To reduce the health consequences of emergencies, disasters, crises and conflicts, and minimize their social and economic impact.

SEA/SPPDM-Meet.2/2.3 Page 185 Strategic Objective 5: To reduce the health consequences of emergencies, disasters, crises and conflicts, and minimize their social and economic impact REGIONAL PLANNING BRIEF 1. Major work of WHO for this SO in the region (RO and countries) during 2008-2009: Improved preparedness and response in Member Countries • Operationalization of the South East Asia Regional Health Emergency Fund in 4 emergencies: Cyclone Nargis (MMR); Flash Floods (SRL June 2008); Support to IDPs in North of Sri Lanka (Sept 2008- March 2009); Kosi River Floods (Nepal) • Conduct of the Regional Public Health Pre-Deployment course 14-20 December 2008 • Activities in countries to contribute to the achievement of the SEAR Benchmarks for preparedness and response • Regional Consultation for Keeping Health Facilities Safe in Emergencies including their follow-up actions • Ongoing process of review of WHO/SEAR/IASC guidelines for emergencies • Set up of Disaster Health Information Network 2. Scope of work and major results planned for 2010-2011 • Activities for achievement of SEAR benchmarks for emergency preparedness and response • Improve institutional capacities for Emergency preparedness and response • Take further the results of the review of guidelines to support better norms and standards for preparedness, response and recovery • Strengthen operational support to emergencies in countries with SEARHEF and WCO capacities 3. Regional Expected Results (RERs) with indicators, baselines and targets (attached): SEA/SPPDM-Meet.2/2.3 Page 186 4. Budget information for the Strategic Objective for Country Offices (CO) and the Regional Office (RO) (in USD thousands) PB 2008-2009* PB 2010-2011 Country offices Regional Office SO Component Planned Resources Planned Resources CO RO Benchmark for emergency preparedness 6,254 2,115 2,622 3,113 Norms and standards for timely response 21,074 14,069 2,105 777 Norms and standards for recovery and transition 28,996 19,525 155 478 Emergency response for communicable diseases and surveillance 1,056 181 0 0 Preparedness and response for food safety and environmental health emergencies 760 94 125 0 Emergency partnership and coordination 638 77 580 0 Acute, ongoing and recovery operations 0 0 0 387 TOTAL 58,778 36,061 5,587 4,755 47,516 7,300 * Resources as of May 15, 2009 SEA/SPPDM-Meet.2/2.3 Page 187 South-East Asia Regional Expected Results for Regional PB 2010-2011 Strategic Objective 5: To reduce the health consequences of emergencies, disasters, crises and conflicts, and minimize their social and economic impact Organization-wide Expected Result Regional Expected Results Indicator Baseline Target Number of countries which apply the benchmark framework for preparedness and response 5 9 1. Norms and standards developed, capacity built and technical support provided to Member States for the development and strengthening of national emergency preparedness plans and programmes. 1. Benchmarks for emergency preparedness and response services in Member States comprehensively achieved. Number of countries which have achieved all 12 SEA benchmarks for preparedness and response 4 6 2. Norms and standards developed and capacity built to enable Member States to provide timely response to disasters associated with natural hazards and conflict- related crises. 1. Guidelines for best public health practices in emergencies reviewed, updated, adopted and disseminated to countries with appropriate staff trained. Number of countries with updated and adapted guidelines 0 5 3. Norms and standards developed and capacity built to enable Member States to assess needs and for planning interventions during the transition and recovery phases of conflicts and disasters. 1. Enhanced capacity of Member States to implement strategies for management of special emergency health programmes, and early rehabilitation of essential health services Percent of situations in recovery phase applying peace sensitive process in the health sector 0% 100% 4. Coordinated technical support provided to Member States for communicable disease control in natural disaster and conflict situations. 1. Provide coordination and technical support to countries during response for emergencies for communicable disease surveillance and control. Proportion of emergencies/out- breaks with improved mechanisms of coordination between 0% 100% SEA/SPPDM-Meet.2/2.3 Page 188 Organization-wide Expected Result Regional Expected Results Indicator Baseline Target communicable disease and emergency units 5. Support provided to Member States for strengthening national preparedness and for establishing alert and response mechanisms for food-safety and environmental health emergencies. 1. Support provided to Member States by providing technical advice and improving coordination on cross cutting issues, including Climate Change Water and Sanitation, , Reproductive Health etc. Number of countries which incorporate vulnerability assessment to climate change in emergency preparedness and response plans 0 5 6. Effective communications issued, partnerships formed and coordination developed with other organizations in the United Nations system, governments, local and international nongovernmental organizations, academic institutions and professional associations at the country, regional and global levels. 1. Capacity of Member States increased through implementation of comprehensive and effective systems for better information management and coordination Number of countries with SOPs for information management communications for preparedness and response 0 5 7. Acute, ongoing and recovery operations implemented in a timely and effective manner 1. Enhanced capacity of Member states to launch appropriate public health interventions appropriate public health interventions and recovery activities in line with the national emergency plans and humanitarian reform approaches Percent of major emergencies which applies principles of humanitarian reform and fulfils WHO functions in emergencies 0% 100% SEA/SPPDM-Meet.2/2.3 Page 189 Country Planning Brief: Bangladesh (SO-05) 1. Major work of WHO for this SO in country during 2008-2009: Emergency and Humanitarian Action (EHA) • Prepared Guidelines on Emergency Health Care and Training Manuals on Psychosocial Support, Hospital Preparedness Plan, Earthquake/Infrastructure Response Plan for better country preparedness and response • Reviewed and updated Health Sector Standard Operating Procedure (SOP) • Conducted health cluster meeting, trainings, workshops, joint simulation exercises, media orientation workshops & scientific seminar on health facilities in emergency in all medical college hospital for health sector EPR capacity building • Stockpiled emergency health kits, Emergency Medical drugs and supplies, Interagency Emergency Health Kit, and other necessary drugs and lab reagents to the all health facilities • Distributed Hospital Equipments like Auto-Clave Machine, Colorimeter, Pulse Oximeter, Microscope, Centrifuge Machine Surgical instruments, etc. to the Sidr affected areas and supplied of Training Materials (Airway Management Trainer, Tension Pneumothorax Simulator and Sani-Manikin) • Provided Emergency supplies (Rain Coats, umbrella, solar lamp, safety rubber boots, Jacket, Cap, etc.) for first level health sector responders • Prepared Audio-video clips on Earthquake management and response, bleeding management, open airway, splint fracture, drowning, snakebite management, Cardio- pulmonary resuscitation for mass awareness • Developed & Distributed of IEC materials for mass awareness on Emergency preparedness and response (Poster, leaflet, sticker, Wall & Desk Calendar, etc.) • Conducted Health needs assessment and recovery activities in post flood and cyclone Sidr 2007 2. Scope of work and major results planned for 2010-2011 (by SO component): Emergency and Humanitarian Action (EHA) • Prepare plan, policy, legislation, guideline, manual etc • Conduct high level joint simulation exercise, mock drills, lesson learned activities and Training for master trainers & senior level health officials • Strengthen and enhance in-house and other stack holder coordination and cooperation mechanism • Develop Audio-video clips, IEC materials like leaflet, poster, sticker, calendar, diary for mass awareness • conduct needs assessment; supporting health partners in coordinating action, critical gaps are rapidly identified & filled; and building capacity of health workers during and post emergency situation • Achieve priority benchmarks among the 12 SEARO EHA benchmarks SEA/SPPDM-Meet.2/2.3 Page 190 3. How the scope and results are related to the Country Cooperation Strategy: Emergency and Humanitarian Action (EHA) • BAN CCS Strategic Action 5.1: Strengthening multi-sectoral coordination, planning, cooperation, communication, and action for disaster mitigation, emergency preparedness, response and recovery. • BAN CCS Strategic Action 5.2: Enhancing the country’s responsiveness to public health emergencies including medical response to natural disasters. 4. Budget information for the Strategic Objective (in USD thousands) PB 2008-2009 PB 2010-2011 SO Component AC VC planned VC actual* AC VC Benchmark for emergency preparedness 64 80 0 Norms and standards for timely response 117 2,600 2,567 Norms and standards for recovery and transition 0 1,267 0 Emergency response for communicable diseases and surveillance 135 361 0 Preparedness and response for food safety and environmental health emergencies 5 15 0 Emergency partnership and coordination 38 70 0 Acute, ongoing and recovery operations 0 0 0 TOTAL 359 4,393 2,567 278 3,000 * Available as of 15 May 2009 5. Possible VC funding through new or continuing projects: • South-East Asia Regional Health Emergency Fund (SEARHEF), • Central Emergency Response Fund (CERF) 6. Staff requirements for 2010-2011 (short and long-term): • National Professional Officer (Communicable Disease) – Responsible for BAN EHA SEA/SPPDM-Meet.2/2.3 Page 191 Country Planning Brief: Bhutan (SO-05) 1. Major work of WHO for this SO in country during 2008-2009: • Equipment and for establishing Trauma Center placed to SEARO. Provided first aid training to 60 ambulance drivers as a preparation towards coronation celebration. 2. Scope of work and major results planned for 2010-2011 To provide policy and technical support in: • Strengthen the institutional capacity to respond to emergency and disaster. • procedures laid out for coordination of technical and material support from the Region in case of emergencies • develop effective communication strategies including setting up of nodal points for emergency communication 3. How the scope and results are related to the Country Cooperation Strategy: Strategic Priority #05 • Help reducing the Burden of Diseases through key interventions focusing on Health Promotion and risk factors with a multi-sector approach • Emergency preparedness and response including the reduction of the vulnerability of health facilities 4. Budget information for the Strategic Objective (in USD thousands) PB 2008-2009 PB 2010-2011 SO Component AC VC planned VC actual* AC VC Benchmark for emergency preparedness 21 176 0 25 120 Norms and standards for timely response 4 23 0 4 80 Norms and standards for recovery and transition 0 0 0 Emergency response for communicable diseases and surveillance 0 0 0 Preparedness and response for food safety and environmental health emergencies 7 10 0 Emergency partnership and coordination 0 0 0 Acute, ongoing and recovery operations 0 0 0 TOTAL 32 209 0 29 200 * Available as of 15 May 2009 SEA/SPPDM-Meet.2/2.3 Page 192 5. Possible VC funding through new or continuing projects: None 6. Staff requirements for 2010-2011 (short and long-term): None SEA/SPPDM-Meet.2/2.3 Page 193 Country Planning Brief: DPR Korea (SO-05) 1. Major work of WHO for this SO in country during 2008-2009: • Country Office coordinated health sector response to emergencies like measles epidemic and floods • Emergency preparedness plan for health sector in DPRK prepared • Additional resources were mobilized to address emerging health needs in newly accessible counties 2. Scope of work and major results planned for 2010-2011 (by SO component): • Strengthen national capacities towards emergency preparedness and response • Advocacy, relevant operations research and implementation of EPR at all levels • Enhance capacities for addressing health effects following emergencies • Support efforts for health facilities safety and early rehabilitation of health services following emergencies • Support efficient and vigilant disease surveillance system during emergencies 3. How the scope and results are related to the Country Cooperation Strategy: • CCS (2009-2013) Strategic Priority 5: Addressing Environmental determinants of health has a ‘main focus area’ on ‘preparedness and effective response to emergencies’ SEA/SPPDM-Meet.2/2.3 Page 194 4. Budget information for the Strategic Objective (in USD thousands) PB 2008-2009 PB 2010-2011 SO Component AC VC planned VC actual* AC VC Benchmark for emergency preparedness 55 0 0 50 100 Norms and standards for timely response 0 2,395 2,145 0 100 Norms and standards for recovery and transition 0 23,834 16,916 0 100 Emergency response for communicable diseases and surveillance 0 0 0 0 0 Preparedness and response for food safety and environmental health emergencies 0 0 0 0 0 Emergency partnership and coordination 0 0 0 0 0 Acute, ongoing and recovery operations 0 0 0 0 23,585 TOTAL 55 26,229 19,060 50 23,885 * Available as of 15 May 2009 5. Possible VC funding through new or continuing projects: • ROK, CERF, OCHA, Poland, Norway, SIDA, Australia • Ongoing partnerships: UNICEF, IFRC, UNDP, International agencies 6. Staff requirements for 2010-2011 • National Professional Officer • Medical Officer -Shared responsibilities SEA/SPPDM-Meet.2/2.3 Page 195 Country Planning Brief: India (SO-05) 1. Major work of WHO in country during 2008-2009: • Strengthening of Trauma Centre. • Development of National Programme for Snakebite Management. • Promulgation of Hazardous Material Life Support System training. 2. Scope of work and major results planned for 2010-2011 • To facilitate technical support for modification and finalization of National Health Sector Contingency Plan. • To provide technical input for development and updating of District Resource Maps • To support enhancement and emergency preparedness capacity of government agencies and NGOs. • To facilitate development, modification and review of State Health Sector Contingency Plan. • To facilitate development of guidelines for best public health practices in emergencies and disseminate to the concerned state agencies for capacity building of staff members. • To facilitate government initiatives in need assessment, planning and implementation of different health related intervention during recovery and transition phases of disasters. • To provide necessary support for strengthening the disease surveillance and control of communicable diseases during emergency situations • To provide desired technical support for preparedness and response to national food, chemical and environmental safety during emergencies. 3. How the scope and results are related to the Country Cooperation Strategy: • The Country Cooperation Strategy does not directly look into the Health Action before, during after any emergency. But without planning for preparedness, response, recovery and rehabilitation, human losses will be great in any emergency. Hence it has got its own priority. SEA/SPPDM-Meet.2/2.3 Page 196 4. Budget information for the Strategic Objective (in USD thousands) PB 2008-2009 PB 2010-2011 SO Component AC VC planned VC actual* AC VC Benchmark for emergency preparedness 75 1,230 0 40 1,350 Norms and standards for timely response 29 526 0 30 450 Norms and standards for recovery and transition 0 200 0 0 300 Emergency response for communicable diseases and surveillance 8 300 0 20 200 Preparedness and response for food safety and environmental health emergencies 0 200 53 0 200 Emergency partnership and coordination 20 200 0 0 200 Acute, ongoing and recovery operations 0 0 0 40 360 TOTAL 132 2,656 53 150 3,060 * Available as of 15 May 2009 5. 5. Possible VC funding through new or continuing projects Mostly from HQ, SEARO and multi donors. 6. Staff requirements for 2010-2011 (short and long-term) National Professional Officer - EHA SEA/SPPDM-Meet.2/2.3 Page 197 Country Planning Brief: Indonesia (SO-05) 1. Major work of WHO for this SO in country during 2008-2009: • Reduce the health consequence of emergencies, disasters, crisis, and conflicts and minimize their social and economic impact. 2. Scope of work and major results planned for 2010-2011 (by SO component): • Implementation of Ministry of Health's disaster risk reduction programme supported according to bench marks and standard operating procedures in all provinces of Indonesia. • Institutionalization and international networking of the country's ITC DRR (International Training Consortium for disaster risk reduction) facilitated as part of the national programme on disaster risk reduction. • Provide support for effective and timely emergency response and recovery, having rapid assessment, health sector / cluster coordination, resource mobilization, strategic operation plans and implementations. 3. How the scope and results are related to the Country Cooperation Strategy: • Encourage adoption of international best practices and minimum standards in emergency management. • Support the development of emergency management capacity in government ministries. • Emphasize emergency mitigation and preparedness, including better hazard and vulnerability assessments. • Mobilize voluntary contribution resources for emergency relief activities in support of disaster-affected populations. • Promote the prevention of, and response to, injuries and accidents. SEA/SPPDM-Meet.2/2.3 Page 198 4. Budget information for the strategic objective (in USD thousands) PB 2008-2009 PB 2010-2011 SO Component AC VC planned VC actual* AC VC Benchmark for emergency preparedness 451 1,490 0 Norms and standards for timely response 23 2,197 0 Norms and standards for recovery and transition 12 500 0 Emergency response for communicable diseases and surveillance 0 0 0 Preparedness and response for food safety and environmental health emergencies 0 0 0 Emergency partnership and coordination 0 0 0 Acute, ongoing and recovery operations 0 0 0 TOTAL 486 4,187 0 616 6,500 * Available as of 15 May 2009 5. Possible VC funding through new or continuing projects: • As at 30 April 2009, US$180,000 from Japanese funding under joint CSR-EHA programming. Same funding source will be available for 3 EHA national staff (core staff) to continue their assigned duties up to 30 June 2010. Preliminary funds are earmarked for joint CSR–EHA programme activities to be implemented up to 30 June 2010. • Concept paper and donor proposals were sent to 22 potential contributors. Furthermore, AusAid is currently reviewing a substantive programme proposal for the period 1 July 2009 – 30 June 2013. 6. Staff requirements for 2010-2011 (short and long-term): • Medical Officer (2) • National Professional Officer – Administrator • National Professional Officer – Emergency Medical Officer (2) • National Professional Officer – Information and communication officer (2) • National Professional Officer – Field Operations Officer SEA/SPPDM-Meet.2/2.3 Page 199 Country Planning Brief: Maldives (SO-05) 1. Major work of WHO for this SO in country during 2008-2009: • Nationals trained in community-based disaster risk management and first aid • Nationals trained in fire and rescue services and evacuation protocols 2. Scope of work and major results planned for 2010-2011 (by SO component): • Review and update health sectoral component of the National Disaster Preparedness and Response Plan • Build country capacity by training health professionals in triage, mass casualty management, first aid, management, administration etc • Support training in the areas of logistics management (SUMA or the Humanitarian Supply Management System), damage assessment and coordination at central and peripheral levels • Train public health staff in epidemic alert and response during disasters • Development of systems and management practices for stockpiling materials for emergencies and response and to provide health care for displaced persons • Strengthen national preparedness and establish response mechanisms for food safety and environmental health emergencies 3. How the scope and results are related to the Country Cooperation Strategy: • Priority areas: • 5-Emergency preparedness and response 4. Budget information for the Strategic Objective (in USD thousands) PB 2008-2009 PB 2010-2011 SO Component AC VC planned VC actual* AC VC Benchmark for emergency preparedness 40 403 0 58 519 Norms and standards for timely response 11 80 0 Norms and standards for recovery and transition 0 0 0 Emergency response for communicable diseases and surveillance 0 0 0 Preparedness and response for food safety and environmental health emergencies 0 0 0 Emergency partnership and coordination 8 21 0 Acute, ongoing and recovery operations 0 0 0 TOTAL 59 504 0 46 436 SEA/SPPDM-Meet.2/2.3 Page 200 * Available as of 15 May 2009 5. Possible VC funding through new or continuing projects: • None 6. Staff requirements for 2010-2011 (short and long-term): • TIP – Technical Officer for 6 months (included in VC PB 2010-2011) SEA/SPPDM-Meet.2/2.3 Page 201 Country Planning Brief: Myanmar (SO-05) 1. Major work of WHO for this SO in country during 2008-2009: When Cyclone Nargis affected Myanmar in May 2008, the health cluster system was established. With WHO as the Health Cluster Lead, the cluster approach enabled health partners to coordinate and focus health activities to the hard hit areas where limited health services that were available for the communities, were further compromised due to the Nargis Cyclone. In addition, to providing technical inputs, guidelines and emergency medical supplies, through the good collaboration with MOH and with its UNCERF project partners, WHO was able to provide curative services to displaced people through the strengthening of pre existing curative health services as well. Moreover, WHO also supported disease surveillance system, control of vector borne diseases, water borne diseases, TB, malaria, immunization programme, reproductive health and psychosocial support activities. Provision of kits and medicines for communicable diseases. WHO also ensured efficient coordination at township level by establishing field offices in of the hardest hit areas in the Ayeyarwady Division. 2. Scope of work and major results planned for 2010-2011 (by SO component): Development and strengthening of national emergency preparedness plans and programmes • Continue to support for the expansion to establish townships where mental health psychological support services are provided • Training of EWARS and SOPs for epidemic prone communicable diseases • Workshop and training on logistics management Timely response to disasters associated with natural hazards and conflict- related crises • Enhanced capacity building of implementing partners on disaster preparedness and response for high risk townships. • To review and revise existing health care management and action on disaster management • Support effective response to emergencies, such as health assessments, capacity building and filling gaps and needs • Keeping health facilities safe and functioning during emergencies • Training on disaster risk reduction in high risk townships • Supply of drugs and provision of logistic support to disaster affected areas • Operational support, supervision and monitoring of disaster preparedness and response Planning interventions during the transition and recovery phases of conflicts and disasters • Support recovery activities in the health sector in Nargis affected areas 3. How the scope and results are related to the Country Cooperation Strategy: • Mental illness is one of the major emerging health problems. The psychological impact of the cyclone disaster is significant, with large number of people exposed to severely traumatic experiences. Disasters such as Tsunamis are also a major concern as Myanmar has a long coastline (about 2400 kilometers) which runs along the eastern flank of Bay of SEA/SPPDM-Meet.2/2.3 Page 202 Bengal. According to the Tsunami Risk Atlas, most of the coastal areas of Myanmar fall within the risk zone. Disasters bring about immense mental and psychological trauma and stress to the affected population. • Maternal, newborn and child health is mentioned as another major priority in the WHO CCS. Natural disasters like floods, cyclones and earthquakes could bring about disruption of communities and health facilities and health care professionals and could affect on the health of mothers and babies. • It has been mentioned in the Country Cooperation Strategy that along with mental Illness, avoidable blindness is also an emerging health issues. 4. Budget information for the Strategic Objective (in USD thousands) PB 2008-2009 PB 2010-2011 SO Component AC VC planned VC actual* AC VC Benchmark for emergency preparedness 82 40 0 10 93 Norms and standards for timely response 305 8,392 6,811 Norms and standards for recovery and transition 0 2,516 1,159 Emergency response for communicable diseases and surveillance 0 0 0 Preparedness and response for food safety and environmental health emergencies 0 0 0 Emergency partnership and coordination 0 0 0 Acute, ongoing and recovery operations 0 0 0 50 700 TOTAL 387 10,948 7,970 40 793 * Available as of 15 May 2009 5. Possible VC funding through new or continuing projects: • PONREP • UNCERF • SEARHEF • Bilateral funding ( DFID, Swedish) 6. Staff requirements for 2010-2011 (short and long-term): • National staff (TGS) SEA/SPPDM-Meet.2/2.3 Page 203 Country Planning Brief: Nepal (SO-05) 1. Major work of WHO for this SO in country during 2008-2009: In non-emergencies the objectives of the programme are to increase the capacity and self- reliance of Nepal to prevent and prepare for disasters, to mitigate adverse health consequences, and to create a synergy between emergency and sustainable development through appropriate co-ordination mechanisms. In times of emergencies, the programme will support the national coordinating authority in providing essential health care services to those affected, including life-saving emergency relief in coordination with national and international partners. The work will be done with a view to sustaining the activities through successful transition and link to development after the immediate onset of a disaster. Key achievements: • Enhanced health sector coordination through providing support to the Disaster Health Working Group (DHWG), and co-chairing the Emergency Health and Nutrition Working Group (EHNWG) (Health and Nutrition Cluster) • Active field intervention for disaster response (especially in Koshi river flood response in 2008), including needs assessment, provision of essential drugs and supplies, and support coordination of public health actors in the field. • Support provided to build the capacity of health workers to develop their knowledge and skills on health sector .emergency preparedness and disaster response plan. This led to enhanced capacity of NRCS district chapters, ambulance drivers and rapid response teams at district level. • International medical kits and essential supplies pre-positioned in strategic locations according to history of disaster and disease profile of each region • Developed and disseminated key public health guidelines. 2. Scope of work and major results planned for 2010-2011 (by SO component): In 2010-2011, EHA plans to continue providing support to the Government of Nepal, to enhance their capacity to better prepare for, respond to, and recover from emergency situations. The specific goals of the programme include: • Emergency preparedness and response plan and operational capacity further strengthened at national and district levels • Enhanced capacity of the government in designing and implementing emergency public health interventions • Enhanced understanding of previous best practices, and better planning for future recovery actions at all levels of Nepal • Improved coordination for concerted action in health sector emergency preparedness, response and recovery SEA/SPPDM-Meet.2/2.3 Page 204 3. How the scope and results are related to the Country Cooperation Strategy: In 2010-2011, EHA seeks to address the following objectives identified in the Country Cooperation Strategy (CCS) as identified for SO5: • To support health sector capacity building to address the health effects of natural and man-made disasters which includes mass casualty management and hospital mitigation. • To develop the norms and standards and to provide technical support for the strengthening and implementing national emergency preparedness plans and programs. • To develop the effective communications among partner agencies within health clusters. 4. Budget information for the Strategic Objective (in USD thousands) PB 2008-2009 PB 2010-2011 SO Component AC VC planned VC actual* AC VC Benchmark for emergency preparedness 416 270 0 Norms and standards for timely response 344 467 255 Norms and standards for recovery and transition 0 407 317 Emergency response for communicable diseases and surveillance 0 0 0 Preparedness and response for food safety and environmental health emergencies 0 0 0 Emergency partnership and coordination 4 32 0 Acute, ongoing and recovery operations 0 0 0 TOTAL 764 1,176 572 587 3,459 * Available as of 15 May 2009 5. Possible VC funding through new or continuing projects: • Korean Fund for International Health (KFIH – possible donor) • CERF (possible donor) • World Bank (possible donor) • DIP ECHO (possible donor) 6. Staff requirements for 2010-2011 (short and long-term): • Technical Officer EHA • Information Management Officer • National Professional Officer SEA/SPPDM-Meet.2/2.3 Page 205 Country Planning Brief: Sri Lanka (SO-05) 1. Major work of WHO for this SO in country during 2008-2009: • WHO CO Sri Lanka supported the Ministry of Health by working towards achievement of the Benchmarks for emergency preparedness and response. • The following has been achieved during 2008-2009: • Establishment of the National Health Sector Disaster Management Unit at the Ministry of Health and Nutrition; Development of the National Health Sector Disaster Preparedness and Response Plan and Standard Operating Procedures; Establishment of district level disaster management systems and development of district EPR plans; Strengthening National PHEMAP course, and training of Disaster focal points in PHEMAP; Training on Primary Trauma Care Management at general hospitals in conflict areas; support for relief efforts has been provided for an effective and efficient response to the IDP crisis in the North and for floods in the South. Emergency health interventions were provided for the following areas of work: Strengthening HR capacities in the conflict affected districts; Supporting MOH in coordination of relief efforts at National and district level assessment of health situation and filling identified gaps in the response by providing relief supplies. 2. Scope of work and major results planned for 2010-2011 (by SO component): • The program will focus on comprehensively achieve the Benchmarks for emergency preparedness and response services. Special attention will be given to EPR activities at community and district level. The program will further enhance the capacity of MoH to implement strategies for the management of Emergency health programs and early recovery. Training of staff on EPR will continue in close collaboration with the University of Peridenia through the PHEMAP training courses. Support will be provided to establish Emergency management units at district and provincial level. Support for coordination, assessment and filling of identified gaps during emergencies will be provided. Guidelines for best public health practices in emergencies will be reviewed, updated, adopted and disseminated to partners. The program will continue to from partnerships and coordination developed with other organizations in the United Nations system, governments, local and international nongovernmental organizations, academic institutions and professional associations at the country, regional and global levels. Staff will be trained on community capacities in country offices and country counterparts developed through training and guidelines. 3. How the scope and results are related to the Country Cooperation Strategy: • In the CCS 2006-2011, WHO Sri Lanka has identified Emergency Preparedness and Response as one of the six strategic areas of work. Emphasis has been put to implement programmes under the national health sector that are integrated with the plans for disaster risk reduction. WHO will ensure that national and sub-national policy, plans, protocols and information are available and applied in emergency SEA/SPPDM-Meet.2/2.3 Page 206 situations. Systematic capacity building and training programmes in EPR will be supported. The aim is to mainstream EPR into the overall health system. 4. Budget information for the Strategic Objective (in USD thousands) PB 2008-2009 PB 2010-2011 SO Component AC VC planned VC actual* AC VC Benchmark for emergency preparedness 442 166 0 Norms and standards for timely response 228 2,962 1,207 Norms and standards for recovery and transition 15 74 565 Emergency response for communicable diseases and surveillance 14 0 0 Preparedness and response for food safety and environmental health emergencies 3 400 0 Emergency partnership and coordination 5 10 0 Acute, ongoing and recovery operations 0 0 0 TOTAL 707 3,612 1,772 587 3,459 * Available as of 15 May 2009 5. Possible VC funding through new or continuing projects: (Site the name of the donor and project if available or note donors where there is possible funding. Amount of funding ) • CERF; Relief efforts during emergencies • Italian Government: Emergency preparedness and response • UN Arab Gulf Fund: 300,000 USD Capacity building for EPR • USAID, AUSAID, DFID: Relief efforts during emergencies 6. Staff requirements for 2010-2011 (short and long-term): • Technical Officer (2) • National Professional Officer SEA/SPPDM-Meet.2/2.3 Page 207 Country Planning Brief: Thailand (SO-05) 1. Major work of WHO for this SO in country during 2008-2009: • Development of Emergency Preparedness Response in MOPH • The project for disaster preparedness in emergency medical service section in Health Region 10-12 • Development of National Emergency preparedness and response (EPR)Plan in MOPH • Development of Guidelines for best public health practices in Emergency • 2nd National Migrant Health Conference • Migrant Health Information System Development, Ranong PHO-Field Study at Chonburi and Rayong Provincial Health Office • Consultancy Service for Health Finance to improve of health conditions of Migrants in Ranong and Samutsakorn Provinces of Thailand • Workshop on MHIS development-rountine service systems co-host with BPS-Targeting 15 provinces • Employment of MHIS Coordinator in Ranong Province • WHO Support for a Migrant Health Information System Project Assistant-BPS, MOPH • Scaling up Migrant Health Information System Development in Ranong through conduct meeting with all health facilities • Support 2 MoPH staff registration fees for Emergency Preparedness Response training 2. Scope of work and major results planned for 2010-2011 (by SO component): Scope of work - Public Health Emergency Preparedness and Response - Migrant Health Major results planned Public Health Emergency Preparedness Response • MOPH and other national partners supported on emergency preparedness and response in achieving WHO SEARO EHA benchmarks. • MOPH is supported to take cluster lead roles for ‘health’ and ‘nutrition’ sector/cluster as UNCT/IASC CT decided WCO THA to take Cluster lead role for’ Health’ and ‘Nutrition’ sector/cluster • Emergency preparedness and response (EPR) plans developed on mental health and psychosocial aspects, injuries and trauma, nutrition, environmental health, reproductive health. • Guidelines for best public health practices in emergencies available in Thai context and disseminated to all stakeholders and capacity of staffs enhanced mainly on nutrition, maternal health, newborn and child health, injuries including essential emergency SEA/SPPDM-Meet.2/2.3 Page 208 surgical service and post injury rehabilitation; environmental health; and reproductive health including HIV/AIDS. • Response operations implemented in emergencies. • Guidelines and benchmarks for recovery and transition (using Regional experience) adapted, disseminated to all stakeholders and appropriate staff trained. • Enhanced capacity of stakeholders in management of special emergency health programmes, and early rehabilitation of essential health services in mental health and psychological recovery after a disaster to prevent long-term disability. maternal, newborn and child health; nutrition; and reproductive health. • Within the Health as a Bridge for Peace (HBP) initiative, support the MOPH in analyzing disrupted health sectors in five southernmost provinces through health sector analysis and strengthening PHC approach for health equity (major outcomes at Kathmandu workshop). • Under the UNPAF Thailand, health sector response to Integrated Highland Livelihood Development in Mae Hong Son province in Thailand • Coordination and technical support provided to various partners in responding to communicable disease surveillance and control, during emergencies. • Support provided to various partners in accessing the integrated Regional information network based on INFOSAN, GEFIN, IPCS alert system for food, chemical and environmental emergencies. • Rules of engagement, partnerships, coordination in specific areas mapped and developed with partner agencies at country level. • Communications capacities in WCO Thailand and partners/counterparts developed through training and guidelines. Migrant Health • Strengthening of Migrant Health Care Programme by MOPH • Establishing a research network focusing on the health of migrants 3. How the scope and results are related to the Country Cooperation Strategy: • The scope and results stated in 2. respond to the CCS 2008-2011 (Thailand): • ‘(5) To initiate a multi-sectoral approach to address health services for the poor and at-risk population, including those in border and conflict areas;.’ SEA/SPPDM-Meet.2/2.3 Page 209 4. Budget information for the Strategic Objective (in USD thousands) PB 2008-2009 PB 2010-2011 SO Component AC VC planned VC actual* AC VC Benchmark for emergency preparedness 50 633 396 30 Norms and standards for timely response 19 127 0 25 Norms and standards for recovery and transition 19 152 403 25 Emergency response for communicable diseases and surveillance 20 175 0 10 Preparedness and response for food safety and environmental health emergencies 10 110 0 10 Emergency partnership and coordination 18 212 0 10 Acute, ongoing and recovery operations 0 0 0 10 TOTAL 136 1,409 799 120 895 * Available as of 15 May 2009 5. Possible VC funding through new or continuing projects: • UN Trust Fund for Human Security 6. Staff requirements for 2010-2011 (short and long-term): Special Service Agreement SEA/SPPDM-Meet.2/2.3 Page 210 Country Planning Brief: Timor-Leste (SO-05) 1. Major work of WHO for this SO in country during 2008-2009: • A comprehensive manual on community emergency preparedness and response finalized and implemented. Simple 8 fliers on common disasters in Timor-Leste was developed, printing and used by the health staff, volunteers and school children to raise their awareness on how to prepare themselves and their family and to take immediate action before, during and after the disaster. • Simulation exercise on emergency preparedness and response was conducted in disaster prone districts: Bobonaro and Covalima. The simulation exercises were well attended by a total of 86 participants (50 health staff and 36 health volunteers). Participants consisted of at least two health staff from each 14 Community Health Centres, two District Health Services and 2 Referral Hospitals, internal and national NGOs, private clinics and local authorities. The simulation involved: briefing of health volunteer and training on disaster management and emergency preparedness and response in health sector for the participants includes the volunteers prior to the simulation. This exercise will be replicated in other disaster prone areas. • Strengthening of epidemic preparedness and response through provision of international emergency health kit. • Emergency Health Cluster/Coordination Group has been established in Timor-Leste in early 2009 as part of the rolling out of cluster approach. The Health Cluster is an inclusive body involved any humanitarian actors that are working in health related areas. It is co-lead by WHO Timor-Leste as international lead and Ministry of health as the national lead. • WHO focal point trained the remaining two last batches of 45 participants: the Manager of Community Health Centre (CHC) and district senior officials on a module Disaster Management which incorporated to the Management and Leadership training course initiated in 2007. This means that by August 2008, all the Managers of CHC and district senior officials have been trained on disaster management. However, the same training will be also provided to the focal point of disaster management in each district and sub-district. • Support on emergency planning and emergency/disaster response was provided to MoH during heavy rainy season between the last month of 2007 to February 2008. A multi-sector rapid response team was deployed two four disaster prone district to timely collect the data to initiate the emergency response and assistance. • Two proposals were submitted through the Transitional Appeal and Strategy in March 2008 in response to heavy rainy seasons and disasters follows the lamina phenomenon during last month of 2007-2008. Funds were secured to support the epidemic preparedness and disease surveillance including stockpiles of drugs, strengthening surveillance system, IEC development and distribution and capacity building. • Advocacy and campaign to promote a global initiative on health facility safe in emergency was conducted in Timor-Leste with WHO support during the International Disaster Risk Reduction Day in 2008 as well as during the World Health Day in April 2009. These celebrations involved distribution of key messages via electronic and printing media, TV talk show and interviews, launching of referral system in CHC and SEA/SPPDM-Meet.2/2.3 Page 211 simulation exercises on ambulance referral services from the community residence to the National Hospital in the capital and a national seminar held on 7th April 2009. 2. Scope of work and major results planned for 2010-2011 (by SO component): • Technical support to develop legislation, policies and plans to support the efficient work in emergency preparedness and response within health sector and across areas. • Strengthening the health system on emergency preparedness and response: support to emergency health cluster. • Strengthening technical support on epidemic preparedness and response. 3. How the scope and results are related to the Country Cooperation Strategy: • In the TLS CCS, it is included in Strategic Agenda 6. 4. Budget information for the Strategic Objective (in USD thousands) PB 2008-2009 PB 2010-2011 SO Component AC VC planned VC actual* AC VC Benchmark for emergency preparedness 23 47 0 0 140 Norms and standards for timely response 5 220 0 14 234 Norms and standards for recovery and transition 0 0 118 0 0 Emergency response for communicable diseases and surveillance 4 39 0 14 148 Preparedness and response for food safety and environmental health emergencies 0 0 0 0 0 Emergency partnership and coordination 0 0 0 0 0 Acute, ongoing and recovery operations 0 0 0 0 350 TOTAL 32 306 118 28 872 * Available as of 15 May 2009 SEA/SPPDM-Meet.2/2.3 Page 212 5. Possible VC funding through new or continuing projects: • Through the Timor-leste Strategic Appeal (TSA) from the Korean Foundation for International Healthcare (K-FIH) – Dr Lee Jong-Wook Memorial Fund amounting USD 150,000.00. The funds were used for activities on disease surveillance and epidemic preparedness and response to implement the activities within 6 months (June – December 2008). Funding was also received through the multi country activity (MCA) from Thailand amounting USD336,000 to support one junior public health professional for EPR for the duration of 2 years (March 2007 – February 2009). 6. Staff requirements for 2010-2011 (short and long-term): • National Professional Officer for SO5 and SO8