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National Training on Safe Hospitals - Sri Lanka - Module 1 Session 3 - 14Sept22-24
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Transcript of National Training on Safe Hospitals - Sri Lanka - Module 1 Session 3 - 14Sept22-24
Module 1: Safe Hospital Concepts
Module 1 Sessions Session Number and Title Topics Time
AllotmentSession 1: Risk ManagementFramework
- 7 Fundamental Terms- Framework for Community Risk
Management- Risk Management Framework
~2 hours
Session 2: Role of Hospitals inEmergencies and Disasters
Roles of Hospitals in Different Contexts
~1 hour
Session 3: Concepts of Safe Hospitals
- Safe Hospital Campaign - Concepts of a Safe Hospital- Elements of a Safe Hospital
~2 hours
Session 4: Ensuring Safe Hospitals:Roles of Stakeholders
- Stakeholders’ Roles- Advocacy for Safe Hospitals
~1 hour
Mod 1 Session 3Links to Previous
Session (Session 2)
Mod 1 Session 2:Roles of Hospitals in Emergencies and Disasters
• Health Promotion and Restoration
• Emergency Med Mgt
• Public Health Mgt
NORMAL TIMES
• Emerg / Disaster Mgt
• Emerg Med Mgt
• Health Restoration and Promotion
• Public Health Mgt
EMERG / DISASTER TIMES
Preparedness
SAFE HOSPITAL
Mod 1 Session 3:Concepts of Safe
Hospitals
Mod 1 Session 3 Objectives
Session 3 Objectives
At the end of the session, the participants will be able to:
•Appreciate the concepts of safe hospitals.
•Discuss the interrelatedness of the elements of safe hospitals.
•Identify elements of safe hospitals that require strengthening in their respective hospitals.
Topic 1:Safe Hospital Campaign
Topic 1: Safe Hospital Campaign
INQUIRY - INTERACTION
Topic 1: Safe Hospital Campaign
Why is SAFE HOSPITAL the focus of Global Disaster Risk Reduction?
INQUIRY - INTERACTION
Topic 1: Safe Hospital Campaign
INQUIRY - INTERACTION
Topic 1: Safe Hospital Campaign
Global
National
Regional
SAFE
Topic 1: Safe Hospital Campaign
Global
National
RegionalSAFE
Why is SAFE HOSPITAL the focus of Global Disaster Risk Reduction?
Topic 1: Safe Hospital Campaign
Why is SAFE HOSPITAL the Focus of Global Disaster Risk Reduction?
• Receiving end of victims• Responder to
emergencies/disasters• Direct life-saving roles• Symbol of social
progress• Prerequisite for social
stability and economic development
Topic 1: Safe Hospital Campaign
Why is SAFE HOSPITAL the focus of Global Disaster Risk Reduction?
The World Disaster Reduction Campaign on Hospitals Safe from Disasters aims to raise awareness and effect change that will:
•Protect the lives of patients and health workers by ensuring the structural resilience of health facilities;
Topic 1: Safe Hospital Campaign
Why is SAFE HOSPITAL the focus of Global Disaster Risk Reduction?
The World Disaster Reduction Campaign on Hospitals Safe from Disasters aims to raise awareness and effect change that will:
•Make sure health facilities and health services are able to function in the aftermath of emergencies and disasters, when they are most needed; and
Topic 1: Safe Hospital Campaign
Why is SAFE HOSPITAL the focus of Global Disaster Risk Reduction?
The World Disaster Reduction Campaign on Hospitals Safe from Disasters aims to raise awareness and effect change that will:
•Improve the risk reduction capacity of health workers and institutions, including emergency management.
Topic 1: Safe Hospital Campaign
Why is SAFE HOSPITAL the focus of Global Disaster Risk Reduction?
If there is one structure that should be left standing and operational during and after a disaster,
it should be a hospital!
Topic 1: Safe Hospital Campaign
Roles of Hospitals in Emergencies and Disasters
• Health Promotion and Restoration
• Emergency Med Mgt
• Public Health Mgt
NORMAL TIMES
• Emerg / Disaster Mgt
• Emerg Med Mgt
• Health Restoration and Promotion
• Public Health Mgt
EMERG / DISASTER TIMES
Preparedness
SAFE HOSPITAL
How can the hospital perform its roles during emergency/disaster if it is not “SAFE”!!!
Topic 1: Safe Hospital Campaign
How can the hospital perform its roles during emergency/disaster if it is not “SAFE”!!!
if it is DESTROYED!!!
Topic 1: Safe Hospital Campaign
How can the hospital perform its roles during emergency/disaster if it is not “SAFE”!!!
if it is DESTROYED!!!
Topic 1: Safe Hospital Campaign
Devastating consequences of natural disasters!Human lives lostPeople injured
People displacedProperty destroyedEconomy damaged
Topic 1: Safe Hospital Campaign
Devastating consequences of natural disasters!Human lives lostPeople injured
People displacedProperty destroyedEconomy damaged
Topic 1: Safe Hospital Campaign
Devastating consequences of natural disasters!Human lives lostPeople injured
People displacedProperty destroyedEconomy damaged
World Disaster Report 2013 - (2003-2012)-Asia = continent most frequently affected, with 40.6% of all disasters. Africa comes second with 24.4%.
-Total number of people killed in natural disasters, Asia = continent highest, 61%; America, second with 22%. -Total number of people reported affected, Asia = highest, 81%; Africa, second with 14%.
Topic 1: Safe Hospital Campaign
Devastating consequences of natural disasters!Human lives lostPeople injured
People displacedProperty destroyedEconomy damaged
Sri LankaNatural Disasters from 1980 – 2010(preventionweb)
No of events: 62No of people killed: 36,982Average killed per year: 1,193No of people affected: 17,457,668Average affected per year:
563,151
Economic Damage (US$ X 1,000):
1,674,364(billion)
Economic Damage per year (US$ X 1,000):
54,012(million)
Topic 1: Safe Hospital Campaign
Global and national clamor for safe hospitals since 2005
• Hyogo Framework for Action 2005-2015 - Safe Hospitals – one of Priority Actions
Topic 1: Safe Hospital Campaign
Emphasized importance of “making hospitals safe from disasters” as a key activity to reduce underlying disaster risk factors by ensuring that all new hospitals are built with a level of resilience that strengthens their capacity to remain functional in disaster situations and implement mitigation measures to reinforce existing health facilities, particularly those providing primary health care.
Global and national clamor for safe hospitals since 2005
• 2008-2009 World Disaster Reduction: “Hospitals Safe from Disasters - Reduce Risk, Protect Health Facilities, Save Lives”
Topic 1: Safe Hospital Campaign
Global and national clamor for safe hospitals since 2005
• 2009 Kathmandu Declaration – Protecting Health Facilities from Disasters
Topic 1: Safe Hospital Campaign
• MOH of Sri Lanka is strengthening its activities for SAFE HOSPITALS as part of the overall activities for disaster risk management in the country.
Topic 1: Safe Hospital Campaign
• Lessons have been learnt as to hospitals and health facilities being affected by the tsunami of 2004, conflict situations and other disasters in the country.
Topic 1: Safe Hospital Campaign
Topic 1: Safe Hospital Campaign
Topic 1: Safe Hospital Campaign
Global
National
Regional
SAFE
Topic 1: Safe Hospital Campaign
Global
National
Regional
SAFE
Your
Topic 1: Safe Hospital Campaign
Global
National
Regional
SAFE
Your
Topic 2:Concepts of a Safe
Hospital
Topic 2: Concepts of a Safe Hospital
INQUIRY - INTERACTION
Topic 2: Concepts of a Safe Hospital
What is a SAFE HOSPITAL?
INQUIRY - INTERACTION
Topic 2: Concepts of a Safe Hospital
INQUIRY - INTERACTION
A “SAFE HOSPITAL” during disaster is operationally defined
as a health facility whose services remain accessible and functioning at maximum capacity and
in the same facility or infrastructure, during and immediately following the impact of a disaster.
Topic 2: Concepts of a Safe Hospital
Topic 2: Concepts of a Safe Hospital
SAFE HOSPITALS
hospitals that have the capacity and capability to remain functional and operational during and even after disaster
those whose health services remain accessible and functioning at maximum capacity during and immediately after disasters/emergencies
they must be physically resilient and able to remain operational and continue providing vital health services
Topic 2: Concepts of a Safe Hospital
A safe hospital
will not collapse in disasters, killing patients and staffwill be able to continue to function and provide critical services in emergencieswill be organized, with contingency plans in place and health personnel trained to keep the network operational
Topic 2: Concepts of a Safe Hospital
Special Considerations in a “Safe Hospital” Concept
The most expensive hospital is the one that fails:
Hospitals and health facilities represent an enormous investment for any country.
Their destruction imposes major economic burdens.
Topic 2: Concepts of a Safe Hospital
Special Considerations in a “Safe Hospital” Concept
Disasters are a health and a social issue:
Not only is health treatment critical in the aftermath of a disaster,
damage to health facilities and systems affects development long into the future.
Topic 2: Concepts of a Safe Hospital
Special Considerations in a “Safe Hospital” Concept
Protecting critical health facilities from disasters is possible and cost effective:
Including risk reduction in the design and construction of all new health facilities, and reducing vulnerability in existing health facilities through selecting and retrofitting the most critical facilities,
costs less than might be expected.
Topic 2: Concepts of a Safe Hospital
Special Considerations in a “Safe Hospital” Concept
The health workforce must be agents of disaster risk reduction:
Health workers are central to identifying potential health risks from natural hazards and promoting personal and community risk reduction measures.
Topic 3:Elements of a Safe
Hospital
Topic 3: Elements of a Safe Hospital
INQUIRY - INTERACTION
Topic 3: Elements of a Safe Hospital
What are the critical elements of a hospital that make it SAFE and CONTINUOUSLY OPERATIONAL in times of
disasters?
INQUIRY - INTERACTION
Topic 3: Elements of a Safe Hospital
INQUIRY - INTERACTION
Topic 3: Elements of a Safe Hospital
Critical Elements of a Safe Hospital
Safe Hospital
StructuralComponent
Non-structuralComponent
FunctionalComponent
Topic 3: Elements of a Safe Hospital
Structural Components
Primary load-bearing components that make a building stand Foundation Column (posts and pillars) Beams (girders, joists) Floors Walls Roofs
product of
structural engineers, masons, labor contractors
Topic 3: Elements of a Safe Hospital
Structural Components
Load-bearing components of a building
Topic 3: Elements of a Safe Hospital
Non-structural Components
All non-load-bearing parts including contents of the building or attached to the structure • Ceilings, windows, partitions• Pipes, mechanical and electrical systems• HVAC (heating, ventilating, air con)• Equipment, supplies• Furnishings• etc.
done by: architects, interior designers
mechanical and electrical engineers purchased by owners after construction
Non-load-bearing parts of building or attached to the structure
Non-structural Components
Topic 3: Elements of a Safe Hospital
Functional Components
Topic 3: Elements of a Safe Hospital
Critical Elements of a Safe Hospital
Safe Hospital
StructuralComponent
Non-structuralComponent
FunctionalComponent
INQUIRY - INTERACTION
Topic 3: Elements of a Safe Hospital
Topic 3: Elements of a Safe Hospital
What element/s affected?Structural? Non-structural? Functional?
Topic 3: Elements of a Safe Hospital
What element/s affected?Structural? Non-structural? Functional?
Topic 3: Elements of a Safe Hospital
What element/s affected?Structural? Non-structural? Functional?
Topic 3: Elements of a Safe Hospital
What element/s affected?Structural? Non-structural? Functional?
Topic 3: Elements of a Safe Hospital
What element/s affected?Structural? Non-structural? Functional?
Topic 3: Elements of a Safe Hospital
What element/s affected?Structural? Non-structural? Functional?
Topic 3: Elements of a Safe Hospital
What element/s affected?Structural? Non-structural? Functional?
Safe Hospital
StructuralComponent
Emergency Exit System
LifelineFacilities
MedicalFacilities
ArchitecturalElements
Non-structuralComponent
FunctionalComponent
Electricity System
Medical Gas Supply System
Fire System
Communication System
Water Supply SystemCritical Systems
National Training on Safe Hospitals - Sri LankaNational Training on Safe Hospitals - Sri LankaCritical Elements of a Safe Hospital
INQUIRY - INTERACTION
Topic 3: Elements of a Safe Hospital
Topic 3: Elements of a Safe Hospital
What is the probability that your hospital will NOT
collapse if there is a strong natural disaster?
INQUIRY - INTERACTION
Probability 1 to 10?
Why?
Topic 3: Elements of a Safe Hospital
What is the probability that your hospital will be able to
continue to function and provide critical services in
emergencies?
INQUIRY - INTERACTION
Probability 1 to 10?
Why?
Topic 3: Elements of a Safe Hospital
What is the probability that your hospital will be organized, with contingency plans in place and
health personnel trained to keep the network operational?
INQUIRY - INTERACTION
Probability 1 to 10?
Why?
Topic 1: Safe Hospital Campaign
Global
National
Regional
SAFE
Your
Closing:Module 1 Session 3
Session 3 Objectives
At the end of the session, the participants will be able to:
•Appreciate the concepts of safe hospitals.
•Discuss the interrelatedness of the elements of safe hospitals.
•Identify elements of safe hospitals that require strengthening in their respective hospitals.
Mod 1 Session 2:Roles of Hospitals in Emergencies and Disasters
• Health Promotion and Restoration
• Emergency Med Mgt
• Public Health Mgt
NORMAL TIMES
• Emerg / Disaster Mgt
• Emerg Med Mgt
• Health Restoration and Promotion
• Public Health Mgt
EMERG / DISASTER TIMES
Preparedness
SAFE HOSPITAL
A “SAFE HOSPITAL” during disaster is operationally defined
as a health facility whose services remain accessible and functioning at maximum capacity and
in the same facility or infrastructure, during and immediately following the impact of a disaster.
Topic 2: Concepts of a Safe Hospital
Topic 2: Concepts of a Safe Hospital
A safe hospital
will not collapse in disasters, killing patients and staffwill be able to continue to function and provide critical services in emergencieswill be organized, with contingency plans in place and health personnel trained to keep the network operational
Safe Hospital
StructuralComponent
Emergency Exit System
LifelineFacilities
MedicalFacilities
ArchitecturalElements
Non-structuralComponent
FunctionalComponent
Electricity System
Medical Gas Supply System
Fire System
Communication System
Water Supply SystemCritical Systems
National Training on Safe Hospitals - Sri LankaNational Training on Safe Hospitals - Sri LankaCritical Elements of a Safe Hospital
Topic 3: Elements of a Safe Hospital
Critical Elements of a Safe Hospital
Safe Hospital
StructuralComponent
Non-structuralComponent
FunctionalComponent
Topic 3: Elements of a Safe Hospital
Critical Elements of a Safe Hospital
Safer - Safest Hospital
StructuralComponent
Non-structuralComponent
FunctionalComponent
Topic 1: Safe Hospital Campaign
Global
National
Regional
SAFE
Your
Topic 1: Safe Hospital Campaign
Your
Mod 1 Session 3
Any questions?
Mod 1 Session 3:Concepts of Safe
Hospitals The End