NHEPRN

Ministry of National Health Services Regulation and Coordination

National Health Emergency Preparedness & Response Network (NHEPRN)

M/o National Health Services, Regulation & Coordination

(NHSR&C)

Government of Pakistan

Introduction

Preparedness for Monsoon 2018-NHEPRN

Provincial plans

• KPK

• Baluchistan

• Sindh

• Punjab

• NHEPRN is a policy making & coordinating body, to cater

health related emergencies, strengthen health care system

for managing health related disasters in relation to

Preparedness & Response.

• Serving as a nerve centre to assess and gather /analyze

information, prioritize interventions, monitor health

situation and advocate for humanitarian health action,

mobilize resources, coordinate with all stakeholders e.g.

Provinces, development partners, UN agencies.

• Members of the Health clusters (INGOs/NGOs) are on board

• Fill up the gap if any in health system

• Tech assistance to Provinces for developing

contingency plans

• In collaboration with Provincial DoH

• EDOs Health are on board

• DEWs/DTCs established/in place

Health cluster meetings are convened to identify

roles/responsibilities of different stakeholders during

emergency situation.

Committee under the supervision of DG(H) overview the

flood related health response, if required

24/7 activation of Operation room in NHEPRN.

Pharmaceutical industry has agreed to provide assistance

(essential medicines) if required either as donation or on

factory rate if the requirement is more, on short notice.

• 1st Responder- Provincial govt responsible for:

– Provision of medicines, logistic, HR and technical support

– Districts will request DoH, respond accordingly

• Overwhelming situation :

– DG Health Services will coordinate with NHEPRN

– NHEPRN will inform all the counter parts

– Gaps to be covered by NHEPRN, with assistance from all

partners.

PROVINCIAL HEALTH CONTINGENCY PLANS

The purpose of the Emergency/Contingency plan for monsoon 2018 for the Provinces , to enable them to plan and coordinate effectively and strengthen capacities of all activities relating to emergency preparedness and response, so that they are able to protect their populations efficiently during emergency situations and to take immediate remedial measures for protection of vulnerable groups.

MONSOON CONTINGENCY PLAN SINDH

Health Department Government of Sindh

Kashmore Naushero Feroze

Shikarpur Matiari

Sukkur Jamshoro

Ghotki Hyderabad

Larkana Tando M. Khan

Kamber-Shahdadkot Thatta

Khairpur Sujawal

Dadu Shaheed Benazirabad

District No. of Health

Facilities No. of Beds

No. of Ambulances

Hyderabad 51 2312 16

T.M Khan 21 98 8

Thatta / Sujawal 87 574 16

Tharparkar 77 238 15

Sanghar 97 560 18

Umerkot 56 245 9

Jacobabad 45 308 14

Karachi 120 3643 25

Tando Allahyar 21 152 8

TOTAL 1609 15872 312

Measures Taken

Provincial & District control Room has been established with nomination of focal

persons.

mobile medical teams constituted at each THQ with staff & logistics

Request for additional funds for procuring medicines ASV, ARV, Insecticides, kits

and POL submitted

Coordination and Liaison with WHO, UNICEF, USAID and other partners along

with PDMA and MET office

Program Manager / Director of Nutrition, National Program, EPI and MNCH ,

advised to focus their efforts in expected districts

Field hospitals in four zones/Life saving medicines, vaccines, anti snake venoms,

aqua tablets etc available

S No Category I Category II Category III

Most Vulnerable Moderately Vulnerable Least Vulnerable

1 Charsadda Bannu Buner

2 DI Khan Battagram Hangu

3 Dir Lower Chitral Haripur

4 Dir Upper Karak Mardan

5 Kohistan Kohat Abbotabad

6 Nowshehra Lakki Marwat Torghar

7 Peshawar Malakand

8 Shangla Mansehra

9 Swat Swabi

10 Tank

S No Districts DHQs THQs RHCs BHUs CDs Tot HFs

11 Haripur 1 3 5 39 6 54

12 Kohat 1 2 5 20 9 37

13 Karak 1 1 5 19 0 26

14 Kohistan 0 0 4 34 1 39

15 Lakki Marwat 1 3 5 27 8 44

16 Mansehra 1 9 9 49 58 126

17 Mardan 1 1 4 49 17 72

18 Malakand 1 1 5 20 9 36

19 Nowshehra 1 1 7 30 10 49

20 Peshawar 0 3 6 49 32 90

S

No Districts DHQs THQs RHCs BHUs CDs Tot

HFs

21 Swabi 1 2 4 40 9 56

22 Swat 1 7 3 41 18 70

23 Shangla 1 2 2 15 12 32

24 Tank 1 0 3 18 8 30

25 Torghar 0 0 0 9 0 09

Cont….

S No Districts Available Required

21 Swat 24 3 needs repair

22 Swabi 12 All functional

23 Shangla 11 2 needs repair

24 Tank 8 1 needs repair

25 Torghar Nil

24/7 control room will be established at the Public Health

section/PHEPR DGHS with its Toll free No: 0800 00999.

• Clusters at provincial and district level will be reactivated with special

focus on the type of emergency relief activities.

• Availability of medicines and other logistics supplies will be ensured at

all level.

• Lady Health Workers (LHWs) will be activated/mobilized to conduct

health education sessions and distribute ORS, zinc sulphate,

antibiotics etc. in their respective districts.

• Health Department will remain in close liaison with PDMA &

National Health Emergency Preparedness & Response Network

(NEHPRN) for extra support, assistance & for the airlifting of

medical teams and medicine to inaccessible areas and other rescue

and relief activities.

• Fumigation, larvicidal and provision of medically treated bed nets

and other Public Health measures will be assured for vector control

in flood affected districts.

Distribution of water purification tablets and water sampling will

be carried out through LHWs, Mobile Teams and Static health

facilities.

Availability of emergency & diarrhoeal disease kits in the ware

house at the divisional level (Bannu, DI Khan, Kohat, Peshawar &

Swat) with the support of WHO (each kit caters for 9000 patients)

and 35 & 15 such kits are available.

Ten beds ward and a diarrhoeal centres in all the district hospitals

has been established.

Anti Rabies Vaccine & Anti Snake Venom has been arranged &

ensured.

All districts has requested extra support for POL,

emergency medicines (additional stock) and logistic

during emergency.

For most vulnerable districts declared by PDMA of KP

financial support will be needed as an additional

emergency support.

S.# DISTRICT S.# DISTRICT

1 Naseerabad 8 Barkhan

2 Jaffarabad 9 Loralai

3 Jhal Magsi 10 Gwadar

4 Kacchi 11 Lasbela

5 Sibi 12 Zhob

6 Harnai 13 Sohbat Pur

7 Musakhail 14 Lehri

Provincial Health Emergency Preparedness Response Centre /

Epidemic Investigation Cell prepared a contingency plan for

Monsoons.

Instructions conveyed to all the District Health Officers &

Medical Superintendents of the D.H.Q Hospitals to ensure

necessary arrangements to meet any outbreak / epidemic due to

flood disaster in their respective districts.

Sufficient stock of emergency medicines and other supplies /

vaccines Anti Snake Venom (ASV) & Anti Rabies Venom (ARV) in

the districts as well as at Provincial Medical Store Depot (MSD).

In collaboration with WHO, sufficient stock of medicine available to

cater all kind of outbreak / epidemic.

Disease Early Warning System (DEWS) has been made functional in

all districts with the support of WHO out of which 18 districts are

reporting regularly.

Necessary instructions conveyed to all districts regarding prevention,

control & treatment.

Emergency Task Force at provincial & District level is established, to

provide technical assistance to meet all kind of emergencies /

outbreaks as well as coordinate with INGOs and NGOs.

All vertical Program Managers (MNCH , LHW, MCP, EPI) have been directed for preparatory measures.

MNCH- logistic support along with POL

Malaria Control Program- to take necessary measures for prevention, control and treatment of malaria.

Federal Govt. along with partners (WHO/UNFPA/UNICEF etc) are on board for provision of medicines in case of any outbreak if required (only to fill up the gap).

27

Monsoon Contingency Plan

Punjab

24 High-risk Districts identified

Health mobile teams/fixed centres identified

Logistic mapping has been done, gap identified

Mapping of the local partners

Provincial Control Room (PCR) established

Districts will ensure prepositioning of two weeks

reserve stocks before start of monsoon

The planning assumptions has been done on the basis of

data received from all 36 districts.

According to the data from these districts,

approximately a total of 15.54 million populations

would need to be provided medical relief during the

first two week of the floods.

Name of Districts

Name of Districts

Muzaffargarh Jhang

D.G.Khan Khushab

Rajanpur Sialkot

Layyah Gujranwala

Mianwali Gujrat

Bhakkar Jhelum

R.Y.Khan Sargodha

Multan Lahore

Sheikhupura Bahawalnagar

Chiniot Rawalpindi

M.B.Din Hafizabad

Faisalabad Narowal

Epidemic Response Arrangements

Management Coordination Mechanism