Health DRR Report

• Background:
• Health is not a constant. Climate change impacts on health and disease patterns. It
also leads to disasters which can cause their own effects on health. Other major health
threats due to climate change are caused by changing patterns of water and food
insecurity, vulnerable shelter and human settlements, extreme climatic events, and
population growth and migration. At the same time communities with better health status
will be at less risk from disasters.

• Linkages of Health with risk reduction in disasters and development

through improving resilience
• Resilient Communities bounce back when
- disease outbreaks decrease,
- deaths decrease to pre-disaster levels
• Essential Services function
- PHC at block for diagnosis and treatment
- outreach at camps for minor illnesses and diagnosis
- subcentres for pregnant women, immunization
• Community can Adapt to change and Resist hazards if
- health information system identifies new diseases/ patterns
- its members can adapt to stress and maintain mental health
• Inter-sectoral links- disease is prevented through
Food- because malnutrition leads to disease and disease (TB, measles) leads to malnutrition
Water- because unsafe water leads to diarrhea, poor drainage leads to mosquitoes and malaria
Toilets- which prevent spread of diarrhea and without which girls may miss school
Sanitary Pads for teenage girls (Poushi scheme)- without which disease my spread through dirty
cloth and without which girls may miss school

• Key learning points :Knowledge:

• At the end of the session participants will be able to explain
- pre-disaster levels of disease and mortality (local IMR U5MR growth monitoring)
(minor ailments, skin diseases)
- disease outbreaks that happen in different disasters
• Essential Services
- BPHC and PHC- role
- Referral and Referral Transport
- subcentres
- Immunization Schedule
- briefly pregnancy- ANC, JSY, institutional delivery
- Birth Registration (situations- displacement)
- briefly RNTCP, NVBDCP
- role of second ANM
- role of ASHA
• Adapt/ Resist change/ hazards
- what is health risk assessment
- what is disease surveillance- IDSP
- importance of prevention
- role of food, clean water, sewage disposal, growth monitoring
- role of immunization, hygiene
- methods of vector control
- signs of stress/ PTSD

• Key learning points Skills

• At the end of the session participants will be able to
• List contact person and phone number for Essential Services

- BPHC and PHC

- Referral Transport
 - subcentre ANM, Supervisor
- second ANM
- ASHAs
• Demonstrate
- how to do a health risk assessment
- how to recognize symptoms of measles
- how to assess dehydration
- how to assess pneumonia (ARI)
− -how to recognize TB, recognize malaria
− -how to recognize poisonous and non-poisonous snakes
how to prepare bleaching stock solution (WASH)
- how to disinfect drinking water (see WASH)
- how to prepare oral rehydration solution (WASH)
- hand washing (WASH)

Organize Training for

− VHSC-s and SHGs for one panchayat

• Key learning points Advocacy

• Panchayat can advocate
Sub centre team to open centres regularly
ORS and ORT corners
Blankets in cold/ Mosquito Net in rains
Delivery Kits
If Camps/ Poor Immunization
Special Measles Round
Resume Routine Immunization as soon as possible

• Feedback from workshop participants

• See Health Matrix (attached)
• Also other soft copies (attached)

• References used
• Sphere Guidelines (also available in Bengali- hard copy)
• SAMBIT report (also available in Bengali- hard copy)
• Jokhon Daktar Nei (draft Hindi available, also available in Bengali- hard
copy)
• UNICEF booklet on Water Sanitation in Floods (available in Bengali- hard
copy)
• Sari Filtration (pdf article from Bangladesh)
• Safe Water (Power Point)
• Water Purification film (UNICEF Orissa)
• National Immunization Schedule (Power Point)
• Tasks for ORT corners
• IMNCI Handbook and Chart Booklet (also available in Bengali- hard copy)-
refers to treatment of fever, diarrhea, pneumonia, feeding problems
(accompanying film with video clips, exercises and photograph booklet)
• ASHA Modules 6 & 7