Self-evaluation schedule for action by the local health personnel

1. Self-evaluation questions for the situation immediately following the disaster

1.1 Has the health centre or hospital been organized to take in the injured ?
1.2 Have arrangements been made for sorting the victims into categories?
1.3 Has the help of voluntary workers been en listed for the reception of victims?
1.4 Have arrangements been made for evacuating to properly equipped centres patients who cannot be dealt with on the spot?
1.5 Have the type and quantity of drugs and medical supplies needed been estimated ?
1.6 Has their provision been ensured?
1.7 Has the cooperation been obtained of local private and contract health staff?
1.8 Has liaison been established with the community's information centre?

2. Questions for self-evaluation in the poet-disaster period

2.1 Are the injured and sick being provided with routine care ?
2.2 Has the disease-monitoring and health information system been activated by using voluntary workers and those in charge of the family groupings ?
2.3 Are health education activities being con ducted on:
2.3.1 using safe water,
2.3.2 individual and family hygiene,
2.3.3 cleanliness of the temporary shelters and the environment,
2.3.4 using the latrines
2.3.5 control of flies, disease vectors and rodents,
2.3.6 control of lice, fleas and other para sites (avoiding methods that give offence or involve discrimination against people) ?

2.4 Are vulnerable groups being looked after?
2.5 Has the continuation been ensured of the vaccination and health protection programmes being conducted before the disaster?
2.6 Are steps being taken to give psychological support to the victims and to deal with mental health problems?
2.7 Has the assistance of specialists from the intermediate level been obtained ?
2.8 Has liaison been established with suitably equipped centres so that patients can be sent to them who cannot be dealt with on the spot ?
2.9 Has liaison been established with laboratories suitably equipped for the necessary diagnostic activities?
2.10 Are periodic reports on the health situation being drawn up ?
2.11 In organizing health work, has allowance been made for the territorial distribution of clusters of victims?
2.12 Are health activities being organized in such a way as to make it easy for people to participate and take responsibility ?
2.13 Are the activities of voluntary health workers from elsewhere being coordinated ?

3. Questions for self-evaluation in regard to emergency preparedness

3.1 Has a plan of action up for the utilization of the health centre or hospital in the event of a disaster?

3.2 Are the supplies available that would be needed in the event of a disaster:
3.2. 1 drugs,
3.2.2 consumable health supplies,
3.2.3 items of health equipment,
3.2.4 water,
3.2.5 basic supplies for running the health facility?

3.3 Do the local health personnel know their tasks in the event of a disaster ?
3.4 Have steps been taken to give professional training on dealing with emergency cases?
3.5 Have activities been organized to train voluntary health workers to cope with emergency situations ?

3.6 Are emergency preparedness activities or exercises being carried out with the popula tion:
3.6.1 in the schools,
3.6.2 in workplaces,
3.6.3 in associations,
3.6.4 in the community,
3.6.5 as part of twinning schemes?

3.7 Have preparations been made for liaison with centres equipped to deal with emergency requirements ?
3.8 Has a plan of action been drawn up to cope with the eventuality of the health facility being badly damaged in a disaster?
3.9 Is there collaboration with the community emergency committee ?
3.10 Is an assessment periodically made of the community's health status, indicating potential risks in the event of a disaster?