1. Save lives.
Make hospitals safe in emergencies.

2. What is a hospital safe from
emergencies & disasters?
A safe hospital …
 … will not collapse in disasters, killing patients
and staff;
 … can continue to function and provide its
services as a critical community facility when it is
most needed;
 … is organized, with contingency plans in place
and health workforce trained to keep the network
operational;
 … whose health workers are trained to respond
in an emergency.

3. Why is safe hospital initiative is
important?
 Health facilities are touchstone of public
faith in government and society.
 They are sanctuaries for people who need
care, when they are most vulnerable.
 It is important to keep hospital safe for the
health of the community during & after
emergencies as well as to protect massive
health investment.
‘The most costly hospital is the one
that fails!’

4. Health facilities & Health services are
most needed aftermath of disasters
Days after Disaster

5. Service situation in our context

6. Socioeconomic impact of a disaster in the health sector

7. BENCHMARK 11
 Benchmarking is a strategic process often
used by businesses to evaluate and
measure performance in relation to best
practices of their sector.
 At a regional meeting in Bangkok, Thailand
in November 2005, 12 benchmarks ? on
emergency preparedness and response
were formulated by all 11 SEA Region
Member States.
 Benchmark 11 is dedicated to looking at
the safety of health facilities ?.

8. Tools for hospital safety
 WHO PAHO — the Hospital Safety
Index (HSI).
 WHO WPRO — the Field Manual for
Capacity Assessment of Health Facilities
in Response to Emergencies.
 WHO SEARO and the National Society
for Earthquake Technology (NSET)
Nepal — guidelines on structural and
nonstructural assessments for health
facilities.

9. Level of protection in
emergencies
 Life protection is the minimum level of
protection that every structure must comply
with. It ensures that a building will not
collapse and harm its occupants.
 Investment protection involves
safeguarding infrastructure and equipment.
 Operational protection is meant to ensure
that health facilities can function in the
aftermath of a disaster. This is the optimal
level of protection.

10. Prevention is cost-
effective
 Low cost design safety: New hospitals
The cost of a disaster-safe hospital or
health facility is negligible when included in
early design considerations. Planning
processes for new hospitals can be easily
targeted by advocacy, and should be a
priority.
 Low cost retrofitting: Targeted protection
Retrofitting non-structural elements costs
only about 1-2 % while protecting up to
90% of the value of a hospital.

11. Training programs for safe
hospitals
 HOPE (Hospital Preparedness for
Emergencies)
 PEER (Program for Enhancement of
Emergency Response)
 MCM (Mass Casualty Management)

12. Who can do What?
 Communities
 Governments
 Health institution & health workforce
 Architects & Engineers
 International & regional agencies & NGOs
 Financial Institution & donors
 Universities, schools & professional bodies

13. Mumbai
and
Safe Hospitals

14. Mumbai & Emergencies
Natural Man-made
 Floods  Terrorist attacks
 Cyclone  Fire
 Earthquake  Nuclear fallout
 Tsunami
 Landslide