Disaster Risk Reduction – Development Case Study: WHO – UNDP Collaboration on Improving Hospital Safety in Tajikistan.
UNDP through its Disaster Risk Management Programme identified the level of actual risks faced by district level hospitals as the basis for selecting four pilot facilities to conduct DRR activities. In order to fully analyze the level of risks faced by possible pilot hospitals, a detailed vulnerability and safety assessment was required. The primary focus of the WHO efforts was on assessing hospital vulnerability and improving capacity through technical support to increase the ability to respond. Limited funding was available for physical risk reduction works, especially for structural improvements. The funding that was available for facility safety improvements did, prove to be cost-effective by targeting non-structural elements within critical areas of the hospitals that could fail or that were non-functional.
The HSI findings indicated that the overall current safety levels in the majority of the country’s hospitals placed their occupants, and their ability to function during or after a disaster, at significant risk (the case for 50% of the facilities surveyed) or could be considered inadequate to protect the lives of patients and staff.