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Emergency Risk and Crisis ManagementEmergency Risk and Crisis Management

Donor briefing 14 April 2015Donor briefing 14 April 2015

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OutlineOutline

Strategy drivers

Vision, mission and values

Objectives: Build, Deliver, Lead

Recent achievements

Regional perspectives

Funding

Way forward: Plans and priorities

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ERCM strategy drivers (I)ERCM strategy drivers (I)

Increasing needs: .– 75 million people in need– $18.8 billion required – $2.1 billion for the Health Sector/Cluster (only 6% funded)

Decreasing humanitarian health capacities

Investing in risk management approach

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ERCM strategy drivers (II)ERCM strategy drivers (II)

Increasing protection concerns: attacks on health workers/facilities

Humanitarian Reform: emphasis on collective action

WHO's reform: speed, capacity, quality, efficiency & accountability

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ERCM vision and missionERCM vision and mission

Vision: Collective action to minimize the health impact of emergencies and disasters

Mission: WHO builds the capacities of Member States to manage risks of emergencies and to minimize their health impact. When national capacities are overwhelmed, WHO leads and coordinates the international and local health response to provide effective relief and recovery to affected populations.

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ValuesValues

Humanitarian principles Partnership

Gender and vulnerability sensitivity

Quality Accountability

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Implementation objectivesImplementation objectives

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BuildBuild

Objective 1: BUILD the capacity of Member States to manage the risks of emergencies and to mitigate their health consequences

Assessing risks and capacities

Strengthening preparedness for response across all hazards

Implementing the Safe Hospitals Initiative

Integrating health into intersectoral EDRM strategies and plans

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DeliverDeliver

Objective 2: DELIVER effective humanitarian response, and health cluster leadership, in acute and protracted emergencies, in support of Member States

Maintaining readiness of all WHO offices

Responding collectively in a timely and effective manner

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LeadLead

Objective 3: LEAD and coordinate global efforts for EDRM-H and humanitarian health action

Leading the Global Health Cluster (GHC) partnership

Leading the Foreign Medical Teams (FMT) initiative

Documenting best practices, guidance and standards to promote quality

Expanding advocacy

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Prerequisites for successPrerequisites for success

Core emergency staff

Strong programme design and management

Continuous technical support to country offices

Information and communications

Improved financial and administrative procedures

Sustainable resources

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What has been achieved so far?What has been achieved so far?

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Geographical scope of WHO’s work in emergencies2013‐present

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Objective 1: BuildObjective 1: Build

Emergency Disaster Risk Management for Health (EDRM-H)

– Health at the center of the Sendai Framework for Action

– WHO commitments are consistent with the Sendai goals

Key components are– Emergency preparedness plans– Safe Hospitals

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Objective 2: DeliverWHO graded emergencies since 2013

54 graded emergencies over 150+ reported monitored events

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Objective 2. DeliverObjective 2. Deliver WHO READINESS

– Emergency Response Framework (ERF): Critical Functions & time-bound Performance Standards for graded emergencies.

– Readiness Checklists

– Surge partnerships

– SOPs, training, exercises

– Information platform & tools to support response & track performance

RESPONSE – 54 graded emergencies since 2013

(11 since Jan - 8 G2). Currently 5G3, 9G2, 12 G1, but also 11 protracted emergencies

– Health cluster coordination – Needs assessments, HeRAMs,

health trends– Strategic Response Plans– Medicines / supplies– Quality & coverage of services– PDNA & PCNAs - leading health

sector recovery

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Objective 3: LeadObjective 3: Lead

Advocate against attacks on health workers

Guidance development

Humanitarian Policies development with IASC, ISDR

Foreign Medical Teams (FMT) initiative

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Objective 3: Lead the Health Cluster Objective 3: Lead the Health Cluster

21 IASC activated Health Clusters & 6 ‘cluster-like’

The global coordination platform for effective emergency health action

Collective action & accountability

– 45 global partners– Over 250 country partners

Strengthens national and global capacity to respond to, recover from and prepare for health emergencies.

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Health Cluster: achievements & prioritiesHealth Cluster: achievements & priorities

Partner coordination & surge support models: ECHO funded NGO Consortium

Adoption of cluster functions & principles in ‘cluster-like’ contexts: Syria, Myanmar

Health Cluster Professional Development Strategy & Training Programme

Diversify partners to enhance service delivery capacity & geographical reach

Develop cadre of high performing Health Cluster Coordinators

Increase surge capacity to fill core cluster functions

Secure sustainable resources for coordination

HC partners a central component of ‘Global Health Emergency Workforce

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Regional perspectivesRegional perspectives

Achievements and challengesConsequences of underfunding

Intervention of WHO regional advisors for emergency risk management

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Funding requirements and gaps Funding requirements and gaps

ERCM one of four programmeareas most underfunded for 2014-2015

US$ 20 million funding gap for US$104 million budget

The most urgent funding needs are at country and regional levels

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ERCM core funding needs by regionERCM core funding needs by region

2014-2015 Budget

AFRO AMRO EMRO EURO SEARO WPRO HQFunding gap 9,168,442 0 6,011,318 928,225 2,336,656 599,547 3,044,845Funds available 28,450,730 4,536,507 16,159,032 2,677,693 4,183,857 2,458,911 24,855,155

$0

$5

$10

$15

$20

$25

$30

$35

$40

US$

mill

ions

Funds available Funding gap

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WHO requirements and gaps in Strategic Response Plans

WHO requirements and gaps in Strategic Response Plans

2014:– Appealed for US$ 617 million in 30 countries with

Strategic/Humanitarian Response Plans. – Received US$ 214 million (35%). Some appeals = no funding.

2015:– Appealing for US$ 500 million in 32 countries. – Received 6% of funding.

Implications of limited funding– Unable to deliver on four critical functions– Unable to fulfil obligations as Health Cluster lead

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The way forward: prioritiesThe way forward: priorities

Build • Support priority countries to implement EDRM-H policy

• Safe hospitals index implemented

Deliver • Institutionalize the ERF, strengthening focus on quality, accountability and predictability

• Implement WHO readiness programme in high risk countries

• Contribute to broader WHO reform process and EBSSR to improve systems, processes, and structures to strengthen emergency work.

Lead • Advocacy to stop attacks on health care assets, incl. standard methodology for data collection

• Finalize global registration and quality assurance system for FMTs• Strengthen health cluster capacity

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Questions & AnswersQuestions & Answers