CHW Community Health volunteers, first aid volunteers

and CPP (section 7.2.1, page 12)3 Epi Outbreak investigation and response and dead

body management (section 7.4, page: 19-23)4 MHPSS Consider adding section under response 5 MMT including Ambulance

Dispatch

Mobile Medical teams under health response

(section 7.2.4, 7.3.2)6 Field Hospitals Category 3 incident referrals (section 7.3)

7 Health Logistics Health emergency procurement and pre-

positioning supplies including warehouses in field

(6.2.1 and 6.2.2)8 Health Sector team (all sections not mentioned above)

Emergency Medical Assistance Teams (EMAT)

EMATs are highly trained in emergency preparedness and response: for example to be trained in hazardous area response, Cyclone, Fire, Landslide, Earthquake, Flood, Storm Surge, RTA, Elephants, and outbreaks.

Trained to provide support to rapid response teams, the government, and the military as well as lead rapid response when required.

Trained as trainers to build capacity of surge Emergency Medical Teams as well as emergency response volunteers within the community.

Emergency Medical Assistance Teams (EMAT)

EMAT minimum composition:•Incident Commander (non-medical team manager)•Medical Doctor•Medical Assistant•Paramedic•Dispenser/ Logs •Nurse Midwife•Protection officer

TransportAmbulance4X4

Emergency Medical Assistance Teams (EMATs)

CORE TEAMS•Highly trained teams who can respond to medical emergencies within a specific incidence or hazardous area.•Acts as incident command in the event of a mass casualty or emergency•Trains Surge Teams from static facilities and Community Level Emergency Response Volunteers•With the Dispatch and Referral Unit (DRU) leads Exercises and Simulations for all partners.

SURGE TEAMS•Facility based, ideally one per camp.•Same composition as the Core EMAT•Trained to a mid-high level in Emergency Medical Response•Able to respond to immediate incidents in their local camp.

COMMUNITY RESPONSE TEAMS•Community volunteers trained in baseline emergency medical response•Trained in EMAT coordination•Continuous training by EMAT teams to increase response capacity and ensure engagement

Dispatch and Referral Unit (DRU)

Dispatch and Referral Unit (DRU): EMAT Coordination•EMATs will be coordinated through the DRU. The DRU will operated 27/7 from a field base near the camp in non-emergency situations and will be based within the field level EOC when activated.•The DRU coordinates closely with referral facilities•The DRU coordinates ambulance pools including surge ambulances if required for a response•The DRU maintains a ‘live’ capacity mapping and referral facility schedule to ensure rapid, appropriate referrals for all health partners•The DRU supports ALL EMATs with training, coordination, referrals, access issues, etc.

Emergency Medical Teams Coordination

Emergency Medical Teams TWG

WeeklySunday 13.00 to 14.00IRC Conference Room, Old Saymen Heritage

Currently mapping partners and updating operational plans

Brooke.Bauer@Rescue.org01735873798

Any announcements from working groups

AOBs

Drowning The Silent Epidemic

“…drowning is one of the leading causes of death of children

in Bangladesh, termed a silent killer of children, every year

in Bangladesh around 18,000 children between 1 and 18 die

from drowning”

31 October 1876: Cyclone with a storm-surge of 12.2 metres (40 ft) hit Meghna River estuary near Chittagong

WHO – Global Report on Drowning

• The death toll is almost two thirds that of malnutrition and well over half that of malaria – but unlike these public health challenges, there are no broad prevention efforts that target drowning.

• Once someone starts to drown, the outcome is often fatal. Unlike other injuries, survival is determined almost exclusively at the scene of the incident, and depends on two highly variable factors: how quickly the person is removed from the water, and how swiftly proper resuscitation is performed.

• Fixin to prevent drowning, therefore, is vital.

26–30 October 1962: A severe cyclone hit Feni. The storm surge was 2.5–3.0 m.

There is no ‘Magic Pill’

• There is no ‘simple’ fix

• Reducing drownings requires a holistic approach to the problem

• The true extent of the problem in the camps is unknown

• Diarrhoea, which has always been considered a major cause of child morbidity and mortality in Bangladesh, is now responsible for only 2% of under-five deaths

Community Based Action

1. Install barriers controlling access to water.

2. Provide safe places (for example, a crèche) away from water for pre-school children, with capable child care.

3. Teach school-age children basic swimming, water safety and safe rescue skills.

4. Train bystanders in safe rescue and resuscitation.

5. Strengthen public awareness of drowning and highlight the vulnerability of children.

11–12 May 1965: A strong cyclone hit Barisal and Bakerganj. The storm surge was 3.7 m.

Our Intervention - Equipment

Our Intervention - ToT

Our Intervention – Camp Level

Our Intervention - CHW

Our Intervention - NGO

Emergency Response – Cyclone Idai

Thank You

E: pchamberlain@moas.eu

T: +880 1885 933884