LEARNING OBJECTIVES

At the end of the course, the participants shall be able to:

1. Differentiate DRRM-H Plan from other related plans;

2. Explain the importance of DRRM-H Planning;
3. Identify the different key players in DRRM-H Planning; and
4. Enumerate the steps in DRRM-H Planning.
WHAT IS DRRM-H PLANNING?

DRRM-H is a participative process, carefully studying the hazards, vulnerabilities and risks of an
area. Additionally, it is a systematic, strategic, evidence-based, and consultative process to come up with
a regional, provincial, city, municipality, barangay, and hospital DRRM-H Plan and properly implement it
to ensure resilient health systems at all levels of governance.

DRRM-H planning is generally similar to Health Emergency Preparedness and Response Plan
(HEPRRP). The distinction lies on the most recent framework that includes planning for the equally im-
portant prevention and mitigation and the recovery and rehabilitation thematic areas.

There are two other plans which are equally important, however will not be covered in this module.
One is the Contingency Planning, a management process that analyzes specific potential events or
emerging situations that might threaten the health of the population already affected or to be potentially
affected. This includes establishing arrangements in advance to enable timely, effective and appropriate
responses to such potential events and situations, resulting to a specific scenario-based plan. The sec-
ond is the Public Service Continuity Planning, a strategy that recognizes threats and risks facing an insti-
tution, including protection and functionality of personnel and assets in the event of a disaster. It in-
volves defining potential risks, determining how those risks will affect operations, implementing safe-
guards and procedures designed to mitigate those risks, testing those procedures to ensure that they
work, and periodically reviewing the process to make sure that it is up to date.

DRRM-H PLANNING GUIDE: Module 2 [DRRM-H Planning: Concepts, Principles, and Guidelines]
WHY CONDUCT DRRM-H PLANNING?

The DRRM-H planning process can optimize disaster prevention and mitigation opportunities; de-
velop adaptive capacities; activate response systems in a timely and efficient manner; and apply the
“build back better” principle therefore, reduce injuries, illnesses, mortalities, health-related damages and
losses. DRRM-H planning also guides resource acquisition and allocation in the health system for emer-
gency and disaster management.

WHO SHALL BE INVOLVED IN THE DRRM-H PLANNING?

ROLE OF THE DIFFERENT KEY PLAYERS

DRRM-H PLANNING GUIDE: Module 2 [DRRM-H Planning: Concepts, Principles, and Guidelines]
 The key players on DRRM-H Planning are the DOH Health Emergency Management Bureau (HEMB),
the Centers for Health Development (CHDs), and the Local Government Units (LGUs). The HEMB and the
Centers for Health Development (CHDs) are facilitators as enablers and orchestrators.

The roles of a facilitator for disaster resilience are to:

1. Connect external resources and local community;

2. Empower local community to be self-sufficient;
3. Provide proper knowledge, experiences, and tools;
4. Help local leaders learn a standardized but effective way to improve disaster resilience;
5. Help local leaders implement what they learned; and
6. Share experiences and lessons learned with communities in other areas.

WHEN IS DRRM-H PLANNING DONE?

DRRM-H Strategic Planning is done at least every three years or when a major disaster occurs that
entails revision of strategies. The plan is annually reviewed and tested, and regularly updated. However,
the operational plan of the DRRM-H plan should be crafted, reviewed, and updated annually based on the
strategies identified.

HOW TO CONDUCT DRRM-H PLANNING?

In conducting DRRM-H Planning, six (6) key steps are observed in a cyclical manner, illustrating the
process of continuous appraisal:

1. Preparing the Plan;

2. Data Gathering and Analysis;
3. Developing/Updating the Plan;
4. Integrating and Translating the Plan;
5. Implementing the Plan; and
6. Monitoring and Evaluating the Plan.

This also emphasizes that planning is a continuous process and does not end with the production
of the plan document. These steps shall be undergone in a systemic manner to ensure comprehensive-
ness, soundness, and feasibility of the plan as well as proper implementation and further improvement
based on data that will be gathered in the process. The illustration in the next page summarizes each key
step.

DRRM-H PLANNING GUIDE: Module 2 [DRRM-H Planning: Concepts, Principles, and Guidelines]
STEPS IN DRRM-H PLANNING

Step 1: Preparing to Plan: This is the starting point, which includes the authorization of the head of
the office/hospital or of the local chief executive for the conduct of the DRRM-H Planning, as initiated by
the DRRM-H focal person. It ends with having a schedule to convene the Planning Committee;

Step 2: Data Gathering and Analysis: Making available needed data and information utilizing tools
for analysis; may also derive from existing data (secondary data);

Step 3: Developing / Updating the Plan: Devising effective strategies and activities to achieve ob-
jectives and resolve gaps;

Step 4: Integrating and Translating the Plan: Incorporating and localizing the plan to related poli-
cies, plans including investment plan and operationalizing the plan;

Step 5: Implementing the Plan; and

Step 6: Monitoring and Evaluating the Plan: Regular review to update (testing the plan could be
done through the applicable methods e.g. drills). Monitoring should be conducted every six months,
while evaluation is done every after disaster/event.

DRRM-H PLANNING GUIDE: Module 2 [DRRM-H Planning: Concepts, Principles, and Guidelines]
CORE COMPONENTS OF A DRRM-H PLAN

The core component will serve as guide for the planning committee in writing the DRRM-H Plan.
This will also allow a standardized format in what should be included in a DRRM-H Plan even at different
levels of governance.

I. Message from the Regional Director/Head of Institution

The Regional Director/Head of Institution shall sign a letter of approval in support of the
DRRM-H Plan.

II. Goals of the Health Sector on Emergencies and Disasters

This section highlights the three DRRM-H Plan goals, namely: to guarantee uninterrupted
health service delivery during emergencies and disasters, to avert preventable morbidities,
mortalities and other health effects secondary to emergencies and disasters, and to ensure
that no outbreaks secondary to emergencies and disasters occur.

III. Background
This chapter includes the region/hospital/LGU’s geographic description, demographic profile,
health statistics, socio-economic situation, and information and lessons learned from the
previous disasters. An inventory of resources and possible partners, and information should
also be included. The gathered data must be evidence-based and presented in narrative,
tabular, and/or graphical form.

A. Geographic Description
1. Topography
2. Geo-hazard mapping (i.e., areas prone to erosions and flooding, presence of fault
lines and volcanoes)
3. Location of communities and health facilities vis-à-vis this map
4. Risks or hazards (i.e., occurrence of typhoons, storm surge, disease outbreaks)
5. Disasters that have occurred with lessons learned and gaps in response

B. Demographic Profile
1. Population
2. Population density
3. Number of households
4. Number of barangays
5. Death rate
6. Vulnerable populations

DRRM-H PLANNING GUIDE: Module 2 [DRRM-H Planning: Concepts, Principles, and Guidelines]
 C. Health Statistics
1. Three- to five-year reports on leading causes of morbidities and mortalities
2. Infant mortality rate
3. Maternal mortality rate
4. Nutritional status/ Malnutrition rate
5. Vaccination coverage
6. Indicators for basic health services and preventive health programs
7. Environmental sanitation, sources and status of potable water
8. Health human resource (number and capacity for health)
9. Health facilities
a) Hospitals, lying-in, laboratories, blood banks
b) Hospitals with special areas and services

D. Socio-economic Situation
1. Major economic activities
2. People’s sources of income
3. Poverty incidence and areas of concentration
4. Education
5. Peace and order
6. Source/s of food such as agricultural or fishing industry
7. Support facilities such as transportation, communication, access to information

E. Hazard, Vulnerability, and Risk Assessment

F. Inventory of Resources and Possible Partners in DRRM-H Institutionalization

IV. Plans per Thematic Area

The content of this chapter puts focus on the four (4) plans per thematic area with long-term
goals, strategies, objectives, and outcomes.

A. Prevention and Mitigation

B. Preparedness
C. Response
D. Recovery and Rehabilitation

V. Monitoring and Evaluation Plan

This chapter contains the systematic monitoring and evaluation plan that shall be based on
the indicators, targets, and activities in the four thematic areas.

DRRM-H PLANNING GUIDE: Module 2 [DRRM-H Planning: Concepts, Principles, and Guidelines]
 VI. Appendices
The appendices include supporting documents for the DRRM-H Plan such as but not limited
to the following:
A. Details on the General Information of the Health Office
B. Issuances related to DRRM-H
C. Protocols and Systems
D. Incident Command System (ICS) structure, members and job action sheet
E. Contingency Plan
F. Public Service Continuity Plan
G. Evacuation Area/ Surge Capacity Identified Areas
H. Reporting and Documentation Forms

SUMMARY

• DRRM-H Planning is a systematic and participative process of thoroughly studying the hazards,
vulnerabilities, and risks of an area. It follows a certain procedure and is a result of collaboration
among different members. The goal of DRRM-H Planning is to ensure resilient health systems from
the barangay to the national level of governance.

• DRRM-H Planning serves as a guide in managing resources on the health system during emergen-
cies and disasters. Proper planning can also strengthen other DRRM initiatives, facilitate better
communication systems, and help in capacity-building of the DRRM-H Planning members.

• The persons involved in DRRM-H Planning are (1) the head of the office/hospital or the local chief
executive; (2) the DRRM-H focal person; and (3) the other members of the DRRM-H planning com-
mittee. Meanwhile, the key players are DOH-HEMB, DOH-CHD and LGUs.

• The strategic planning is done at least every three years, but it may call for revisions when there are
major disasters. Meanwhile, the review and testing of the DRRM-H Plan is to be done annually.

• The six steps in DRRM-H Planning are: (1) Preparing to plan; (2) data gathering and analysis; (3)
developing/updating the plan; (4) integrating and translating the plan; (5) implementing the plan;
and (6) monitoring and evaluating the plan.

DRRM-H PLANNING GUIDE: Module 2 [DRRM-H Planning: Concepts, Principles, and Guidelines]
 This course material was produced in 2019 by the
“Development of eLearning Modules for the Department of Health”
project implemented by the University of the Philippines Open
University and funded by the Department of Health -
Health Human Resource Development Bureau.

PRODUCTION TEAM

Course Package Developer: Queenie R. Ridulme

Rita C. Ramos
Online Pedagogy Expert: Dr. Myra D. Oruga
Resource Person: Dr. Maridith Afuang
Online Learning Object Specialist: Rhea Ariele Pascua
Rachel Anne Joyce Sales
Scriptwriter: Rhea Ariele Pascua
Rachel Anne Joyce Sales
Style Editor: Rhea Ariele Pascua
Rachel Anne Joyce Sales