LEADERS

International Course on Development and Disasters

10-21/2/03 lpn29654

PREPAREDNESS

Health Sector and Multisectoral Framework lpn29654

“THE REALITIES OF DISASTER PREPAREDNESS IN THE HEALTH SECTOR IN TRINIDAD AND TOBAGO”

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PRESENTATION

• Definition for Preparedness • The Health Sector Components • Requirements for Accomplishment • The Situation Analysis • The Reality • Recommendations lpn29654

DISASTER PREPAREDNESS

Actions

taken in

advance

by an

organization

to prevent and to respond

contingent

upon a hazard impact lpn29654

THE COMPONENTS

1. Establishing Coordination 2. Consideration to Mitigation 3. Developing Technical Programs & Plans 4. Training and Promotion 5. Allocation of Finances lpn29654

REQUIREMENTS

1. Decision making process : • Meetings • Committees • Task forces 2. Time 3. Knowledge 4. Resources & logistical support lpn29654

SITUATION ANALYSIS

1. Coordination 2. Mitigation actions 3. Technical plans and programs 4. Training and promotion 5. Resources lpn29654

COORDINATION

v • • • • Focal point: Appendage to a job Level of assignment No authority No political support lpn29654

COORDINATION

Levels of coordination: decentralization of the health sector • • • Intrasectoral Intersectoral International lpn29654

COORDINATION

• NB – persons assigned are most times more interested in the title not the responsibility and those with genuine interest are overworked lpn29654

MITIGATION

• Hazard identification and probability - hurricane mainly • Risk assessment • Vulnerability analysis- structural, non-structural, and administrative/organizational • Identifying response capacity lpn29654

MITIGATION

• Only in relation to hurricanes and for health sector structures.

• Lack of knowledge - no consideration is given to what is taking place in the other sectors since cannot see and understand the relationship lpn29654

TECHNICAL PROGRAMS & PLANS

Contingency Plans – destructive systems: • geological, hydro meteorological, technical, and social - none lpn29654

TECHNICAL PROGRAMS & PLANS

Health Plans • Mass casualty management (pre-hospital & hospital) - Hospital response plans to external disasters only, No MCM, No SOP Health Programs • Epidemiological (disease control), sanitation, health care in temporary settlement. lpn29654

TECHNICAL PROGRAMS & PLANS

• Lack of knowledge (planning capabilities in disaster management).

• There is the technical knowledge in the medical and health field . lpn29654

TRAINING & PROMOTION

• In-service training - Lack of continuous in house training • Training at other levels personnel sent – wrong • Participating in Research - none • Public Education danger – only in impending • Information Dissemination - Lack lpn29654

RESOURCES

v Staffing categories) at all levels (full/part time, staff v Budget – preparedness and emergency v Communication phones, ham radios telephone, fax, email, cell v Transportation v Essential supplies – medicines, medical supplies, inventory control system lpn29654

RESOURCES

• No budget so No other resources lpn29654

THE REALITY

Technical wise we are not prepared but we do have a planned enforced

STRATEGY: MAKE GOD A NATIONAL

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RECOMMENDATIONS

• Change of paradigm – mind set – cultural change • Full-time designated coordinator • PAHO/WHO - mandate lpn29654