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Disaster Management Awareness Program in Medical Schools in Nepal An Inclusive and Comprehensive Approach..., Sunita PANTA

Assistant to the CEO um Global Risk Forum GRFDavos
1. Sep 2016
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Disaster Management Awareness Program in Medical Schools in Nepal An Inclusive and Comprehensive Approach..., Sunita PANTA

  1. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Disaster management Awareness Program Dr Sunita Panta Anaesthesiologist and Assistant Professor Nepal
  2. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Namaskar Good Afternoon
  3. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Scope • Introduction and Disaster Overview • Risk assessment and Gap Analysis • Way Forward • Disaster management awareness Program • Conclusion
  4. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Introduction and Disaster Overview
  5. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org An inclusive and comprehensive approach To build a resilient community In a vulnerable and underdeveloped nation
  6. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org NEPAL This is where we stand in the world
  7. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org NEPAL • Small land locked country in South Asia • Situated between China in the North and rest by India • Himalayan Range -Mt. Everest the highest peak in the world • Birthplace of Siddhartha Gautam Buddha • Member of South Asian Association for Regional Cooperation (SAARC)
  8. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org • Population approximately 28 million (2014) – 83 percent live in the rural areas – 17 percent in the urban areas • The literacy rate of the country is 57.4 percent (Index Mundi) – male literacy rate is 71.1 percent – female literacy rate is 46.7 percent • Nepal is a low income country – Human Development Index (HDI) (2013) – 0.463 – 157 out of 187 countries
  9. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Nepal is a beautiful country but is prone to natural Disasters... 1. Flood 2. Landslide 3. Earthquake 4. Epidemics 5. Fire 6. Thunderbolt 7. Drought 8. Glacial Lake Outburst Flood (GLOF) 9. Avalanches 10. Windstorm Frequent Disaster : Landslide and Flood.. Earthquake likely to happen !!!!
  10. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org • Nepal falls top 20th list of the multi-hazard prone countries • Ranked 4th, 11th and 30th in term of climate change, earthquake and flood risk respectively • Persistent threat to huge loss of human lives due to natural disasters • The economic cost associated with natural disasters has increased tremendously in each episode of the calamity
  11. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Nepalese Community • Close knit and social • Wards , Village Development Committee (VDC) • Majority – Hindu • Limited education • Limited health infrastructure • Vulnerable to natural and human made hazards • Limited knowledge on disaster preparedness • Reconstruction phase –Nepal Earthquake 2015
  12. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Community and Disasters • Social unit is situated in a given geographical area vulnerable to the same disaster risks • Community developed against disasters by empowering individuals and groups of people by providing them with the coping skills • Community resilience is achieved by training teachers, students, leaders, health workers and social workers who can make an impact in the community. • Medical personnel should be involved in the community during the student phase itself
  13. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Medical professionals in community • Medical practitioners in integral part in the Nepalese society • Primary Health Centers, Health Posts, Hospitals • Involved directly in community medicine • Epidemiological studies • Involved in all the phases of the disaster cycle – Rescue – Relief – Rehabilitation – Reconstruction
  14. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Advantages of Community Involvement • Voluntary • Need based and specific • Economic • Cost effective • Resourceful in a country with limited disaster management capacity • Self-sufficient till external assistance avails • Community – first responders
  15. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Risk Assessment and Gap Analysis
  16. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Mega Earthquake in Nepal 2015
  17. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Earthquake 2015: Worst Affected Area
  18. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org
  19. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org
  20. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org
  21. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org
  22. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org
  23. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org
  24. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Vulnerabilities • Rugged and fragile geophysical structure • Variable climatic conditions • Active tectonic processes • Unstable government • Weak economy • Unplanned settlement • Poor construction practices • Dense and increasing population • Poor socioeconomic conditions • Low literacy
  25. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Gaps • The existing disaster response framework of Nepal is not adequate to effectively manage the large scale disasters • The recent mega earthquake of Nepal in 2015 revealed various drawbacks in disaster preparedness • Public awareness and disaster management education is lacking, but essential • Enhancing public awareness is found to be the cost effective tool in a low economy country like Nepal
  26. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Disaster Management Section Ministry of Home Affairs (MOHA) • Nepal: Guidance note - Disaster preparedness and response planning 2011 • Nepal: National progress report on the implementation of the Hyogo Framework for Action (2009-2011) • Nepal: National progress report on the implementation of the Hyogo Framework for Action (2007-2009 • Department of Archaeology, Ministry of Culture, Tourism and Civil Aviation, Nepal - gov • Department of Forest Research and Survey, Nepal - gov • Department of Hydrology and Meteorology, Nepal - gov • Ministry of Environment (MOENV), Nepal - gov • Ministry of Health and Population (MOH), Nepal - gov • Ministry of Home Affairs (MoHA), Nepal - gov • National Disaster Risk Reduction Centre (NDRC), Nepal - gov
  27. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Education Awareness Empowerment Way Forward
  28. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Initiatives… • Flagship approach on Disaster Risk Reduction • Establishment of Emergency Operation Centers • Program for Enhancement of Emergency Response (PEER ) Program • Disaster management awareness program (DMAP)
  29. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Flagship Approach on Disaster Risk Reduction • National Strategy for Disaster Risk Management (NSDRM)based on Hyogo Framework for Action (HFA) 2005 • Includes – Emergency preparedness and response capacity – Integrated community based disaster risk reduction/management • Aims to ensure that communities receive consistent community based disaster risk reduction support • Increasing disaster resiliency at Wards/VDC level across the country
  30. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Flagship Approach- 9 minimum characteristics of a disaster resilient community 1. Organizational base at VDC / ward and community 2. Access to Disaster Risk Reduction (DRR) information 3. Multi-hazard risk and capacity assessments 4. Community preparedness / response teams 5. Disaster Risk Reduction / Management plan at VDC/municipality 6. Disaster Risk Reduction (DRR) Funds 7. Access to community-managed resources 8. Local level risk / vulnerability reduction measures 9. Community based early warning systems
  31. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org NEOC HEOC • National Emergency Operation Center • Functional at the central, regional and District level • Ministry of Home Affairs • Humanitarian Staging Area (HSA) • Health Emergency Operation Centre • Functional at the central level • Ministry of Health • Hub and Satellite Hospitals Emergency Operation Centers
  32. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org
  33. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org DOLPA MUGU JUMLA KAILALI BARDIYA HUMLA DOTI SURKHET KAPIL- BASTU RUPAN- DEHI DANG 2 BANKE ACHHAM KALIKOT JHAPA MORANG SIRAHA SAPTARI BAJHANG BAITADI DADEL- DHURA KANCHANPUR BAJURA PARSA BARA RAUT- AHAT DHA NUSA MAHO- TARI SUNSARI SARLAHI DHADING MAKAWAN- PUR CHITWAN KASKI TANAHU PALPA SYANGJA PARBAT ARGHAK HACHI GULMI UDAYAPUR ILAM BHOJ- PUR DHAN- KUTA TAPLEJUNG OKHAL- DHUNGA TERHA- THUM KHOTANG LALIT BHAK KATHM SULUK- HUMBU DOLAKHA SANKHUWA- SABA NUWAKOT SINDHU- PALCHOWK KAVRE RASUWA LAMJUNG GORKHA PYUT- HAN ROLPA SALYAN MYAGDI DAILEKH JAJARKOT RUKUM MUSTANG Hub/Satellite Hospitals (HEOC) KATHMANDU 4 LALIT 1 BHAK 1 Hub Hospitals Satellite Hospitals India China Regional HEOC National HEOC Regional MS Central MS National HEOC WHO Stock
  34. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Program for Enhancement of Emergency Response (PEER) – Regional training program by U.S. Agency for International Development, Office of U.S. Foreign Disaster Assistance (USAID/OFDA) – The National Society for Earthquake Technology (NSET) is implementing the program in close collaboration with the national government agencies – Trainings offered : • Medical First Responder (MFR) • Collapsed Structure Search and Rescue (CSSR) • Hospital Preparedness for Emergencies (HOPE) • Community action for disaster response • Incident command system operation
  35. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Shree Birendra Army Hospital SBH Nepal Army Institute of Health Sciences NAIHS Disaster Management Awareness Program
  36. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Disaster management awareness program (DMAP) • Another initiative to provide comprehensive course on disaster management in medical schools in Nepal • In coordination with • Office of Defense cooperation (ODC), Embassy of the USA • National Society for Earthquake Technology (NSET) • Pilot project completed in the present academic session in the Nepal Army Institute of Health Sciences (NAIHS) • In the next academic session the project will be implemented in other medical institutions (22) of Nepal
  37. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Requirement • Medical personnel have a pivotal role during the whole spectrum of the disaster • Medical studies focus only on clinical aspects of disaster management • A comprehensive educational disaster program providing holistic knowledge from strategic to operational level beneficial • Module extended to the VDC/Wards during the community medicine training • Able to function on the basis of NDRF when required
  38. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org GOAL
  39. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org • Direct audience • Fourth year medical students (MBBS) • Second year nursing students(BSc Nursing) • Indirect audience • Medical officers • Nurses • Paramedics
  40. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Objectives Enhance the community resiliency against future disasters in Nepal by obtaining following : – Education on comprehensive disaster management in medical schools by informal lectures and workshops – Capacity building in the community by spreading awareness about disaster risks, mitigation measures and preparedness – Empowerment and inclusion of the marginalized group during disaster management trainings
  41. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Location….
  42. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Renovation….
  43. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Curriculum • Introduction to disasters- Multi-hazards in Nepal • Disaster epidemiology • Nepal earthquake 2015- Experiences and lessons learnt • Mass casualty incidents and Triage • Structural and Functional components • National disaster response frameworks and HEOC • International cooperation and humanitarian assistance • Disaster Preparedness
  44. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Timeline November 2015 January 2016 March 2016 September 2016 November 2016 Project Finalization Curriculum approval Implementation Workshop Assessment
  45. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Lectures….
  46. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Lectures….
  47. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Souvenirs…..
  48. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Conclusion • Disaster are sudden and disaster management is a difficult task • Disaster preparedness economical to disaster management - significance to low economy country like Nepal. • Community inclusion is vital in disaster preparedness and mitigation • Medical personnel can be involved in community capacity building starting from their formative years • Disaster management awareness program – comprehensive disaster management training to medical personnel • Effort to build a disaster resilient Nepalese community
  49. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Resilience starts early…… The Miracle Baby (rescued alive after 22 hours under rubble)
  50. 6th International Disaster and Risk Conference IDRC 2016 ‘Integrative Risk Management – Towards Resilient Cities‘ • 28 Aug – 1 Sept 2016 • Davos • Switzerland www.grforum.org Thank You
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