COMPLEX EMERGENCIES: What do we measure and why? Frederick M. Burkle, Jr., MD, MPH Deputy Assistant Administrator Bureau for Global Health/USAID Senior.

Slides:

Advertisements

Similar presentations

Tehran University of Medical Sciences Institute of Public Health Research Health in Emergency & Disaster Department (HE&DD) D isaster: Basic Terminology.

Advertisements

Women with Disabilities

Canadian & World Issues People Moving. 1.Migration 2.Refugees 3.Internally Displaced Persons 4.Urbanization.

Definition of Complex Emergencies. Catastrophes Evénement = Systèmes Population Systèmes Services économiques, sociaux, politiques, législatifs Population.

Natural Disasters and Complex Humanitarian Emergencies

AN INTRODUCTION TO SPHERE AND THE EMERGENCY CONTEXT

September 8 th, 2014 Miriam Aschkenasy MD, MPH Deputy Director of Global Disaster Response, MGH Center for Global Health Global Disaster Response in the.

HEALING THE CRISIS The urgent need to improve public health in SEE Ana Stavljenic-Rukavina Zagreb University School of Medicine and OSI NY:Sub-board for.

Critical issue module 2 Education.

Gender Related Vulnerabilities and HIV in Conflict and post conflict settings Hortense Gbaguidi, Reg. Coordinator, VAW in Maternal Health and in HIV Catherine.

Introduction to Public Health in Emergencies II: Overview of Concepts and Indicators.

Human Rights-Based Approach to Programming - UNFPA - SESSION 6: Emergency Response.

Session 2.3: IASC OPERATIONAL GUIDELINES ON THE PROTECTION OF PERSONS IN SITUATIONS OF NATURAL DISASTERS Human Rights and Protection in Natural Disasters.

Food and Nutrition Surveillance and Response in Emergency Course Orientation.

Victims in the Shadows, Gaza post-crisis reproductive health assessment IAWG annual meeting 2015, Jordan UNFPA- Palestine Ali Shaar, MD. MSc. Osama Abueita,

Health Impact Assessment: a case study to assess the potential health consequences of military action against Iran Some issues encountered in the process.

UN Roundtable on Older Persons in the 2004 Tsunami February 13-14, 2006 Recommendations.

Miguel Niño-Zarazúa Armando Barrientos David Hulme Sam Hickey Presented By: Rose Moore.

Every year, over 800,000 people die from suicide; this roughly corresponds to one death every 40 seconds.

What is Poverty? MATT FAWKES. Definition  United Nations Official Definition  “Fundamentally, poverty is a denial of choices and opportunities, a violation.

HEALTH SECTOR ASSESSMENTS IN EMERGENCIES 3rd ANNUAL REGIONAL TRAINING COURSE ON THE MANAGEMENT OF PUBLIC HEALTH RISKS IN DISASTERS FOR THE EASTERN MEDITERRANEAN.

Analysing News Articles. Questions for Analyzing Social Issues 1. What are the social issues associated with a particular IT development? 2. How did.

Principles that guide humanitarian work. Humanity Human suffering must be addressed wherever it is found. Particular attention to the most vulnerable.

Urbanization as a Social Determinant of Health Marilyn Rice, MA, MPH, CHES Senior Advisor in Health Promotion Coordinator, Urban Health & Health Determinants.

Introduction to Public Health in Emergencies

The Use of Epidemiologic Methods in Disasters Eric K. Noji, M.D., M.P.H Office of the US Surgeon General US Public Health Service August, 2003.

Jr. Model United Nations Preparatory Conference The Refugee Crisis in Syria Presented by: Mr. Samer Abboud, Arcadia University Wednesday, March 12 & Thursday,

May 6-7, 2011 Academy House, Seoul. Ecumenical Challenge 1. Immensity of disaster 2. Need for capacity building and training due to insufficient experience.

The SPHERE Project: An Overview Ginny Nagy, JD, MPH.

HIV and Conflict-affected Populations: Overview and the Challenges Paul Spiegel MD,MPH United Nations High Commissioner for Refugees.

____________________________________ Commonwealth Foundation Partner’s Forum 9 th Commonwealth Women’s Affairs Ministers’ Meeting Gender issues in the.

FREDERICK M. BURKLE, JR., MD, MPH, DTM, FAAP, FACEP PROFESSOR & WOODROW WILSON SENIOR PUBLIC POLICY INTERNATIONAL SCHOLAR SENIOR FELLOW & SCIENTIST PUBLIC.

Responding effectively to an emergency and building the capacity for special emergency response and relief … OUTCOME AREA 3: Improved Access to Basic Services.

Assessments. Assessment in the Project Cycle DESIGN IMPLEMENTATION MONITORING EVALUATION ASSESSMENT.

From relief to development Geneva, Transforming crisis into opportunities for sustainable development UN-HABITAT.

Screen 1 of 23 Targeting Introduction to Targeting LEARNING OBJECTIVES Explain the key principles of targeting. Understand the steps of the targeting process.

Center of Excellence PEACE OPERATIONS Measures of Effectiveness & End-State Criteria LTC (Ret.) Esko Rautiainen.

Health Data for Peace: A Framework and Review of Data for Post-Conflict Transition Monitoring of Health Ellen C. Mathys, MPH Nancy B. Mock, DrPH Joseph.

Emergency Health and Nutrition Training Key Messages.

UNCLASSIFIED As of W Mar 08 Mr. Scott A. Weidie, J722 1 Multinational Planning Augmentation Team (MPAT) 04 March 2008 Governments and Crises: Roles.

SMART Standardized Monitoring and Assessment of Relief and Transitions.

Mental Health, Well-being & Disability A New Priority in SDGs Takashi Izutsu, Ph.D. The University of Tokyo.

Working together for the nutritional health of vulnerable populations Nutrition Sub-Cluster of the Health and Nutrition Cluster Кластерная группа по питанию.

DFID – WFP Country Partnership Agreement 1 WFP and DFID Partnership Agreement …Towards greater collaboration.

Nebraska Disaster Behavioral Health: the first 72 hours 2008 BT Symposia Series Behavioral Health Breakout Session.

Accessing health services in the Democratic Republic of Congo: Perspectives of the elderly Ganzamungu Zihindula Pranitha Maharaj

PEACE OPERATIONS Measures of Effectiveness & End-State Criteria LTC (Ret.) John Derick Osman.

DISPLACEMENTS: IMPLICATIONS FOR SEXUAL AND REPRODUCTIVE HEALTH Dr. Anne A. Khasakhala, Population Studies and Research Institute, University of Nairobi.

Un Washington Group on Disability Statistics - 15th Annual Meeting October 2015 – Copenhagen (Denmark) An overview of WG collaboration with Handicap International.

State of Kenya Population Report 2015 Theme: Vulnerable Populations in Emergencies with Special focus on Sexual and Reproductive health Overview Alfred.

Early Recovery and Resilience Bureau for Policy and Programme Support Livelihoods and Economic Recovery Group Leontine Specker DRC ER Resilience workshop.

Impact of Natural Disasters on the Health System in Africa.

Global Awareness: Armed Conflict What is the affect? Why is this important?

EMPOWER, EQUIP, ADVOCATE GLOBAL HEALTH & WASH The Sphere Project Humanitarian Charter and Minimum Standards in Humanitarian Response Standards for addressing.

The Role of the United Nations (UN). United Nations (UN) Established in 1945, it has 192 member nations. The UN is not an international government and.

CONFLICT AND THE VULNERABILITY OF SOUTHERN AFRICA TO GLOBAL ENVIRONMENTAL CHANGE JENNY CLOVER AFRICAN SECURITY ANALYSIS PROGRAMME, INSTITUTE FOR SECURITY.

Introduction to Nutrition in Emergencies Session 2.

1 Public Health Perspectives on Conflict APHA Session Conflict and Public Health: A Framework for Conceptualizing Their Interconnections November.

November 7th 2009, the combined effect of Hurricane IDA and low-pressure system off the Pacific Coast led to heavy rainfall (355mm in few hours) Severe.

The Humanitarian System is Not Just Broke, but Broken: recommendations for future humanitarian action Paul B. Spiegel MD, MPH Professor, International.

Goals of the Survey To assess how men and women from differing socio-economic contexts in Gaza have been affected by and have responded to the crisis.

Sendai Framework for Disaster Risk Reduction

Disaster and it’s management

Professor Virginia Murray, Public Health England

Hi Everyone, Welcome to the Webinar! Developing HNOs/HRPs

METHODS RECOMMENDATIONS BACKGROUND

HEALTH IN POLICIES TRAINING

METHODS RECOMMENDATIONS BACKGROUND

United Nations World Food Programme

Mental Health and Psychosocial Health Programs

Presentation transcript:

COMPLEX EMERGENCIES: What do we measure and why? Frederick M. Burkle, Jr., MD, MPH Deputy Assistant Administrator Bureau for Global Health/USAID Senior Scholar, Scientist & Visiting Professor The Center for International Emergency, Disaster & Refugee Studies Schools of Public Health & Medicine The Johns Hopkins University Medical Institutions

Natural and Technological Disasters: Defines the public health Exposes its vulnerabilities Direct effects dominate Easy to define

Complex Emergencies: “…situations in which the capacity to sustain livelihood and life is threatened primarily by political factors, and, in particular, by high levels of violence.” A. ZWI: London Sch of HTM

Complex Emergencies: Lethal Mix of ………... Inequities Poverty Injustice Cultural incompatibilities Ignorance Racism Oppression Religious fundamentalism

Complex Emergencies: ….... DIRECT EFFECTS Injuries/Illness Deaths Human rights abuses International Humanitarian Law abuses Psychological stress Disabilities INDIRECT EFFECTS Population displacement Disruption of food Destroyed health facilities Destroyed public health infrastructure

In Complex Emergencies: a similar requirement to: evidence based indicators develop evidence based indicators….. conflict that characterize and define the public health consequences of conflict…… populations on populations affected….. effectiveness and accountability of humanitarian response and to ensure the effectiveness and accountability of humanitarian response……..

Measuring process in complex emergencies: Many layers of data (both quantitative and qualitative) building on one another…... Constantly characterizing and clarifying what complex emergencies seem to represent……... From this emerge dominate indicators (criteria) that both define and measure……...

Evolution…... Hostile environment “dirtied” the data Significant inconsistencies in data gathering and reporting; frequently self- serving * * JAMA: 1994;272:

Evolution…... Crude mortality rate (CMR) emerged as a unifying indicator CMR, cause specific mortality rates, and nutritional indicators in under age 5 (U5MR) emerged to ‘characterize’ complex emergencies in developing countries

Evolution…... New and more sensitive indicators required in developed country emergencies (advanced weaponry, elderly, raped, mental health)*….and…. In each phase of a disaster…..prevention, preparedness, emergency response, recovery, rehabilitation, transition, sustainable development….. Spiegel PB, Salama P: War & mortality in Kosovo, Lancet, 2000

Evolution…... Indicators used to drive delivery of aid led to decreases in mortality and morbidity Led to numerous sources of indicators…NGOs, IOs, Donors, Military, etc…….

Evolution…... Attempts to collaborate to provide standards in water/sanitation, nutrition, food aid, shelter/site planning,health services…. And controversies in their implementation…..proved to be insensitive to the phases and politics of relief…...

Future By measuring complex emergencies we chose to intervene…bring order to chaos….reduce suffering….and become more effective and efficient…. will continue to evolve Standards and professionalism of response to complex emergencies will continue to evolve……

Future Research: Evidence based * across all phases of disasters …… direct and indirect, quantitative and qualitative, health and non-health, political, economic, social indicators to ensure measurable outcomes, appropriate decision-making, leading to sustainable development……… * Spiegel P: PDM 2002;16 (4):