Health Sector Disaster Preparedness and Response Plan Gampahardhsofficegampaha.org/files/2019/05/Gampaha-Book.pdf · This plan is valid for five years from the date of approval by

Health SectorDisaster Preparedness and

Response Plan Gampaha

Disaster Preparedness and Response Division Ministry of Health, Nutrition and Indigenous Medicine

Regional Director of Health Services Gampaha

i. List of Abbreviations iii

ii. List of Contributors iv

1. Introduction 01

2. Objectives 02

2.1 General Objective 02

2.2 Specific Objectives 02

3. Scope 02

4. Disaster Preparedness Activities 03

5. Disaster Response Activities 05

5.1 Early-Warning 05

5.2 Activation of Health Sector Disaster Management Plan 05

5.3 Public Health Incident Command System 08

5.4 Chain of Command in Activation and Deactivation of

Health Sector Disaster Response at RD 10

5.5 Regional Public Health Emergency Operation Centre 17

5.6 Responsibilities of the Appointed Field Staff 19

5.7 Procedure for establishing R-EMTCC 20

5.8 Information Flow in Disasters 21

5.9 Deactivation 21

5.10 Review 21

5.11 Documentation and Reporting 21

List of Annexure 22

Annexure 01 - Risk Assessment Report 22

Annexure 02 - Letter of Approval 28

Annexure 03 - Public Health - Incident Command System Template 29

Annexure 04 - MOH Daily Data Collection Format 30

Annexure 05 - RDHS Daily Situation Report 32

Annexure 06 - Emergency Medical Teams Registration Form 33

Annexure 07 - Emergency Medical Teams Request Form 34

Annexure 08 - RDHS Disaster Response Review Format 35

Contents

Health Sector Disaster Preparedness and Response Plan Gampaha iii

CCP Consultant Community Physician

D-RDHS Deputy Regional Director of Health Services

DGHS Director General of Health Services

DPRD Disaster Preparedness and Response Division

DDMCU District Disaster Management and Coordinating Unit

HEO Health Education Officer

MCH Maternal and Child Health

MO Medical Officer

MOH Medical Officer of Health

NCD Non-Communicable Disease

PHI Public Health Inspector

PHM Public Health Midwife

RDHS Regional Director of Health Services

RDS Regional Dental Surgeon

RE Regional Epidemiologist

R-PHEOC Regional Public Health Emergency Operation Centre

R-EMTCC Regional Emergency Medical Team Coordination Cell

SOP Standard Operating Procedure

SPHI Supervisory Public Health Inspector

SPHI-D District Supervisory Public Health Inspector

List of Abbreviations

Health Sector Disaster Preparedness and Response Plan Gampahaiv

List of Contributors

Regional Level

01. Dr. Nalin Ariyarathne (Regional Director of Health Services)

02. Dr. Chanaka Liyanage (Medical Officer-Disaster Management)

03. Dr. Prabhath Bandaranayake (Medical Officer Quality Management)

04. Dr. Indika Pethiyagoda (Medical Officer Meternal and Child Health)

05. Dr. S.R. Ranasinghe (Regional Epidemiologist)

06. Dr. S.A.D.I. Subasinghe (MO - Planning)

07. Dr. Aruna Sampath (Medical Officer Occupational Health)

08. Dr. R.P.V.G. Rajapaksha (Medical Officer of Health, Kelaniya)

10. Mr. H.B. Goonathilaka (SPHID Gampaha)

National Level

01. Dr. H.D.B. Herath (National Coordinator, DPRD)02. Dr. A.U.S. Perera (Consultant Community Physician, DPRD)03. Dr. N.W.A.N.Y Wijesekara (Medical Officer, DPRD)04. Dr. Asanka Wedamulla (Medical Officer, DPRD)05. Dr. K.C. Kalubowila (Medical Officer, DPRD)06. Dr. Janaka Wickramarathne (Medical Officer, DPRD)07. Dr. S.M.H.S. Chandrasena (Medical Officer, DPRD)

08. Mr. D.P.C.D Jayasooriya (Planning & Programming Assistant, DPRD)

World Health Organization

01. Dr. W.L.S.P. Perera (National Professional Officer - Emergency Risk Management)02. Mr. Ranjan Suriyabandara (Team Assistant)

Health Sector Disaster Preparedness and Response Plan Gampaha 1

1. Introduction

Regional Director of Health Services (RDHS) area of Gampaha, is located in the Western

Province of Sri Lanka with a population of 2, 390, 566. It has fifteen (15) Medical Officer of

Health (MOH) areas.

Gampaha District Health Sector Disaster Management Plan was developed through a

consultative process commencing from 24th August 2017 up to 28th February 2018 (Annexure

02). Contributions for the report were done by the staff of the RDHS Gampaha, Ministry of

Health, Nutrition and Indigenous Medicine and the World Health Organization (Refer the list

of contributors).

Gampaha district has witnessed different disasters in the recent years in which dengue

outbreak is one of the major disasters. Floods have affected several MOH areas of the

districts, while drought has been observed in some MOH areas. In addition, fire, chemical

accidents and industrial accidents too have been reported from the MOH areas of the RDHS

Gampaha. Very high multihazard score was reported from MOH Biyagama. High multihazard

score was found in MOH Kelaniya and MOH Seeduwa. Very high vulnerability score was

reported from MOH Minuwangoda, MOH Ja-Ela and MOH Kelaniya. With regards to

capacity, very high score was reported from MOH Gampaha. High capacity was reported

from MOH Mahara. Exposure was calculated based on the population in the MOH area.

Very high exposure was seen in MOH Mahara while high exposure was seen from MOH

Gampaha. Risk score was calculated based on hazard, vulnerability, capacity and exposure

scores. Very high risk was found in MOH Biyagama while high risk was found for MOH

Minuwangoda and MOH Kelaniya.

This plan is valid for five years from the date of approval by RDHS Gampaha (Refer Annexure

02) and overrides any previous Health Sector Disaster Management plans of the RDHS

Gampaha. Further, it is a Multi-Hazard Health Sector Disaster Management Plan; hence it

is a universal plan to be used in any emergency. However, it can be adopted to cater to any

specific hazard and needs to be reviewed and updated after every major disaster response

activity. Even if such a disaster does not occur, it needs to be tested through a desktop

simulation conducted at least once a year.

Health Sector Disaster Preparedness and Response Plan Gampaha2

2. Objectives

2.1 General Objective

To provide guidance for health sector disaster management at RDHS Gampaha.

2.2 Specific Objectives

1. To describe preparedness activities that needs to be done at RDHS level.

2. To describe the early-warning for disasters in the health sector.

3. To describe four levels of an emergency response.

4. To enlist the activities that need to be followed at each level of an emergency.

5. To describe the public health incident command system.

6. To describe the steps in establishing the Regional Public Health Emergency

Operation Centre (R-PHEOC) and Regional Emergency Medical Team Coordination

Cell (R-EMTCC)

7. To describe the activation and deactivation of the health sector disaster

management plan.

8. To describe the procedure to review and revise the health sector disaster management plan.

3. Scope

The Health Sector Disaster Management Plan of the RDHS Gampaha covers both health

sector preparedness and response activities based on the risk assessment (Annexure 01).

This plan compliments the District Disaster Preparedness and Response plan developed by

the district disaster management and coordinating unit (DDMCU).

It is intended to be used by the staff of the RDHS office in consultation with the MOH

offices. This plan identifies and prioritizes the hazard profile in the district and delineates the

stepwise response activities to be implemented promptly.

Standard Operating Procedures (SOP) to be followed by the MOH in providing services

for outbreak control, environmental health, maternal and child health and mental health for

disaster survivors will be coverd in separate documents.

Further, seperate hospital preparednes plans are available for each hospital.


4. Disaster Preparedness Activities

1. MOH level risk assessment should be done by the staff of the MOH office and

the representatives from the RDHS office.

2. Each MOH should maintain a file of risk related information to be used in future

risk assessment.

3. Risk assessment of the RDHS area, Gampaha should be done considering all

MOH areas in the district by the staff of the RDHS office and the representatives

from all MOH offices in the district.

4. Disaster Management Plan of the RDHS should be prepared with the participation

of all the staff of the RDHS office.

5. Above plan should be reviewed with all the staff and other stakeholders after

every major disaster or after the desktop drill conducted once a year in the

absence of an actual disaster.

6. Copies of the revised plan need to be disseminated to all staff and other relevant

stakeholders.

7. RDHS should conduct a disaster managemet training for all MOH at least once

a year.

8. RDHS should ensure that MOH conducts a disaster management training for

Public Health Midwives (PHMM) and Public Health Inspectors (PHII) at least

once a year.

9. RDHS should establish the Regional Public Health Emergency Operation Center

(R-PHEOC).

10. RDHS should establish the Regional Emergency Medical Team Cordination Cell

(R-EMTCC).

11. RDHS should ensure that adequate quantity of medical supplies at RDHS and

MOH level.

12. A training program should be conducted for RDHS staff on effective execution

of disaster preparedness at least once a year.

13. Regional, MOH and hospital level plans should be tested at least once a year.

14. RDHS will ensure the participation of himself / herself or and assigned

representative at district level disaster management coordination meetings.



5. Disaster Response Activities

5.1 Early-Warning

RDHS will be the focal point in receiving early warnings from warning agencies.

Further, RDHS will be the focal point for dissemination of early warnings to the hospitals and

MOH offices, as well as to the Director General of Health Services (DGHS) if required.

RDHS will be responsible for alerting the DGHS of emerging heath risk through the

respective national agencies such as the Epidemiological Unit and the Disaster Preparedness

and Response Division (DPRD).

5.2 Activation of Health Sector Disaster Management Plan

RDHS will activate the health sector disaster response.

Four levels of activation are available. Moving up from level 1 to level 4 will be done in a step-

up approach, after carefully assessing the risk during and after each step.


Level - 02

MOH RDHS

∙ Response to an event is needed for taking measures beyond the scope of the routine operations of the MOH level.

∙ Assistance is not required to manage the situation successfully from the RDHS.

∙ RDHS is on alert to escalating of the event into disaster at MOH level.

Level - 01

MOH RDHS

∙ Routine activities at MOH level.

∙ No Emergency at MOH level.

∙ MOH level surveillance continues.

∙ RDHS level surveillance continues.


Level - 03

MOH RDHS


∙ Assistance is required to manage the situation successfully from the RDHS.

∙ RDHS switches on to emergency mode.

∙ RDHS can manage the needs of affected MOH within its own resources.

∙ No line ministry support needed.

Level - 04

MOH RDHS


∙ Assistance is required to manage the situation successfully from the RDHS.

∙ RDHS cannot manage the needs of affected MOH within its own resources.

∙ RDHS switches on to disaster mode.

∙ Line ministry support needed.


5.3 Public Health – Incident Command System

During a disaster, the Regional Public Health – Incident Command System (RPH – ICS) will

be activated as below.

Incident Commander

OperationsSection

OperationsTeam 01

MOH 01 MOH 05 MOH 09 MOH 13

MOH 03

MOH 04

MOH 07

MOH 08

MOH 11

MOH 12

MOH 15

MOH 02 MOH 06 MOH 10 MOH 14

PlanningSection

OperationsTeam 02

LogisticsSection

OperationsTeam 03

Administration and Finance Section

OperationsTeam 04

Liaison OfficerPublic InformationOfficer

Safety Officer


The incident commander will be responsible for the activation and deactivation of the PH-

ICS. In addition, he will be responsible for the overall disaster response operation, as well as

for communication with the provincial and national level health authorities, and non-health

stakeholders. The incident commander will be assisted by a public information officer, safety

officer and a liaison officer, depending on the extent of the disaster.

The public information officer will assist the incident commander in sharing the information

with the general public and the media. The public information officer will ensure that accurate,

accessible and timely information is available for use in press / media briefings and other

means of informing such as public notice boards.

The safety officer will be responsible for the identification and mitigation of hazardous

situations of the RDHS team during the disaster response.

The liaison officer will be the point of coordination of the incident commander within other

health agencies as well as non-health agencies.

The operations section is responsible for all tactical operations such as the delivery of

public health services as well as curative health services during the disaster. Depending on

the severity of the disaster, operations teams will be formed with MOH offices assigned to

each operations team.

The planning section is responsible for assisting the incident commander in planning

through collection, consolidation and analysis of information.

The logistics section will be responsible for the arrangement of supportive services such

as facilities, transport, communications, supplies, equipment, food, and accommodation for

responders.

The administration and finance section is responsible for ensuring the adherence to the

administrative and financial procedures of the RDHS. However, any deviations are needed

due to the emergency condition, prior approval is necessary.

The PH–ICS template in Annexure 03 could be used for the assigning of roles during an

emergency.


RDHS the responsible for the activation and deactivation of the health sector disaster

responce.

If the RDHS is not available, Deputy RDHS (D-RDHS) is responsible to activate and deactivate

the health sector disaster response.

If both RDHS and D-RDHS are not available, Consultant Community Physician (CCP) RDHS

office will have the authority to activate and deactivate the disaster response.

If RDHS, D-RDHS and CCP-RDHS office are not available, one of the following officials

will have the authority to activate and deactivate the disaster response: Medical Officer

– Planning, Regional Epidemiologist, Medical Officer – Maternal and Child Health, Medical

Officer – Non-communicable Diseases, Regional Dental Surgeon, Supervisory Public Health

Inspector - District (SPHI-D) Gampaha.

RDHS will be the incident commander. When the RDHS is not available, the next officer in

line, as shown below will assume the role of the incident commander.

RDHS

D-RDHS

CCP-RDHS office

Medical Officer Planning, Regional Epidemiologist, Medical Officer Maternal and Child Health, Medical Officer Non-communicable Diseases, Regional Dental Surgeon, SPHI-D Gampaha

01

02

03

04

5.4 Chain of Command in Activation and Deactivation of Health Sector Disaster Response at RDHS level


Steps to be Followed

During Level 1

Level 1 is the baseline activation which

will continue at all levels at all time.

1. RDHS will examine disaster intelligence

reports on a daily basis from the following

sources:

a) Landslide warnings issued by the

National Building Research Organization

http://www.nbro.gov.lk/index.

php?lang=en

b) Tsunami warnings and Disaster Situation Reports from the Disaster Management

Centre http://www.dmc.gov.lk/

c) Meteorological reports from the department of Meteorology

http://www.meteo.gov.lk/index.php?lang=en

d) Weather reports from other reliable global weather monitoring stations

http://www.accuweather.com

e) Epidemiological reports issued by the Epidemiology Unit

f) Environmental health reports issued by the Environmental and

Occupational Health Unit

g) News/notices prepared by printed media and electronic media

h) Details obtained directly and personally from the hospital staff and field staff

i) Messages given by the Police

j) Rumours among community members need to be examined carefully.

k) Any other events specific information sources.

2. If any suspicious event is detected, RDHS will re-confirm it from the MOH.

3. RDHS will inform the Director General of Health Services (DGHS) and National

Coordinator DPRD about any suspicious events and actual or false alarms.


Steps to be Followed During Level 2

At the level 2 of activation, the RDHS has received a report from MOH about an emergency to which they are responding successfully without the need of support from RDHS.

1. Request a daily situation report (Annexure 04) from the MOH about the situation including the incident, location, deaths, casualties and any locations where affected people are sheltered and any gaps that needs to be filled from RDHS assistance, or coordinate with non-health stakeholders.

2. Cross check with the relevant hospitals if they are aware of the incident and are ready to

provide the emergency services for the event.

3. Triangulate the information received from the MOH through the routine disaster

intelligence reports with other sources.

4. Keep channels of communication open 24/7 for MOH to contact for help if needed.

5. Inform the Duty Officer on Call for the activation of the R-PHEOC if the need arises.



At the level 3 of activation, MOH has requested assistance from the RDHS to manage the emergency that has occurred.

1. Activate the R-PHEOC (8.00 am – 4.00 pm, 8.00 am – 8.00 pm or 24/7 depending on the situation analysis).

2. Entertain a “Call for Help” from MOH

3. Make immediate measures to mobilize the

required resources such as medical supplies, health staff, vehicles and cash.

4. Cross check with the MOH if the necessary assistance has reached the ground level.

5. Request a daily situation report (Annexure 04) from the relevant MOH on current situation and any gaps which cannot be met.

6. Triangulate the information received from the MOH through the routine intelligence reports with other resources.

7. Daily assess logistics and other support needed.

8. Hold a briefing meeting at the beginning of the day (15 minutes) and a standing debriefing meeting at the end of the day (10 minutes) and maintain the minutes of each meeting.

9. Keep channels of communication open 24/7 for MOH to contact for further help if needed.

10. Give a call round to relevant other MOH offices and update their situation.

11. Update the DGHS and National Coordinator DPRD ragarding the current disaster situation and reponse activities at RDHS area.

12. Send a summary of the situation to the DGHS and National Coordinator DPRD on a daily basis using the Annexure 05 or over the phone or any other available communication media such as email, fax or courrier service.


13. Delegate a suitable officer to participate in the inter-sectoral meetings organized by the District Secretariat.

14. Hold a health sector coordination meeting with the participation of all stakeholders involved (determine the frequency – daily, twice a week or weekly depending on the situation analysis).

15. Keep the DGHS and National Coordinator DPRD on alert in case emergency assistance is needed in near future.

16. Establish R-EMTCC based on the situation analysis.



At the level 4 of activation, RDHS needs the assistance of the line ministry to manage the emergency that has occurred.

1. Keep the R-PHEOC open. Decide if the operating hours need to be moved up. (8.00 am – 4.00 pm to 8.00 am – 8.00 pm or 24/7.)

2. Request a daily situation report from the MOH about the situation such as the incident, location, deaths, casualties and any locations where affected people are sheltered (Annexure 04).

3. Make immediate measures to mobilize the required resources in consultation with the DGHS.

4. Cross check with the MOH if the necessary assistance has reached the ground level.

5. Triangulate the information received from the MOH through the routine intelligence reports.

6. Keep channels of communication open 24/7 for MOH to contact for further help if needed.

7. Give a call round to other MOH offices and update their situation.

8. Inform DPRD when the requested assistance has arrived.

9. Send a summary of the situation to the DPRD daily (Annexure 05).

10. Keep the DGHS on alert for further assistance in cases of future emergencies. 11. Hold a briefing meeting at the beginning of the day (15 minutes) and a standing debriefing

meeting at the end of the day (10 minutes).


12. Delegate a suitable officer to participate in the inter-sectoral meetings organized by the District Secretariat.

13. Hold a health sector coordination meeting in participation of all stakeholders involved (determine the frequency – daily, twice a week or weekly depending on the situation analysis).

14. Maintain R-PHEOC and R-EMTCC based on the situation analysis.

15. Request of funds and the distribution of them should be done under the supervision of the accountant of RDHS.


5.5 Regional Public Health Emergency Operation Centre

RDHS meeting room will be converted in to R-PHEOC with a level 3 activation.

For the activation of the R-PHEOC, following members should report to the RDHS office

within 1 hour.

01. RDHS / Deputy RDHS / CCP - Officer / Incharge of the R-PHEOC

02. Medical Officer Planning - Planning

03. Accountant - Logistic and Finance

04. Adminstrative Officer - Administration

05. Health Education Officer - Liaison Officer

06. Supervisory Public Health Nursing Sister - Public Information Officer

07. Medical Officer Non Communicable Dieseases - Safety Officer

08. Regional Epidemiologist - Operational Officer

09. District Supervisory Public Health Inspector (SPHI - D)

10. Two Clerical Staff

11. One Supportive Staff

12. Driver on Call

The R-PHEOC should have the following facilities:

01. Conference table

02. Four work stations with table, chair, computer and internet connection

03. Telephone (2) fixed lines and (2) Codeless Division Multiple Access (CDMA)

phones

04. Two printers

05. Fax machine

06. Photocopy Machine

07. Projector

08. Screen

09. A dedicated vehicle with full tank of fuel

10. Refreshments

R - PHEOC should be setup using the “Board Room” style.

Emergency On-Call Roster for R-PHEOC should be prepared before the 25th of

the previous month and will be approved by the RDHS.

It should be displayed on the common notice board.


∙ When a level 3 activation is declared by the RDHS, on-call staff of the R-PHEOC will

be responsible for reporting immediately to the R-PHEOC and activating of it.

∙ Telephone operator should summon the members of R-PHEOC according to the on

call roster displayed.

∙ They will assist the RDHS to perform the prescribed activities for the respective level.

∙ With the declaration of the level 3 or 4 emergencies and the depending on the times

when the R-PHEOC is functioning, RDHS will consider on the provision of refreshments,

transport and overtime/ extra duty payments to the staff until the emergency is scaled

down to 1 or 2.

Following format should be used to prepare the roster:

Emergency On-call Roster Officer – In – Charge of the R-PHEOC

RDHS Gampaha

Month:Date Designation Name Contact number

1 OIC

Development Assistant


Health Assistant

Driver

2 OIC



Health Assistant

Driver

– R-PHEOC

– R-PHEOC

– R-PHEOC

– R-PHEOC

– R-PHEOC (Vehicle No:)

– R-PHEOC

– R-PHEOC

– R-PHEOC

– R-PHEOC

– R-PHEOC (Vehicle No:


Each member of RDHS staff will be allocated two or more MOH areas for which they are

responsible for information gathering, need identification and coordination for resource

mobilization.

5.6 Responsibilities of the Appointed Field Staff

1. During the field visits, the assigned RDHS staff will look into all aspects of public

health, not only the subject area that he or she oversees during routine working hours.

2. A representative from the Regional Medical Supplies Division will sit in the R-PHEOC

to facilitate the rapid deployment of medicines and supplies.

3. A representative from the transport division will sit in the R-PHEOC to facilitate the

rapid arrangement of vehicles.


5.7 Procedure for establishing R-EMTCC

1. It should be located within the R-PHEOC or nearby.

2. All incoming medical teams or organizations which are willing to provide medical

teams should register their medical teams (registration format with the resources

available, number of people in the team, what type of assistance that can be

provided and what kind of resources needed at the field level) at the R-EMTCC

(Refer Annexure 06).

3. Identify the agencies which can provide medical teams and coordinate with them.

4. The R-EMTCC should entertain request from MOHH regarding the need of the

emergency medial team assistance (Refer Annexure 07).

5. Available medical teams should be matched with the needs received from the

field.

6. A number of medical teams “parked” at the R-EMTCC, number of requests

received and any gaps need to be reported to RDHS on a daily basis.

7. Emergency Medical Teams going to the field needs to be briefed on the ground

condition, health needs, safety and security and special clinical guidelines that

need to adhere, if any.

8. Any support or assistance needed for medical teams (transport, additional human

resources, drugs and supplies) should be arranged through the R-EMTCC.

9. Feedback about the number of patients treated and health status in the field

should be obtained from the returning medical teams.

10. In consultation with the RDHS and MOH, time of withdrawal of the deployed

Emergency Medical Teams need to be determined.

11. When there is no more necessity of Emergency Medical Teams, RDHS will

deactivate R-EMTCC.

12. Update the RDHS website about the disaster situation and medical assistance

services needed.


5.8 Information Flow in Disasters

Information related to the daily situation of the disasters should be reported to the DGHS and

DPRD on a prescribed frequency, therefore a realistic picture of the ground condition could

be understood. Post disaster needs assesment may be conducted. The attached information

collection format (Annexure 04) will be used as per the information needs of the disaster.

MOH

RDHS

DGHS

DPRD

5.9 Deactivation

Deactivation will commence from Level 4 to Level 1 in a step-down manner after careful

analysis of the risk at an after each level.

5.10 Review

After every disaster response, a formal full day meeting needs to be conducted within two

weeks of deactivation of the disaster to share the experiences, to review the plan and to

adopt the revised version of the plan (Refer Annexure 08 for the review format).

After such review, the revised plan should be signed by the RDHS and will be submitted to

Provincial Director of Health Services, DGHS and DPRD for reference.

5.11 Documentation and Reporting

Experiences of the responded disasters should be documented and shared with the relevant

stakeholders.


Annexure 01

Risk Assessment Report

Top Ten Priority Hazards for RDHS Gampaha

01. Outbreaks (Dengue)

02. Floods

03. Droughts

04. Chemical Accidents

05. Tsunami

06. Fire

07. Industrial Accidents

08. Oil Spills

09. Cyclones

10. Heavy Winds


Very High

Legend

High

Medium

Low

Multihazard Score

0 2.254.5 9 13.5 18Kilometers


Very High

Legend

High

Medium

Low

Very Low

Vulnerability Score

0 2.254.5 9 13.5 18Kilometers


Very Low

Very High

Legend

High

Medium

Low

Capacity Score

0 2.254.5 9 13.5 18Kilometers


Exposure Score

Very High

Legend

High

Medium

Low

Very Low

0 2.254.5 9 13.5 18Kilometers


Risk Score

Very High

Legend

High

Medium

Low

0 2.254.5 9 13.5 18Kilometers


Annexure 02

Letter of Approval

15


Annexure 03

Public Health – Incident Command System Template

Incident Commander

Name:.........................

Phone:.........................

Operations Section

OperationsTeam 01

Planning Section

OperationsTeam 02

Logistics Section

OperationsTeam 03

Administration and Finance Section

OperationsTeam 04

Liaison OfficerPublic Information Officer

Safety Officer

Name:.........................

Phone:.........................

Name:.........................

Phone:.........................

Name:.........................

Phone:.........................

Name:.........................

Phone:.........................

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:...............

Phone:..............

Name:.........................

Phone:.........................

Name:.........................

Phone:.........................

Name:.........................

Phone:.........................

Name:.........................

Phone:.........................

Name:.........................

Phone:.........................

Name:.........................

Phone:.........................

Name:.........................

Phone:.........................

MOH 01 MOH 13MOH 09MOH 05

MOH 02 MOH 14MOH 10MOH 06

MOH 03

MOH 04

MOH 15MOH 11

MOH 12

MOH 07

MOH 08


Variable No. / Description

01 MOH Area02 Type/Types of disaster*03 Date of update04 PHI areas or GN divisions affected05 Total No. of families affected06 No. of welfare camps 07 Details of the welfare camp

∙ Location∙ Contact person: Name : Designation : Mobile number

∙ No. of families affected ∙ Total no. of person affected

∙ Male ∙ Female ∙ Infants ∙ < 5 year old children ∙ Pregnant mothers

∙ Food hygiene ∙ Sanitary facilities ∙ Drinking water ∙ Electricity & Lighting ∙ Garbage disposal ∙ MOH visited (Yes/no)

∙ Last visited date∙ Check-Hygiene and sanitation∙ Waste management∙ Medical screening∙ No. of medical clinics conducted∙ The date of last medical clinic

08 No. of affected medical institutions09 Major activities carried out10 Other information11 Any additional assistant required**

Annexure 4

MOH Daily Data Collection Format


*Type/Types of Disaster:

1. Floods

2. Landslides

3. Cyclone

4. Other

**Additional assistance required:

1. Ambulance

2. Human resources

3. Transportation

a.) 4 wheelers

b.) Vans

c.) Boats

d.) Helicopters

4. Financial assistance

5. Communication

6. Medical teams

7. Other (Specify)

01 - 06 Data items need to be collected within first 24 hours.

07 - 11 Data items could be colected subsequently.


Affected MOHArea

Type ofDisaster*

Number of Death

Number of indi-viduals Affected

Health In-stitutionAffected

Number of Welfare Camps

Type of help Needed**

Attanagalla

Biyagama

Divulapitiya

Dompe

Gampaha

Ja ela

Katana

Kelaniya

Mahara

Meerigama

Minuwangoda

Negombo

Ragama

Seeduwa

Wattala

Total

Annexure 05

RDHS Gampaha Daily Situation Report

**Help needed

1. Ambulance

2. Human resources

3. Transportation

*Type/Types of Disaster:

1. Floods

2. Landslides

3. Cyclone

4. Other

4. Financial assistance

5. Communication

6. Medical teams

7. Other (Specify)a.) 4 wheelers

b.) Vans

c.) Boats

d.) Helicopters


Emergency Medical Teams Registration Form

Team Leader – Emergency Medical Team

Name: Signature:

Date:

Annexure 06

Affected MOH Area Type of DisasterName of the Medical teamProposed date of arrivalProposed date of departureContact personNameLand phoneFaxMobile phoneEmailType of Emergency Medical Teams (Click the appropriate category)CurativePreventiveOther (Please specify)Capacity Curative Emergency Medical TeamCategory NumberMedical OfficerNursing OfficersPharmacistsMedical Laboratory TechnicianSupportive staff Driver Other staff Preventive Emergency Medical TeamCategory NumberMedical Officer of Health / AMOHPublic Health Nursing SisterPublic Health InspectorPublic Health Mid WifeEntamologistSpraying Machine OperatorSupportive staff DriverOther staff Availability of Supplies and facilitiesMedical supplies Yes / NoMobile laboratory Yes / NoVehicles Yes / No


Name of MOH

Type of Emergency Medical Teams requested (Click the appropriate category) CurativePreventiveOther Proposed place of deploymentRequired duration of service

Emergency Medical Teams Request Form

Medical Officer of Health:

Name: Signature:

Date:

Annexure 07


Name of MOH

Name of the disaster

Date of activation

Date of deactivation

What went well

What needs to improve

Strengths Weakness

Opportunities Threats

Recommendations for improvement

Recommended amendments for the plan

RDHS GampahaDisaster Response Review Format

Annexure 08

Documents

Health Sector Disaster Preparedness and Response Plan Gampahardhsofficegampaha.org/files/2019/05/Gampaha-Book.pdf · This plan is valid for five years from the date of approval by