Guidance Notes

on
Safe Health Facilities

Sanjaya Bhatia
Focal Point Disaster Resilient Schools & Hospitals
 Steps
 Coordination Platform with Ministry of Health,
Country Office World Bank, WHO, National Disaster
Management Organization, Ministry of Finance
 Formation of a Technical Working Group
 Assessment of Vulnerability of Hospitals using
Hospital Safety Index
 Study on the impact of disasters on the health
sector
 National Workshop
 What can be done
 Ensure all new health facility buildings adhere to
building codes that incorporate disaster resilience
(design, location, construction materials and
methods, inspection, monitoring and
maintenance).
 Conduct a vulnerability assessment of existing
health infrastructure
 Set time-bound targets for repair, refit and
rebuilding – National Action Plan
 Develop a legal and institutional framework for
systematically implementing, monitoring and
evaluating safety, involving stakeholders from all
levels.
 What can be done

Study of the Socio-Economic Impact of Vulnerability Assessment of the

disasters on the Health sector health Facilities – Hospital Safety
Index

Local Research
organization

Study on the Impact of Disasters on the

Health Sector

Stakeholder National Advocacy Workshop

Input

National Action Plan for Safe Health

Facilities (NAPSHF)
 Significance of the National
Action Plan
 Develop Policy & Legal framework for safe health
facilities
• sectoral component of the National Action Plan / Strategy /
Policy for DRR.
 Develop guidelines for construction of safe buildings.
 Review to strengthen existing construction designs
and guidelines
 Capacity building of health staff, engineers,
architects, brick layers (masons), contractors and
other public and private sector stakeholders
What the National Action Plan covers

 Retro fitting
 New Construction –
Mainstreaming
 Emergency preparedness
 What the National Action Plan covers

Vulnerability Assessment

Steps for
Safer Health
Facilities National Action Plan

Structural Measures Non-Structural Measures

Hospital Emergency
Planning - ICS
Non-Structural Structural Components
Components

Trauma Management

New construction Retro-fitting

Mass Causality Management

Dead Body Disposal

Guidelines, Training, Management
Capacity Building
 The GN can provide

 Case studies and guidelines for construction of safer

buildings
 List of reference material for retro-fitting
 List of reference material and guidelines for non-
structural safety
 List of reference material and guidelines for
preparedness
 List of reference material for capacity building
 Case studies and list of reference material for costing
 Template for National Action Plan
 INTRODUCTION
 Background …………………………………………………………….
 Purpose and Objective ……………………………………………….…
 Planning Process …………………………………………………………
 Linkages with National Development Policies and Plans ………………..
 DISASTER RISK
 Hazard Profile …………………………………………………………….
• Floods
• Drought
• Disease Outbreaks and Epidemics
• Storms
• Forest and Land Fires
• Climate Change
• Technological Disasters
• Earthquakes, etc.
 ACTION PLAN FOR DISASTER RISK REDUCTION
 DRR Priorities
• First Level Priorities
• Second Level Priorities
• Third Level Priorities
 Summary of Disaster Risk Reduction Priority Projects
 IMPLEMENTATION
 Implementation Mechanism
 Institutional Arrangements
 Funding
 Monitoring and Evaluation
 First Level Priorities

 This would be hospitals which are

to be built under pipeline projects.
 The urgency is to integrate DRR
concerns before the construction
begins, so as to ensure strong
buildings.
 First Level Priority
(Example)
Priority Mainstreaming of DRR Into Pipeline Projects for Health
Objective: Facility Construction

Output  All pipeline projects have construction of safe buildings

Key Activities  Conduct DRR awareness raising for officials of Ministry

 Establish a technical working group
 Technical group examines the building designs to incorporate
disaster resilience features
 Conduct training of engineers, architects and other
stakeholders in the modified designs and construction practices
 Secure additional funding necessitated due to design change
 Implement construction of safer buildings

Potential Partner MOH as Lead, with support from WB, ADB, UN Agencies, JICA,
Institutions DANIDA, GTZ and other institutional donors

Time frame 2 years

Indicative Budget $ 300,000 (without cost of new buildings)

 Second Level Priorities

 These could be facilities in hazard

prone areas, with higher risk level
as identified in the assessment.
 This could also include
emergency planning and other
non-structural mitigation
measures.
 Third Level Priorities

 These could be health facilities

which need minor retro-fitting as
they are located in less hazard
prone areas of the country.
 Summary of Prioritization of Projects for Safe

Schools

Summary of Prioritization of Projects for Safe Hospitals

Timeframe Budget
Disaster Risk Reduction Component
S M L
1 Mainstreaming of DRR Into Pipeline Projects for Hospital Construction
1.1 Hospital name
1.2 Hospital name
1.3 Hospital name
2 Retro-fitting In Hospitals in Hazard Prone areas
2.1 Hospital name
2.2 Hospital name
3 Emergency Planning in Hospitals – Safe Hospitals
3.1 Development of National Guidelines
3.2 Training
3.3 Conduct of Annual Mock drills
4 Capacity Building for Safe Hospitals
4.1 Selection and Training of Master Trainers
4.2 Development of Training Modules
4.3 Localized Training
TOTAL

Legend:

S Short term (1-3 years)

M Medium term (4-10 years)
L Long term (10-15 years)
 Plan Format

NATIONAL ACTION PLAN FOR SAFE HOSPITALS

DRR Level Planned Level of Timeframe Budget Responsible
Component of Actions Priority S M L Department
Risk / Partners
1
2
3
Comments and Suggestions

Thank You