The document discusses a public health-inclusive community risk framework presented by AmeriCares at the 5th International Disaster and Risk Conference in Davos, Switzerland. The framework takes a combined conceptual and operational approach that is community-based, stakeholder-driven, and co-developed. It addresses gaps in research, practice, and policy by comprehensively including public health in frameworks for disaster risk reduction. The framework features multiple dimensions and can be adapted, scaled, and transferred to other contexts. AmeriCares aims to implement this framework through community risk reduction and adaptation projects in countries such as El Salvador, Myanmar, and the Philippines.

1. 5th International Disaster and Risk Conference IDRC 2014
‘Integrative Risk Management - The role of science, technology & practice‘ • 24-28 August 2014 • Davos • Switzerland
www.grforum.org
Public Health-Inclusive
Community Risk Framework
Sarah Henly-Shepard, MPH, Ph.D.
Program Manager, Disaster Preparedness
Garrett Ingoglia
Vice President, Preparedness, Response & Recovery

2. Background of AmeriCares
Global
Medical
Assistance
Primary Care
5th International Disaster and Risk Conference IDRC 2014
Emergency
Preparedness,
Response and
Recovery
‘Integrative Risk Management - The role of science, technology & practice‘ • 24-28 August 2014 • Davos • Switzerland
www.grforum.org
Emergency Preparedness, Response, and Recovery

3. AmeriCares Preparedness, Response & Recovery Objectives
5th International Disaster and Risk Conference IDRC 2014
‘Integrative Risk Management - The role of science, technology & practice‘ • 24-28 August 2014 • Davos • Switzerland
www.grforum.org
AmeriCares ERR Objectives
1. Provide partners with critical medical commodities
and other relief support in a timely manner.
2. Restore health services and support continuity of
operations, including setting up, rehabilitating,
and/or constructing transitional and permanent
health facilities.
3. Address psychosocial and mental health needs of
disaster survivors.
4. Improve preparedness in at-risk countries by building
the capacity for local risk reduction and public health
response.

4. Rationale: Gaps in Research, Practice & Policy
• Centrality of Health to Vulnerability, Risk & Resilience
• Lack of comprehensive public health-inclusive risk/resilience
5th International Disaster and Risk Conference IDRC 2014
‘Integrative Risk Management - The role of science, technology & practice‘ • 24-28 August 2014 • Davos • Switzerland
www.grforum.org
frameworks and programs
• International, National, Regional Frameworks as Guiding Principles &
Protocols
– UNFCCC & the Kyoto Protocol
– Millennium Development Goals & post-2015 Sustainable
Development Goals
– SPHERE Project, Humanitarian Accountability Framework
– Hyogo Framework for Action (HFA) 2005-2015 & Post 2015
 Opportunities for Informing the Post-2015 HFA2 Priorities and
Guiding Principles to more comprehensively include Public Health

5. Public Health-Inclusive Community Risk Framework Features
5th International Disaster and Risk Conference IDRC 2014
Type:
Combined
Conceptual &
Operational
Approach
Community-based &
Stakeholder-driven
Co-development of
Methods, Tools &
Outcomes
‘Integrative Risk Management - The role of science, technology & practice‘ • 24-28 August 2014 • Davos • Switzerland
www.grforum.org
Public-Health
Inclusive
Community Risk
Framework
Features
Alignment with AC
Values, Principles,
Strategic Goals &
Objectives
Dimensions
Social
Cultural
Economic
Public Health
Ecological
Governance
Adaptability,
Scalability &
Transferability
•Methodology & Tools
•Impacts, Outcomes,
Deliverables (capacity-building)
•Monitoring & Evaluation:
Community/Institutional
vs. AmeriCares
programmatic metrics
•Reporting
Scope
• hazard/disaster-focused
• diverse risk
beyond hazards
e.g. including
public health
• climate change
adaptation
Scale &
Audience/Stakehold
ers/Users/Partners
• household
• neighborhood
• community ~ rural vs.
peri-urban vs. urban
• multi-community
• regional
• institutional
Time Scale &
Financial/Partnership
Sustainability
• Short- vs. long-term
intervention
• Technical support and
capacity-building
through local partners
• Integration with other
AmeriCares initiatives

6. Public Health-Inclusive Community Risk Framework
Community Risk Reduction &
Adaptation Governance
Participatory Risk & Resource Identification,
Prioritization, Reduction & Preparedness Planning
Development of
Prioritized
Preparedness,
Reduction,
Mitigation,
Anticipation,
Adaptation
& Capacity-Building
Strategies
Awareness-
Raising,
Identification,
Assessment &
Prioritization
Socio-Ecological System
Dimensions:
Physical, Ecological, Social,
Cultural, Public Health, Economic,
Governance
Development of Community Disaster
Action Plans & Intervention Mechanisms
Across Disaster Cycle:
Iterative feedback loops: Ongoing
M&E of disaster action plan over
time and community changes,
disasters, etc.—informing project
impacts, outcomes, and adaptation
Community
Engagement & Trust-
Building:
Form/Engage
Community Risk
Governance
Committee, Gender
Mainstreaming
Co-development
of Project
Approach,
Objectives,
Methods & Tools
Prevention/Prepared
ness (Early Warning
Systems, Capacity-building
Workshops,
First Aid & CPR
trainings, Resource &
Risk Maps)
Ongoing EWS,
Response &
Mitigation of
Acute & Slow-
Onset Impacts
Identified by
EWS/other
Co-develop Risk
Reduction Strategy
Indicators (Across SES
Dimensions & Risk
Domains) & Target
Benchmarks for
Participatory M&E
Mechanisms
Recovery
integrating CBDRR
strategies into
Recovery Process
Hazard (Exposure)
Vulnerability
(Susceptibility)
Capacities
(Coping & Adaptive)
Risk Assessment
Risk Domains Across
Dimensions
Regional, National, Municipality Community Neighborhood Family Individual
International
Scale & Stakeholders

7. Framework Dimensions
5th International Disaster and Risk Conference IDRC 2014
Governance
Economic
‘Integrative Risk Management - The role of science, technology & practice‘ • 24-28 August 2014 • Davos • Switzerland
www.grforum.org
Physical
Ecological
Social
Cultural
Public
Health

8. Access to affordable,
accessible, adequate
healthcare
Preventive Health
Ability to live a
life with dignity
Education & Training, First
Quality of life/Level
5th International Disaster and Risk Conference IDRC 2014
‘Integrative Risk Management - The role of science, technology & practice‘ • 24-28 August 2014 • Davos • Switzerland
www.grforum.org
Communicable & non-communicable
diseases
Psycho-social
health:
Allostasis
Reproductive,
Maternal & Child
health
Livelihood
Security & Safety
Natural Resource
& Environmental
Management
Food
Security,
Environmental Nutrition
Health &
Exposure to
HazMat
Conflict, Violence &
Drugs (Ability to be
protected and
secure)
Aid, CPR
Water (Access
to adequate
quality and
quantity of
Living Conditions potable water)
(Access to
affordable, safe
housing)
Considerations
for Persons
with
Disabilities
Vector-borne
diseases
of Well-being
Sanitation
Gender
Mainstreaming
Access to
humanitarian
assistance
Public Health Dimension—
Potential Component Indicators
Early Warning
Systems for
Hazards &
Public Heath
Emergencies/
Threats

9. Public Health-Inclusive Community Risk Framework:
Local to International CBDRR Projects
5th International Disaster and Risk Conference IDRC 2014
‘Integrative Risk Management - The role of science, technology & practice‘ • 24-28 August 2014 • Davos • Switzerland
www.grforum.org
–El Salvador
–Myanmar
–the Philippines
– looking for other project
opportunities

10. 5th International Disaster and Risk Conference IDRC 2014
‘Integrative Risk Management - The role of science, technology & practice‘ • 24-28 August 2014 • Davos • Switzerland
www.grforum.org
Questions & Discussion

11. 5th International Disaster and Risk Conference IDRC 2014
‘Integrative Risk Management - The role of science, technology & practice‘ • 24-28 August 2014 • Davos • Switzerland
www.grforum.org
Thank You
Sarah Henly-Shepard, MPH, Ph.D.
Program Manager, Disaster Preparedness
shenlyshepard@americares.org
203-658-9511 (o) ; 512-431-9706 (c)
Garrett Ingoglia
Vice President, Emergency Response
gingoglia@americares.org
203-658-9675 (o)