1.Mind the gaps. 2.Make a plan. 3. Help the partners. 4.Build better health.
Weeks, months, even years after the disaster is no longer news, we stay for as long as we are needed to help the health system recover - stronger and better prepared for the next disaster.
Mind the Gaps
With each disaster, different unmet needs appear:
After the Japan Tsunami, mobile dental care for the elderly;
After Typhoon Haiyan in the Philippines, new generators for damaged community health centers;
After the Nepal Earthquake, physical rehabilitation services for injured earthquake survivors in remote communities;
In Ecuador, a temporary health facility to serve patients while a new one was being built.
And after a growing number of crises in Texas, Puerto Rico, Nepal and elsewhere – mental health and psychosocial support to deal with trauma and loss has risen to the top of the list of unmet needs in the weeks and months after the disaster has fallen out of public view. Rebuilding a damaged health facility can often be done in months, rebuilding a shattered life can take a lot longer. We can train local health workers to identify mental health problems, provide an emergency intervention or direct a referral for more treatment. This care extends to the caregivers who are often survivors themselves.
We respond quickly to a disaster and then we stick around as long as our help is needed. To do that, we need resources. Your commitment to help makes it possible for us not only to fix the broken but build back better.
Make a Plan
When health gaps are identified, plans are developed with local partners to fill those gaps. Often it may involve work on the health facilty. After major disasters, Americares invests in stronger clinic walls and roofs to protect patients and staff along with basic equipment and the necessary training to meet the challenges of the next disaster. The exact physical improvements each health center needs varies.
In Nepal, after the earthquake, a repair and reconstruction plan was developed and implemented to restore 15 local health centers, making them resistant to earthquakes, heavy rains and floods. This plan included a disaster risk reduction and emergency management training program for clinic health workers.
In the Philippines...
In the Philippines, after Typhoon Haiyan plans were developed and implemented for repairing and rebuilding 37 health centers, including generators for many of the facilities, followed by disaster risk reduction training for staff making the centers better able to withstand the next disaster.
In Dominica, developed a plan with the government to strengthen the medical supply chain and distribution system along with rebuilding 8 local health centers to international standards -- part of restoring the health system, severely damaged by Hurricane Maria, to a whole new level of resilience and readiness.
Power of Planning
In every disaster, whether it is the hurricanes of 2017 or an earthquake in the Philippines, we see the payoffs of preparedness as well as losses due to lack of readiness. We know that every dollar spent on disaster readiness can save many lives in the response. The recovery process, therefore includes hands-on preparation and planning for the next potential disaster. The success of this preparation hinges on staff training and reliable resources.
After an earthquake struck Leyte, Philippines, on July 6, 2017, residents struggled for three weeks without electricity—the quake had toppled an electrical tower. But the power stayed on at Palompon Birthing Clinic; Americares had provided the center with a generator for just such an emergency as part of ongoing disaster preparedness work after Typhoon Haiyan struck in 2013.
Those unprepared for in the hurricanes of 2017, however, and without a plan to move critical supplies to safer locations, lost thousands of dollars in destroyed vaccines and medicines immediately when the power went out and water rushed in. And the people served lost access to life-saving care.
Help the Partners
With the strength of our partner network and the addition of new partners during a crisis, our emergency team then sets the plans in motion to fill the gaps. In Nepal, we worked with local partners to initiate and sustain broad ranging mental health and psychosocial support programs that reached thousands of people, many in isolated communities, with training for community health workers and other outreach to help to identify those suffering from trauma and other mental health issues in the aftermath of the earthquake. It began with an innovative street theater program that opened the door for communities to address their emotional and mental health issues. Other phases of mental health support programs continue in Nepal, providing measurable positive results in communities.
In a more recent response after Hurricane Harvey, our mental health team in Texas provided training in mental health first aid to local healthcare providers. Later that day, at their local mall, one healthcare worker that participated in our training noticed a young woman in distress. She ultimately utilized her newly acquired skills to “Prepare, Look, Listen and Link”. The provider helped the woman through a severe anxiety attack and stayed with her until first responders arrived on scene.
In the Harvey recovery, Americares is working to reach 4,000 health workers in storm-affected communities with training, support groups, crisis counseling and educational materials that will better equip them to care for patients experiencing trauma, anxiety and depression.
Build Better Health
Building back better, the recovery effort works to support and sustain local health centers – centers that will serve their communities long after our teams have left. In Liberia, for example, the focus was on clinics that could provide safe maternal and child care in a country where the entire health system had been decimated by civil war and the Ebola outbreak. The new facilities have provided for hundreds of safe births since they opened in 2015.
In the Philippines, since Typhoon Haiyan, Americares staff works year-round to make sure that health centers can continue operating in an emergency, and disaster training is a key part of those efforts.They have trained hundreds of health workers in such areas as first aid, fire safety and mock drills for handling large numbers of injured disaster survivors. Those efforts continue to produce results as demonstrated when staff at Leyte Provincial Hospital were able to use their training and the fire safety equipment provided to extinguish a dangerous electrical fire that would have been far more serious had they not caught it early.
In restoring health care services, our recovery program strives to build back a better, stronger, sustainable health system that will thrive and continue to serve the community and offer each member of the community a healthier future, filled with potential.
Emergency programs at Americares represent a continuous cycle of Ready, Respond, Recover and then get ready again, only better. Each disaster presents a new set of challenges to prepare the foundation for a better response the next time around. It is a dynamic process, ever changing as more extreme weather and unforeseen manmade crises arise – always demanding that we increase our knowledge and capabilities. In that work, we are ever mindful and incredibly grateful for the ongoing support of our donors and the presence of local partners who have the ground sense and skill necessary to meet the challenges of disasters and often only lack resources to prepare for them.