Term of Reference
International Simulation for
Emergency Medical Team (EMT) Coordination
In INSARAG Earthquake Regional Exercise
25-28 July 2016
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
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Saturday, 23 July – Arrival of EXCONs |
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Time |
Event |
Responsible / Venue |
|
All Day |
Arrival of EXCONs (Jogjakarta airport) |
BASARNAS |
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Sunday, 24 July – Arrival of Participants |
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Time |
Event |
Responsible / Venue |
|
All Day |
Arrival of Participants (Jogjakarta airport) |
BASARNAS |
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All Day |
EXCONs and Host Country only - Preparation for Exercise |
BASARNAS, EXCONs, FCSS |
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Monday, 25 July – Opening and Preparatory Workshop |
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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
|
|
1000-1030 |
Coffee Break |
BASARNAS |
|
1030-1045 |
Participants Introduction and Adoption of the Agenda and Exercise Overview
|
Yosuke Okita (FCSS) |
|
1045-1115 |
Role and Responsibility: International USAR team
|
New Zealand (Regional Vice-Chair 2016) |
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1115-1145 |
Role and Responsibility: Emergency Medical team (EMT)
|
WHO or international medical team in the region |
|
1145-1300 |
Lunch |
BASARNAS |
|
1300-1330 |
Role and Responsibility: HCT and OCHA Country office
|
OCHA Indonesia/HCT |
|
1330-1400 |
Role and Responsibility: UNDAC
|
UNDAC member or OCHA, DHL, MapAction |
|
1400-1430 |
Role and Responsibility: ASEAN and AHA Centre
|
AHA Centre |
|
143-1500 |
Coffee Break |
BASARNAS |
|
1500-1600 |
Panel Discussion: Domestic Capacity Building in Indonesia Facilitator: Rajan Gengaje (OCHA-ROAP) Panel:
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Each panel will have 10-minute presentation followed by Q&A session. |
|
1600-1700 |
KOBO Toolbox |
Winston Chang (FCSS) |
|
|
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1730-2200 |
Welcome Dinner |
BASARNAS |
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Tuesday, 26 July – Tour to Mt. Merapi and Breakout sessions |
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|
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)
|
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
(2) UNDAC team, AHA Centre/ERAT, Partners
(3) EMTs
(4) HCT and OCHA Indonesia office
(5) LEMA and National Responders
(1700 Technical Break; Dinner: own arrangement) |
IEC-classified team in AP UNDAC/ERAT EXCONs WHO or EMT in the region OCHA BASARNAS |
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Wednesday, 27 July – Simulation Exercise |
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Time |
Event |
Responsible / Venue |
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08.00- |
Simulation Exercise starts |
|
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08.00-17.00 |
Simulation Exercise
(Coffee and Lunch will be provided during the Simex) (1700 Technical Break; Dinner: own arrangement) |
BASARNAS, EXCONs |
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Thursday, 28 July – Simulation Exercise, Closing |
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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 |
|
|
(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) |
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|
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Time |
Event |
Responsible / Venue |
|
All day |
Departure of participants |
BASARNAS |
Scenario for health cluster
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.
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.
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