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penielm@gmail.com
EHAs experiences in delivering Disability-
inclusive Disaster Risk Reduction in Hospitals
Thematic Session-20 Disability inclusive DRR
Asian Ministerial Conference on Disaster Risk Reduction
4 November 2016
Peniel Malakar
Emmanuel Hospital Association (EHA), India
penielm@gmail.com
penielm@gmail.com
Working together toward this transformation
C Accessibility for All & Everywhere
penielm@gmail.com
EHAs 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 C 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)
penielm@gmail.com
Common barriers to Inclusive approach
? Attitudinal C complacency/stereotype (a bn &
growing?)
? Communication C health info/promo
? Mobility/physical C its ok stretchers/wheel chairs
run
? Programmatic C time/eqpt or faci design (welfare vs.
business)
? Socio-economic/stigma C education
? Policy/legislation C buildings/transport/risk cover
? Prohibitive costs C additional costs for low-Y
countries
Governments can improve health outcomes for people with disabilities by
Improving ACCESS to QUALITY, AFFORDABLE healthcare services.
penielm@gmail.com
Factors Affecting the Health of People with Disabilities and
without Disabilities
penielm@gmail.com
penielm@gmail.com
EHAs 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 C GB adopts/sensitzn at all levels
2. Assessments C barrier free (b/f) faci
3. Team Formation C people with disabilities included
4. iHospital Disaster Management Plan C
?
Inclusion; Alarm/EWS; Training; Evacuation; Eqpt;
?
Safety level scoring
1. Training & Capacity Building C include/use vari tools
2. Audit C proactively looking at b/f access
3. Unified Response Mechanism ensures all DPOs
engaged
penielm@gmail.com
Safety audit tool ensures Barrier-Free HDMP
penielm@gmail.com
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
penielm@gmail.com
Physical verification of all access points essential...
penielm@gmail.com
Assessment includes ensuring ease of access...
penielm@gmail.com
Is the investment meaningful...
penielm@gmail.com
Is it a complete job ?
penielm@gmail.com
Do you have appropriate alarm system for evac ?
penielm@gmail.com
Are your staff/volunteers sensitized enough ?
penielm@gmail.com
penielm@gmail.com
Earthquake & Fire drill at an Eye Hospital
penielm@gmail.com
Ensure they are part of the DM Planning processes ?
penielm@gmail.com
Wider engagement by including in DPO network?
penielm@gmail.com
Emergency Medical Camps with specific focus
to reach out people with disabilities
penielm@gmail.com
Advocacy for Mainstreaming Disability in Disaster
Response at the national level 2015
penielm@gmail.com
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: Dos & Donts/Basic set of questions
http://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
penielm@gmail.com
Thank you.
penielm@gmail.com
www.ehadmmu.com www.eha-health.org

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AMCDRR 2016 EHAs experiences in delivering Disability-inclusive Disaster Risk Reduction in Hospitals Resized

  • 1. penielm@gmail.com EHAs experiences in delivering Disability- inclusive Disaster Risk Reduction in Hospitals Thematic Session-20 Disability inclusive DRR Asian Ministerial Conference on Disaster Risk Reduction 4 November 2016 Peniel Malakar Emmanuel Hospital Association (EHA), India penielm@gmail.com
  • 2. penielm@gmail.com Working together toward this transformation C Accessibility for All & Everywhere
  • 3. penielm@gmail.com EHAs 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 C 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)
  • 4. penielm@gmail.com Common barriers to Inclusive approach ? Attitudinal C complacency/stereotype (a bn & growing?) ? Communication C health info/promo ? Mobility/physical C its ok stretchers/wheel chairs run ? Programmatic C time/eqpt or faci design (welfare vs. business) ? Socio-economic/stigma C education ? Policy/legislation C buildings/transport/risk cover ? Prohibitive costs C additional costs for low-Y countries Governments can improve health outcomes for people with disabilities by Improving ACCESS to QUALITY, AFFORDABLE healthcare services.
  • 5. penielm@gmail.com Factors Affecting the Health of People with Disabilities and without Disabilities
  • 7. penielm@gmail.com EHAs 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 C GB adopts/sensitzn at all levels 2. Assessments C barrier free (b/f) faci 3. Team Formation C people with disabilities included 4. iHospital Disaster Management Plan C ? Inclusion; Alarm/EWS; Training; Evacuation; Eqpt; ? Safety level scoring 1. Training & Capacity Building C include/use vari tools 2. Audit C proactively looking at b/f access 3. Unified Response Mechanism ensures all DPOs engaged
  • 8. penielm@gmail.com Safety audit tool ensures Barrier-Free HDMP
  • 9. penielm@gmail.com 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
  • 10. penielm@gmail.com Physical verification of all access points essential...
  • 13. penielm@gmail.com Is it a complete job ?
  • 14. penielm@gmail.com Do you have appropriate alarm system for evac ?
  • 17. penielm@gmail.com Earthquake & Fire drill at an Eye Hospital
  • 18. penielm@gmail.com Ensure they are part of the DM Planning processes ?
  • 19. penielm@gmail.com Wider engagement by including in DPO network?
  • 20. penielm@gmail.com Emergency Medical Camps with specific focus to reach out people with disabilities
  • 21. penielm@gmail.com Advocacy for Mainstreaming Disability in Disaster Response at the national level 2015
  • 22. penielm@gmail.com 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: Dos & Donts/Basic set of questions http://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