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Western Pacific Region

Wash Cluster - 17

• OXFAM
• FAO
• UNICEF - 4
• WHO - 4
• Save the Children (Aust.) - 2
• Ministry of Finance - 2
• ADRA NZ - 2
• World Vision

Western Pacific Region

Summary of Key Impacts and

Vulnerabilities

–

loss of access to key public health services
for some of the affected population;

–

overwhelming capacity of health sector to
meet urgent curative care needs;

–

loss of access of some of the population to
prerequisites for health (food, shelter, water,
sanitation);

Western Pacific Region

Summary of Key Impacts and

Vulnerabilities

– stress and anxiety of health staff, and

exposure to hazardous environments;

– health staff were also victims and have

support needs;

– damage to health infrastructure and loss of

utilities;

– lack of capacity to track foreign assistance

and to verify the qualifications of those
delivering direct assistance.

Western Pacific Region

Summary of Available

Capacities

–

Capacities for service delivery planning are
available but need additional resources and
expertise to support the recovery planning
process.

–

Capacity for service delivery is available but
constrained.

Western Pacific Region

Situation Matrix: Health

•

health cluster matrix 05 October-final.doc

• Coordination

• Focus on gaps

• Working document – checklist

• Coverage

Western Pacific Region

Overview of Key

Early Recovery

Needs

–

complete assessment of structural integrity
of health infrastructure;

–

reconstruction of damaged and destroyed
health infrastructure;

–

relocation of infrastructure in hazard prone
areas and infrastructure with poor access;

–

restoration of electricity, water and sanitation
services to infrastructure;

Western Pacific Region

Overview of Key

Early Recovery

Needs

– management of medical waste;
– mapping of access to health care facilities against

current and projected future population
distributions;

– supplementing human resource capacity in key

areas e.g. outreach teams, transport, laboratory
capacity, information management and reporting,
health sector planning, health financing;

– campaigns of health promotion and public

information to support recovery programmes.

Western Pacific Region

Guidance

• Samoa Mental Health Policy August 2006
• Ministry of Health Corporate Plan 2007 – 2010
• Samoa National Health Accounts FY 2004 / 2005
• Health Sector Plan 2008 – 2018 Samoa
• Health Sector Plan 2007 – 2015
• Samoa's National Disaster Management Plan

2006 - 2009

Western Pacific Region

Documentation

• Humanitarian Gap Analysis

• Early Recovery Framework

• Damages and Loss Analysis

Western Pacific Region

Analysis of Response

•

Leadership / Governance

•

Health Financing

•

Health Information

•

Health Workforce

•

Medical Products & Technologies; and

•

Health Service Delivery

•

Building Block Table.doc

Building Block

Health back to Pre-
tsunami level

Health Meets the Needs
in Post-tsunami

Health rationalized
services Post-tsunami

Service Delivery

Physiotherapy needs
/ inc. with Disability
needs

Dental

Relocation Needs: -
land/site, - services /
utilities, infrastructure,
staff quarters,
infrastructure and
equipment

Ensure the needs of
Manono-tai are
included given not
covered under
Lalomanu / Fusi /
Poutasi

Transport for
mobile/community
outreach to continue

Maternal / child health
specific needs

Village based community
facilities

Health related
community support.

Psycho-social support
continuation

Buildings and
replacement of
equipment

Transport assistance

Ongoing support for inter-
Sectoral collaboration in
areas of hygiene
education, first-aid,
families

Response to exacerbated
chronic illnesses

Information

Reinstate
communication links

Communication
(appropriate
equipment/systems in
place)

Strengthen and improve
record keeping systems
at fixed sites (including
mobile and community
health activities)

Health Workforce

Accommodation

Need infectious disease
specialist

Psychosocial capacity
building for early
identification

PHC/GP care required to
continue:
Lalomanu/Poutasi/Fusi
(Official position required
from NHS
management!!!) Patients
following tsunami should
not have to come to TTM
for medical review

–

have

doctors out there.
Opportunity to revisit the
FK requiring GPs to be
deployed to cover the

Building Block

Health back to Pre-
tsunami level

Health Meets the Needs
in Post-tsunami

Health rationalized
services Post-tsunami

need at the districts.
Catalyst to get this off the
ground?

Support personnel in
microbiology
(microbiologist)

Funding for psychosocial
program strengthening
support from existing
systems in the community
(eg: faifeau / teachers /
nursing)

Accommodation for
personnel during
emergency response
(temporary shelters at the
outreach clinics or by the
fixed sites

–

hire etc)

Staffing : NHS ICH & N
still working with the
Samoa Health Mission
nurses. Doctors have a
similar initiative hoping to
continue with NZ based
Samoan GP doctors.

On-site support for
personnel

Requesting revisiting the
FK for contracting out
medical services to the
GPs in the private sector,
as an immediate solution
to the current need to
have doctors at the
impacted areas (Costs of
doing this and for how
long specific to post-
tsunami period should be
incorporated as part of
the package)

Psycho social staffing:
ongoing technical support

Medical Products
and Technology

ECG machine (ED
machine was not
working during
disaster)

Special medications
(advanced antibiotic
regimens

–

usu more exp

and not usu available)

Emergency trolleys

PPEs

Microbial resistance a
problem in Samoa. Need
to include in laboratory
capacity strengthening

Mortuary / morgue

Blood gas machine

Psychotropic
pharmaceuticals

Medications :
emergency/acute and
chronic illness medication
(Essential List is in place)

Building Block

Health back to Pre-
tsunami level

Health Meets the Needs
in Post-tsunami

Health rationalized
services Post-tsunami
Need an emergency list
of medications ready to
be deployed in
emergency situations

Supplies: Dressings
etc to be replenished

Equipment: Poutasi
needs suction, pulse
oximeters etc destroyed
(should be part of the
infrastructure
replacement)

Measles vaccination
campaign

Leadership /
Governance

Systems development
and strengthening
(according to the
National Disaster
Plan)

Revisit existing
framework/protocols
coordination of
deployment / financing

Ensure needs of
acute vs
delayed/ongoing are
catered to

Health Financing

Cost of rehabilitation

Cost to patient for referral
to hospital incl. admission