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EHA’s experiences in delivering Disability-inclusive Disaster Risk Reduction in Hospitals
Thematic Session-20 Disability inclusive DRRAsian Ministerial Conference on Disaster Risk Reduction
4 November 2016
Peniel MalakarEmmanuel Hospital Association (EHA), [email protected]
EHA’s journey toward Disability inclusive Hospital Disaster Preparedness & Response (DiHDPR) modules• 2009: Hospital DRR Pilot with DIPECHO in 2 hospitals
(implementing HFA-I & MDGs) • 2010: Di HDPR presented & piloted in 1 hospital
http://ehadmmu.com/assets/uploads/downloads/1433564535_DiHDPP%20v4.pdf
• 2009 – till date: more than 14 hospitals undergone (4 in Nepal)
• More than 1200 h/c leaders received training across India and Nepal (government & voluntary)
• 300+ hospitals sensitized on inclusive DRR• 15 hospitals queued up for DiHDPR for 2017 in India & a
few South Asian countries (Nepal; Myanmar; Bangladesh)
Common barriers to Inclusive approach• Attitudinal – complacency/stereotype (a bn & growing?)• Communication – health info/promo • Mobility/physical – it’s ok… stretchers/wheel chairs run• Programmatic – time/eqpt or faci design (welfare vs. business) • Socio-economic/stigma – education • Policy/legislation – buildings/transport/risk cover • Prohibitive costs – additional costs for low-Y countries • Inadequate skills/techniques – kits/training etc.
Governments can improve health outcomes for people with disabilities byImproving ACCESS to QUALITY, AFFORDABLE healthcare services.
EHA’s initiative toward inclusive DRR in hospitals Piloted (Assam) in one of its 20 hospitals in India,2010 Comprehensive approach through DiHDPR modules -
1. Prelude activities – GB adopts/sensitzn at all levels 2. Assessments – barrier free (b/f) faci 3. Team Formation – people with disabilities included 4. iHospital Disaster Management Plan –
Inclusion; Alarm/EWS; Training; Evacuation; Eqpt; Safety level scoring
5. Training & Capacity Building – include/use vari tools 6. Audit – proactively looking at b/f access 7. Unified Response Mechanism ensures all DPOs engaged
Some important realization by h/care fraternity Hospitals are a high capital-intensive spcl instns Disaster impacts on a hosp has a larger collateral impacts
(socio-economic) Patients admitted with critical conditions require special
assistance even though they do not have any disability (ortho, post surgical, weak & pregnant)
H/care (Medical & Nursing) fraternity are found least preferred for non-medical life-saving skills & vice versa (disasters donot discriminate)
No priority treatment observed dg a disaster event for h/care fraternity (evacuation)
Hospitals are the temple of hope for a disaster victim Most of the essential areas are not barrier-free
Advocacy for Mainstreaming Disability in Disaster Response at the national level 2015
Recommendations… Availability of dis-aggregate data at the village level Village level DMP must include mapping of people with
disabilities for quick evacuation Continuation of medication is critical…
EHA developed a Specialized Relief Kit for First Responders: Do’s & Dont’s/Basic set of questionshttp://ehadmmu.com/assets/uploads/downloads/20150622_1434965435.pdf
Recommend all Response Task Forces Awareness & Sensitization at the school level Hospital Safety Guidelines must include Di approaches
(worst case scenario!) Availability of Di experts essential for practical
implementation
