Medical Logistic in Disaster Situation

Medical Logistic in Disaster Situation
Global Approach
Webinar, 9 March 2017

Outline






Background
Internal Preparedness
External Preparedness
Coordination Mechanism
Lesson Learnt from Recent Humanitarian Ops

Background
• Humanitarian or emergency supplies are those goods,
materials, and equipment used by organizations to
provide relief in a disaster, particularly those required

to meet the essential needs of the affected population.
Such supplies cover an enormous spectrum, from food,
drugs, and clothing to rescue equipment, electric
generators, construction materials, and tools.
• Especially, following a disaster, the most critical health
supplies are those needed for treating casualties and
preventing the spread of communicable diseases

Background
Appropriate medicine donation practice can have major advantages for both
recipients and donors:
• A medicine donation can save lives and ease suffering when well
coordinated and managed. In cases where recipient countries are not able
to ensure adequate access to medicines, donations can bring major
benefits to persons in need.
• Medicine donations can become a strategic benefit for the recipient
country. Medicine donations are often used to support the rebuilding of
health systems, or to ensure access of populations to health products they
otherwise would not have.
• Good donation practices may provide savings in development support

budgets, enabling these resources to be used for other purposes.

Unfortunately, there are many examples of medicine donations that have
caused problems instead of bringing relief. A sizeable disaster does not always
lead to an objective assessment of the need for health products, and
e otio al appeals for large‐scale edical assistance may be issued without
guidance as to what the priority needs are.

Background

Background
• The World Health Organization (WHO), in
consultation with other international
organizations, has adopted a standard
classification that places humanitarian
supplies in 10 different categories. This form
of identification is particularly useful for the
sorting and recording of supplies.

• The categories are

the following:
1. Medicines,
2. Water and
environmental health,
3. Health
supplies/Kits,
4. Food,
5. Shelter/Electrical/
Construction,

6. Logistics/
Administration,
7. Personal
needs/Education,
8. Human resources,
9. Agriculture/Cattle
10. Unsorted.
Every category is
subdivided into
subcategories, and the

subcategories into items.

Internal Preparedeness
• Part of the risk assessment of country /
province / districts / health facilities  how
many buffer stock and what type?
• Include in the response map as part of the
capacity part  location of pharmaceutical
warehouse, location of cold chain storage,
part of HDP surge capacity
• Mentioned in BCP of an institution  who is
doing what and back up plan

Incident Management System

External Preparedness
• Capacity and competency to conduct quality
immidiate quality assurance in port of entry
• Authority to decide
• Knowledge and skill to analyze the situation

and calculate the quality and quantity of
needs
• Sufficient resource to maintain the quality
during storage

External Preparedness

PERKA BNPB NO. YEAR
PEDOMAN
PERAN SERTA LEMBAGA INTERNASIONAL DAN LEMBAGA
ASING NON-PEMERINTAH PADA SAAT TANGGAP DARURAT

PERKA BNPB NO. YEAR
PEDOMAN
PERAN SERTA LEMBAGA INTERNASIONAL DAN LEMBAGA
ASING NON-PEMERINTAH PADA SAAT TANGGAP DARURAT

Coordination Mechanism
• BCP, HDP, intra-institution approach
• ICS approach

• National Health Cluster approach (between
sub-clusters)
• Intra – cluster coordination approach
• International mechanism (IASC Cluster
activated), collaboration between WHO and
WFP and national stakeholders

Lesson
Learnt from
Previous
Events

• BNPB,
, Peraturan Kepala Badan Penanggulangan
Bencana no.22 tahun 2010 mengenai Pedoman
peran serta lembaga internasional dan lembaga asing nonpemerintah pada saat tanggap darurat , Jakarta, I do esia
• CHALIAMALIAS T,
, The Logistics Chain of Emergency
Supplies in Disasters , Master Thesis, Athe a U iversity,
Greece

• WHO,
, Guideli e for Drug Do atio
• WHO, 2015, Health Cluster Bulletin
http://who.int/hac/global_health_cluster/countries/Health
_Cluster_Bulletin_num5_3_June_2015.pdf?ua=1 , Nepal

Gde Yogadhita
yogadhitag@who.int
08175450684