Transcript Emergency Preparedness and Planning Training

Emergency Preparedness and Response
Group Discussion
Have you participated in your Country
Office’s Emergency preparedness Planning
Process?
What are some identifiable vulnerabilities and
risks within your country?
Agency Mandate
• Save the Children’s mandate is to respond to any
emergency that puts at great risk the survival, protection,
and well-being of significant numbers of children, where
addressing the needs and well-being of those children is
beyond the indigenous coping capacity, and where SC is
able to mobilize the financial and human resources to take
urgent action on their behalf.
• Save the Children’s goal is to respond to major suddenonset emergencies within 72 hours of the event.
• Board-Mandated emergency response expectations
• Country Offices will respond to the needs of children during
an emergency (please delete highlighted area)
Rapid
onset
Types of Emergencies
earthquake
volcano
flood
epidemic
cyclone
Slow
onset
terrorist
attack
chemical
plane crash
spill
war
drought
Natural
famine
civil unrest
Manmade
Why Emergency
Preparedness
Planning?
• Quick and effective action is required during the
onset of an emergency
• Effective action often depends on having plans in
place before the disaster strikes
• If response is delayed, children’s lives maybe
needlessly lost
Aim of SC’s Emergency
Preparedness Planning
To ensure readiness at country/regional level to
respond to both natural and complex political
emergencies in our programs, through collection
of information, analysis and planning.
Principal Elements of
Preparedness
• Risks and Vulnerabilities (the broad profile of a
projected emergency)
• External Preparedness (what other actors are
capable of doing)
• Internal Capacity (what Save the Children is
capable of doing)
• Preparedness Actions (results of the planning
process)
Risks and Vulnerabilities
Vulnerability
The propensity (susceptibility or tendency)
of people and things to be damaged by a
hazard. A person or group’s vulnerability
depends on their capacity to anticipate,
cope with, resist and recover from the
impact of a hazard.
Risk
The likelihood of a disaster happening to a
particular group of people
External Preparedness
External Stakeholders
Identify Gaps: Based on previous experience, what
needs of children and their families may be unmet
by external stakeholders?
Internal Capacity
What are Save the Children
programmatic areas of
competence?
How do these areas of competence correspond to
the likely gaps/weaknesses in emergency
response identified above?
Strategic Areas for
Emergency Interventions
Risks &
Vulnerabilities
External
preparedness
Internal
capacity
Strategic Interventions
Preparedness actions
Save the Children Preparedness
Initiatives
•
•
•
•
•
Country Office Emergency Preparedness and
Response Plans
Alliance Emergency Preparedness Plans (EPPs)
Regional Rapid Emergency Deployment
Initiative (REDI) teams
Sector-specific trainings - Emergency Health and
Nutrition, Safe Spaces
Country Office Simulation exercises
Response
Resources available:
• Emergency Response Manual
• Halaby-Murphy funds
• Operational Tools – Good Enough Guide,
Sphere manual, INEE
• Go Kits
• Staff Deployments – emergency responders
• Technical support for proposals
• Management and grants support
• Alliance liaison and grant agreements
Emergency Response (and
Mitigation) Results Framework
Goal
Facilitate the rapid recovery of communities
affected by disaster
• % affected population reached by SC services
• % affected children reached by SC services
Health & Nutrition RF
1.
2.
Prevent excess
morbidity and mortality
in children between 1
and 59 months of age
affected by crisis
Prevent excess
morbidity and mortality
in women of
reproductive age and
neonates affected by
crisis
Provisioning & HH
Livelihoods RF
Child Protection RF
1.
1. Provide for critical
survival needs of
affected population
at HH level
2. Protect and
restore household
livelihoods
Sub-Goal (s)
corresponding
to PR program
areas relevant
to emergencies
Prevent and reduce
physical and
psychological harm
to separated and
vulnerable children
affected by crisis
Emergency Health and Nutrition Results Framework
Child Health and Nutrition
Sub-Goal: Prevent excess morbidity and mortality in children
between 1 and 59 months of age affected by crisis
Sub-goal and SO
indicators include
agency indicators.
• Under-five mortality Rate
• Acute Malnutrition rate (both moderate and severe)
SO: Utilization of key young child health&nutrition practices & services
• % vulnerable affected households/population reached with health/watsan*
Measles immunization coverage
• Vitamin A coverage
• Children ill in past two weeks who received care from appropriate providers*
• Percent children with acute malnutrition receiving curative service*
IR1: Access to Key CHN
services and supplies in a
timely manner
IR2: Access to quality CHN
services and materials
• Child health facilities
(peripheral health facility)
available per 10,000 population
• In nutritional crisis, number of
specialized nutrition
management units <1 days
return walk
•Population per water
point/latrine
•Percent providers adhering to WHO
standard case management
practices
•CFR due to cholera, malaria,
measles disease outbreaks
•Recovery rate for acutely
malnourished children (moderate,
severe) (Sphere)
• Default rate for acute malnutrition
services
IR3: Improved
knowledge,
attitudes, and skills
regarding key
CHN practices and
services
• Knowledge of
appropriate water
storage and use
•Knowledge of handwashing practices
IR4: Enabling social and
policy environment for
emergency operations
as well as the transition
into development
• Barriers limiting universal
access to key services
addressed (religion,
language, gender, political
inclination, user fees)
•Accommodating
environment for nutrition
programs (OTP)
*Note that only service utilization indicators such as this one may be available for response phase in sudden-onset
Emergency Child Health and
Nutrition Interventions
Disease
Child Health
Nutrition (CTC,
• Hand
• Timely
• Timely recognition, care
washing at
• Proper disposal of excreta
• Consumption of adequate
safe water
• Timely appropriate care for
other disease outbreaks
• Immunization of all
15yrs against measles
recognition, care
and treatment of Pneumonia,
Measles, Diarrhea
• Children sleep under LLITN
sprayed rooms
• Immunization against major
preventable childhood
diagnoses and treatment of
malnutrition
• Micronutrient
children, including vitamin
•Timely appropriate
feeding and continued BF
two
•Exclusive BF through 6
Emergency Health and Nutrition Results Framework
Maternal and Newborn Health and
Nutrition
Sub-Goal: Prevent excess morbidity and mortality in women
of reproductive age and neonates affected by crisis
SO: Utilization of key maternal and neonatal practices and services
Met needs
•Obstetrics case fatality rate
•Deliveries attended by skilled health personnel*
•Sexual violence victims reporting for treatment within five days
•Contraceptive prevalence rate
IR1: Access to Key MN
services and supplies in a
timely manner
• Number of facilities providing
EmOC per 50,000
• Number of facilities providing
essential neonatal care
IR2: Access to quality
CHN services and
materials
•Percent providers adhering
to WHO standard case
management practices
(EMOC and ENC)
•Proportion of facilities
adhering to universal
precautions for preventing
HIV/AIDS transmission
IR3: Improved
knowledge, attitudes,
and skills regarding key
CHN practices and
services
• Knowledge of immediate
and exclusive breastfeeding
IR4: Enabling social
and policy environment
for emergency
operations as well as
the transition into
development
• Barriers limiting universal
access to key services
addressed (religion,
language, gender, political
inclination, security)
•Breast milk code adhered
to within emergency
context
*Note that only service utilization indicators such as this one may be available for response phase in sudden-onset
Alliance
• Joint Emergency Preparedness
Planning
• Joint trainings
• Unified responses
Emergency Preparedness
and Response Plan
Example
Save the Children Alliance
Indonesia
Table of Contents
I. Introduction
Criteria for responding
Management structures
II. Threat Analysis
Risk mapping
III. External and Internal Capacity
IV. Preparedness and Response
Actions
V. Operational Resources and
Systems
A.
B.
C.
D.
E.
F.
G.
H.
I.
Communications
Transportation
Finance
Procurement
Warehousing
Customs
Administration
Human Resources
Security
Annexes
1.
2.
3.
4.
5.
6.
Sitrep format
Emergency Response Team structure
Alliance secondment agreement
Deployment information sheet
Contingency plans
Difference of staff benefits between
Alliance members
7. Emergency Response Team TOR
September – November 2006
Emergency Response Team formed, trained
Pre-positioning of emergency supplies:
• 12 safe play area tents and cooperative game kits
• 45 school tents
• 3,000 household kits
• 6,000 hygiene kits
• 3,000 family tarps and plastic mats
Based on previous emergencies, predicted an average of 200,000
IDPs could be affected. Save the Children wanted to be able to
reach 10% of that population within the first 7 days (needed
enough relief supplies pre-positioned for 20,000 people). Due
to budget constraints, had to reduce the coverage to 7.5%.
Aceh Floods
December 22, 2006
Immediate actions:
Deployment of Emergency Response Team
members
Moved pre-positioned supplies to impact area
Staff “stepped up” when key decision-makers
were on holiday
December 23
• A team from Save the Children health
went to Bireun to conduct a quick
assessment and purchased basic
medicine
• Lhokseumawae has been split into
three teams, one for procurement and
two for assessments. Purchase in
Lhokseumawe: blankets, pots, pans,
plastic sheeting, rice, noodles and
10,000 bottles for distribution.
Apparently Lhokseumawe is flooding
as well, 30 cm of water near our office,
so it is not going to be easy to shop.
The assessment team went to do the
field and do distribution according to
the most immediate needs
• Faruque has contacted WFP who are
doing assessments for food
distribution.
December 24
An estimated total of 216,000 people affected
Health - our team has listed most common ailments as
respiratory infections, stomach complaints – including
diarrhea, fevers, skin conditions, rheumatism
Save the Children Response to date:
• North Sumatra -1,300 tarpaulins, 1,658 hygiene kits, 590
household kits
• Aceh - 10,000 bottles water, 10,000 packs noodles, 10,000
packs high energy biscuits, One temporary clinic
December 25
Many areas are still in accessible due to flooding and
landslides
Total Affected population = 367,220
Save the Children response to-date:
• North Sumatra: 1,300 tarpaulins, 1,658 hygiene kits, 590
household kits
• Aceh: 15,000 liters of water, 10,000 packs noodles, One
temporary clinic and supplies, Distribution of medical
supplies to six health centers
• SC will be distributing 20.5 MT rice, 1,542 liters oil, 15,000
liters water and 8,000 sanitary napkins on Tuesday and
Wednesday in Aceh Utara.
Group Discussion
Have you responded to an emergency?
If so, what was your role?