Public Health System Resilience is crucial to reduce the impact of a disaster.

This toolkit
aims to strengthen the coverage of many aspects in terms of public health issues and the
consequences of disasters. It is also consist of 10 Essentials in making cities resilient.

The first essential is about the health sector being a part of multisectoral disaster risk
management governance. The municipality of Pateros received a score of 4 over 5. The
assessment shows that public health institutions is doing their best to integrate resilience in
their work. Representatives of most public health functions usually attend to major city
disaster resilience meetings and contribute to major programs, but not in all relevant
activity.

Essential no. 2 assess the Integration of public health and disaster scenarios . The
municipality have a score of 11 out of 15 which means that Emergencies and disasters
including disease outbreaks and Disaster Health issues are addressed as above, but they
tend to be considered in isolation from other risks, and thus the interaction with other risks
may not be fully addressed, and Most applicable chronic health conditions are included in
scenario definition or planning, with some gaps.

In the 3rd essential, which tackles the funding for public health aspects of resilience, the
municipality have a score of 1 out of 5. which most likely means that Health funding needs
have only been assessed in outline, and only a generalized knowledge of funding sources is
available. These have not been pursued.

Essential no. 4 assesses To what extent the key health facilities located and built in a
manner that will allow them to continue to be operational after a disaster. The municipality
got a score of 3 out of 5 which indicates that – Some key public health facilities are not in
locations or fail to conform to codes that will allow them to survive in the “most probable”
disaster scenario.

In Essential no. 5, To what extent are ecosystem services that provide public health benefits
identified and protected was answered. The municipality has a score of 2 out of 5 which
shows that there is a Widespread gaps in identification and protection of relevant
ecosystem services. Significant issues with the health of some of those ecosystem services
that are monitored. Examples of ecosystem services that provide public health benefits are
Natural water filtration, Tree cover, and species that predate on mosquito and other
potential carriers of disease.

Essential no. 6 focuses on the integration of public health and institutional capacity. The
municipality has a score of 13 over 20. the assessment shows that All relevant skills
identified, and some minor shortfalls known to exist in certain skill sets or numbers thereof,
and Health records are mostly safe but may not be accessible due to communications issues
that can be anticipated after a disaster.

Essential no. 7 assess the Effectiveness of public health system in community engagement
in context of disaster risk management. Pateros has a score of 9 out of 15 which indicates
that almost 75% of communities have a broad understanding and are able to execute key
elements of their role, Some communities or other sub-groups may fail to receive, accept or
act upon public health information,

Essential no 8 is about the Integration of public health and infrastructure resilience .

Pateros has a score of 6 over 15. this assessment shows that All public health infrastructure
– including the services on which it depends – is rated capable of dealing with “most
probable” scenario with minimal loss of service, Surge capacity is theoretically available but
has never been assessed or tested for “most probable” scenario, and Serious impacts under
“most probable” scenario on care of almost all existing patients, with movement likely to be
possible only in most urgent cases. Under “most severe” scenario, care of existing patients
would fail completely.

Essential no. 9 is about the Integration of public health and disaster response. The
municipality has a score of 11 out of 20. this shows that Some monitoring exists but has
significant gaps. Warning time is less than technology permits and there may also be some
false positives: reliability of warnings may therefore be perceived as questionable, – Public
health is integrated but via remote input (phone, messaging). Engagement has been tested,
but maybe more than 12 months ago, 75% of citizens likely to require additional support or
specific measures city-wide are identified and provisions exist to help them.

And lastly, Essential no. 10 which is about the Integration of public health and
recovery/building back better. The municipality has a score of 6 out of 10 which shows that
Plans exist for post “most probable” event but with some shortfalls.

Overall, the pateros has a score of 66 out of 115 which shows that they have more things to
improve especially in terms of funding to provide their constituents a proper public health
system that can ensure a fast recovery after disasters.

CONCLUSION
1. Most of the respondents came from the age group of 21-25 years old with the total of 62
out of 109 respondents (56.88%) because the survey was conducted thru google form and
this age bracket is more knowledgeable when it comes to this platform, in terms of gender,
the number of female and male respondents are 53.21% and 44.04% respectively.The
frequency of Male and Female respondents are close to each other which shows that the
questionnaire was distributed to close to far status. The educational attainment of the
majority respondents is undergraduate with a total of 54.12%. Most of the respondents are
students which comprises 49.54% of the total number.
2. Pateros received an overall score of 59/141 in disaster resilience. The assessment
identified two essentials that highlighted to be the strength of the Municipality of Pateros -
Essential 02 and Essential 06. The assessment shows that they have existing plans to
identify hazards such as adopting Hyogo Framework for Action, Philippine Disaster Risk
Reduction Management Act of 2010 (RA10121) , and Philippine Climate Change Act of 2009
(RA 9729) and the community have organization or social group for disaster management
as well as built in settlements facility of physical and non-physical disaster mitigation.
3. The assessment also identified the municipality’s weaknesses which are Essential 03,
Essential 04, Essential 05, Essential 07, and Essential 08. Even though there are charity and
donations that are coming when a calamity strikes Pateros still lacks on budget for
preparedness that will surely help its large community given that they are the second most
densely city in Metro Manila. And so, they are not able to provide certain incentives to
businesses to encourage them to plan for resilience. It proves to be the same case when it
comes to infrastructure. Most have been existing long before the idea of resilience has
taken flight. So, it becomes the current government’s responsibility to keep up and possibly
upgrade its infrastructure, which goes back to the issue of funding
4. The municipality of Pateros received an overall score of 66/115 in the Public Health
system resilience. The assessment identified five (5) strengths of the municipality- Essential
01, Essential 02, Essential 06, Essential 07, and Essential 10. These essentials are about
being organize in times of disaster, understanding and being able to use current and future
risk scenarios, strengthen the capability to achieve their social goals thru knowledge and
systems, and to quickly recover and build better.
5. . There are also three (3) weaknesses of the municipality in terms of public health
system resilience that was identified - Essential 03 and Essential 08. These pertains to the
financial capacity of the municipality and infrastructure resilience.

RECOMMENDATION
1. Acquire Sendai Framework
The Sendai Framework will be a big help in disaster risk reduction and public health
resilience if it is executed properly. It will address three (3) factors such as Socio-economic
factors , Politico-institutional factors, and Environmental factors. The Socio-economic
factors focuses in decreasing weaknesses and to prevent risks by addressing the possible
consequences of poverty and marginalization that can affect community resilience. The
Politico-institutional factors will address the responsibility of the state and the signifance of a
proper risk governance . And lasty, the Environmental factors will set about the land-use
progams development and execution which includes urban planning and the use of
regulations and follow-up tools informed by anticipated demographic and environmental
changes.

2. Practice Budget Flexibillity and consider other source of funding

Budget is much needed for a city to be resilient. It will be the basis of the activities and
actions that will be implemented by the municipality. The municipality must know the
importance of funding resilience projects in the long run such. A more resilient city will be
able to return to a fully running economy more rapidly, resulting in greater revenue and, as a
result, unhindered community growth.

3. Conduct systemic and specific vulnerabilities mapping

The municipality of Pateros should tackle the needs and demands of informal
communities including basi infrastructures inadequacies such as water, drainage, and
sanitation. They should also excert more effort in raising awairness of hazad-resistant
building practices and should educate people in the construction industry. The drrmo should
also update the regulations and standards of infrastructures periodically to adopt to the
changing evidences of disaster risks.

4. Invest more in green infrastructures on streets and sidewalks

Since the municipilaty of Pateros in prone to flooding due to heavy rains, they can invest
more in green infrastructure that will be a big help to the municipality’s stormwater systems,
It can also help to make the rainwater run-off cleaner that would lessen the burdern on the
sewer insfrastuctures. Having green infrastructures will not only benefit them during
disasters but will also provide social and economic benefits.

5. Enhance Community-Based Warning System

Early warning system will help in reducing the likelihood of injury, death, property
damage, and loss of livelihood. It will also help the people to act timely and appropriately
before or during a disaster. It will also provide ample time to raise their belongings
especially during rainy season where flooding have a high tendency to take place.

6. Establish connections with private sectors

It is a must to give importance to critical infrastructures such as roads,
telecommunication systems, hospitals and healthcare facilities, food supply chain, and police
& fire services. The municipality should make sure that during and after disasters, this
infrastructures are still operating to provide the needs of the residents affected. The
municipality should consider forming alliances with the private sector to pool technical and
financial resources and guarantee that commercial investments adhere to environmental and
risk-reduction guidelines.