Global Perspective on Mass Exodus (WHO)
MASS EXODUS MANAGEMENT
FOR HEALTH CRISIS PREVENTION
FROM GLOBAL PERSPECTIVE
Semarang 10 – 12 November 2016
Outline
• Decade of Action on Road Safety Adaptation in Indonesia
• Mass Exodus Management
• ICS and Cluster System Approach
• Proposed approach of national/sub-national cluster
system and local ICS to manage mass exodus during Idul
Fitri and other occasion
Pillars of the
Decade of Action on Road Safety 2011 - 2020
Road safety
manageme
nt
Safer
roads
and
mobilit
y
Safer
vehicles
Safer
road
users
Post –
crash
response
Pillar I – Safer
Management
Factors
Pre-crash
Crash
Post crash
Post-crash response
Develop pre-hospital care systems
Put in place single nationwide emergency
telephone number
Provide early rehabilitation and support to
injured
patients and those bereaved by road
traffic crashes
Establish insurance schemes
Investigate crashes and provide legal response
Road
safety
managem
ent
Safer
roads
and
mobili
ty
Safer
vehicle
s
Safer
road
users
Post–
crash
respons
e
SAFE COMMUNITY
CARE
CURE
Resilience
Preparedness
Preventive
• Layman
• Community
Ambulance
crew
• G.P.
• Nurse
• Spec.Physician
• Spec Nurse
COMMUNICATION
Quick Response
TRANSPORTATION
+
Victims
Behaviour change
Education and
Development
Ambulance
H.C
Class C Hosp Class B / A
Hospital
Intra Hosp.
Pre Hospital
Public Safety Center
Intra Hosp.
• Inter Hospital
Role of WHO
• To build better systems for gathering and reporting
data on road traffic injuries. Baseline information :
GLOBAL STATUS REPORT ON ROAD SAFETY
1st in 2009, 2nd in 2013, 3rd in 2015
• To make prevention of road traffic injuries a public
health priority in all countries
• To advocate for prevention and promote appropriate
prevention strategies
• To facilitate stakeholders’ coordination and networking
to strengthen shared responsibility & effectiveness in
actions at all phases
Global status report on road safety 2013
• Supported and made it
possible through funding
from Bloomberg
Philanthropies.
• Country-based, multisectoral,
& joint consensus process
used to gather information.
• Using 2011 data as latest
available
Global Status Report on Road
Safety Result in Indonesia 2013
(data 2010)
Middle-income countries
are hardest hit
Best practice of Intervention “MUDIK“
PUBLIC HEALTH
FOR MASS GATHERINGS:
KEY CONSIDERATIONS
• http://
apps.who.int/iris/bitstream/10665/162109/1/WHO_HS
E_GCR_2015.5_eng.pdf?ua=1
Mudik (Mass exodus during Idul Fitri) as one type
of mass gathering event
Public Health Approach to Road Traffic Injuries,
Disabilities and Death (RTIDD)
ICS implementation through District’s BPBD and
DHO
• The Government of Indonesia has adapted the Incident Command
System to use as the basis for the management of disaster events in the
country since 2007. The Guideline on Emergency Response Command
System was among the first Chief of BNPB regulations developed in
2008.
• Despite the diversity of its implementation, the system continues to be
enhanced based on emergency response experiences in Indonesia. The
GoI also continues to develop ICS capacity in various ministries and
agencies as well as at sub-national level.
• Government is mainstreaming the command system and using it as the
backbone for emergency response it is becoming evident that a greater
understanding of the ICS is required in sub-national level stakeholders,
so they are able to understand the system and the role that they are
required to play within it in such emergency events
ICS implementation
accommodating
national cluster system
Health sub-clusters
EMT - CC Scheme Implementation in Mass Exodus
Preparedness and Response
MOH EOC, Jakarta
EOC for Mass Exodus
(Regional Crisis Center Central Java)
Other
cross programme
District Health Office (DHO)
Day to Day Operation, Central Java
Command Post and Information center
Co+Info
Co+Info
Hospital
1
Hospital PuskesmasPuskesmas
2
1
2
Mobile
Service
Other Ministry
Command Post
Mobile
Service
Co+Info
Mobile
Service
Co+Info
Mobile
Service
Co+Info
Co+Info
Co+Info
PMI
NGO/
Private
NGO/
Private
Mobile
Service
Mobile
Service
Mobile
service
SAFE COMMUNITY
CARE
CURE
Resilience
Preparedness
Preventive
• Layman
• Community
Ambulance
crew
• G.P.
• Nurse
• Spec.Physician
• Spec Nurse
COMMUNICATION
Quick Response
TRANSPORTATION
+
Victims
Behaviour change
Education and
Development
Ambulance
H.C
Class C Hosp Class B / A
Hospital
Intra Hosp.
Pre Hospital
Public Safety Center
Intra Hosp.
• Inter Hospital
Prevention works
lution of the number of annual road traffic deaths in metropolitan France, 1970-2
FOR HEALTH CRISIS PREVENTION
FROM GLOBAL PERSPECTIVE
Semarang 10 – 12 November 2016
Outline
• Decade of Action on Road Safety Adaptation in Indonesia
• Mass Exodus Management
• ICS and Cluster System Approach
• Proposed approach of national/sub-national cluster
system and local ICS to manage mass exodus during Idul
Fitri and other occasion
Pillars of the
Decade of Action on Road Safety 2011 - 2020
Road safety
manageme
nt
Safer
roads
and
mobilit
y
Safer
vehicles
Safer
road
users
Post –
crash
response
Pillar I – Safer
Management
Factors
Pre-crash
Crash
Post crash
Post-crash response
Develop pre-hospital care systems
Put in place single nationwide emergency
telephone number
Provide early rehabilitation and support to
injured
patients and those bereaved by road
traffic crashes
Establish insurance schemes
Investigate crashes and provide legal response
Road
safety
managem
ent
Safer
roads
and
mobili
ty
Safer
vehicle
s
Safer
road
users
Post–
crash
respons
e
SAFE COMMUNITY
CARE
CURE
Resilience
Preparedness
Preventive
• Layman
• Community
Ambulance
crew
• G.P.
• Nurse
• Spec.Physician
• Spec Nurse
COMMUNICATION
Quick Response
TRANSPORTATION
+
Victims
Behaviour change
Education and
Development
Ambulance
H.C
Class C Hosp Class B / A
Hospital
Intra Hosp.
Pre Hospital
Public Safety Center
Intra Hosp.
• Inter Hospital
Role of WHO
• To build better systems for gathering and reporting
data on road traffic injuries. Baseline information :
GLOBAL STATUS REPORT ON ROAD SAFETY
1st in 2009, 2nd in 2013, 3rd in 2015
• To make prevention of road traffic injuries a public
health priority in all countries
• To advocate for prevention and promote appropriate
prevention strategies
• To facilitate stakeholders’ coordination and networking
to strengthen shared responsibility & effectiveness in
actions at all phases
Global status report on road safety 2013
• Supported and made it
possible through funding
from Bloomberg
Philanthropies.
• Country-based, multisectoral,
& joint consensus process
used to gather information.
• Using 2011 data as latest
available
Global Status Report on Road
Safety Result in Indonesia 2013
(data 2010)
Middle-income countries
are hardest hit
Best practice of Intervention “MUDIK“
PUBLIC HEALTH
FOR MASS GATHERINGS:
KEY CONSIDERATIONS
• http://
apps.who.int/iris/bitstream/10665/162109/1/WHO_HS
E_GCR_2015.5_eng.pdf?ua=1
Mudik (Mass exodus during Idul Fitri) as one type
of mass gathering event
Public Health Approach to Road Traffic Injuries,
Disabilities and Death (RTIDD)
ICS implementation through District’s BPBD and
DHO
• The Government of Indonesia has adapted the Incident Command
System to use as the basis for the management of disaster events in the
country since 2007. The Guideline on Emergency Response Command
System was among the first Chief of BNPB regulations developed in
2008.
• Despite the diversity of its implementation, the system continues to be
enhanced based on emergency response experiences in Indonesia. The
GoI also continues to develop ICS capacity in various ministries and
agencies as well as at sub-national level.
• Government is mainstreaming the command system and using it as the
backbone for emergency response it is becoming evident that a greater
understanding of the ICS is required in sub-national level stakeholders,
so they are able to understand the system and the role that they are
required to play within it in such emergency events
ICS implementation
accommodating
national cluster system
Health sub-clusters
EMT - CC Scheme Implementation in Mass Exodus
Preparedness and Response
MOH EOC, Jakarta
EOC for Mass Exodus
(Regional Crisis Center Central Java)
Other
cross programme
District Health Office (DHO)
Day to Day Operation, Central Java
Command Post and Information center
Co+Info
Co+Info
Hospital
1
Hospital PuskesmasPuskesmas
2
1
2
Mobile
Service
Other Ministry
Command Post
Mobile
Service
Co+Info
Mobile
Service
Co+Info
Mobile
Service
Co+Info
Co+Info
Co+Info
PMI
NGO/
Private
NGO/
Private
Mobile
Service
Mobile
Service
Mobile
service
SAFE COMMUNITY
CARE
CURE
Resilience
Preparedness
Preventive
• Layman
• Community
Ambulance
crew
• G.P.
• Nurse
• Spec.Physician
• Spec Nurse
COMMUNICATION
Quick Response
TRANSPORTATION
+
Victims
Behaviour change
Education and
Development
Ambulance
H.C
Class C Hosp Class B / A
Hospital
Intra Hosp.
Pre Hospital
Public Safety Center
Intra Hosp.
• Inter Hospital
Prevention works
lution of the number of annual road traffic deaths in metropolitan France, 1970-2