TRAINING PACKAGES FOR
HEALTH EMERGENCIES
Public Health and Emergency
Management in Asia and the Pacific
National
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20 Tropical
Cyclones enter
the Philippine
Area of
Responsibility
every year
There are 300
volcanoes in
the Philippines,
23 are active
and 26 are
potentially
active.
20 earthquakes are
recorded per day
90 destructive
earthquakes and 40
tsunamis were recorded
for the past 400 years
On 8 November
2013, Typhoon
Yolanda,
international code
name Haiyan, made
landfall in the
central Philippine
islands region.
The600 km-
diameter typhoon
Yolanda crossed the
Philippine
archipelago,
bringing
widespread
devastation in its
path.
On 23 May 2017, a battle erupted between the Philippine
troups and militants in Marawi City and the event also known
as the Marawi Siege is still on-going.
Philippine National
Policies
Republic Act No. 10121,
known as the
“Philippine Disaster Risk Reduction
and Management Act of 2010”
National Disaster Risk
Reduction and
Management Plan
(NDRRMP)
An act mandated to
strengthen disaster
managementin the
Philippines.
2011-2028 Plan for a safer,
adaptive and disaster resilient
Filipino communities towards
sustainable development.
Memorandum Order No. 23, s.
2014, National Disaster
Response Plan (NDRP) for
Hydro-Meteorological
NDCC MC No. 12, s. 2008,
Institutionalization of the Cluster
Approach in the Philippine
Disaster Management System
•Defines the rules of engagement, procedures,
responsibilities, coordination mechanisms and
sharing of resources within the health sector in
times of emergencies and disasters.
•Applies to all DOH offices, hospitals, and its
attached agencies, together with other institutions
whose functions and activities contribute to health
emergency preparedness and response.
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1990’s
DOH
interconnected
to all RHOs via
SSB or single
side bands
Radio room in
central office served
as OC
1993
DOH established
DMU
•DMU acted as
nerve center where
vital information
were sent
•Radio room in
central office
served as OC
•6 staff all trained in
BLS
1994
DOH initiated
STOP DEATH
•Emphasized the
role of hospitals in
establishing a
national health and
emergency service
network
1997
DMU designated
as the DOH
Operation
Center
•Tasked to initiate
coordination of DOH
and central and
regional offices
•Established linkage
with NDCC and other
concerned agencies
•DOH-Radio
Communication
Network System
established
1999
DOH merged
DMU and STOP
DEATH to HEPR
•DMU ceased
to be a unit
and was
turned into the
HEPR Central
Coordinating
Unit (operation
center)
Last 1999
the birth of
HEMS
•HEPR was
changed into
HEMS under
DOH
Reengineering
Scheme (A.O.
102)
•HEMS divided
into
Preparedness
and Response
The Operation Center NOW
•Operates 24/7
•Continuously manned by at least 2
EODs/Shift
•Part of routine:
Daily Radio check
Monitoring of daily emergencies and
disasters
• Sends warning alerts to Regional Offices &
hospitals
•In charge of the mobilization of resources
(HERTs and logistics)
• Network with other agencies
2012 2013 2016 onwards
• Conversion of HEMS
to HEMB thru EO 366
“Rationalization Plan”
• Creation of 41
permanent positions
• Bigger tasks &
challenges
• Typhoon Yolanda
• Strategic Planning
(“New Normal”)
-Policy and Plans
-Safe Hospitals
-Response Systems
-Command Systems
-Logistics
Management
• New focus & direction
(community resilience)
•“5K”
•Mass CPR Advocacy
• Strengthening of National EMTs
• Capacitating HEM Coordinators
as DRRM-H Managers
•Efforts for the Institutionalization
of EMSS
• Strengthening Monitoring &
Evaluation
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Sendai Framework for Disaster Risk Reduction
2015-2030
■Goal
Prevent new and reduce existing
disaster risk through the
implementation of integrated and
inclusive E |S | L | S | Health | C | E | E| T
| P | and I | measure that prevent and
reduce hazard exposure and
vulnerability to disaster, increase
preparedness for response and
recovery, thus strengthen
resilience
Sustainable Development Goal 2015-2030
GOAL 3
Ensure health lives and
promote well-being for all
at all ages
Philippine Health Agenda
2016-2022
•Guarantee 2 Indicator
1.% of Local Government Health Facilities (LGHFs)
with institutionalized Disaster Risk Reduction
Management for Health (DRRM-H) system
2.% of LGHFs in affected areas that are operational
during emergency and disaster (conditional)
■DOH 12 Legacies
24/7 access to health services for all Filipinos
13
th
1 family member trained on hands-only
CPR
Filipinos are among the healthiest people in Southeast Asia by 2022, and Asia by 2040
To lead the country in the development of a Productive, Resilient, Equitable, and People-
centeredhealth system
STRATEGIC FOCUS
1: Institutionalize
a people centered
SDN
Taking care of
Filipinos when
they need it
ENGAGE THE
HEALTHY
Preventive and
Promotive
ENGAGE THE
SICK
Curative,
Rehabilitative, and
Palliative
ENGAGE
AFFECTED
POPULATIONS
Preparedness and
Response for
Conflicts,
Disasters,
Epidemics and
Pandemics
ENGAGE SPECIAL
GROUPS
Focused and
Customized
(GIDA, Indigenous
Populations, and
Migrant Workers)
STRATEGIC FOCUS 1:
Institutionalize a
people centered SDN
Taking care of Filipinos
when they need it
SPECIALTY SERVICES
OUTPATIENT MEDICAL
SERVICES
HOSPITAL SERVICES
HEALTH PROMOTION
& PREVENTION
Serving all the health
needsof the population
through a network of
health facilities
Health Emergency Management Bureau
Strategic Plan 2017-2022
■Vision
Health disaster safety in the hands of the community a.k.a
KaligtasangPangkalusugansaKalamidadsaKamayngKomunidad“5K”
■Mission
–To support community health resilience building
■Goals
–Guarantee uninterrupted health service delivery during emergencies and
disasters;
–Avert preventable morbidities, mortalities and other health effects secondary to
emergencies and disasters; and
–Ensure no outbreaks secondary to emergencies and disasters.
■Policy Direction
–To institutionalize Disaster Risk Reduction Management for Health
(DRRM-H) in the community
Health Emergency Management Bureau
Strategic Plan 2017-2022
■Strategic Objectives
SO 1: To strengthen HEMB capacity for more
efficient and responsive DRRM.
SO 2: To enhance Regional Office’s capacity to
support resilience building of LGUs.
SO 3: To scale up Hospital’s capacity to manage
disaster risks
SO 4: To enhance LGU capacity to institutionalize
DRRM-H
SO 5: To develop capacity of community
Central
Office
Regional
Office
Hospital LGU (Community)
Family
Health Emergency Management Bureau
Strategic Plan 2017-2022
•Key Result Areas (KRA)
Regional Office
Hospital
LGU (Community)
Field Implementation and Management Cluster
Inputs, Processes/
Strategies
Output Outcomes
(Intermediate)
Final Outcomes Impact
Governance & Planning
Health Standards,
Regulations & Policy
Coordination &
Networking
Resource Mobilization
& Management
Operations & Service
Delivery
Capacity Building &
Facility Enhancement
HealthInformation and
Advocacy
Research &
Development
Monitoring &
Evaluation
Policy
Plans
Program
People
Promotion &
Advocacy
Peso&
Logistics
Partnership
Building
Physical
Enhancement
Package of
Services
Practices
•DRRM-H
institutionaliz
ation
•Strengthened
institutional
capacity of
the country
for DRRM-H
1.DRRM-H
PLANS
2.RESPONSE
TEAMS
3.FUNCTIONAL
OPCEN
4.COMMODITIES
•Uninterrupted health
service delivery during
emergencies and
disasters;
•Averted preventable
morbidities, mortalities
and other health
effects secondary to
emergencies and
disasters; and
•No outbreaks
secondary to
emergencies and
disasters.
DECREASED HEALTH RISKS
IN DISASTERS
•Resilient
Health
Systems
(5K)
SAFER,
ADAPTIVE,
RESILIENT
COMMUNITIES
VISIONGOALMISSION
DRRM-H
PROGRAM
All Hazards
Comprehensive
(P/M, P, R, R/R)
Multisectoral
PREPAREDNESS
TO RESPOND
CAPACITIES
Responding to
disasters
Doing
preparedness
Building
resilience
From Health Emergency Management (HEM) to
Disaster Risk Reduction and Management for Health (DRRM-H)
REACTIVE –MANAGING
CHANGE
PROACTIVE –INFLUENCING
CHANGE
TRANSFORMATIVE –CREATING THE
CHANGE
What is 5K (The Package)?
ELEMENT/SLGU OUTCOMES DOH SUPPORT
1. KaalamanKnowledge, attitude and
culture of preparedness
Imparting knowledge,
assessing risks, doing
advocacy
2. KasanayanLeadership,management
and DRRM-H skills, trained
DRRM-H teams
Teachingskills for
saving lives
3. KahandaanAvailableDRRM-Hplans
that are tested, updated,
and translated to good
practices
Planning, systems
development,
testing, exercising
and learning from
lessons
What is 5K (The Package)?
ELEMENT/SLGU OUTCOMES DOH SUPPORT
4. KagamitanSelf-sufficiencyin logistical
and financial resources
Providingtechnical
assistance,
augmenting
resources
5. KapatiranPartnershipbuilding within
and outside health
Providingguidance
and establishing links