Safe Hospitals - WHO | World Health Organization

Safe Hospitals Documents available on the web This catalogue in available in electronic format at www.who.int/hac/events/safe_hospitals_info.pdf See also the Hospitals Safe from Disasters web site at www.safehospitals.info/ World Disaster Reduction Campaign The focus of the biennial World Disaster Reduction Campaign (2008-2009) is on “Hospitals Safe from Disasters: Reduce Risk, Protect Health Facilities, Save Lives”. In this global effort, WHO is partnering with the Secretariat of the UN International Strategy for Disaster Reduction (ISDR) and the World Bank to work so that all health facilities stand up to emergencies and continue to function. • Full information kit on the World Disaster Reduction Campaign A safe hospital will not collapse in disasters, killing patients and staff, it can continue to function and provide services as a critical community facility when it is most needed, and it is organized with contingency plans in place and health workforce trained to keep the network operational. Ensuring that hospitals and health facilities are safe from disasters requires strong commitment from the highest political level and support and contribution from all sectors of society. • ISDR-Biblio: Health, Disasters and Risk, January 2008 ISDR-Biblio 3 addresses the protection of health facilities in order to ensure they can function during and in the aftermath of disasters. It also contains additional literature on health and disaster risk; disaster and emergency management; health facilities and services; environment, impact on health; climate change effects on health; mental health; mitigation and preparedness; public health; water and sanitation; and gender and health. • 10 basic facts to know about safe hospitals • Other materials

World Health Day 2009 Campaign World Health Day 2009 focuses on the safety of health facilities and the readiness of health workers who treat those affected by emergencies. WHO and international partners are underscoring the importance of investing in health infrastructure that can withstand hazards and serve people in immediate need. They are also urging health facilities to implement systems to respond to internal emergencies, such as fires, and ensure the continuity of care. • Brochure: World Health Day 2009 • Frequently Asked Questions • Planning framework: national policy and programme • Videos for download • Global posters

WHO Regional Office for the Americas / Pan-American Health Organization – World Health Day 2009 kit “When disaster strikes, safe hospitals save lives” • Posters • Promotional brochure • Technical brochure • Fortune teller / Download • Web banners, Sticker • Frequently asked questions WHO Regional Office for the Eastern Mediterranean – World Health Day 2009 campaign “Save lives. Make hospitals safe in emergencies” • Campaign • Regional strategy • Advocacy material • Hospitals safe from disasters: a framework for WHO/EMRO’s Member States

WHO Regional Office for South-East Asia – World Health Day 2009 kit “Save lives. Make hospitals safe in emergencies” • Regional Director’s Message on World Health Day • Benchmarking for safe Health facilities • Basic of safe hospitals • Who can do what for safe hospitals • Are our health facilities safe? What questions do we need to ask? • Posters, Case studies and Glossary

Guidelines and Manuals Safe hospitals: a collective responsibility; a global measure of disaster reduction (PAHO) Protecting critical health facilities, particularly hospitals, from the avoidable consequences of disasters is not only essential to meeting the United Nations Millennium Development Goals but also a social and political necessity in its own right. • Complete book [7 Mb] • Part 1 • Part 2 • Part 3 • Part 4 The Hospital Safety Index (PAHO) The Hospital Safety Index helps health facilities assess their safety and avoid becoming a casualty of disasters. It provides a snapshot of the probability that a health facility will continue to function in emergency situations, based on structural, non-structural and functional factors. By determining a hospital’s Safety Index, decision-makers will have an overall idea of its ability to respond to major emergencies and disasters. The Index is made up of three components: • Evaluation Forms • A Guide for Evaluators • Safety Index Calculator (contact [email protected])

Safe Hospitals • Documents available on the web • This catalogue in available electronic format at www.who.int/hac/events/safe_hospitals_info.pdf •

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Guidelines for vulnerability reduction in the design of new health facilities (PAHO) This publication, produced with the PAHO/WHO Collaborating Center for Disaster Mitigation in Health Facilities at the University of Chile, puts forward three or performance objectives: life safety, investment protection and functional protection. It recommends that essential areas and components of hospitals be built to keep the third and most demanding performance objective, and that new health facilities be built entirely so as to meet, at least, the first level of protection, namely life safety. • Complete book Guidelines on non-structural safety in health facilities (SEARO) These guidelines contain a discussion of the essential role of health services immediately following a medium or large-scale earthquake, and an outline of the possible threat to lives and functionality of the health facilities stemming from damage to non-structural components. They also contain a series of illustrated low-cost and easy to implement mitigation measures as part of the day-to-day maintenance of health facilities. • Full book Risk reduction and emergency preparedness: WHO six-year strategy for the health sector and community capacity development Although major emergencies are often unpredictable, much can be done to prevent and mitigate their effects and to strengthen the response capacity of communities at risk. As the lead agency for addressing the health aspects of emergency preparedness and response, WHO developed a strategy – based on the recommendations of a global consultation held in 2006 – to help mitigate the effects of crises, coordinate the response and thus save lives and reduce suffering. Mass casualty management systems During emergencies, experience shows that the community is the first to provide assistance. However, many countries have not yet developed mass casualty management plans, and communities are often left alone to develop preparedness and response plans. Building capacity at the community level to develop such plans requires strong involvement by health authorities at all levels as well as support from other sectors. In 2006, WHO held a Global Consultation on Mass Casualty Management which produced guidelines designed to help policy-makers, decision-makers and emergency managers at all levels to overcome the gaps in health system preparedness for managing mass casualty incidents. Principles of disaster mitigation in health facilities (PAHO) This publication is an updated compilation of various documents on the topic already published by PAHO/WHO. Sections of previous publications have been revised to address the needs of professionals from a variety of disciplines, particularly those involved in health facility planning, operation and maintenance. The book focuses on problems encountered in areas at high risk for seismic events. It introduces the essential aspects of carrying out vulnerability assessments and applying practical measures to mitigate damage in hospitals, addressing structural and nonstructural aspects, as well as administrative and internal organization. • Complete book


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Field manual for capacity assessment of health facilities in responding to emergencies (WPRO) This manual – an updated edition to the 1999 Protocol assessment of health facilities in responding to emergencies – is a management tool for health professionals evaluating the preparedness of their health facilities for dealing with disasters. The field manual contains a series of evaluation checklists to help practitioners carry out assessments of preparedness for both general and specific emergencies. Is your hospital safe? (PAHO) This publication helps health personnel from medium- or low-complexity facilities to identify possible vulnerabilities in their building. An intervention strategy is then recommended, where actions are prioritized according to their importance, time and available resources. • Full publication (in Spanish)

Guidelines for hospital emergency preparedness planning (UNDP) These guideline intends to support hospitals in formulating their own “all hazard” emergency plans in accordance with their manpower and infrastructural resources. It serves as a guide in developing integrated hospital plans consistent with their city or community disaster management plans. Emphasis is laid on strengthening the functioning, coordination and response for an enhanced pre-hospital and hospital care. Protecting new health facilities from natural disasters (PAHO) This publication emphasizes the social and economic benefits of applying disaster mitigation measures to the design, planning and construction of health facilities and describes how to apply these measures to achieve protection levels that not only ensure human safety but also the security of infrastructure and the continuity of services. It provides recommendations on how to promote such measures among actors involved in the development of these projects. • Complete book Hospitals safe from floods (PAHO) This book analyses the more common effects of floods in health services, and provides technical recommendations to include prevention and mitigation measures for floods in health facilities. • Full publication (in Spanish)

Seismic safety of non-structural elements and contents of hospital buildings (SEARO) These guidelines, part of the Disaster Risk Management document series prepared under the Government of India-UNDP DRM Programme, address non-structural damage and vulnerability during an earthquake. In hospitals, non-structural elements may account for up to 80–90% of the total facility value.


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Health facility seismic vulnerability evaluation (EURO) This project, carried out with the collaboration and financial support of the WHO Regional Office for Europe, aims to develop simple integrated procedures to enable hospital administrators to perform a preliminary qualitative/ quantitative) hospital vulnerability assessment, identify possible weak elements in the facility and set priorities for further in-depth investigations and possible mitigation measures. Hospitals should be safe from disasters (WPRO) This manual is a project of the Pilipino Department of Health-Health Emergency Management Staff and National Center for Health Facility Development, with support from the Association of Hospital Administrators and the WHO. Information sheets for health facilities in emergencies (UNISDR) • Training of community health workers • Health facility emergency response planning • Special considerations for chemical emergency • Infection prevention and control • Developing partnerships between health facility and the community • Essential services: water supply

DVDs Health Library for Disasters (PAHO) HELID is the most complete electronic information resource on public health for emergency preparedness and response and complex emergencies. HELID was an inter-agency effort, to which more than 20 international organizations contributed, including UN agencies, the Red Cross movement, the Sphere Project and other non-governmental and national agencies. • The CD can be obtained from WHO at [email protected], or PAHO at [email protected].

Disaster mitigation in health facilities - wind effects (PAHO) Training material about the effects of hurricanes on health facilities and basic information on disaster mitigation related to hurricanes. It includes graphic presentations (in PowerPoint), scripts that accompany the graphic presentations, technical publications on the subject of disaster mitigation in health facilities, and posters that can be distributed. • Training material The WHO e-Atlas of disaster risk for the Eastern Mediterranean Region (EMRO) The e-Atlas uses geographic information systems and various disaster models to assist disaster management decision-makers, particularly those in the Member States of this Region regularly experiencing disasters, to reduce health risks to vulnerable populations due to emergencies and health crises. This tool can be used to help predict the magnitude of a disaster on a specific population, to assess where damage might be the greatest and to forecast specific resources which may be required.


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Reports Non-structural vulnerability assessment of hospitals in Nepal (SEARO) The report outlines the possible extent of non-structural damage to nine hospitals in Nepal in case of moderate to large-scale earthquakes. It also outlines very practical and easy to implement mitigation measures, many of which the maintenance sections of the hospitals can carry out and at low cost.

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Full book [7 Mb] Preface Foreword Acknowledgements Introduction Objective, scope and approach Methodology Seismic assessment of hospitals in Nepal Examples of non-structural vulnerability mitigation of hospitals

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References Annex-1: Definition of terms Annex-2: Significance of non-structural damage Annex-3: Causes of non-structural damage Annex-4: Damage grades of buildings Annex-5: Sample report on individual hospital Annex-5: Photographs [PDF 3.8 MB]

Health security and health system preparedness (EURO) Health systems face high expectations, multiple hazards and limited resources in many countries of the European Region. The management of public health threats is increasingly discussed in relation to national and individual security and the roles and responsibilities of national authorities to respond to public health threats. Health systems require complex preparedness strategies for handling health and security risks. Preparedness means activities and measures taken in advance to ensure an effective response to the effects of hazards. • Strengthening health systems’ response to crisis: towards a new focus on disaster preparedness: Report from a WHO workshop in Skopje, The former Yugoslav Republic of Macedonia, 13-15 July 2004. • Towards health security: A discussion paper on recent health crises in the WHO European Region, 2007. Seismic vulnerability assessment of a key health facility in The former Yugoslav Republic of Macedonia (EURO) This report has been developed with the assistance of the Institute of Earthquake Engineering and Engineering Seismology to promote the health facility seismic vulnerability evaluation method (HVE method) through the assessment of a key health facility in The former Yugoslav Republic of Macedonia.

Health in South-East Asia – vol. 2 no. 1, April 2009 (SEARO) This issue of the SEARO Newsletter, Health in South-East Asia, looks at the theme of World Health Day 2009: health facilities in emergencies. The newsletter focuses on the three key features to risk reduction for health facilities: physical integrity, functionality and preparedness. • Full publication


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FOCUS: special issue on keeping health facilities safe from disasters (SEARO) This issue of FOCUS highlights how crucial it is to make health facilities disaster resilient in order to reduce death and suffering. Protecting critical health facilities from the consequences of disasters is also essential to meet the Millennium Development Goals. • Full document

Regional Health Forum – vol. 13 no. 1, 2009 (SEARO) The first five articles in this edition of the Regional Health Forum are based on the theme of World Health Day 2009: Health Facilities in Emergencies. The articles discuss the theme and its various aspects such as: methodologies for assessing structural and non-structural vulnerability of health facilities; community involvement and multi-stakeholder participation; health workforce preparedness; and the critical role of primary health care in disaster risk reduction. • Full publication Crisis preparedness and response in WHO European Region (EURO) Report on the WHO Public Health and Emergency Management (PHEM) course held from 16 to 27 June 2008 in Israel on generic preparedness and response – a multi sector responsibility early warning notification service.

Other Resources • • •

Disasters Newsletter (PAHO) Publications catalogue - resources on emergencies and disasters (PAHO) Click a brick for safe hospitals (SEARO)


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Safe Hospitals - WHO | World Health Organization

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