Continuity for Health Care Service During a Disaster Presented by: Ms. Narantuya Ulaankhuu – Foreign Affairs and International Project Officer, Public Administration Department, Governor's Administration Office of Sukhbaatar Province in Mongolia Mr. Tetsuya Kimura – Executive Director of International Business Planning Department, Daiwa Securities Group Inc., Japan Mr. Tran Van Ninh – Project Coordinator, Autism Mapping Project in the ASEAN Region, Asia-Pacific Development Centre on Disability (APCD), Thailand Ms. Masdalina Pane – Researcher / Dr. / NIHRD, Ministry of Health, Rep of Indonesia 2019 ProSPER.Net Leadership Programme 24-30 November, 2019

1. Continuity for health care
service during a disaster
Team 3

2. In case of disaster in Indonesia
u To saving human life
1. Prediction system and acknowledgement
2. Monitoring system
3. Early warning system
4. People evacuation esp. disability
5. Provide medical care as early as possible
6. Recovering, build back better

3. Locations of Public health care center

4. What are serious medical conditions?
u Heart attack (stopped by shock)
-> AED (defibrillator)
u Blood losing
-> Blood transfusion
u Organ injury
-> Immediate surgery
Energy shortage (ESP. Electricity)Root cause

5. Definition of problems
Need for energy
Criticality
for human
vital
When disaster is occurred …
Crucial
Matters

6. Energy used in hospital (normal situation)
52%
4%
8%
36%
Gas
Space Heating
Cooking
Other
Water Heating
Source: https://newlook.dteenergy.com/wps/wcm/connect/dte-web/home/save-energy/business/tips+by+business/health+care
42%
14%
17%
15%
6%
1%
2% 3%
Electricity
Lighting
Cooking
Ventilation
Other
Office
Water Heating
Space Heating
Refrigeration

7. Medical difficulty during disaster
u Surgery, Blood transfusion, Heart cure for affected people
u Outage at ICU, HCU and ICCU
u Stable vaccine refrigerated storage and so on.
Stable vaccine/blood
refrigerated storage
Outage of HCUSurgery for affected people

8. Options for preparing energy sources
u National Grid electricity + Generator
u Renewable + Battery
u Integrated (National Grid + Renewable + Battery)
Generator BatteryNational Grid

9. Analysis of benefit and vulnerability
using each energy
Benefit CO2 emissions Vulnerability
National Grid +
Generator
Cheap cost Higher than others Ø energy disruption
losses
Ø Limited resource
Renewable + Battery Ø Eco-friendly
Ø Low maintenance
cost
Ø Technology
development
Zero emissions Ø Initial cost is higher
than
Ø Weather dependent
Ø Uses lot of spaces
Integrated (National
Grid + Renewable +
Battery)
Ø Low risk of disruption
Ø No limited supply
Ø 24% less that national
grid only
Ø 17 % increase than
PV+ battery
Ø Require integrated
battery solution that
is still expensive
Theoretically,” Integrated” suppose to be better

10. Life Cycle Analysis and availability for
integrated energy source
LCA in general Availability in
Specific area
National Grid +
Generator
Lower No
Renewable /PV/
+ Battery
Lower Yes
Integrated
(National Grid +
Renewable +
Battery)
Ø 7% lower than
national grid
Ø 22% lower than
PV
Yes
Practically,
1st -> “Integrated”

11. How to implement
u Prioritization
1st : Battery installing Hospitals which will be made safer area.
2nd : Battery installing existing Hospitals.
u Further discussion point
u Who pay?
u More resilient system for stable operation.

12. Project Structure (Draft)
Activity Implementation duration
Collect data 3 - 6 months
Communicate with National / local
community
1 - 2 months
Cost estimation (including LCA) 1 month
Evaluate impact (Social,
Environment, Economics, Well-
being)
1 month
Decision making including fund
raising
1 – 3 months

15. Thank you very much
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ありがとうございます
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