Guidance Notes on Safe Health Facilities

1. Guidance Notes on Safe Health Facilities Sanjaya Bhatia Focal Point Disaster Resilient Schools & Hospitals

2. Steps • Coordination Platform with Ministry of Health, Country Office World Bank, WHO, National Disaster Management Organization, Ministry of Finance • Formation of a Technical Working Group • Assessment of Vulnerability of Hospitals using Hospital Safety Index • Study on the impact of disasters on the health sector • National Workshop

3. What can be done • Ensure all new health facility buildings adhere to building codes that incorporate disaster resilience (design, location, construction materials and methods, inspection, monitoring and maintenance). • Conduct a vulnerability assessment of existing health infrastructure • Set time-bound targets for repair, refit and rebuilding – National Action Plan • Develop a legal and institutional framework for systematically implementing, monitoring and evaluating safety, involving stakeholders from all levels.

4. Study of the Socio-Economic Impact of disasters on the Health sector Vulnerability Assessment of the health Facilities – Hospital Safety Index Local Research organization Study on the Impact of Disasters on the Health Sector Stakeholder Input National Advocacy Workshop National Action Plan for Safe Health Facilities (NAPSHF) What can be done

5. Significance of the National Action Plan • Develop Policy & Legal framework for safe health facilities • sectoral component of the National Action Plan / Strategy / Policy for DRR. • Develop guidelines for construction of safe buildings. • Review to strengthen existing construction designs and guidelines • Capacity building of health staff, engineers, architects, brick layers (masons), contractors and other public and private sector stakeholders

6. What the National Action Plan covers • Retro fitting • New Construction – Mainstreaming • Emergency preparedness

7. Vulnerability Assessment Steps for Safer Health Facilities National Action Plan Structural Measures Non-Structural Measures Hospital Emergency Planning - ICS Non-Structural Components Structural Components Trauma Management New construction Retro-fitting Mass Causality Management Dead Body Disposal Management Guidelines, Training, Capacity Building What the National Action Plan covers

8. The GN can provide • Case studies and guidelines for construction of safer buildings • List of reference material for retro-fitting • List of reference material and guidelines for non-structural safety • List of reference material and guidelines for preparedness • List of reference material for capacity building • Case studies and list of reference material for costing

9. Template for National Action Plan • INTRODUCTION • Background ……………………………………………………………. • Purpose and Objective ……………………………………………….… • Planning Process ………………………………………………………… • Linkages with National Development Policies and Plans ……………….. • DISASTER RISK • Hazard Profile ……………………………………………………………. • Floods • Drought • Disease Outbreaks and Epidemics • Storms • Forest and Land Fires • Climate Change • Technological Disasters • Earthquakes, etc. • ACTION PLAN FOR DISASTER RISK REDUCTION • DRR Priorities • First Level Priorities • Second Level Priorities • Third Level Priorities • Summary of Disaster Risk Reduction Priority Projects • IMPLEMENTATION • Implementation Mechanism • Institutional Arrangements • Funding • Monitoring and Evaluation

10. First Level Priorities • This would be hospitals which are to be built under pipeline projects. • The urgency is to integrate DRR concerns before the construction begins, so as to ensure strong buildings.

11. First Level Priority (Example)

12. Second Level Priorities • These could be facilities in hazard prone areas, with higher risk level as identified in the assessment. • This could also include emergency planning and other non-structural mitigation measures.

13. Third Level Priorities • These could be health facilities which need minor retro-fitting as they are located in less hazard prone areas of the country.

14. Summary of Prioritization of Projects for Safe Schools

15. Plan Format

16. Comments and Suggestions Thank You