12B HEALTH EMERGENCY MANAGEMENT ADDITIONAL BMS

Benchmark 12B.1

All hazard health emergency and disaster risk management (EDRM) are mainstreamed across IHR capacities

Objective To ensure all hazard health emergency and disaster risk management across the IHR capacities

01 NO CAPACITY

  1. No integration of all hazard health EDRM into IHR capacities.

02 LIMITED CAPACITY

  1. Conduct mapping of all areas requiring integration of all hazard health EDRM into IHR capacities at national and subnational level. *
  2. Establish a working group with key health and relevant other sector stakeholders for the review and development of a mechanism to mainstream all hazard health EDRM for IHR capacities. *
  3. Designate a focal point/unit for all hazard health EDRM at the national level. *
  4. Assess human resources capacities for all hazard health EDRM. *
  5. Develop advocacy mechanisms to for all hazard health EDRM. *
  6. Provide information from relevant sectors, on the national disaster risk management architecture that is linked to the health sector.
  7. Map monitoring and early warning mechanisms related to different hazards across sectors.

03 DEVELOPED CAPACITY

  1. Establish all hazard health EDRM coordination and planning mechanisms to mainstream health EDRM in health sectors. *
  2. Establish a national platform or committee on emergency/disaster risk management, covering all hazards, with the health sector represented
  3. Conduct advocacy campaigns to introduce all hazard health EDRM at the national and subnational levels. *
  4. Integrate all hazard health EDRM into relevant health policies, strategies and plans at national level aligned with IHR and international frameworks. *
  5. Develop, establish and test a coordination mechanism for the national health response to disasters, especially natural, technological and societal. *
  6. Map domestic and international financing sources for all hazard health EDRM and allocate financial resources to address gaps and support capacity development for all hazard health ERDM. *
  7. Develop and disseminate training packages on all hazard health EDRM at the national level. *
  8. Update all hazard, whole-of-society/multisectoral plans and legislation for disaster risk management across relevant sectors at national level.
  9. Review and update national disaster risk reduction (DRR) strategies to include health risks of emergencies and disasters.
  10. Establish and link early warning mechanisms related to different hazards across sectors at the national level.

04 DEMONSTRATED CAPACITY

  1. Integrate all hazard health EDRM considerations into all relevant health policies, strategies and plans at subnational level, aligned with IHR and international frameworks. *
  2. Conduct regular reviews, M&E, SimEx/AAR/IAR (as relevant) to test the all hazard health EDRM coordination mechanisms at national and subnational levels. *
  3. Establish a coordination mechanism for the health response to disasters, especially natural, technological and societal at the subnational level. *
  4. Develop and disseminate trainings on all hazard health EDRM at the subnational level considering specific subpopulations. *
  5. Scale up all hazard health EDRM in non-government sectors, including private sector. *
  6. Document the economic impacts of disasters on health and socioeconomic systems. *
  7. Update all hazard, whole-of-society/multisectoral plans for disaster risk management across relevant sectors at the subnational level.
  8. Implement national DRR strategies to include health risks of emergencies and disasters at national and subnational levels.
  9. Establish and link early warning mechanisms related to different hazards across sectors at the subnational level.

05 SUSTAINABLE CAPACITY

  1. Evaluate the integration of all hazard health EDRM into IHR capacities and update the mechanisms as needed. *
  2. Secure anticipatory finance mechanisms that are designed to address all hazard health EDRM for IHR capacities. *
  3. Conduct all hazard health EDRM research and development at the national and subnational levels. *
  4. Evaluate the coordination mechanism for the health response to disasters, especially natural, technological and societal at the subnational level. *
  5. Engage the country in peer-to-peer learning programmes at the subnational, national and international levels. *
  6. Include considerations for all hazard health EDRM in undergraduate and postgraduate curricula for health professionals in universities and other learning programmes. *
  7. Evaluate the integration of all hazard health EDRM in DRR strategies and update the strategies based on the findings.

Benchmark 12B.2

Safe and resilient hospitals and health facilities are in place to rapidly respond to emergencies

Objective To assess, develop and establish safe and resilient hospital and health facility capabilities as part of the Hospital Safety Programme 59 (HSP) before, during and after emergencies

01 NO CAPACITY

  1. No strategies or plans in place for HSP capabilities for safe and resilient hospitals and health facilities.

02 LIMITED CAPACITY

  1. Map HSP capabilities in policies, norms and legislation at national and subnational levels and identify gaps. *
  2. Develop standards for hospital accreditation for safety, resilience and preparedness that correspond to the mapping of HSP capabilities. *
  3. Assess the current level of resources for workforce/rapid response medical teams, equipment and supplies as part of HSP resources management. *
  4. Conduct a hospital safety and risk management assessment for health facilities. *
  5. Identify a focal point for hospital preparedness and mass casualty management at the national level for coordination and service delivery.
  6. Develop minimum standards of hospital workforce, including capacity-building of medical teams for rapid response as part of HSP resources management.
  7. Establish and train a hospital incident management (IM) team and function, identify a hospital IM leader and determine relevant SOPs.

03 DEVELOPED CAPACITY

  1. Establish minimum standards that are reflected in policy, norms and legislation for HSP hospital design and construction at the national level (e.g. mass casualty management and referral pathways). *
  2. Implement recommendations of the hospital risk assessment into policies, strategies and plans at the national level. *
  3. Develop and implement hospital safety plans as part of national HSP coordination of service delivery. *
  4. Develop, test and establish hospital coordination systems at the national level. *
  5. Develop a mechanism to coordinate with nongovernment sectors including private hospitals and facilities. *
  6. Establish and implement minimum construction standards for safe and secure hospitals, including the protection of resources (workforce, equipment and supplies), at the national level across relevant sectors. *
  7. Develop a training package to implement the HSP and disseminate at the national level. *
  8. Develop and test a flexible hospital IM structure to engage across hospital departments. *

04 DEMONSTRATED CAPACITY

  1. Establish minimum standards for HSP policy, norms and legislation of hospital design and construction at the subnational level (e.g. mass casualty management and referral pathways).
  2. Implement coordinated service delivery of hospital safety plans as part of the national HSP at the subnational level. *
  3. Conduct resource management trainings to implement the HSP at the subnational level. *
  4. Implement minimum construction standards for safe and secure hospitals, including the protection of resources (workforce, equipment and supplies) at the subnational level across relevant sectors. *
  5. Allocate funding to ensure safe and resilient hospitals and health facilities at the national and subnational levels. *
  6. Implement the recommendations of the hospital risk assessment, into policies, strategies and plans at the subnational level. *
  7. Conduct SimEx/AARs/IAR (as relevant) to evaluate hospital and health facility safety and resilience. *

05 SUSTAINABLE CAPACITY

  1. Evaluate HSP at the national and subnational levels and update programmes based on findings. *
  2. Regularly conduct refresher trainings to implement the HSP at all levels including nongovernment sectors. *
  3. Document and share best practices and lessons learned from HSP in health emergencies and engage the country in peer-to-peer learning at the subnational, national and international levels. *
  4. Sustain contingency and operational funding to maintain safe and resilient hospitals and health facilities. *
  5. Develop an all hazards hospital and mass casualty research and development strategy, and conduct research activities. *

Benchmark 12B.3

Emergency resources, needs and gaps are identified and mapped, and information shared with decision-makers and partners based on country risk profiles to inform resource strategies and activities

Objective To develop inventories and maps of available resources for emergency preparedness and response and plan for effective utilization based on country risk profiles.

01 NO CAPACITY

  1. No formal resource mapping or planning for effective utilization of emergency resources is in place.

02 LIMITED CAPACITY

  1. Identify stakeholders across sectors to be involved in the identification, mapping and utilization of resources for emergency preparedness and response. *
  2. Map current national level resources to support health sector emergency preparedness, readiness and response at the national level, including human resources, finances, infrastructure, logistics and supplies (such as health facilities, public health emergency operation centres, transport, vehicles, cold chain capacities, telecommunications, warehousing, supply routes, etc.). *
  3. Identify health sector needs and gaps (financial, technical and in-kind) based on the mapping of resources. *
  4. Identify and engage relevant ministries and/or partners who can support heath sector needs and gaps based on the mapping of resources. *
  5. Review existing legal frameworks to facilitate emergency resources identification, mapping and utilization at the national and subnational levels, and draft additional legal provisions if necessary. *
  6. Develop country public health profile including mapping of resources and high risk areas for major daily health issues with public health experts. *

03 DEVELOPED CAPACITY

  1. Map current resources to support emergency preparedness, readiness and response in relevant sectors at the national level. *
  2. Identify needs and gaps (financial, technical and in-kind) in relevant sectors based on the mapping of resources. *
  3. Develop national level inventories based on resource mapping for emergency preparedness and response. *
  4. Identify and engage relevant ministries and/or partners who can support relevant sector needs and gaps based on the mapping of resources. *
  5. Refer to the country public health risk profile and identify public health resources at national and subnational levels. *

04 DEMONSTRATED CAPACITY

  1. Identify sector specific country risk profiles for mapping, planning and prioritization of resources for prevention, mitigation and preparedness activities toward all hazards. *
  2. Map current resources to support emergency preparedness, readiness and response in health and relevant sectors at the subnational level. *
  3. Develop subnational level inventories based on resource mapping for emergency preparedness and response. *
  4. Identify and engage relevant ministries and/or partners who can support subnational needs and gaps based on the mapping of resources across health and relevant sectors. *
  5. Secure funding for resource mapping and developing inventories based on country risk profiles, at all levels, across all relevant sectors. *
  6. Review national level resources (critical stock levels for priority risks) on an annual basis or when needed. *

05 SUSTAINABLE CAPACITY

  1. Review and update national and subnational resource maps for all hazards that have a potential to cause health emergencies on a regular basis (at least every 3 years) based on the risk profile. *
  2. Adjust deployment of resources to areas most at need at national and subnational levels, based on updated resource mapping. *
  3. Secure funding to conduct rapid resource needs assessments during emergency situations. *
  4. Engage the country in peer-to-peer learning programmes at the subnational, national and international levels to support capacity-building for mapping and utilization of emergency resources. *

Benchmark 12B.4

Multisectoral planning for health emergency preparedness and response is in place

Objective To develop and implement multisectoral and multihazard health emergency preparedness measures including emergency response plans at all levels of governance

01 NO CAPACITY

  1. Multisectoral and multihazard health emergency preparedness and response measures are not planned or implemented properly, or efforts are ad hoc.

02 LIMITED CAPACITY

  1. Map key ministries and multisectoral stakeholders involved in multihazard health emergency preparedness and response including human, animal (domestic and wildlife) and environmental health sectors, meteorology, border control, food and drug agency, military, private agricultural sector, emergency services, interior, defence, transport, media and finance. *
  2. Conduct capacity assessments of each stakeholder to support emergency preparedness for priority risks at the national level, as appropriate, and clearly define the roles and responsibilities for each sector. *
  3. Form a multisectoral technical advisory group, with clear leadership and governance, gathering experts from relevant sectors to develop a multisectoral multihazard emergency response plan at the national level. *
  4. Review current health sector multihazard emergency response plans and other response plans for specific hazards. *
  5. Develop or update the national health sector multihazard emergency response plan, including a performance monitoring framework with indicators, criteria and timelines. *
  6. Involve emergency preparedness experts in the development of NHPSPs to define the country's vision, policy directions and strategies for ensuring strengthening of health system capacity for emergency preparedness *

03 DEVELOPED CAPACITY

  1. Institutionalize (through MoUs, SOPs, ToRs) the multisectoral coordination for health emergency preparedness and response and any necessary legal instruments and guidelines for implementation of measures. *
  2. Implement emergency preparedness measures at the national level by human health, animal health and other relevant sectors, including for points of entry and mass gathering events, and assess the need for additional measures, including policies, procedures, SOPs and financial mechanisms, required to strengthen emergency preparedness. *
  3. Develop, review, implement and assess the multisectoral multihazard emergency response plan at the national level, including conducting a national level SimEx/AAR/IAR (as relevant) to test and adjust the plan based on outcomes. *
  4. Develop advocacy and training strategies for strengthening emergency preparedness measures and the multisectoral multihazard emergency response plan at the national level. *
  5. Disseminate advocacy materials and conduct trainings to raise awareness within the community and media and train relevant multisectoral experts on the multisectoral multihazard emergency preparedness and response plan at the national level. *
  6. Secure capacity required for emergency preparedness measures for specific hazards or risk scenarios, including contingency planning, additional training and equipment. *
  7. Develop mechanisms and SOPs to implement domestic and international surge capacity as part of the multisectoral multihazard emergency response plan. *

04 DEMONSTRATED CAPACITY

  1. Implement and monitor emergency preparedness measures at national and subnational levels by human health, animal health and relevant sectors, including at points of entry and mass gathering events. *
  2. Conduct capacity-building and awareness raising programmes for specific community groups (e.g. three wheeler drivers/cab drivers who can support transport of casualties, community leaders, youth groups, media, religious leaders etc.) and communities to ensure participatory approach in preparedness and response to emergencies. *
  3. Develop, update and implement multisectoral multihazard subnational and local emergency response plans. *
  4. Conduct SimEx/AAR/IAR (as relevant) at national and subnational levels to test the multisectoral multihazard emergency response plan with a focus on coordination and communication between the national and subnational levels of government and sectors, and adjust plans based on outcomes. *
  5. Implement training for emergency preparedness and response at subnational levels. *
  6. Review and develop emergency response plans for cross-border and multicountry events with regional counterparts and international partners. *
  7. Review emergency plans regarding other public health topics (e.g. humanitarian preparedness and response plans) for alignment with the national multisectoral multihazard plans for health emergency preparedness and response and adjust as needed. *
  8. Review relevant sector specific plans for alignment with the national multisectoral multihazard plans for health emergency preparedness and response and adjust as needed.

05 SUSTAINABLE CAPACITY

  1. Regularly conduct SimEx/AAR/IAR (as relevant) to test multisectoral multihazard emergency response plans at national and subnational levels involving relevant sectors. Implement measures to build capacities based on outcomes and recommendations and adjust plans based on lessons learned. *
  2. Conduct international SimEx to test multisectoral multihazard emergency response plans for multiple country events. Adjust plans and strengthen emergency preparedness based on outcomes and recommendations. *
  3. Assign dedicated human resources and sustain regular budget funding to support the coordination and implementation of emergency preparedness measures by human health, animal health and relevant sectors. *
  4. Develop a mechanism to ensure that dedicated resources, including manpower and funding, are in place for testing and implementation of multisectoral multihazard emergency response plans, contingency plans and SOPs at national and subnational levels including an emergency financing mechanism for emergency response. *
  5. Engage the country in peer-to-peer learning programmes at the subnational, national and international levels, to support including initiatives capacity-building for multisectoral multihazard emergency preparedness in compliance with the IHR at the global level *
  6. Provide a good governance environment to enable effective implementation of the multisectoral multihazard emergency preparedness and response plans for IHR with reliable institutions, good domestic policies and respect of citizens’ rights and liberties.

* Participation and contribution of other sectors to action.

Tools