International Simulation for Emergency Medical Team (EMT) Coordination 2016

Term of Reference

International Simulation for

Emergency Medical Team (EMT) Coordination

In INSARAG Earthquake Regional Exercise

25-28 July 2016

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Presented by

Disaster Management Division, Center for Health Policy and Management
In Collaboration with WHO representative Indonesia and Health Crisis Center, Ministry of Health Republic of Indonesia

Introduction

Disaster management is need multidiscipline approach. Various disciplines and sectors need to be involved. Health sector is the most important aspect in victim’s aid and health care services during disaster. However, it was realized that the coordination is important to safe victim from search, rescue, and aid both from disaster location, health post, and health facilities.

Following the EAS Australia-Indonesia Rapid Disaster Response Workshop in 2013, the Indonesian National Disaster Management Authority and EMA, in collaboration with the World Health Organization (WHO), hosted a two-day follow-up workshop in Bali, Indonesia on 11-12 June 2014. The workshop provided the opportunity to share country-specific feedback on the Foreign Medical Team (FMT) document among EAS countries, provided preliminary feedback to WHO on options to progress implementation of the FMT concept and enabled solutions to be identified to issues around FMT deployment from the Typhoon Haiyan response. This event also to determine guidelines for FMT deployments and streamlining protocols for assistance in major disasters. Outcomes of the workshop will continue to improve existing disaster response arrangements in the EAS region, assisting countries to better self-manage disasters in their own territories; assist with responding to disasters elsewhere in the region; and better receive, coordinate and integrate international assistance when national capabilities are overwhelmed.

Moreover, there is a Reception and Departure Center (DC) mechanism for international assistance which is an OCHA’s frontline coordination function. RDC will set up at the point of arrival of the affected country (sea port/country road border/arrival airport) by the United Nations Disaster Assessment and Coordination (UNDAC) team or first arriving USAR teams. In recent response to the Philippines Typhoon (2013) and the Nepal Earthquake (2015), RDC had difficulties in logistics limitation (e.g. internet connection) and in responding to the requests from member states (e.g. negotiation of landing permission). In relation with national mechanism of Indonesia, similar post like RDC are regulated in by National Disaster Management Agency (BNPB) in their regulation no.22 year 2010.
Haiti Earthquake reported that there were many Search and Rescue teams and Emergency Medical Team (EMT) involved but from 2000 victims, only 100 victims that could be safe. In another situation, Disaster Victims Identifications teams has difficult to identify death victim because victim’s identity has gone by previous savior team.

Chaos and problems surely happened when disaster, but it can diminished if each sectors has ability to good coordination, sharing their role appropriately, and working in one command. Based on this, in 2015 Local Authority for Disaster Management (BPBD) Special Region of Yogyakarta (DIY) has been initiated to publish Government Regulation (Pergub) regarding the coordination in search, aid, and rescue disaster victims that regulating the role of BASARNAS (National of Search and Rescue Agency), DVI DIY, Center for Health Assistant (PUSBANKES) DIY, Red Cross Indonesia (PMI) DIY. Furthermore, DIY Health District Office had compiled SOP for disaster health management such as activated health cluster and organized domestic and international EMT based on experiences of Jogja Earthquake 2006 and Mount Merapi Eruption 2010. These regulations are need testing to know operational or not.

Related with The INSARAG Earthquake regional Exercise on July 2016 will be our opportunity to test and simulate the collaboration between national and international EMT using both UNOCHA’s RDC integrated with local BNPB/BPBD mechanism. The objectives is involving the local partners and introducing the international and national RDC and EMT framework as well as to facilitate INSARAG Earthquake Regional Exercise 25-28 July 2016.

Outputs:

The outputs are:
1. Simulation
2. Evaluation form

Committee:

The team who initiate and guide overall activities from CHPM FoM UGM, DIY Health District Office, BPBD DIY:

CHPM FoM UGM

dr. Hendro Wartatmo, Sp.BD(K)BD
dr. Handoyo Pramusinto, Sp.BS
dr. Bella Donna, M.Kes
Syahirul Alim, SKp, Ns, M.Sc, PhD
Madelina Ariani, SKM, MPH

DIY Health District Office

dr. Anung
Kudiyana, SKM, MSc

PUSBANKES (Center for Health Assitant)

Sutono, SKp, MSc

BPBD DIY

Danang Samsu, ST
Enaryaka, SKp

Participants:

1. Player as Local Government

BPBD DIY
Health District Office DIY
Health Crisis Center, Ministry of Health
Health Crisis Center, Central Java Regional
Health District Office Sleman
Health District Office Kota Jogja
Health District Office Bantul
Sleman Public Hospital
Bantul Public Hospital
Kota Jogja Public Hospital
Dr. Sardjito Hospital

2. Player as EMT Team

a. EMT in DIY

Disaster working group of Faculty of Medicine UGM (Sardjito Hospital, Academic UGM Hospital, and Faculty of Medicine UGM)
Muhammadiyah Disaster Management Center (MDMC)/ Muhammadiyah Hospital
Yakkum Emergency Unit (YEU)
PMI
Pusbankes

b. EMT in Central Java

Health Crisis Center Regional
Health District Office of Central Java province
Hospital

c. EMT in East Java

Health Crisis Center Regional
Faculty of Medicine, Brawijaya University
Hospital d. EMT in Bali
Health Crisis Center Regional
Hospital

e. International EMT

Singapura
Malaysia
Thailand
Filiphina
Brunei
Myanmar
Laos
Vietnam
Kambodja
Timor Leste
Australia
China
Japan
South Korea
America
New Zealand
India
Rusia

Place, Time and Activity Plan
Blue sign for all cluster program
Yellow sign for Health Cluster Activities

Saturday, 23 July – Arrival of EXCONs
Time	Event	Responsible / Venue
All Day	Arrival of EXCONs (Jogjakarta airport)	BASARNAS

Sunday, 24 July – Arrival of Participants
Time	Event	Responsible / Venue
All Day	Arrival of Participants (Jogjakarta airport)	BASARNAS
All Day	EXCONs and Host Country only - Preparation for Exercise	BASARNAS, EXCONs, FCSS

Monday, 25 July – Opening and Preparatory Workshop
Time	Event	Responsible / Venue
0900-1000	Official Opening of the INSARAG Asia-Pacific Regional Earthquake Response Exercise (Speeches) - Governor of Jogjakarta (tbc) - Mr. Zhao Ming, China, INSARAG Asia-Pacific Regional Chair (tbc) - Mr. Oliver Lacey-Hall, Head, OCHA Indonesia/ASEAN Liaison office (tbc) - Air Marshal FHB Soelistyo, S.Sos, Head of National SAR Agency of the Republic of Indonesia Group Photo	Indonesia, China, OCHA Opening Video Opening Report
1000-1030	Coffee Break	BASARNAS
1030-1045	Participants Introduction and Adoption of the Agenda and Exercise Overview Objectives of the Exercise History of the INSARAG Ex. Simulation Exercise - Tasks and Injects	Yosuke Okita (FCSS)
1045-1115	Role and Responsibility: International USAR team INSARAG Guidelines Vol. I Policy INSARAG Mandate IEC USAR Response Cycle (Mobilization-Operation-Demobilisation and Beyond the Rubble) INSARAG Global Meeting and Abu Dhabi Declaration World Humanitarian Summit and INSARAG	New Zealand (Regional Vice-Chair 2016)
1115-1145	Role and Responsibility: Emergency Medical team (EMT) EMT operations EMT classification	WHO or international medical team in the region Presentation Material
1145-1300	Lunch	BASARNAS
1300-1330	Role and Responsibility: HCT and OCHA Country office Contingency Planning Disaster Profile of Indonesia	OCHA Indonesia/HCT
1330-1400	Role and Responsibility: UNDAC UNDAC Overview OSOCC Concept USAR Coordination (not too in detail) Role of UNDAC Partner (DHL, MapAction, etc)	UNDAC member or OCHA, DHL, MapAction
1400-1430	Role and Responsibility: ASEAN and AHA Centre AADMER and AADMER Work Program 2016-20 ERAT team	AHA Centre
143-1500	Coffee Break	BASARNAS
1500-1600	Panel Discussion: Domestic Capacity Building in Indonesia Facilitator: Rajan Gengaje (OCHA-ROAP) Panel: BASARNAS (Rescue Special Unit, SAR Goes to School Project) Indonesian Red Cross (First Responders Training) Donor country (Japan)	Each panel will have 10-minute presentation followed by Q&A session.
1600-1700	KOBO Toolbox	Winston Chang (FCSS)
		Report Day 1

1730-2200	Welcome Dinner	BASARNAS

Tuesday, 26 July – Tour to Mt. Merapi and Breakout sessions
Time	Event	Responsible / Venue
07.30-13.00	Tour to Mt. Merapi and observation of USAR Field Exercise and/or a local hospital (No need to bring PPE.)	BASARNAS
13.00-14.00	Lunch	BASARNAS
14.00-14.30	INSARAG Guidelines Overview (USAR Coordination - Basics) INSARAG Guidelines VOl. II-B Operations INSARAG Guidelines Vol. III Field Guide ASR and Sectorisation	Mario Simaz (Switzerland), Tsukasa Katsube (Japan)
14.30-14.40	Earthquake Alert and Scenario Briefing – Simex starts	BASARNAS, EXCONs
14.40-15.00	Coffee Break	BASARNAS
15.00-17.00	Breakout sessions (1) International USAR teams Detail of USAR Coordination Cell Team Fact Sheet and Virtual OSOCC Marking and Forms (2) UNDAC team, AHA Centre/ERAT, Partners Virtual OSOCC Management Preparation for deployment Plan of Action (3) EMTs EMT Coordination Team Fact Sheet and Virtual OSOCC (4) HCT and OCHA Indonesia office Activation of Contingency Plan Support of the LEMA (5) LEMA and National Responders Activation of National Response Plan Request for International Assistance (by 1700) (1700 Technical Break; Dinner: own arrangement)	IEC-classified team in AP UNDAC/ERAT EXCONs WHO or EMT in the region OCHA BASARNAS EMT Coordination Report EMT Coordination Video

Wednesday, 27 July – Simulation Exercise
Time	Event	Responsible / Venue
08.00-	Simulation Exercise starts
08.00-17.00	Simulation Exercise RDC (will be performed at the exercise venue) BoO set up USAR Operations and Coordination OSOCC Meeting Media Briefing, etc. (Coffee and Lunch will be provided during the Simex) (1700 Technical Break; Dinner: own arrangement)	BASARNAS, EXCONs Report Day 3

Thursday, 28 July – Simulation Exercise, Closing
Time	Event	Responsible / Venue
08.00-15.00	Simulation Exercise continued (1500 Technical Break) (Lunch and coffee provided during the Simex)	BASARNAS, EXCONs
15.00-16.00	Debriefing by each group and plenary End of Simulation Exercise	BASARNAS, EXCONs
16.00-17.00	Closing Ceremony (Speeches) - Air Marshal FHB Soelistyo, S.Sos, Head of National SAR Agency of the Republic of Indonesia - Mr. Dewey Perks, USA - INSARAG Regional Group (tbc) (Dinner: own arrangement)	Video Simulation Exercise Report Day 4

Friday, 29 July – Departure of participants
Time	Event	Responsible / Venue
All day	Departure of participants	BASARNAS

Scenario for health cluster

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Earthquake struck Special Region of Yogyakarta and Central Java on xx xx xxx at bout 07:55:03 WIB for 57 seconds. The magnitude 5.9 SR. Indonesia Agency for Meteorology, Climatology, and Geophysics (BMKG) has reported that the moment magnitude of this earthquake is 6.2 SR. Many sub districts and districts has damaged and destroyed.

Simulation will be held on July 27-28 with notice as bellow:
1. Day one (July 27, 2016) as 2 – 4 days after earthquake
2. Day two (July 28, 2016) as 4 – 15 days after earthquake

Health cluster will be activated from day one under IC of DIY (BPBD). And for EMT jump to 2-4 days after event to start health care services, medical services, and public health services.

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Closing

Thus the proposal for International Simulation for Emergency Medical Team (EMT) Coordination in INSARAG Eatrhquake Regional Exercise 25-28 July 2016. We expect if this cooperation will be realized, would be a mutually beneficial cooperation to create the toughness of health personnel in disaster management as well as coordination with other sectors.