Cultural & Ethical Issues Disaster Medicine in a Foreign Land.
Psycho social issues in disaster management 2
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PSYCHO-SOCIAL ISSUES IN DISASTER PSYCHO-SOCIAL ISSUES IN DISASTER MANAGEMENT - ROLE OF NGOS AND MANAGEMENT - ROLE OF NGOS AND
VOLUNTARY AGENCIES VOLUNTARY AGENCIES
Dr. N. Sai Bhaskar [email protected]
2
3
Disaster-affected people experience various psychological reactions. These reactions immediately follow the event while socio-economic impacts like lack of employment; homelessness, environmental destruction and disorganisation emerge as a consequence, following the devastation caused by the disaster.
The emotional reactions should be understood based on the manifestation of various stress reactions, level of effort put by the people for their own reconstruction, the pattern and amount of disability created due to these psychological stress etc.
The emotional reactions should be understood based on the manifestation of various stress reactions, level of effort put by the people for their own reconstruction, the pattern and amount of disability created due to these psychological stress etc.
5
ARE WE
ARE WE
PSYCHO
LOG
ICALLY PREPARED?
PSYCHO
LOG
ICALLY PREPARED?
For every physical injury, there may be 5-6 psychological injuries
This may overwhelm and impede our emergency and/or medical response.
CRITICAL INCID
ENT
CRITICAL INCID
ENT
Exposure to a traumatic event in which both of the following were present:
The person experiences, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others.
The person’s response involved intense fear, helplessness or horror. (DSM-IV TR)
PSYCHO
SOCIAL IM
PACT – PSYCH
OSO
CIAL IMPACT – CO
NSID
ERATION
SCO
NSID
ERATION
S Prior experience with a similar event Prior trauma The intensity of the disruption in the
survivors’ lives The resilience of the individual
PSYCHO
SOCIAL IM
PACT – PSYCH
OSO
CIAL IMPACT –
CON
SIDERATIO
NS
CON
SIDERATIO
NS
The length of time that has elapsed between the event occurrence and the present
Pre-existing vulnerabilities
Man-Caused vs. Naturally Occurring Events
•Children/families•Seniors•Disabled•Bereaved•Health impairments•Women
CON
SEQU
ENCES O
F CRITICAL INCID
ENTS O
FTEN
CON
SEQU
ENCES O
F CRITICAL INCID
ENTS O
FTEN
INCLU
DE
INCLU
DE LO
SSLO
SS Tangible Loss
Loss of loved onesLoss of loved onesLoss of homeLoss of homeLoss of material goodsLoss of material goodsLoss of employment / incomeLoss of employment / income
THE D
ISASTER MAN
AGEM
ENT CYCLE
It’s important to be involved in all of these dimensions, not just response
CON
SEQU
ENCES O
F CRITICAL INCID
ENTS O
FTEN
CON
SEQU
ENCES O
F CRITICAL INCID
ENTS O
FTEN
INCLU
DE
INCLU
DE LO
SSLO
SS Intangible Loss
Loss of safety / security (security (real or perceivedreal or perceived))Loss of predictabilitypredictabilityLoss of social cohesion/connection/supportsocial cohesion/connection/supportLoss of dignity, trust and safetydignity, trust and safetyLoss of positive self-image/self-esteempositive self-image/self-esteemLoss of trust in the future, identity, independencetrust in the future, identity, independenceLoss of hope hopeLoss of CONTROLCONTROL
POSSIBLE PSYCH
OLO
GICAL REACTIO
NS TO
A LARGE-SCALE
POSSIBLE PSYCH
OLO
GICAL REACTIO
NS TO
A LARGE-SCALE
EMERG
ENCY
EMERG
ENCY
Many people survive disasters without developing any significant psychological symptoms.
For other individuals, the reactions will disappear over time.
““Just because you have experienced a disaster Just because you have experienced a disaster does not mean you will be damaged by it, but you does not mean you will be damaged by it, but you
will be changed by it.” will be changed by it.” (Weaver 1995)
GRIEF AN
D LO
SSG
RIEF AND
LOSS
Not an even process
Takes time
Can become stuck in the process
May spawn other problems
Nothing like T & T (Time and Talking)
SUPPORTING SUPPORTING
OTHERSOTHERS
ROLE O
F DISASTER M
ENTAL H
EALTH?
ROLE O
F DISASTER M
ENTAL H
EALTH?
Primarily directed toward “normal” people who are responding normally to an abnormal situation
Improve resistance, resilience and recovery.
Identifying those at risk for severe social or psychological impairment
Identify those in need of additional or special services.
ROLE O
F DISASTER M
ENTAL H
EALTH?
ROLE O
F DISASTER M
ENTAL H
EALTH?
Mitigate post trauma sequelae May prevent future problems Helps people to handle problems in a way that does not create MORE problems
Convey sense of compassion and support for people.
PSYCHO
LOG
ICAL RESPON
SE TO
TRAUM
A Experience has shown that:
No one who sees a disaster No one who sees a disaster is untouched by it.is untouched by it.
Most people pull together Most people pull together & function during and after & function during and after a disaster, but their a disaster, but their effectiveness is diminished.effectiveness is diminished.
Most people do not see Most people do not see themselves as needing themselves as needing mental health services mental health services following a disaster and following a disaster and will not seek such services.will not seek such services.
PSYCHO
LOG
ICAL RESPON
SE TO
TRAUM
A Experience has shown that:
Survivors respond to active, genuine interest Survivors respond to active, genuine interest & concern. & concern.
Survivors may reject disaster assistance of all Survivors may reject disaster assistance of all types.types.
Disaster mental health assistance is often Disaster mental health assistance is often more practical than psychological in nature.more practical than psychological in nature.
Social support systems are crucial to recovery.Social support systems are crucial to recovery.
PSYCHO
LOG
ICAL RESPON
SE TO TRAU
MA
While there may be specific disaster-related stressors, underlying concerns and needs are consistent across a range of traumatic events. These include:A concern for basic survivalA concern for basic survivalGrief and loss over loved ones & loss of valued and meaningful Grief and loss over loved ones & loss of valued and meaningful
possessionspossessionsFear & anxiety about personal safety & the physical safety of Fear & anxiety about personal safety & the physical safety of
loved onesloved onesA need to talk about events & feelings associated with the A need to talk about events & feelings associated with the
disaster, often repeatedlydisaster, often repeatedlyA need to feel one is a part of the community & its recovery A need to feel one is a part of the community & its recovery
effortsefforts
Phases of DisasterPhases of Disaster
Pre-DisasterPre-Disaster
Threat
Warning
HeroicHeroic
Honeymoon Honeymoon (community cohesion)(community cohesion)
Reconstruction Reconstruction (a new beginning)(a new beginning)
llllllllllll
Time 1 to 3 days 1 to 3 years
Inventory
DisillusionmentDisillusionment
Trigger Events andTrigger Events andAnniversary ReactionsAnniversary Reactions
Work
ing T
hrough G
rief
Work
ing T
hrough G
rief
(com
ing to
term
s)
EVENTEVENT
HO
NEYM
OO
N
HO
NEYM
OO
N
(COM
MU
NITY CO
HESIO
N)
Survivors may be elated
Happy just to be alive
This phase will not last
DISILLU
SION
MEN
TD
ISILLUSIO
NM
ENT
Reality of disaster “hits home”
Loss and Grief becomes prominent
WH
AT DO
YOU
THIN
K?
What main attributes and What main attributes and skills should a volunteer have skills should a volunteer have when offering psychological when offering psychological support? support?
ESSENTIAL ATTRIBU
TES AND
SKILLSESSEN
TIAL ATTRIBUTES AN
D SKILLS
Good Listening skills Patient Caring attitude Trustworthy Approachable Culturally aware
EmpatheticNon-judgmental approachKindCommittedFlexibleAble to tolerate chaos
GO
ALS O
F PSYCH
OLO
GICAL FIRST AID
Psychological first aid (PFA) promotes and sustains an environment of:
SAFETYSAFETY
CALMCALM
CONNECTEDNESSCONNECTEDNESS
SELF-EFFICACYSELF-EFFICACY
HOPEHOPE
THE EN
ERGY CU
RVETH
E ENERG
Y CURVE
AnxietyAnxiety
AgitationAgitation
BaselineBaseline
Tension ReductionTension Reduction
PSYCHO
LOG
ICAL RESPON
SE TO TRAU
MA SU
RVIVORS’ N
EEDS AN
D
SURVIVO
RS’ NEED
S AND
REACTIO
NS
REACTION
S
People often experience strong and unpleasant emotional and physical responses following exposure to traumatic events (e.g. disasters).
These may include a combination of:
•Fear & anxiety Fear & anxiety •Grief & lossGrief & loss •ShockShock•HopelessnessHopelessness•Loss of ConfidenceLoss of Confidence•MistrustMistrust
•Sleep disturbancesSleep disturbances•Physical painPhysical pain•ConfusionConfusion•ShameShame•Shaken faithShaken faith•AggressivenessAggressiveness
POSSIBLE PSYCH
OLO
GICAL REACTIO
NS TO
A LARGE-SCALE
POSSIBLE PSYCH
OLO
GICAL REACTIO
NS TO
A LARGE-SCALE
EMERG
ENCY
EMERG
ENCY
For most people, things get For most people, things get better with time…better with time…
CATEGO
RIES OF REACTIO
NS AFTER TH
E INCID
ENT
CATEGO
RIES OF REACTIO
NS AFTER TH
E INCID
ENT
•Acute Stress Disorder / Post Trauma Stress Disorder Acute Stress Disorder / Post Trauma Stress Disorder •GriefGrief•DepressionDepression•ResilienceResilience
Mental Health Mental Health and Illnessand Illness
Human Human Behavior in Behavior in High Stress High Stress
EnvironmentsEnvironments
DistressResponses
•Fear / worryFear / worry•Sleep disturbanceSleep disturbance•Altered productivityAltered productivity
•Avoidance Avoidance (emotional)(emotional)
•Substance abuseSubstance abuse•Risk takingRisk taking•Over DedicationOver Dedication
HO
W D
O N
GO
S HELP?
How do we achieve “The right to life with dignity”?Prevent/mitigate impacts of disastersProvide food, water, health, shelter, sanitation,
education, psychosocial supportProvide protection – presence, advocacy, reportingHelp rebuild lives and livelihoodsAdvocate for affected people + promote changes to
ineffective or unjust systems Mobilize governments, general public to help
INTERNATIONAL
NGOSIntegrated NGOs (Relief and Development)EFICORCAREOxfamWorld VisionSave the Children (US, UK, etc.)Caritas/Catholic Relief Services/Development & PeacePLANADRA
Specialized in Relief or Specific SectorsMSF/Doctors Without Borders (France, Netherlands, Belgium,
Spain, Canada)Global MedicAction Contre le Faim – health nutrition and waterCanadian Food Grains Bank
NATIONAL NGOS AND COMMUNITYBASED ORGANIZATIONS (CBOS)
CharacteristicsOften focused on specific sectors (eg. Health)Sometimes faith-based or ethnically basedSome related to larger international movementsSome are quasi-governmentalCapacity often weak, but commitment often high.Membership sometimes changing due to conflictIssuesAre they representative of the community?Appropriate capacity building measures?Sustainability? Accountability? Impartiality/Neutrality
ORG
ANIZATIO
NAL STRU
CTURES
Confederations Multiple branches in same countryCoordination of planning and structures among
membersLeadership and response staffing positioned globally
FederationsOne office in each countryTighter coordination of planning, structuresLeadership and response staff usually positioned
globallyOne-office NGOs
Leadership and response staff usually in head officesSmaller; focused on a few countries
RESOU
RCE STREAMS
General PublicMass appealsLarge donors, foundationsFundraising from the public and corporations equaled
approximately 24% of humanitarian assistance from govt sources
Government GrantsUN ContractResources in Kind – good and servicesInternational NGOs (excluding Red Cross) manage approximately
40-60% of all humanitarian assistance funding6 or 7 large INGO “families” manage most of these
resources
10 PRINCIPLES OF THE CONDUCT OF CONDUCT
1. The humanitarian imperative comes first 2. Aid is given regardless of the race, creed or nationality of the
recipients and without adverse distinction of any kind. Aid priorities are calculated on the basis of need alone
3. Aid will not be used to further a particular political or religious standpoint
4. We shall endeavor not to act as instruments of government policy
5. We shall respect culture and custom6. We shall attempt to build disaster response on local capacities 7. We shall be found to involve program beneficiaries in the
management of relief aid 8. Relief aid must strive to reduce future vulnerabilities to disaster
as well as meeting basic needs9. We hold ourselves accountable to both those we seek to assist
and those from whom we accept resources 10. In our information, publicity and advertising activities, we shall
recognize disaster victims as dignified humans, not hopeless objects
Standard Common to All Sectors
Water Supply, Sanitation and Hygiene
Food Security, Nutrition and Food Aid
Shelter, Settlement and Non-Food Items
Health Services
THE HUMANITARIAN CHARTER
RESPONSE PREPAREDNESS
Early Warning SystemsRelief Operations ManualsEmergency/Contingency Plans
Identifies most likely disaster scenarios. Outlines roles and responsibilities
Rapid Response TeamsAssessment and Implementation TeamsTeams need proper equipment
Prepositioning supplies or arranging for quick deliveryEmergency Response Fund - funds available immediately
for emergencies
BilateralDonors
North NGOs/Red Cross
UN System/Multilateral
Agencies
South NGOs/Local partners
NationalGovernment
LOCAL
GOVT
Disaster AffectedPeople
VulnerableCommunities
CBOs
The Web of Relationships in EmergenciesPeacekeepers
Search & RescueRebels
&Militias
PRIVATE
SECTOR
General Pubic/Corporations
Newsmedia
Case 11: Disaster workers energy levels, Relief worker’s Self-Care
Topic: Workers tire after 1-2 weeks in disaster (health work activity in the disaster situation)“I think the fatigue of staffs would peak about one week after the earthquake. I thought we should not have felt “I have to be here” and took rest.”
“We felt that we had to be a leader and act because I am the health worker in the area. We were totally tired just after two weeks. We held conference with assistant health workers from outside areas. I said that we had no energy to continue. Replies from assistants were warm. They said “How can we assist you to continue your work?”
Lessons
•Emergency workers work until they are very tired – they are also stressed•Outside mental health staff needed to help identify and solve worker fatigue issues•Perceived failure in saving lives can cause stress among disaster workers
IMPACTS O
F DISASTERS O
N TH
E HEALTH
SECTOR
40
Case 25: Counseling for disaster survivors, Sri Lanka
Topic: NGO provision of trauma counseling and psychosocial programmingIndian Ocean Tsunami devastated three quarters of the coastline of Sri Lanka. At its worst, in the early stages, there were nearly a million displaced persons.MERCY Malaysia began response with their Psychosocial Support programs, which covered trauma counseling as well as psychosocial activities. MERCY Malaysia made efforts to deploy Tamil speaking mental health support volunteers in order that the help would fully benefit the beneficiaries. Five hundred out of the 2,000 survivors who were counseled by their volunteers were children. With the children, MERCY Malaysia volunteers provided counseling through art and play therapy. MERCY Malaysia’s volunteers visited the communities living in IDP camps. Psychosocial intervention was given on an individual basis, in family groups as well as in the form of community counseling sessions. Their volunteers also developed artwork and informative posters illustrating facts on tsunamis. MERCY Malaysia conducted a Mental Health Support Training Programme to better equip mental health workers as well as family support workers to assist those affected.
Lessons
•Deploy psychosocial volunteers who speak the local language•Art and play therapy used with children•Psychosocial intervention took place on individual, family and community levels•Knowledge of the risk and lessons on preparedness help individuals and communities to deal with their experiences in a disaster
Psychosocial programm
ing
41
Case 26: Measures for Psychosocial Support and Coping with Trauma, Tsunami, Thailand 2004
Topic: Actions of the Department of Mental HealthThe tragedy of tsunami that struck Thailand on 26 December 2004 took a psychological toll on both adults and children. The Department of Mental Health launched a sustained effort to support those who were affected in dealing with the trauma and stress of having lived though the disaster.It mobilized staff response teams with psychiatrists, psychologists, social workers, nurses and pharmacists covering each affected district. These teams provided individual and group counseling as well as medication for those in need. Home visits are currently conducted on a weekly basis, and the programme is scheduled to continue with monthly visits for two years.DOMH also arranged outreach to schools to expand psychological education to assist in coping with trauma. Counseling, drugs and treatment have been provided to victims.
Lessons
•Team approach includes psychiatrists, psychologists, social workers, nurses and pharmacists•Interventions include home visits, and individual and group counseling•Opening a mental health center expanded the reach of the psychosocial interventions
Psychosocial programm
ing
42
Case 35: Youth helping families to recover, IFRC Youth Award - Together for humanity: Reducing the impact from disasters - Return of Happiness - Costa Rica Red CrossHurricane Mitch on mental health of the Honduran adult population
Topic: Programming involving young people“Return of Happiness”, the programme presented by the youth of the Costa Rica Red Cross was winner of the Youth Award 2007. In the response to a disaster, youth volunteers are mobilized to ensure psycho-social support to the vulnerable groups, especially children, with at particular focus on child protection. The special attention given to the training of youth volunteers, close cooperation with UNICEF as well as with the Psychosocial Support Unit of the National Society, and the prompt mobilization of the youth volunteers in the local communities together resulted in increased motivation of the youth volunteers. This makes the programme highly sustainable and contributes to rebuilding the material and social aspects of the local communities.
Lessons
•Youth volunteers can be mobilized to help provide psychosocial support to vulnerable groups especially children•Youth volunteers must be trained•Support from UNICEF motivated youth volunteers and helped the community recover
Psychosocial programm
ing
43
Activities Suggested With Children•”
PSYCHO
SOCIAL PRO
GRAM
MIN
G
44
Sub Issue 2: Families
“When helping the old-age population……. Ensure medical aid and physical well-being. Guard against extreme feelings of hopelessness and helplessness. Encourage healthy grief reactions, such as crying, talking about losses. Allow elders to talk about their fears, anxieties and guilt. Encourage group meetings with elderly survivors. Encourage participation in community decision making.”
Sub Issue 5: ElderlyPSYCH
OSO
CIAL PROG
RAMM
ING
45
Activities Suggestions With Adults•”
PSYCHO
SOCIAL PRO
GRAM
MIN
G
46
Case 62: Mourning the dead, The disaster of Armero (Colombia), 1985Hurricane Mitch on mental health of the Honduran adult population
Topic: Recovering dead bodiesThe town of Armero, in the Colombian Andes, was destroyed on 13 November 1985 by a volcanic eruption that caused an avalanche of ash, boiling mud, rocks, and trees. The landslide was almost 2 km wide and reached speeds of 90 km/h. It killed 80 percent of the 30,000 inhabitants of Armero, and left almost 100,000 inhabitants homeless in the surrounding region.It was impossible to recover the corpses since the vast majority were dragged a great distance and buried under tons of sand and rubble. This situation prevented traditional ceremonies from being carried out, and many months after the disaster, family members were excited by rumors that the dead had been seen nearby or in far-off places, or wandering like a lost madman. Each of these false reports revised new hopes that were always followed by new disappointments.In the places where the houses stood, and which could more easily be identified later than in the immediate months after the disaster, headstones were placed with the names of the dead, and relatives now place flowers and say prayers there. They have become symbolic graves where families can conduct memorial activities, albeit belatedly.
Lessons
•Corpses are often lost in a disaster before relatives can claim them and bury them as their culture dictates•Symbolic sites are identified where relatives can place headstones and to pay their respects to their dead relatives
KEY PSYCHO
SOCIAL ISSU
ES IN RECO
VERY
47
CYCLON
EA weather system consisting of an area of low pressure, in which winds circulate at speeds exceeding 61 km/hr, also known as ‘Cyclone’ or Tropical Storm.
CYCLON
ES FROM
1891– 2002
SUPER
CYCLON
E
The super cyclone of October 1999 generated a wind speed The super cyclone of October 1999 generated a wind speed of 252 km/h with an ensuing surge of 7–9m close to of 252 km/h with an ensuing surge of 7–9m close to Paradip in Orissa which caused unprecedented inland Paradip in Orissa which caused unprecedented inland inundation up to 35 km from the coast. It is worth noting inundation up to 35 km from the coast. It is worth noting that, at times, persistent standing water was identified in that, at times, persistent standing water was identified in the satellite imageries even 11 days after the cyclone the satellite imageries even 11 days after the cyclone landfall, as it happened in the Krishna delta in May 1990 landfall, as it happened in the Krishna delta in May 1990 and in several other instances. The Andhra Pradesh and in several other instances. The Andhra Pradesh cyclone in 1977 which hit Divi Seema also generated cyclone in 1977 which hit Divi Seema also generated winds exceeding 250 km per hour.winds exceeding 250 km per hour.
THE D
ISASTER MAN
AGEM
ENT ACT,
2005lays down institutional and coordination mechanism for effective Disaster
Management (DM) at the national, state, district and local levels. As mandated by this Act, the Government of India (GoI) created a multi-tiered institutional system consisting of the National Disaster Management Authority (NDMA) headed by the Prime Minister, the State Disaster Management Authorities (SDMAs) by the respective Chief Ministers and the District Disaster Management Authorities (DDMAs) by the District Collectors and co-chaired by Chairpersons of the local bodies. These bodies have been set up to facilitate a paradigm shift from the hitherto reliefcentric approach to a more proactive, holistic and integrated approach of strengthening disaster preparedness, mitigation and emergency response.
NATIO
NAL D
ISASTER MAN
AGEM
ENT
AUTH
ORITY
The National Disaster Management Authority (NDMA), as the apex body in the GoI, has the responsibility of laying down policies, plans and guidelines for DM and coordinating their enforcement and implementation for ensuring timely and effective response to disasters
In essence, NDMA will concentrate on prevention, preparedness, mitigation, rehabilitation, reconstruction and recovery and also formulate appropriate policies and guidelines for effective and synergised national disaster response and relief. It will also coordinate the enforcement and implementation of policies and plans.
NATIO
NAL D
ISASTER RESPON
SE FORCE
The DM Act 2005 has mandated the constitution of the National Disaster Response Force (NDRF) for the purpose of specialised response to a threatening disaster situation or disaster. The general superintendence, direction and control of the force is vested in, and exercised by, NDMA and the command and supervision of this force is vested in the Director General of NDRF. Presently, NDRF comprises eight battalions with further expansion to be considered in due course.
NATIO
NAL IN
STITUTE O
F DISASTER
MAN
AGEM
ENT
The National Institute of Disaster Management (NIDM) has institutional capacity development as one of its major responsibilities along with training, documentation of research, networking and development of a national level information base. NIDM will function closely within the broad policies and guidelines laid down by NDMA and assist in developing training modules, impart training to trainers and DM officials and strengthening of Administrative Training Institutes (ATIs) in the state. It will also be responsible for synthesising research activities. NIDM will be geared towards emerging as a ‘Centre of Excellence’ at the national and international levels.
STATE DISASTER M
ANAG
EMEN
T AU
THO
RITYAt the state level, the State Disaster Management
Authority (SDMA) headed by the Chief Minister, will lay down policies and plans for DM in the state. It will, inter alia, approve the state plan in accordance with the guidelines laid down by NDMA,
DISTRICT D
ISASTER MAN
AGEM
ENT
AUTH
ORITY
At the cutting edge level, the District Disaster Management Authority (DDMA) headed by the District Magistrate, with the elected representative of the local authority as the co-chairperson,will act as the planning, coordinating and implementing body for DM and take all necessary measures for the purposes of DM in the district in accordance with the guidelines laid down by NDMA and SDMA.
LOCAL AU
THO
RITIESThis includes Urban Local Bodies (ULBs), Panchayati
Raj Institutions (PRIs), district and Cantonment Boards and Town Planning Authorities for control and management of civic services. These bodies will ensure capacity building of their officers and employees in DM, carry out relief, rehabilitation and reconstruction activities in the affected areas and will prepare DM plans in consonance with guidelines of NDMA, SDMAs and DDMAs
CIVIL DEFEN
CEIn any disaster, it is the community that is always the
first responder. Outside help comes in only later. Training the community and making such response organised is therefore of utmost importance.
EARLY WARN
ING
SYSTEMS
WMOIMDHydrological OceanographicMeteorological satellite datafrom ships, observations from ocean data buoys,coastal radars (conventional and Doppler) andnational and international satellites (geo-stationary
and polar orbiting)Automatic weather stationsRain gaugesWind profilers
COM
MU
NITY PREPARED
NESS
EFICOR formed the Disaster Management Committee (DMC) in each target habitation. The DMC has taken-up the ownership of community assets (raised borewells pump sets, etc.). The Village level DMC's were attached to a single management structure, called Disaster Management Society. Core members of the Federation were provided necessary training and exposure for managing the future disasters. This federation is also tapping government resources and managing their own programmes. Each DMC in consultation with DMS is mobilizing the available resources from the Govt. and other sources during the time of disaster occurrence. In each DMC at least 2 to 3 women members were nominated.
DMC also ensures the consistency of Task force s, periodic mock drill exercises that are to be performed in the habitations in every quarter. DMC also makes sure that there is a review and updation of Task Force and DMC in every 3 years, for active participation from all levels in the habitations.
TASK FORCE TEAMS
FIRST AID
SHELTER MANAGEMEN
TRELIEF
RESCUE
WARNING
DM COMMITTEE
CBOs – RYTHU MITHRA GROUPS, SELF-HELP
GROUPS, ETC.
GRAM PANCHAYAT
DM SOCIETY
DM COMMITTEE
DM COMMITTEE
DM COMMITTEE
DM COMMITTEE
DM COMMITTEE
DM COMMITTEE
DM COMMITTEE
DM COMMITTEE
DMCs of each village in the area
HEALTH
ENGINEER
LAW AND
ORDER
MRO / MDO AGRICULTUR
E
DISTRICT COLLECTOR /
JOINT COLLECTOR /
CEO
MPTC / ZPTC
IEM
DISTRICT DISASTER
MANAGEMENT CELL / TASK
FORCE / RELIEF AND
REHABILITATION CELL
MP / MLAZP
CHAIRPERSON
ITDARDO / SUB-
COLLECTOR
SC / ST CORPORATION
The Disaster Management Bill, 2005 Disaster Management Act, 2005The National Disaster Management Authority National Disaster Response Force
State Disaster Management Authority
District Disaster Management Authority
DMC / DMS Organisational Structure
DMC / DMS Organisational Structure
CAPACITY D
EVELO
PME
NT
PRE FLOO
D ACTIVITIES
Conducting meeting in the village regarding the possible
extent of flood and actions to be taken.Checking of all rescue material. i.e.- bottles, coconut,
ropes, thermocoal boats, etcEarly warning group preparationIdentification of old people, pregnant ladies, kidsIdentification of high raised placeRice collected from all householdsFirst aid material made readyKept ear on Radio news by warning groups
DU
RING
FLOO
D ACTIVITIES
Announcement in the villageEvacuation to safer place to old age people, ladies,
kids, sick people & live stockMoved people to safer place (i.e. aged people,
pregnant women, children, sick people etc…)Arrangement for temporary shelterApproached Govt. for emergency reliefAvailed rice and dal from Government for camp.Used EFICOR high raised bore well for drinking waterMonitored the Water levels and receding status.
POST FLO
OD
ACTIVITIES Flood Area surveyHouse damage surveyWater logging sites surveyCall to govt. medical team for medicationCleaning of Debris and cleaning whole Village.Bleaching powder spreading in water and logging areasHouse damage assessmentCrop damage assessment (both the reports were given to the govt
officials, they were so amazed to see that how accurately it has been done. Further the compensation and new houses were sectioned according to this assessment.
Relief from Govt. & EFICOR distributed through DMC & Task force Govt. Relief distributed equally in the villageSick people were taken to hospital
HO
W D
O W
E MITIG
ATE THE H
AZARD FRO
M A
CYCLON
E?
Monitoringearly warning systems
Infrastructurecyclone wallscommunal shelters
Education and planning
The frequency of heavy precipitation events has increased over most land areas
- Rainfall in Mumbai (India), 2005: 1 million people lost their homes
FIVE LESSON
S LEARNT IN
RECO
VERY
1. It is possible to reduce loss of life and property through preparedness
2. Preparedness is necessary at every level – national, provincial, local and community
3. Preparedness is necessary in every sector 4. Pre-Disaster Recovery Planning to ensure better
coordination among various sectors in different levels
5. Such planning needs to be formalized in the shape of manuals and Standard Operating Procedures so that there is no confusion during and after disasters
FIVE PRINCIPLES OF RECOVERY
1. Holistic - cover housing, infrastructure, education, livelihood, health, psycho-social care etc.
2. Long term - provide livelihood support including development of skill, provisioning of credit and marketing support etc
3. ‘Build back better’ - ensure that the houses and infrastructure constructed after disasters withstand the hazards and risks of nature and the hazards do not become disasters again
4. Sustainable - integrate environmental issues, such regeneration of mangroves, conservation of water,
5. Inclusive - care for poor and vulnerable - women, children, aged, physically and mentally challenged people
RECOVERY FRAMEWORK
Recovery
Pre- Disaster Recovery Planning
Sort Term(0 -30 days)
Intermediate(1 to 6 months)
Long Term (6 m to 3 years)
• Search and rescue• Emergency health• Temporary shelter
• Food, clothes• Damage assessment• Restoration of critical infrastructure (power,
telephone, drinkingwater etc)
• Intermediate shelter• Health Care
• Continuation of support for food, clothes etc• Psycho-social care
• School and day care• Preparation of
long term recovery plan• Arranging resources
• Permanent housing• Livelihood support
• Restoration of physicalInfrastructure
• Restoration of social infrastructure
• Psycho-social recovery• Documentation
• Memorials
UNFINI
SHED
AGENDA….
India has developed a legal and institutional system of disaster management
India has also taken important steps for better response and preparedness
Lots to be done for preparedness to match acceptable risksPrevention and mitigation continues to remain weakEarly warning of flood and extreme weather events needs lots of
improvementsHazard resistant building bye laws notified, but standard of
implementation is poorStrengthening of lifeline structures still unattended taskMany metropolitan cities have accumulated risks and vulnerabilities
that trigger mega disasters in futureCountry is yet to develop a risk transfer and risk insurance system
References
1.1. In Times of CrisisIn Times of Crisis: Supporting Others, Supporting Ourselves, : Supporting Others, Supporting Ourselves, John Gaspari, LCSW, Executive Director, USC Center for Work and Family Life, PPT
2. PSYCHOSOCIAL, I n t e r n a t I o n a l R e c o v e r y P l a t f o r m eird.org/cd/recovery-planning/docs/5...english/6-Psychosocial.ppt
3. NGOs and Disaster Management, Presented on behalf of the PAGER NGOS by: Mike Weickert, World Vision Canada, PPT
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