SC Emergency Preparedness and Response

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    Emergency Preparedness andResponse

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    Group Discussion

    Have you participated in your CountryOffices Emergency preparedness

    Planning Process?

    What are some identifiable vulnerabilitiesand risks within your country?

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    Types of Emergencies

    Natural Manmade

    R

    apid

    o

    nse

    t

    Slo

    w

    ons

    et

    drought

    war

    earthquake

    terrorist

    attack

    cyclone

    flood

    famine

    epidemic

    volcano chemical

    spill

    plane crash

    civil unrest

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    Why EmergencyPreparednessPlanning?

    Quick and effective action is required duringthe onset of an emergency

    Effective action often depends on havingplans in place before the disaster strikes

    If response is delayed, childrens livesmaybe needlessly lost

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    To ensure readiness at country/regional

    level to respond to both natural and

    complex political emergencies in ourprograms, through collection ofinformation, analysis and planning.

    Aim of SCs EmergencyPreparedness Planning

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    Principal Elements ofPreparedness

    Risks and Vulnerabilities (the broad profile of a projectedemergency)

    External Preparedness (what other actors are capable ofdoing)

    Internal Capacity (what Save the Children is capable ofdoing)

    Preparedness Actions (results of the planning process)

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    VulnerabilityThe propensity (susceptibility or tendency)of people and things to be damaged by ahazard. A person or groups vulnerabilitydepends on their capacity to anticipate,cope with, resist and recover from theimpact of a hazard.

    RiskThe likelihood of a disaster happening to aparticular group of people

    Risks and Vulnerabilities

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    External Stakeholders

    Identify Gaps: Based on previous experience,what needs of children and their familiesmay be unmet by external stakeholders?

    External Preparedness

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    What are Save the Childrenprogrammatic areas of competence?

    How do these areas of competence correspond to the likelygaps/weaknesses in emergency response identifiedabove?

    Internal Capacity

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    Strategic Areas forEmergencyInterventions

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    Save the ChildrenPreparedness Initiatives

    Country Office Emergency Preparedness andResponse Plans

    Alliance Emergency Preparedness Plans (EPPs)

    Regional Rapid Emergency DeploymentInitiative (REDI) teams

    Sector-specific trainings - Emergency Healthand Nutrition, Safe Spaces

    Country Office Simulation exercises

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    Response

    Resources available:

    Emergency Response Manual

    Halaby-Murphy funds

    Operational Tools Good Enough Guide, Spheremanual, INEE

    Go Kits

    Staff Deployments emergency responders

    Technical support for proposals

    Management and grants support Alliance liaison and grant agreements

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    Facilitate the rapid recovery of communities

    affected by disaster

    % affected population reached by SC services

    % affected children reached by SC services

    Emergency Response(and Mitigation) Results

    Framework

    Health & Nutrition RF

    1. Prevent excess

    morbidity and mortality

    in children between 1

    and 59 months of age

    affected by crisis

    2. Prevent excess

    morbidity and mortality

    in women of

    reproductive age and

    neonates affected by

    crisis

    Provisioning & HH

    Livelihoods RF

    1. Provide for critical

    survival needs of

    affected population

    at HH level

    2. Protect and

    restore household

    livelihoods

    Child Protection RF

    1. Prevent and reduce

    physical and

    psychological harm

    to separated and

    vulnerable childrenaffected by crisis

    Goal

    Sub-Goal (s)corresponding

    to PR program

    areas relevant

    to emergencies

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    Emergency Health and Nutrition Results Framework

    Child Health and Nutrition

    SO: Utilization of key young child health&nutrition practices & services % vulnerable affected households/population reached with health/watsan*Measles immunization coverage

    Vitamin A coverage

    Children ill in past two weeks who received care from appropriate providers* Percent children with acute malnutrition receiving curative service*

    IR1: Access to Key CHNservices and supplies in a

    timely manner

    Child health facilities

    (peripheral health facility)available per 10,000

    population In nutritional crisis, number of

    specialized nutrition

    management units

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    Emergency Child Healthand NutritionInterventions

    DiseaseOutbreaks

    Child Health Nutrition (CTC,etc.)

    Hand washing atappropriate times

    Proper disposal ofexcreta

    Consumption ofadequate quantities ofsafe water

    Timely appropriate care

    for cholera or otherdisease outbreaks

    Immunization of allchildren 6months 15yrsagainst measles

    Timely recognition, careseeking, diagnoses and

    treatment of Pneumonia,Malaria, Measles, Diarrhea

    Children sleep underLLITN or residually sprayedrooms

    Immunization against

    major vaccine preventablechildhood diseases,

    Timely recognition, careseeking, diagnoses andtreatment of acutemalnutrition

    Micronutrientsupplementation forchildren, includingvitamin A

    Timely appropriatecomplementary feedingand continued BF throughage two

    Exclusive BF through 6months

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    FrameworkMaternal and Newborn Healthand Nutrition

    SO: Utilization of key maternal and neonatal practices and servicesMet needsObstetrics case fatality rateDeliveries attended by skilled health personnel*Sexual violence victims reporting for treatment within five daysContraceptive prevalence rate

    IR1: Access to Key MNservices and supplies in a

    timely manner

    Number of facilities providingEmOC per 50,000 Number of facilities providing

    essential neonatal care

    IR2: Access to quality

    CHN services and

    materials

    Percent providers

    adhering to WHO standardcase management

    practices (EMOC and ENC)

    Proportion of facilities

    adhering to universal

    precautions for preventing

    HIV/AIDS transmission

    IR3: Improved

    knowledge, attitudes,

    and skills regarding key

    CHN practices and

    services

    Knowledge of immediate

    and exclusive breastfeeding

    IR4: Enabling socialand policy environment

    for emergency

    operations as well as

    the transition into

    development Barriers limiting universal

    access to key services

    addressed (religion,

    language, gender, political

    inclination, security)

    Breast milk code adhered

    to within emergency

    context

    Sub-Goal: Prevent excess morbidity and mortality in womenof reproductive age and neonates affected by crisis

    *Note that only service utilization indicators such as this one may be available for response phase in sudden-onset

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    Alliance

    Joint Emergency PreparednessPlanning

    Joint trainings

    Unified responses

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    Preparedness andResponse Plan

    Example

    Save the Children

    AllianceIndonesia

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    Table of ContentsI. Introduction

    Criteria for responding

    Management structures

    II. Threat Analysis

    Risk mapping

    III. External and Internal Capacity

    IV. Preparedness and Response Actions

    V. Operational Resources and Systems

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    A. Communications

    B. Transportation

    C. Finance

    D. Procurement

    E. Warehousing

    F. Customs

    G. Administration

    H. Human Resources

    I. Security

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    Annexes

    1. Sitrep format

    2. Emergency Response Teamstructure

    3. Alliance secondment agreement

    4. Deployment information sheet

    5. Contingency plans

    6. Difference of staff benefitsbetween Alliance members

    7. Emergency Response Team TOR

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    September November2006

    Emergency Response Team formed, trained

    Pre-positioning of emergency supplies: 12 safe play area tents and cooperative game kits

    45 school tents 3,000 household kits 6,000 hygiene kits 3,000 family tarps and plastic mats

    Based on previous emergencies, predicted an average of200,000 IDPs could be affected. Save the Children wantedto be able to reach 10% of that population within the first 7days (needed enough relief supplies pre-positioned for20,000 people). Due to budget constraints, had to reducethe coverage to 7.5%.

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    Aceh FloodsDecember 22, 2006

    Immediate actions:

    Deployment of Emergency Response Team members

    Moved pre-positioned supplies to impact area

    Staff stepped up when key decision-makers were

    on holiday

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    December 23

    A team from Save the Children health wentto Bireun to conduct a quick assessmentand purchased basic medicine

    Lhokseumawae has been split into threeteams, one for procurement and two forassessments. Purchase in Lhokseumawe:blankets, pots, pans, plastic sheeting, rice,

    noodles and 10,000 bottles fordistribution. Apparently Lhokseumawe isflooding as well, 30 cm of water near ouroffice, so it is not going to be easy toshop. The assessment team went to do thefield and do distribution according to themost immediate needs

    Faruque has contacted WFP who are doingassessments for food distribution.

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    December 24

    An estimated total of 216,000 people affected

    Health - our team has listed most common ailments asrespiratory infections, stomach complaints includingdiarrhea, fevers, skin conditions, rheumatism

    Save the Children Response to date:

    North Sumatra -1,300 tarpaulins, 1,658 hygiene kits,590 household kits

    Aceh - 10,000 bottles water, 10,000 packs noodles,10,000 packs high energy biscuits, One temporary clinic

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    December 25

    Many areas are still in accessible due to flooding and landslides

    Total Affected population = 367,220

    Save the Children response to-date:

    North Sumatra: 1,300 tarpaulins, 1,658 hygiene kits, 590household kits

    Aceh: 15,000 liters of water, 10,000 packs noodles, Onetemporary clinic and supplies, Distribution of medical supplies tosix health centers

    SC will be distributing 20.5 MT rice, 1,542 liters oil, 15,000 liters

    water and 8,000 sanitary napkins on Tuesday and Wednesday inAceh Utara.

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    Group Discussion

    Have you responded to an

    emergency?

    If so, what was your role?