AMCDRR 2016 EHA’s experiences in delivering Disability-inclusive Disaster Risk Reduction in...

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EHA’s experiences in delivering Disability-inclusive Disaster Risk Reduction in Hospitals

Thematic Session-20 Disability inclusive DRRAsian Ministerial Conference on Disaster Risk Reduction

4 November 2016

Peniel MalakarEmmanuel Hospital Association (EHA), Indiapenielm@gmail.com

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Working together toward this transformation– Accessibility for All & Everywhere

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EHA’s journey toward Disability inclusive Hospital Disaster Preparedness & Response (DiHDPR) modules• 2009: Hospital DRR Pilot with DIPECHO in 2 hospitals

(implementing HFA-I & MDGs) • 2010: Di HDPR presented & piloted in 1 hospital

http://ehadmmu.com/assets/uploads/downloads/1433564535_DiHDPP%20v4.pdf

• 2009 – till date: more than 14 hospitals undergone (4 in Nepal)

• More than 1200 h/c leaders received training across India and Nepal (government & voluntary)

• 300+ hospitals sensitized on inclusive DRR• 15 hospitals queued up for DiHDPR for 2017 in India & a

few South Asian countries (Nepal; Myanmar; Bangladesh)

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Common barriers to Inclusive approach• Attitudinal – complacency/stereotype (a bn & growing?)• Communication – health info/promo • Mobility/physical – it’s ok… stretchers/wheel chairs run• Programmatic – time/eqpt or faci design (welfare vs. business) • Socio-economic/stigma – education • Policy/legislation – buildings/transport/risk cover • Prohibitive costs – additional costs for low-Y countries • Inadequate skills/techniques – kits/training etc.

Governments can improve health outcomes for people with disabilities byImproving ACCESS to QUALITY, AFFORDABLE healthcare services.

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Factors Affecting the Health of People with Disabilities and without Disabilities

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EHA’s initiative toward inclusive DRR in hospitals Piloted (Assam) in one of its 20 hospitals in India,2010 Comprehensive approach through DiHDPR modules -

1. Prelude activities – GB adopts/sensitzn at all levels 2. Assessments – barrier free (b/f) faci 3. Team Formation – people with disabilities included 4. iHospital Disaster Management Plan –

Inclusion; Alarm/EWS; Training; Evacuation; Eqpt; Safety level scoring

5. Training & Capacity Building – include/use vari tools 6. Audit – proactively looking at b/f access 7. Unified Response Mechanism ensures all DPOs engaged

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Safety audit tool ensures Barrier-Free HDMP

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Some important realization by h/care fraternity Hospitals are a high capital-intensive spcl instns Disaster impacts on a hosp has a larger collateral impacts

(socio-economic) Patients admitted with critical conditions require special

assistance even though they do not have any disability (ortho, post surgical, weak & pregnant)

H/care (Medical & Nursing) fraternity are found least preferred for non-medical life-saving skills & vice versa (disasters donot discriminate)

No priority treatment observed dg a disaster event for h/care fraternity (evacuation)

Hospitals are the temple of hope for a disaster victim Most of the essential areas are not barrier-free

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Physical verification of all access points essential...

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Assessment includes ensuring ease of access...

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Is the investment meaningful...

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Is it a complete job ?

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Do you have appropriate alarm system for evac ?

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Are your staff/volunteers sensitized enough ?

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Earthquake & Fire drill at an Eye Hospital

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Ensure they are part of the DM Planning processes ?

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Wider engagement by including in DPO network?

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Emergency Medical Camps with specific focus to reach out people with disabilities

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Advocacy for Mainstreaming Disability in Disaster Response at the national level 2015

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Recommendations… Availability of dis-aggregate data at the village level Village level DMP must include mapping of people with

disabilities for quick evacuation Continuation of medication is critical…

EHA developed a Specialized Relief Kit for First Responders: Do’s & Dont’s/Basic set of questionshttp://ehadmmu.com/assets/uploads/downloads/20150622_1434965435.pdf

Recommend all Response Task Forces Awareness & Sensitization at the school level Hospital Safety Guidelines must include Di approaches

(worst case scenario!) Availability of Di experts essential for practical

implementation

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Thank you.

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