WHO - Kenya health sector disaster risk management capacity. Dr. James Teprey at the inaugural...
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Transcript of WHO - Kenya health sector disaster risk management capacity. Dr. James Teprey at the inaugural...
KENYA HEALTH SECTOR DISASTER RISK MANAGEMENT CAPACITY
Dr. James TepreyWHO
Disaster Risk Management
Wednesday, May 3, 2023 | Page 2Programme Criticality
What is Risk?Risk =
Likelihood(of an event occurring)
X (Multiplied by)
Impact (of the event if it occurs)
GOAL OF THE ASSESMENT
Document findings that would inform developing a roadmap for strengthening DRM capacity at National and County levels.
METHOD USED FOR THE SURVEY Survey conducted May and June 2013 Subcontracted Moi University Utilized Multicounty tool that was reviewed and
adopted to Kenyan situation. Captured National institutions,MoH , Line
ministries and counties of Baringo, Kitui, Marsabit, Migori, Mombasa, and Nairobi counties
Interview administered, FGD, KII.
Critical areas of DRM
LEGAL AND POLICY SUPPORT FRAMEWORKS MOH COORDINATION MECHANISMS HAZARDS AND RISK VULNERABILITY,
SURVEILLANCE INFORMATION INSTITUTIONAL PLANS AND LOGISTICAL SUPPORT
FOR RESPONSE AND RECOVERY COMMUNITY DISASTER PREPAREDNESS HEALTH FACILITY MITIGATION MEASURES COMMUNICATION STRATEGIES HUMAN RESOURCE PLAN AND CAPACITY
LEGAL AND POLICY SUPPORT FRAMEWORKSThe National Disaster Risk Management
Bill is yet to be enacted. The Bill does not give prominence to the
role of the Health Sector. There are several different pieces of
legislation and policies related to DRM which are not harmonized and coordinated
RECOMMENDATIONS Develop the Health Sector DRM Strategy and All Hazard plan that includes Disaster coordination
Lobby for passing of the DRM bills
MOH COORDINATION MECHANISMSThere exists an established structure but inadequate coordination mechanism for DRM within the health sector.Recommended Establishment of a
national standing committee on DRM and a multi-sectoral interagency health sector DRM forum
HAZARDS AND RISK VULNERABILITY, SURVEILLANCE INFORMATIONThe country lacks comprehensive
risk assessment information that can be used to plan interventions.
Health sector facilities were not necessarily established based on the risks
Some are located in hazard prone areas.
RECOMMENDATIONSThe ministry should conduct a
comprehensive disaster risk assessment, Map facilities to identified disaster risk zones while relocating vulnerable ones.
Integrate IDSR information management mechanism
INSTITUTIONAL PLANS AND LOGISTICAL SUPPORT FOR RESPONSE AND RECOVERY
The country developed the National Pandemic Preparedness and Response Plan (NPPP)
There is the need to develop an all-hazard national health disaster plan.
Noted that most health facilities have no emergency operation plans
RECOMMENDATIONS Operationalize the NPPP Develop an all-hazard national disaster plan Provide for a guiding legal framework for
ambulance services in Kenya. Utilize the regional KEMSA stores for disaster
preparedness Provide for accessible disaster contingency funds. Support health facilities to recover from
responding to emergencies and disasters through compensation, insurance payments and budgetary allocations
COMMUNITY DISASTER PREPAREDNESS
There exists a community health strategy and some communities have structures to handle local disasters
There are however no clear coordination structures at the community level for DRM
RECOMMENDATIONS Assist communities Develop a clear DRM
structure from grassroots to national level.
Enhance the scope of the community strategy to include DRM and disaster risk information.
Train stakeholders on DRM tools Enhance the capacity of Disease
Surveillance Coordinators and relevant professionals to perform DRM functions
HEALTH FACILITY MITIGATION MEASURES
Few Health facilities have a master plan and some were constructed with minimal consultations from relevant professionals.
There were inadequate resources for maintenance of most health facilities
RECOMMENDATIONS All Health facilities should create and
keep master plans HF should Implement the directive on
preventive maintenance funds. Harmonize policies & guidelines for
building construction to address DRM Identify and assess the resilience of old
health facility buildings
COMMUNICATION STRATEGIES
There existed a comprehensive health disaster risk communication strategy but needed to be Reviewed to address all phases of the
disaster Streamlined current MOH communications
office to be in tandem with other government structures
Mechanisms for Monitoring, Evaluation and Knowledge Management developed
HUMAN RESOURCE PLAN AND CAPACITY The current basic training in health
related courses did not adequately capture
Few Staff are Trained in DRM MOH did not also have a
comprehensive health sector human resource plan
RECOMMENDATIONS Undertake a training needs assessment for
DRM Advocate for incorporation of DRM
component in in-service training Develop a database of health experts on DRM
that can be mobilized during times of crisis Finalize the human resource development
policy Formulate policy on exercise/mock drills for
level 4-6 health facilities
ACKNOWLEDGEMENT Ministry of Health WHO UNISDR OTHER ORGANISATIONS, HOSPITALS Research assistants ALL RESPONDENTS