Your search within this document for 'facilities' resulted in 97 matching pages.
 
1

“...following sections: a) Summary; b) Pre-disaster baseline and analysis of context that existed prior to the disaster; c) Post-disaster context including sector preparedness and response; d) Assessment of the damage and loss including costs; e) Assessment of disaster effects and impact; f) Recovery needs and strategy including costs; g) Implementation arrangements; and h) Assessment methodology. In the analysis, damage is defined as the cost to replace durable physical assets (buildings, equipment, facilities and machinery) that were damaged or destroyed. Loss refers to changes in financial flows due to the temporary absence of infrastructure, increased or new demands (operational costs) due to the disaster, lost revenues, higher expenditures and the cost of maintaining service provision. In addition to reconstruction costs, recovery needs are identified to build back better and are costed accordingly. Each sector has also examined issues of vulnerability and marginalisation, and the need for specific...”
2

“...provision role, has a network of 4,118 health facilities which range from the central level specialized hospital to Health Posts at the VDCs and Urban Health Centers in the Municipalities for the delivery of health care services. Besides this, more than 350 health facilities nationwide in private sector cater the health care demands of the population. Out of the total public health facilities, 19% and 23% of total health facilities are located respectively in highly and moderately affected districts. Effect of the earthquake: Health and population has been severely affected as evident from damages and losses to health infrastructure and disruption in essential health care services delivery along with the death of 8,702 persons (45% male and 55% female) and 22,303 injured. A total of 446 public health facilities including administrative building (consisting 5 hospitals, 12 Primary Health Care Centers and 417 Health Posts, 12 others) and 16 private facilities are completely destroyed while a total...”
3

“...health infrastructures) of the total value of damage and losses while other districts account for 11.4%. Gorkha, Sidhupalchowk and Dolakha are the hardest hit districts in terms effects of the earthquake sharing 22.4% of damages and losses, after the central level health infrastructure which alone account for 29% of damage and losses. Table SI: Estimates of damages and losses Amount in million Estimates of damages Public (NPR) Private (NPR) Total (NPR) Total (US$) Facilities completely destroyed 3,577 608 4,185 41.8 Facilities partially destroyed 479 243 722 7.2 Equipment and logistics 291 0 291 2.9 Total damages 4,346 851 5,197 5.2 Estimates of losses Demolition and removal of debris 63 16 79 0.8 Treatment services for injured 393 147 540 5.4 Provision service delivery for affected population 472 0 472 4.7 Governance and risk management 48 0 48 0.5 Total losses 977 163 1,139 11.4 Grand total (effects of earthquake) 5,323 1,014 6,337 63.4 Recovery and reconstruction strategy: Ministry...”
4

“...require equal proportion of the budget i.e. 19.5% of estimates total budget for each year until 2019/20. Pre-Disaster Context and Baseline Baseline: Ministry of Health and Population (MoHP) has a network of 4,118 health facilities ranging from the central level specialized hospitals to Health Posts and Urban Health Centers at the Village Development Committee (VDC) and Municipality levels respectively. Fourteen Districts were severely affected by the earthquake of April 25, 2015 causing 8,699 deaths until 2nd June and over 21,000 injured resulting into increased health care needs (Ministry of Home Affairs, 2015) at the time when health facilities in 61 districts were directly affected. Out of the total public health facilities of the country, 19% and 23% of total health facilities are located respectively in highly and moderately affected districts as summarized in Table 1 (Department of Health Services, 2014). 35...”
5

“...Table 1: Number of Public Health Facilities District category Hospitals PHCCs HPs Total Highly affected (14) 26 44 723 793 Moderately affected (17) 20 44 882 946 Others (44) 58 120 2,201 2,379 Total 104 208 3,806 4,118 Source: Annual Report 2070/71, DoHS Bedsides above-mentioned facilities, Ayurveda health services are being delivered through two hospitals 14 Zonal Aushadhalayas, 61 District Ayurveda Health centers and 214 Aushadhalayas in the country. Moreover, more than 350 health facilities in private sector cater the health care demands of the population in Nepal majority of them being in Kathmandu Valley and other urban areas. Further to this, Department of Drug Administration also has four regional offices in addition to its central office for the regulation and quality control of drugs and equipment. Population profile shows that highly and moderately affected districts respectively consist of 20% and 17% of the total population in the country. Highly and moderately affected districts...”
6

“...hospital staff in Kathmandu valley. GIS mapping of health facilities was also carried out which was also helpful to quickly locate the health facilities and their status after the earthquake. Pre-positioning of medical logistics (especially Medical tent, interagency emergency health kit, diarrhoeal kit, surgical kit, reproductive health kit) was also done in strategic locations such as DOHS complex, Tribhuvan University Teaching Hospital (TUTH), Patan Hospital, UN building, Biratnagar and Nepalgunj. Capacity building of staff on Mass Casualty Management (MCM), Hospital Preparedness for Emergencies (HOPE) and specific service package such as reproductive health including simulation exercise was also carried out by the MoHP. In the similar manner, structural and non-structural assessment of health facilities was initiated to minimize the risk of potential disaster. Assessment of all fast track/priority hospitals, 9 health facilities (one PHC, One Health Post and one sub health post selected...”
7

“...support districts in responding immediate needs. Infrastructure and Assets: Damage status of the public health facilities was reported by the respective District (Public) Health Offices which were validated during the field visit by consulting focal persons of districts and health facilities. In addition to complete damage to 446 district and sub district level public health facilities, major blocks of central and regional hospitals (Maternity Hospital, Bir Hospital and Pokhara Regional Hospital) are also severely damaged causing interruption of health services delivery in those hospitals. Damage status of the health facilities is presented in Table 3. Sindhupalchowk, Nuwakot and Gorkha are the districts where largest number of health facilities has been completely damaged. Table 3: Damage Status of Health Facilities Private sector Hospital PHC HP Others facilities T5 T5 T5 T5 T5 ■ ru >■...”
8

“...Source: Field assessment for 14 districts and D(P)HO reporting for others. In addition to public facilities, a total of 16 private health facilities have reported complete damage and 64 have reported partial damage. Health Service Delivery and Access Assessment of situation and medical needs: Damage of infrastructure and assets disrupted the delivery of services while the demand for the services increased as many people got injured. A total of IS health workers and volunteers lost their lives and 75 got injured due to the earthquake adding further challenges in health services delivery. Considering the immediate needs of the districts, public health and medical officials of the MoHP were sent to highly affected districts to support the district teams for the resumption of health services delivery. Concurrently regular public health services were also resumed from the non-damaged health facilities, at tent and by national and foreign medical teams. In the most affected districts, D(P)HO with...”
9

“...district health offices remained a challenge particularly when the teams were in remote areas away from the district offices. Table 5 below shows the cumulative data of outpatient and inpatient services including surgeries and trauma cases collected from the health facilities under surveillance in 14 highly affected districts until June 02, 2015. Table 5: Total Number of Services Provided in Most Affected 14 Districts Category Public Private Community/NGO Temporary Hospital Total Outpatient 67,762 31,686 12,191 5,339 116,978 Inpatient 22,062 11,690 6,757 690 41,199 Major surgeries 1,739 916 485 81 3,221 Minor surgeries 2,630 802 361 310 4,103 Trauma 9,320 3,629 2,244 174 15,367 Note: data as of June 02, reported by health facilities under surveillance. Source: Health facility based surveillance system, HEOC. 40...”
10

“...the earthquake. In such situation, existing staff are overstretched and may not sufficiently cater the surge in the case load that is evident in many health facilities and districts, as reported by the health workers themselves. Therefore, motivating the health workers on work possibly through financial and no-financial incentives and keeping their morale high is very crucial not only for now but also to better manage the disaster in future. Information management system: Routine information system especially the health management information system (HMIS) has been affected in the aftermath of the earthquake as reporting forms and formats are not recoverable at many health facilities on the one hand and, on the other hand, health workers had to engage in the delivery of emergency services in their full capacity. Some of the facilities have lost their service register causing problem in follow up services particularly for those with communicable diseases. This will also add up the challenge...”
11

“... and adolescents are also vulnerable to health risk in such a post disaster situation. With 1.95% of disability, total number of people with disability is estimated to be above 100,000 people in the 14 most affected districts. Health facilities as risk: As there is the risk of landslide and other threats such as floods during the monsoon season, some of health facilities may also be exposed to this risk. Particularly, some of the health facilities which are located in the remote areas in high mountains are in the risk of being disconnected from district headquarter and even from Kathmandu Valley due to road blockade by landsides. Vulnerabilities are also invited at the facilities by power cuts (e.g. cold chain); relative lack of appropriate WASH facilities in communities (and consequent heightened risk for waterborne diseases) diseases associated with crowding (measles, ARI, if relevant) and, if relevant vector borne diseases. Districts offices and centre are to be prepared for rapid response...”
12

“...treatment of seriously injured 85 0 85 Transportation for the referral to higher level of facilities 13 0 13 Revenue lost due to waiver of users fees (outpatient treatment) 18 23 41 Payment for treatment services (users fee) 119 123 242 Rehabilitation services for those having disability 90 0 90 Budget allocation by MoHP for management of service delivery 67 0 67 Psychosocial counselling 1 0 1 Referral for those needing rehabilitation services 1 0 1 Sub total 393 147 540 Provision service delivery for affected population - MBBS doctor in the HFs of highly affected areas 21 0 21 Establish five step down hospital and rehabilitation centres 11 0 11 Subside contribution to affected population for enrolment in health insurance 400 0 400 Establish geriatric ward in highly affected hospitals 17 0 17 Temporary arrangement of health facility building & rent 10 0 10 Arrangement of utility services at damaged facilities 10 0 10 Mobile Services (Mobile Camps) 1 0 1 Reproductive health and geriatric care...”
13

“...Similarly due to damage to the health facilities and health services, the basic health service like anti natal check-up, treatment care and support of HIV infected population, TB treatment continuity, child and neonatal health services and many other public health programs will have some to major effect even though the response activities will be focused to mitigate such needs. The access to care if affected and thus effect will be seen in programs for regular follow up for antenatal, post-natal care, neonatal care, DOTS and ART services which can result in high morbidity and mortality of the disease status. The negative affect on health is also expected due to effect on the nutritional status of the vulnerable population in these districts. However, estimates of life years lost and other social impacts of the earthquake in the health sector have not been estimated in money value due to the complicated methodologies involved. Recovery Needs and strategy Ministry of Health and Population...”
14

“...doing major repair works and reinstituting health facilities by setting up pre-fabricated structure are the key functions to be carried out under this strategy during a period of one year. Specifically, 40% of the damaged Health Posts and limited structure for damaged PHCCs and hospitals with be reconstructed by pre-fabricated materials. Based on the technical assessment of the buildings, reconstruction process will also be initiated for concrete infrastructure. Other activities such as purchase of damaged major equipment, outbreak prevention and response and continuation of service delivery will be carried out in the immediate terms. While the first and second strategies aim to address the immediate and intermediate needs for the recovery, third strategy (2015/16 to 2019/20) is much concerned on the reconstruction of the sector from the longer terms perspective. In this strategy, detail assessment of the existing networks of health facilities and their capacity will be carried out in consideration...”
15

“...July 2015) r Provision of rent or tent for damanged facilities Demolition of fully damaged Provision of additional HR Repair of partial damages Ensure drugs and supplies Reinstitute inforamtion management system Continue surveillance sytem Repair and retrofitting of building Establishing prefabricated structures Provision of longer term H R & capacity bulling Establish shelter/rehab homes Strengthen surveillance system and improve quality of services initiate rprocess for reconstruction of concrete infrastructre Assessment of existing healt facility networks and capacity Planning of health facilites based on population and geographic consideration Strengthening of health facility networks and service delivery by reconstructing as per the concpet of build back better B The Ministry of Health and Population has developed a comprehensive plan for immediate resumption of critical health services by reconstructing damaged health facilities and, where appropriate, expansion of services to new...”
16

“...Monitoring and supervision 3 Medium term (FY 2016/2017 to 2019/20) Information Management (HMIS/LMIS tools, data recovery) 0 Construction of health facilities (concrete structure) 4,767 IMMEDIATE COST 86 Purchase of land for health facilities 227 Medium term cost 4,994 Total of district level recovery and reconstruction cost 6,270 Note: Some of activities reflected in intermediate plans will also be continued in medium term. Source: Cost estimated based on the district assessment and planning. In the immediate plan, treatment of the injured and resumption of health services are mainly covered. In the intermediate plan, construction of prefab structure, strengthening of services, repair and maintenance and preparedness for disaster and governance system are included. Lastly, medium term plan mainly consist of reconstruction of damaged facilities, setting of health emergency centres at zonal level and purchase of land for selected HPs. Overall cost of recovery and reconstruction plans is...”
17

“...health facilities in a bigger size considering the increased catchment population under the concept of build back better. Similarly strengthening of institutional capacity and preparedness for such disaster in future have also resulted higher cost of recovery and reconstruction. However, reconstruction and other activities are based on prevailing network of health facilities. Any major resettlement of population might have implication in the number of health facility and their capacity and hence cost estimates. Implementation Arrangements Recovery and reconstruction of the health and population sector will be guided by a Joint Coordination Committee for Health Sector Recovery and Reconstruction which is led by the chief of Policy, Planning and International Cooperation Division and include members of development partners. The Committee will oversee the standards and specifications for health infrastructure and will be responsible for the reconstruction plan for damaged health facilities. After...”
18

“...Costing of the damages has been done in a disaggregated by the level of health facilities (i.e. HP, PHCC, District Hospitals, Central Hospitals and others) and by districts. Estimate of damages and losses was done based on the data from 14 districts and similar assumptions were applied for the estimation of other districts. Unit cost of damages was defined in consultation with technical experts which are applied for the estimates of total costs by type of health facility and equipment. Unit cost assumed for the estimation of the damages and demolition is given in the table below. Table 11: Unit Cost for the Estimation of Damages and Losses of Infrastructure Amount in NPR Unit cost Demolition cost Value of building Partial damage HP 100,000 4,500,000 450,000 PHCC 150,000 10,000,000 1,000,000 District hospital 1,000,000 38,000,000 3,800,000 Central hospital block 1,500,000 30,000,000 3,000,000 Private facilities 1,000,000 38,000,000 3,800,000 Consultation was done with association of private...”
19

“...reported. Number of bloody diarrhoea cases, 14 affected districts 30 25 S 20 15 10 ■ 5 and over □ Under 5 The number of fever cases peaked on 25th May with 183 cases which represents about 2% of outpatient visits. It has remained above 73 cases since 25th May. These cases were sporadic and no any disease specific outbreak reported. Number of fever cases, 14 affected districts 200 180 160 140 120 100 80 60 40 □ 5 and over □ Under 5 20 Annex 4: Basis for Reconstruction and Design of the Health facilities The structure proposed for intermediate reconstruction of the damaged health posts in the 14 affected districts is approximately 124 m2 (1350 ft2). It incorporates a birthing unit (delivery room, ante-/post-natal 54...”
20

“...Urethane Foam) panels. This design is 4.2 times smaller than the standard Integrated Health Post design (520m2) from the Management Division of the Department of Health Services. Even though smaller in size, the pre-fab design aims to incorporate the most essential functions of a health post, and allows for fast construction, in turn helping to resume health services in the disaster hit areas. These structures are estimated to last a minimum of 15 years. To select which of the fully damaged facilities are to be rebuilt using the pre-fabricated design, the following selection criteria are to be used: 1. If the fully damaged facility has enough land to construct the new structure, and owns such land. 2. Total Population: This is the population that falls under the catchment area of the particular health institution. Catchment area (in terms of walking distance and radius of coverage) and respective population size as per the hierarchy of the institution is given in table 1. The assigned figures...”