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Module 1: Safe Hospital Concepts

National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

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National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept 22-24 [ROJoson]

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Page 1: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Module 1: Safe Hospital Concepts

Page 2: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Module 1 Objectives

Page 3: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Module 1 Objectives

At the end of this module, participants will be able to:

1.Use correctly the basic terms and concepts in risk management.2.Discuss the risk management framework.3.Advocate for safe hospitals.4.Initiate campaign for safe hospitals in their own context.

Page 4: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Module 1 Expected Outcomes

Page 5: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Module 1 Expected Outcomes

At the end of this module,

each hospital team members must have agreed on

the roles they have to play

and

the strategies they can do together

to ensure that their hospital is safe.

Page 6: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Module 1 Sessions Session Number and Title Topics Time

AllotmentSession 1: Risk ManagementFramework

- 7 Fundamental Terms- Framework for Community Risk

Management- Risk Management Framework

~2 hours

Session 2: Role of Hospitals inEmergencies and Disasters

Roles of Hospitals in Different Contexts

~1 hour

Session 3: Concepts of Safe Hospitals

- Safe Hospital Campaign - Concepts of a Safe Hospital- Elements of a Safe Hospital

~2 hours

Session 4: Ensuring Safe Hospitals:Roles of Stakeholders

- Stakeholders’ Roles- Advocacy for Safe Hospitals

~1 hour

Page 7: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Mod 1 Session 1:Risk Management

Framework

Page 8: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Mod 1 Session 1 Objectives

Page 9: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Mod 1 Session 1 Objectives

Page 10: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Mod 1 Session 1 Objectives

At the end of the session, the participants will be able to:

2. Discuss the risk management framework.a. Reducing hazardsb. Reducing vulnerabilitiesc. Increasing capacitiesd. Decreasing risks

Page 11: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most

Important Concepts and Terms

Page 12: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

EXERCISE

Page 13: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

EXERCISE

Instructions:

•Divide into groups preferably according to hospital affiliation.

•You will be given seven sheets of cut paper by your facilitator.

Page 14: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

EXERCISEInstructions:Do the following:

For the first sheet of paper, write three (3) examples of hazards. For the rest of the sheets write the following:

3 examples of emergencies3 examples of disasters3 examples of risks3 examples of vulnerabilities3 examples of capacities

For your last sheet, define community.

Page 15: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

EXERCISEInstructions:

•Identify a facilitator and a spokesperson to present your group outputs.•Process your group’s answers, organize your outputs, and write them on a flip chart.•Post your answers. You have 2 minutes to present your output.

Page 16: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

EXERCISE

Page 17: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Session 1 Objective 1Use correctly the basic terms and concepts in risk management.

a. Hazardsb. Emergenciesc. Disastersd. Riskse. Vulnerabilitiesf. Capacitiesg. Community

Knowing these terms correctly is essential not only in understanding risk management framework but also in formulating emergency and disaster plans.

Commonly misused

Page 18: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

HAZARDSAny potential threat to public safety and/or

public health

RISKSAnticipated consequences of a specific

hazard interacting with a specific community (at a specific time)

Page 19: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

HAZARDSAny potential threat to public safety

and/or public health

Classes of Hazards

•Natural Hazards•Technological Hazards•Biological Hazards•Societal Hazards•Others – workplace, specifics

Page 20: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

HAZARDSAny potential threat to public safety

and/or public health

Page 21: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

HAZARDSAny potential threat to public safety

and/or public health

Classes of Hazards

•Natural Hazards•Technological Hazards•Biological Hazards•Societal Hazards•Others – workplace, specifics

Examples of Hazards

•Earthquakes•Factory explosions•Medical wastes•Civil unrests•Fire

Page 22: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

RISKSAnticipated

consequences of a specific

hazard interacting

with a specific community (at

a specific time)

Examples of Risks (Consequences):

•Dead and missing•Injury (mental and physical)•Disease (mental and physical)•Secondary hazards (fire, disease etc.)•Contamination of the environment•Displacement of people•Breakdown in security•Damage to infrastructure•Breakdown in essential services•Loss of property•Loss of income

Page 23: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

RISKSAnticipated consequences of a specific

hazard interacting with a specific community (at a specific time)

Examples of Risks (Consequences):

•damage to infrastructure•loss of property

Page 24: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

RISKSAnticipated consequences of a specific

hazard interacting with a specific community (at a specific time)

Examples of Risks (Consequences):

•Displaced people

Armed conflic

t

Page 25: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

HAZARDSAny potential threat to public safety and/or

public health

RISKSAnticipated consequences of a specific

hazard interacting with a specific community (at a specific time)

Page 26: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

EMERGENCYAn actual threat to public safety and/or

public health

DISASTERAny actual threat to public safety and/or public health where local government and the emergency services are unable meet the immediate needs of the community

Page 27: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

EMERGENCYAn actual threat to

public safety and/or public

health

Examples of Emergencies:

My son hasn’t come home from school.

A man is having a heart attack.

A plane is about to crash.

Gas is leaking from a factory.

Fire is occurring in a hospital.

An earthquake has happened in Sri Lanka.

Page 28: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

EMERGENCYAn actual threat to public safety and/or

public health

DISASTERAny actual threat to public safety and/or public health where local government and the emergency services are unable meet the immediate needs of the community

Page 29: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

DISASTERAny actual threat to public safety and/or public health where local government and the emergency services are unable meet the immediate needs of the community

Examples of what must be done in an emergency:

• Find and rescue victims

• Evacuate victims to safe place

• Provide first aid & medical transport

• Treat the injured

• Provide emergency shelter, sanitation, food and water

• Provide care for the dead and manage the missing

• Re-establish security

• Re-establish essential services (water, energy, communications)

• Repair essential infrastructure

• Plan for recovery and reconstruction

Page 30: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

EMERGENCYAn actual threat to public safety and/or public

health

DISASTERAny actual threat to public safety and/or public health where local government and the emergency services are unable meet the immediate needs of the community

Not all emergencies lead to disasters but all disasters are emergencies!

IF WE MANAGE EMERGENCIES WELL, WE PREVENT DISASTERS!

Page 31: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

EMERGENCYAn actual threat to public safety and/or

public health

DISASTERAny actual threat to public safety and/or public health where local government and the emergency services are unable meet the immediate needs of the community

Page 32: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

VULNERABILITIESFactors which increase the risks arising

from a specific hazard in a specific community (risk modifiers)

CAPACITIESAn assessment of ability to manage to an

emergency (a risk modifier) – total capacity is measured as readiness

Page 33: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

VULNERABILITIESFactors which

increase the risks arising from a

specific hazard in a specific

community (risk modifiers)

The characteristics and circumstances of a community, system or asset that make it susceptible to the damaging effects of a hazard. 

Examples:•Poor design and construction of buildings•Inadequate protection of assets•Lack of public information and awareness

Page 34: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

VULNERABILITIESFactors which

increase the risks arising from a

specific hazard in a specific

community (risk modifiers)

VULNERABILITIES in elements of a community:

1. People2. Property 3. Services 4. Livelihoods 5. Environment

Page 35: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

VULNERABILITIESFactors which

increase the risks arising from a

specific hazard in a specific

community (risk modifiers)

VULNERABILITIES in elements of a community:- People

• Access to health care• Access to safe water• Access to sanitation• Access to adequate

housing• Access to regular source

of income• Nutrition index• Literacy index

Page 36: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

VULNERABILITIESFactors which

increase the risks arising from a

specific hazard in a specific

community (risk modifiers)

VULNERABILITIES in elements of a community:- Property

• Buildings• Health infrastructure• Vehicles• Medical equipment /

supplies

Page 37: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

VULNERABILITIESFactors which

increase the risks arising from a

specific hazard in a specific

community (risk modifiers)

VULNERABILITIES in elements of a community:- Services

• Curative care services• Ambulance services• Public health services• Health information system

Page 38: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

VULNERABILITIESFactors which

increase the risks arising from a

specific hazard in a specific

community (risk modifiers)

VULNERABILITIES in elements of a community: - Livelihoods

• Formal • Informal

Page 39: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

VULNERABILITIESFactors which

increase the risks arising from a

specific hazard in a specific

community (risk modifiers)

VULNERABILITIES in elements of a community: - Environment

• Natural / built • Urban / rural• Water / soil / air quality

Vector habitats• Forestry, agriculture

Page 40: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

CAPACITIESAn assessment of ability to manage to an emergency (a risk modifier) – total capacity is

measured as readiness

Examples of Parameters of Capacities:

•Laws, policies, plans, procedures•Trained personnel; knowledge, skills and attitudes•Code alert systems•Institutional arrangements•Management structures•Facilities, material resources

Readiness to respond to and recover from

emergencies

Page 41: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

VULNERABILITIESFactors which increase the risks arising

from a specific hazard in a specific community (risk modifiers)

CAPACITIESAn assessment of ability to manage to an

emergency (a risk modifier) – total capacity is measured as readiness

Page 42: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

COMMUNITYpeople, property, services, livelihoods and environment i.e. the elements exposed to

hazards

Page 43: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 1: The Seven Most Important Concepts and Terms

COMMUNITYpeople,

property, services,

livelihoods and environment

i.e. the elements

exposed to hazards

1. the people2. their property (infrastructure,

possessions and assets; public, private and cultural)

3. their services (government and non-government, commercial and voluntary)

4. their livelihoods (urban and rural, formal and informal)

5. their environment (air, water and soil; urban and rural, built and natural)

Page 44: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Session 1 Objective 1Use correctly the basic terms and concepts in risk management.

a. Hazardsb. Emergenciesc. Disastersd. Riskse. Vulnerabilitiesf. Capacitiesg. Community

Knowing these terms correctly is essential not only in understanding risk management framework but also in formulating emergency and disaster plans.

Commonly misused

Page 45: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Mod 1 Session 1 Topic 1

Any questions?

Page 46: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management

Framework

Page 47: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

Framework for Community Risk

Management

Page 48: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

Framework for Community Risk Management

Using basic concepts in risk management:

a. Hazardsb. Emergenciesc. Disastersd. Riskse. Vulnerabilitiesf. Capacitiesg. Community

Community Risk (Emergency / Disaster)

(proportional to)

Hazard x Vulnerabilities

Capacities

Page 49: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

communityhazard x vulnerability / readiness = Community Risks

risk initiator risk modifier risk modifierindicators: indicators: indicators: indicators:

natural hazards people: laws, policy, guidelines, procedures probability of:biological hazards: access to health care authority, resources, plans deathtechnological hazards measles vaccination knowledge, skills, attitudes injury (mental and physical)societal hazards under 5 nutrition multisectoral, all hazards disease (mental and physical)1. probability of occurrence under 5 mortality legislation2. scale: magnitude, intensity access to clean water national and sectoral policy loss of lifelines ie3. area, spread, duration access to sanitation administrative procedures (shelter, water, food, energy)

biological hazards: adequate housing response and recovery plans population displacementsseason, infectivity, latency employment/income preparedness plans loss of propertytransmission, resistance, etc female literacy technical guidelines loss of income earthquakes property: management structure floods/storms health infrastructure institutional arrangements secondary hazards famine vehicles information systems breakdown in security diseases of epidemic potential medical equipment/supplies warning systems damage to infrastructure events/crowds services: human resources breakdown in services intoxification curative care services material resources environmental contamination infestations ambulance services financial resources etc transport accidents public health services simulations and training structural failures health information system education industrial accidents livelihoods: public information pollution formal community participation Monitor and evaluate by following refugees informal research hazard specific rates and trends: war environment: publications events/year terrorism natural/built/urban/rural private sector role cases and deaths/100000/year

water/soil/air quality cases and deaths/1000 affected/year

vector habitats cases and deaths/event/yearforestry, agriculture EXCESS injuries; disease; disability

Prevention and Mitigation

Programme+

Vulnerability Reduction Programme

+Emergency

Preparedness Programme

=Community Risk

Management

Framework for Community Risk Management

Page 50: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

communityhazard x vulnerability / readiness = Community Risks

risk initiator risk modifier risk modifierindicators: indicators: indicators: indicators:

natural hazards people: laws, policy, guidelines, procedures probability of:biological hazards: access to health care authority, resources, plans deathtechnological hazards measles vaccination knowledge, skills, attitudes injury (mental and physical)societal hazards under 5 nutrition multisectoral, all hazards disease (mental and physical)1. probability of occurrence under 5 mortality legislation2. scale: magnitude, intensity access to clean water national and sectoral policy loss of lifelines ie3. area, spread, duration access to sanitation administrative procedures (shelter, water, food, energy)

biological hazards: adequate housing response and recovery plans population displacementsseason, infectivity, latency employment/income preparedness plans loss of propertytransmission, resistance, etc female literacy technical guidelines loss of income earthquakes property: management structure floods/storms health infrastructure institutional arrangements secondary hazards famine vehicles information systems breakdown in security diseases of epidemic potential medical equipment/supplies warning systems damage to infrastructure events/crowds services: human resources breakdown in services intoxification curative care services material resources environmental contamination infestations ambulance services financial resources etc transport accidents public health services simulations and training structural failures health information system education industrial accidents livelihoods: public information pollution formal community participation Monitor and evaluate by following refugees informal research hazard specific rates and trends: war environment: publications events/year terrorism natural/built/urban/rural private sector role cases and deaths/100000/year

water/soil/air quality cases and deaths/1000 affected/year

vector habitats cases and deaths/event/yearforestry, agriculture EXCESS injuries; disease; disability

Framework for Community Risk Management

communityhazard x vulnerability / readiness = Community Risks

risk initiator risk modifier risk modifierindicators: indicators: indicators: indicators:

natural hazards people: laws, policy, guidelines, procedures probability of:biological hazards: access to health care authority, resources, plans deathtechnological hazards measles vaccination knowledge, skills, attitudes injury (mental and physical)societal hazards under 5 nutrition multisectoral, all hazards disease (mental and physical)1. probability of occurrence under 5 mortality legislation2. scale: magnitude, intensity access to clean water national and sectoral policy loss of lifelines ie3. area, spread, duration access to sanitation administrative procedures (shelter, water, food, energy)

biological hazards: adequate housing response and recovery plans population displacementsseason, infectivity, latency employment/income preparedness plans loss of propertytransmission, resistance, etc female literacy technical guidelines loss of income earthquakes property: management structure floods/storms health infrastructure institutional arrangements secondary hazards famine vehicles information systems breakdown in security diseases of epidemic potential medical equipment/supplies warning systems damage to infrastructure events/crowds services: human resources breakdown in services intoxification curative care services material resources environmental contamination infestations ambulance services financial resources etc transport accidents public health services simulations and training structural failures health information system education industrial accidents livelihoods: public information pollution formal community participation Monitor and evaluate by following refugees informal research hazard specific rates and trends: war environment: publications events/year terrorism natural/built/urban/rural private sector role cases and deaths/100000/year

water/soil/air quality cases and deaths/1000 affected/year

vector habitats cases and deaths/event/yearforestry, agriculture EXCESS injuries; disease; disability

Prevention and Mitigation

Programme+

Vulnerability Reduction Programme

+Emergency

Preparedness Programme

=Community Risk

Management

Page 51: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

community

risk initiator risk modifier risk modifierindicators: indicators: indicators: indicators:

natural hazards people: laws, policy, guidelines, procedures probability of:biological hazards: access to health care authority, resources, plans deathtechnological hazards measles vaccination knowledge, skills, attitudes injury (mental and physical)societal hazards under 5 nutrition multisectoral, all hazards disease (mental and physical)1. probability of occurrence under 5 mortality legislation2. scale: magnitude, intensity access to clean water national and sectoral policy loss of lifelines ie3. area, spread, duration access to sanitation administrative procedures (shelter, water, food, energy)

biological hazards: adequate housing response and recovery plans population displacementsseason, infectivity, latency employment/income preparedness plans loss of propertytransmission, resistance, etc female literacy technical guidelines loss of income earthquakes property: management structure floods/storms health infrastructure institutional arrangements secondary hazards famine vehicles information systems breakdown in security diseases of epidemic potential medical equipment/supplies warning systems damage to infrastructure events/crowds services: human resources breakdown in services intoxification curative care services material resources environmental contamination infestations ambulance services financial resources etc transport accidents public health services simulations and training structural failures health information system education industrial accidents livelihoods: public information pollution formal community participation Monitor and evaluate by following refugees informal research hazard specific rates and trends: war environment: publications events/year terrorism natural/built/urban/rural private sector role cases and deaths/100000/year

water/soil/air quality cases and deaths/1000 affected/year

vector habitats cases and deaths/event/yearforestry, agriculture EXCESS injuries; disease; disability

Prevention and Mitigation

Programme+

Vulnerability Reduction Programme

+Emergency

Preparedness Programme

=Community Risk

Management

Framework for Community Risk Management

communityhazard x vulnerability / readiness = Community Risks

risk initiator risk modifier risk modifierindicators: indicators: indicators: indicators:

natural hazards people: laws, policy, guidelines, procedures probability of:biological hazards: access to health care authority, resources, plans deathtechnological hazards measles vaccination knowledge, skills, attitudes injury (mental and physical)societal hazards under 5 nutrition multisectoral, all hazards disease (mental and physical)1. probability of occurrence under 5 mortality legislation2. scale: magnitude, intensity access to clean water national and sectoral policy loss of lifelines ie3. area, spread, duration access to sanitation administrative procedures (shelter, water, food, energy)

biological hazards: adequate housing response and recovery plans population displacementsseason, infectivity, latency employment/income preparedness plans loss of propertytransmission, resistance, etc female literacy technical guidelines loss of income earthquakes property: management structure floods/storms health infrastructure institutional arrangements secondary hazards famine vehicles information systems breakdown in security diseases of epidemic potential medical equipment/supplies warning systems damage to infrastructure events/crowds services: human resources breakdown in services intoxification curative care services material resources environmental contamination infestations ambulance services financial resources etc transport accidents public health services simulations and training structural failures health information system education industrial accidents livelihoods: public information pollution formal community participation Monitor and evaluate by following refugees informal research hazard specific rates and trends: war environment: publications events/year terrorism natural/built/urban/rural private sector role cases and deaths/100000/year

water/soil/air quality cases and deaths/1000 affected/year

vector habitats cases and deaths/event/yearforestry, agriculture EXCESS injuries; disease; disability

Prevention and Mitigation

Programme+

Vulnerability Reduction Programme

+Emergency

Preparedness Programme

=Community Risk

Management

communityhazard x vulnerability / readiness = Community Risks

risk initiator risk modifier risk modifierindicators: indicators: indicators: indicators:

natural hazards people: laws, policy, guidelines, procedures probability of:biological hazards: access to health care authority, resources, plans deathtechnological hazards measles vaccination knowledge, skills, attitudes injury (mental and physical)societal hazards under 5 nutrition multisectoral, all hazards disease (mental and physical)1. probability of occurrence under 5 mortality legislation2. scale: magnitude, intensity access to clean water national and sectoral policy loss of lifelines ie3. area, spread, duration access to sanitation administrative procedures (shelter, water, food, energy)

biological hazards: adequate housing response and recovery plans population displacementsseason, infectivity, latency employment/income preparedness plans loss of propertytransmission, resistance, etc female literacy technical guidelines loss of income earthquakes property: management structure floods/storms health infrastructure institutional arrangements secondary hazards famine vehicles information systems breakdown in security diseases of epidemic potential medical equipment/supplies warning systems damage to infrastructure events/crowds services: human resources breakdown in services intoxification curative care services material resources environmental contamination infestations ambulance services financial resources etc transport accidents public health services simulations and training structural failures health information system education industrial accidents livelihoods: public information pollution formal community participation Monitor and evaluate by following refugees informal research hazard specific rates and trends: war environment: publications events/year terrorism natural/built/urban/rural private sector role cases and deaths/100000/year

water/soil/air quality cases and deaths/1000 affected/year

vector habitats cases and deaths/event/yearforestry, agriculture EXCESS injuries; disease; disability

Page 52: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

DISASTER MANAGEMENT CYCLE

Preparedness

Response

Relief &Recovery

DevelopmentPrevention

Mitigation

Disaster Impact

Page 53: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Hazard mitigation and prevention

Vulnerability reductionEmergency

management

Emergency preparedness

activities & Readiness

Disaster

+

++

Risk Management

Safer Communities & Sustainable Development

Positive contribution

Negative impact

Recovery

Page 54: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

Framework for Community Risk Management Risk Reduction or

Management

•Hazard Reduction Plans (reduce exposure)

•Vulnerability Reduction Plans (reduce consequences)

•Emergency Preparedness Plans (increase capacity for response and recovery)

Page 55: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

Risk Management Framework

Using basic concepts in risk management:

a. Hazardsb. Emergenciesc. Disastersd. Riskse. Vulnerabilitiesf. Capacitiesg. Community

Risk (Emergency / Disaster)

(proportional to)

Hazard x Vulnerabilities

Capacities

Page 56: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

Risk Management Framework

Risk Reduction or Management

•Hazard Reduction Plans (reduce exposure)

•Vulnerability Reduction Plans (reduce consequences)

•Emergency Preparedness Plans (increase capacity for response and recovery)

Page 57: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

EXERCISEHazards, Vulnerabilities, Capacities and Risks

Page 58: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

EXERCISEHazards, Vulnerabilities, Capacities and Risks

Instructions:•Observe closely the procedure that your facilitator will demonstrate and be ready to answer the following questions such as “What glass will be affected the most if I will shake the table?”•Also, observe events or changes that are going on as the procedure is being conducted.

Page 59: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

EXERCISEHazards, Vulnerabilities, Capacities and Risks

Page 60: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

EXERCISE – Simulating Earthquake!Hazards, Vulnerabilities, Capacities and Risks

Procedure 1: Very slight shaking of the table

Possible effect:•No effect to the table with glasses

Processing:•Hazard should interact with a community to have effects•Location of a community is an example of vulnerability (susceptibility)

Page 61: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

EXERCISE – Simulating Earthquake!Hazards, Vulnerabilities, Capacities and RisksProcedure 2: Minor shaking of table (Theme: Hazard analysis) Possible effect:•Glasses made of light material might tumble•Glasses made of heavier and stronger material will shake but may not tumble

Processing:•Earthquake is an example of hazard•Types of glasses as examples of vulnerabilities

Page 62: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

EXERCISE – Simulating Earthquake!Hazards, Vulnerabilities, Capacities and RisksHazard Analysis:•Analyzing exposure•Cannot define vulnerability unless you have identified the hazards•You need exposure before risks become relevant•Vulnerability without hazard•Cannot define outcome without defining vulnerability

Page 63: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

EXERCISE – Simulating Earthquake!Hazards, Vulnerabilities, Capacities and RisksProcedure 3 and 4: Moderate and strong shaking of table(Theme: Hazard reduction, capacity respond, recovery) Possible effect:•Even with reinforcement or good quality glasses, they may all tumble or fall•Even with the best effort, we cannot respond to all affected ( e.g. we cannot catch all the glasses when they fall) 

Page 64: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

EXERCISE – Simulating Earthquake!Hazards, Vulnerabilities, Capacities and Risks

Page 65: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

EXERCISE – Simulating Earthquake!Hazards, Vulnerabilities, Capacities and RisksProcedure 3 and 4: Moderate and strong shaking of table(Theme: Hazard reduction, capacity respond, recovery) Processing:Capacity to respond•Exemplified by readiness of the presenter to catch a falling glass•Ready to respond with skills, knowledge, resources

Page 66: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

EXERCISE – Simulating Earthquake!Hazards, Vulnerabilities, Capacities and RisksProcedure 3 and 4: Moderate and strong shaking of table(Theme: Hazard reduction, capacity respond, recovery) Processing:Recovery•Cleaning up, you cannot respond to everyone•So clean up the mess

Page 67: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

EXERCISE – Simulating Earthquake!Hazards, Vulnerabilities, Capacities and Risks

Page 68: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

Framework for Community Risk Management Risk Reduction or

Management

•Hazard Reduction Plans (reduce exposure)

•Vulnerability Reduction Plans (reduce consequences)

•Emergency Preparedness Plans (increase capacity for response and recovery)

Page 69: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

Risk Management Framework

Risk Reduction or Management

•Hazard Reduction Plans (reduce exposure)

•Vulnerability Reduction Plans (reduce consequences)

•Emergency Preparedness Plans (increase capacity for response and recovery)

Page 70: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Mod 1 Session 1 Topic 2

Any questions?

Page 71: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Closing:Mod 1 Session 1

Page 72: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Session 1 Objectives

Page 73: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Session 1 Objectives

At the end of the session, the participants will be able to:

2. Discuss the risk management framework.a. Reducing hazardsb. Reducing vulnerabilitiesc. Increasing capacitiesd. Decreasing risks

Page 74: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

Framework for Community Risk Management Risk Reduction or

Management

•Hazard Reduction Plans (reduce exposure)

•Vulnerability Reduction Plans (reduce consequences)

•Emergency Preparedness Plans (increase capacity for response and recovery)

Page 75: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Topic 2: Risk Management Framework

Risk Management Framework

Risk Reduction or Management

•Hazard Reduction Plans (reduce exposure)

•Vulnerability Reduction Plans (reduce consequences)

•Emergency Preparedness Plans (increase capacity for response and recovery)

Page 76: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Mod 1 Session 1

Any questions?

Page 77: National Training on Safe Hospitals - Sri Lanka - Module 1 Session 1 - 14Sept22-24

Mod 1 Session 1:Risk Management

FrameworkThe End