Cyclone Nargis: Myanmar Health Cluster Early Recovery Plan

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Cyclone Nargis MyanmarHealth Cluster Early
Recovery Plan

• 26 May 2008

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Early Recovery ?

• Early Recovery is recovery that begins early in a
  humanitarian setting.
• It is a multi-dimensional process, guided by
  development principles.
• It aims to generate self-sustaining,
  nationally-owned, and resilient processes for
  post-crisis recovery.
• It stabilizes human security and addresses
  underlying risks that contributed to the crisis.

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Early Recovery Framework
Source UNDP presentation on Early Recovery,
22-23 May 2007
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Objectives and Timeline
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1. Reactivate and augment quality and quantity of
on-going emergency assistance

• Strengthening of the early warning system for
  forecasting disease outbreak and constitution of
  rapid response teams for their containment
  (Dysentery, Typhoid, Hepatitis, and Cholera).
• Strengthening of existing non damaged health
  institutions and or renting or set up of
  temporary facilities to provide curative services
  to displaced and the affected people. This
  encompasses renting accommodation for the health
  personnel (Government and local NGOs) in the
  field.
• Ensure continuity of medical care to people
  suffering from chronic disease like hypertension,
  diabetes, Asthma, mental illnesses, Injuries etc.
  
• Re-establishing national health programs like TB,
  HIV, Malaria and Dengue prevention and control.
• Complement measles and polio campaigns in the
  affected population by emergency
  repairing/replacement of the cold chain and
  volunteers present in the affected areas.
• Supporting coordination of health measures
  including facilitating mobility for health teams
  and patient referral system at national, district
  and community level
• Revitalizing the ongoing medical supply
  procurement, storage and distribution back

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2. Promote spontaneous, community-based recovery
and mitigate the future health risks

• Provide psycho-social support with special
  emphasis to more vulnerable groups like orphan
  child care, the elderly, and survivors of
  families who have lost many members of their
  family units and care for the disabled.
• Implementation of preventive measures
• Expanded immunization coverage in the affected
  population including mobile vaccination teams.
• Vector control in shelters of the displaced
  population including provision of fogging devices
  insecticides facilities.
• Provision of emergency communication and
  transport mechanism.
• Re-establishing essential community health care
  needs such as
• Maternal and child health care,
• Reproductive health care clinics/programs.
• Facilitating provision of safe water supply,
  sanitation and waste disposal in camps and
  displaced population.
• Providing resources and monitoring activities of
  health promotion, sanitation and hygienic
  practices (e.g. buckets, soaps, space for
  latrines etc.).
• Provision of emergency communication and
  transport mechanism.
• Bring inter-cluster coordination as close as
  possible to the people strengthen nutrition
  surveillance so to ensure that supplementary
  feeding is targeted to the most vulnerable
  amongst the displaced and affected population.

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3. Establish the foundations for longer-term
institutional recovery

• Support national authorities in remapping the
  health coverage of the population in light of new
  patterns of settlement.
• Reconstruction and re-equipment of the damaged
  health institutions.
• Construction of new health facilities as part of
  providing improved district health system.
• Revitalizing the epidemiological surveillance
  capacity at district level including the
  laboratory network strengthening.
• Re-build the health community channels and
  referral network for community care, health
  promotion and prevention.
• Monitoring health cluster initiatives to ensure
  that the provision of the life-saving services or
  goods does not jeopardise community coping
  mechanism or cause disincentive to the local
  economy.
• Support for revisiting the national emergency
  preparedness and disaster mitigation system
  including vulnerability assessment of health
  institutions against future disasters.