ASEAN Initiatives Relevant to Disaster Medicine. ASEAN Disaster Medicine Workshop in Thailand April 2014 / ASEAN Secretariat Phuket, Thailand

Transcription

1 ASEAN Initiatives Relevant to Disaster Medicine ASEAN Disaster Medicine Workshop in Thailand April 2014 / ASEAN Secretariat Phuket, Thailand

2 Outline of Presentation I. Disaster Situation in ASEAN Region II. III. ASEAN Mandates: Basis of Regional Priorities and Programmes in ASEAN Implementation and Governance Mechanism in ASEAN IV. Overview on the ASEAN Heath Cooperation V. Overview on the ASEAN Disaster Management and Humanitarian Assistance including AHA Center VI. Overview on ASEAN Defense Cooperation in Military Medicine VII. Key elements of Cross-Sectoral and Cross-Pillar Coordination

3 Outline of Presentation I. Disaster Situation in ASEAN Region II. III. ASEAN Mandates: Basis of Regional Priorities and Programmes in ASEAN Implementation and Governance Mechanism in ASEAN IV. Overview on the ASEAN Heath Cooperation V. Overview on the ASEAN Disaster Management and Humanitarian Assistance including AHA Center VI. Overview on ASEAN Defense Cooperation in Military Medicine VII. Key elements of Cross-Sectoral and Cross-Pillar Coordination

4 The Association of Southeast Asian Nations (ASEAN), which consists of 10 countries, is a home for 600 million people. Every year, on average, the ASEAN region experiences losses related to natural disasters estimated at US$ 4.4 billion* 59,534,300 people 676,577km2 5,922,100 people 236,800km2 LAO PDR 92,226,600 people 300,000 km2 66,903,000 people 513,120km2 86,024,600 people 331,051km2 4,987,600 people 710km2 14,957,800 people 181,035km2 28,3006,700 people 330,252km2 406,200 people 5.765km2 231,369,500 people 1,860,360km2 * Source: Advancing Disaster Risk Financing and Insurance in ASEAN Countries, World Bank, GFDRR, ASEAN, and UNISDR Connecting ASEAN for Disaster Readiness

5 Disaster challenges in ASEAN. Highly exposed to natural hazards, with floods, storms, earthquakes and landslides as the most frequent Varying levels of exposure and vulnerability to different hazards Different capacity in handling the disasters Significant disasters in the last decade Multiple medium-scale disasters, almost simultaneously in the last few years Mega disasters, such as Dec 2004 Indian Ocean Tsunami & May 2008 Cyclone Nargis Cross-pillar and cross-sectoral coordination and collaboration among health and non-health sectors OR among DMHA stakeholders and non-dmha stakeholders

6 Outline of Presentation I. Disaster Situation in ASEAN Region II. III. ASEAN Mandates: Basis of Regional Priorities and Programmes in ASEAN Implementation and Governance Mechanism in ASEAN IV. Overview on the ASEAN Heath Cooperation V. Overview on the ASEAN Disaster Management and Humanitarian Assistance including AHA Center VI. Overview on ASEAN Defense Cooperation in Military Medicine VII. Key elements of Cross-Sectoral and Cross-Pillar Coordination

7 ASEAN Mandates for Regional Priorities and Programmes Towards ASEAN Community 2015 Blueprints/Roadmap ASCC Blueprint, APSC Blueprint, AEC Blueprint Declarations or Agreements signed or adopted by the ASEAN Summit Leaders or endorsed by the Sector (Minister-Level) ASEAN Declaration on Enhancing Cooperation in Disaster Management (adopted, 23 rd ASEAN Summit, October 2013) ASEAN Agreement on Disaster Management and Emergency Response (AADMER, signed Dec 2009) Regional Framework ASEAN Strategic Framework on Health Development, (endorsed by ASEAN Health Ministers, July 2010)

8 AEC Blueprint (November 2007) ASCC Blueprint (March 2009) APSC Blueprint (March 2009) 2 nd IAI Work Plan (March 2009) implementation / monitoring & post 2015 planning AEC Council ASCC Council APSC Council ASEAN Coordinating Council

9 ASCC Goals, Purpose and Significance Primary Goal to contribute to realising a people-centred and socially responsible ASEAN Community by forging a common identity and building a caring and sharing society. ASCC Blueprint building an ASEAN Community of an enduring solidarity and unity forged by a common identity building a inclusive and harmonious caring and sharing society an enhanced well-being, livelihood, and welfare of the peoples

10 Basic Components of ASCC Blueprint 55 Health Action Lines 11 Action Lines on Disaster Management & Humanitarian Asst ASCC Primary Goal Characteristic 1: Human Development (Purpose 1) Characteristic 2: Social Welfare and Protection (Purpose 2) Characteristic 3: Social Justice and Rights (Purpose 3) Characteristic 4: Ensuring Environmental Sustainability (Purpose 4) Characteristic 5: Building the ASEAN Identity (Purpose 5) Characteristic 6: Narrowing the Development Gap (Purpose 6) Element 1 (Strategic Objective1) Element 1 (Strategic Objective1) Element 1 (Strategic Objective1) Element 1 (Strategic Objective1) Element 1 (Strategic Objective1) Strategic Objective Action 1 Action n Element 2 (Strategic Objective 2).. Action 1. Action n Action 1 Action n Element 2 (Strategic Objective 2).. Action 1. Action n Action 1 Action n Element 2 (Strategic Objective 2).. Action 1. Action n Action 1 Action n Element 2 (Strategic Objective 2).. Action 1. Action n Action 1 Action n Element 2 (Strategic Objective 2).. Action 1. Action n Action 1 Action 2 Action 3 Action 4 61 actions 94 actions 28 actions 98 actions 50 actions 8 actions.

11 Outline of Presentation I. Disaster Situation in ASEAN Region II. ASEAN Mandates: Basis of Regional Priorities and Programmes in ASEAN III. Governance and Implementation Mechanism in ASEAN IV. Overview on the ASEAN Heath Cooperation V. Overview on the ASEAN Disaster Management and Humanitarian Assistance including AHA Center VI. Overview on ASEAN Defense Cooperation in Military Medicine VII. Key elements of Cross-Sectoral and Cross-Pillar Coordination

12 Implementation Mechanism Strategic Direction and Implementation at ASEAN Level with points of coordination or collaboration: General Structure: Sectoral Bodies (Minister-level) Senior Official Meeting Level (Permanent Secretary, Undersecretary, Director General, and designated Representatives) Working Groups/Task Forces/Networks (Technical Officials) Other forms: Forum (eg. Regional ASEAN Forum) Conference of Parties (DMHA) Committees (Women)

13 The Key Bodies with Coordination Functions ASEAN Summits ACC Deliberates, provides policy guidance and takes decisions on key issues pertaining to realize objectives of ASEAN. Instructs relevant Ministers in each of the Councils to address the important issues that cut across the Community Councils. Coordinates with the ASEAN Community Councils for policy coherence, efficiencyand cooperation among them; ASCC Council Implement ASEAN Summit Decisions Coordinate sectors and cross-cutting issues CPR Supports the work of the ASEAN Community Councils and Sectoral Ministerial Bodies, and coordinates with the ASEAN National Secretariats ASEAN NatSecs Serve as the national focal points for ASEAN matters in their respective Member States, and shall work closely with the CPR in identifying and addressing cross-sectoral issues

14 Outline of Presentation I. Disaster Situation in ASEAN Region II. III. ASEAN Mandates: Basis of Regional Priorities and Programmes in ASEAN Implementation and Governance Mechanism in ASEAN IV. Overview on the ASEAN Heath Cooperation V. Overview on the ASEAN Disaster Management and Humanitarian Assistance including AHA Center VI. Overview on ASEAN Defense Cooperation in Military Medicine VII. Key elements of Cross-Sectoral and Cross-Pillar Coordination

15 ASCC -> ASEAN Strategic Framework on Health Development ( ) Regional activities in health involve: B3. Enhancing Food Security and Safety Action lines i to vii ; xii to xvi B4. Access to healthcare and promotion of healthy lifestyle Action lines i to xxiv B5. Improving capability to control communicable diseases Action lines i to xiii B6. Ensuring a drug free ASEAN Action line iv only B7. Building disaster-resilient nations and safer communities Action line xii only

16 ASEAN Strategic Framework on Health Development & Subsidiary Bodies Regional activities in health involve: B3. Enhancing Food Security and Safety AEGFS B4. Access to healthcare and promotion of healthy lifestyle AMT, ATFNCD, ATFMCH, ATFTM, AFPTC, AWGPD B5. Improving capability to control communicable diseases ATFOA, AEGCD (ASEAN Plus Three FETN/RCRC/Partnership Laboratories/ AH-HH Collaboration/EID Mechanism/ MSJMOIR) B6. Ensuring a drug free ASEAN Action line iv only (AMT) B7. Building disaster-resilient nations and safer communities Action line xii only (AWGPPR) Action lines i to xi (for DMHA sector)

17 Governance Framework in ASEAN Health Development ASEAN Health Ministers Meeting (AHMM) AWGPD ATFOA AEGFS AEGCD AWGPPR AFPTC 6 ASEAN Working Groups Senior Officials on Health Development (SOMHD) 4 Newer ASEAN Task Forces Networks, Special Collaborations & Initiatives AMT ATFMCH ATFNCD ATFTM - UHC - Migrant s Health - Increase Access - HIA Health and Communicable Diseases Division, ASEAN Secretariat, Jakarta

18 Governance Framework in ASEAN Health Development ASEAN Health Ministers Meeting (AHMM) Senior Officials on Health Development (SOMHD) 6 ASEAN Working Groups 4 Newer ASEAN Task Forces Networks, Special Collaborations & Initiatives Health and Communicable Diseases Division, ASEAN Secretariat, Jakarta

19 Outline of Presentation I. Disaster Situation in ASEAN Region II. III. ASEAN Mandates: Basis of Regional Priorities and Programmes in ASEAN Implementation and Governance Mechanism in ASEAN IV. Overview on the ASEAN Heath Cooperation V. Overview on the ASEAN Disaster Management and Humanitarian Assistance including AHA Center VI. Overview on ASEAN Defense Cooperation in Military Medicine VII. Key elements of Cross-Sectoral and Cross-Pillar Coordination

20 Providing the momentum for the development of an ASEAN agreement 2004 Indian Ocean Tsunami 2008 Cyclone Nargis Providing lessons and inputs for improving regional disaster management mechanisms

21 Document and institutionalise our experience from Nargis into ASEAN s regional disaster management mechanisms

22 AADMER - FOR A MORE UNITED AND COORDINATED RESPONSE TOWARD DISASTERS WITHIN THE REGION Signed in July 2005, ratified by all ten countries in ASEAN, entered into force on 24 December 2009 Objective: Reduce disaster losses in ASEAN region, and jointly respond to disaster emergencies A legal framework for all ASEAN Member States and serves as a common platform in responding to disasters within ASEAN ASEAN Coordinating Centre for Humanitarian Assistance (AHA Centre) as the operational coordination body and engine of AADMER

23 ASEAN LEADERS IN THE LAST THREE SUMMITS REITERATED THAT AADMER IS THE COMMON PLATFORM FOR DISASTER MANAGEMENT IN ASEAN 19 th ASEAN Summit, Nov st ASEAN Summit, Nov 2012 We also encouraged the various sectors and mechanisms related to disaster management in ASEAN, including those under ASEAN + 1, ASEAN + 3, East Asia Summit and ASEAN Regional Forum, to synchronise their policies using AADMER as the common platform to ensure the principles of ASEAN Centrality. We emphasized the importance of using existing mechanisms, in particular the Conference of the Parties (COP) under the AADMER, the ASEAN Committee on Disaster Management (ACDM) and the AHA Centre, as the coordinating platform and cooperation arrangement for disaster management We also encouraged the various mechanisms related to disaster management in ASEAN to synchronise their activities and policies using the ASEAN Agreement on Disaster Management and Emergency Response (AADMER) as the common platform for disaster management 22 nd ASEAN Summit, April 2013

24 ASEAN LEADERS AT THE 23 RD ASEAN SUMMIT IN OCTOBER 2013 IN BRUNEI DARUSSALAM ISSUED A NEW ASEAN DECLARATION ON EHANCING COOPERATION IN DISASTER MANAGEMENT Reiterating our decisions at the 19 th ASEAN Summit, 21 st ASEAN Summit and 22 nd ASEAN Summit that AADMER, with a view to maintaining ASEAN s Centrality, will serve as the main regional policy backbone and common platform for disaster management in the region. Encourage a joint effort and more integrated coordination and synergy in HADR among the various ASEAN-related mechanisms., using AADMER as the main common platform for disaster management in ASEAN with the ACDM as the driver in the process to maintain ASEAN s Centrality in these efforts. Promote regular dialogues among relevant ASEAN ministerial bodies to accelerate well-coordinated and concerted efforts, task the formation of a Joint Task Force and allocate an additional joint session in the respective ministerial meetings to promote dialogues among the relevant ASEAN ministerial bodies

25 ASEAN Committee on Disaster Management (ACDM) is the main sectoral body under AADMER, under the guidance of the Conference of the Parties (COP)

26 AADMER Work Programme translates AADMER into concrete outputs and actions Introduction and Guiding Principle STRATEGIC COMPONENTS Risk Assessment, Monitoring and Early Warning Prevention and Mitigation BUILDING BLOCKS Preparedness and Response Resource Mobilisation Recovery Institutionalisation of AADMER Partnership Information Management and Comm. Tech. Outreach and Mainstreaming Training and Knowledge Management Monitoring and Evaluation Developed and overseen by the ASEAN Committee on Disaster Management Translate legal framework into actions, a rolling plan Institutionalise experience from recent disasters and developments Outcome, Outputs, Activities, Responsible Parties, Timeline, Milestone Implementation and Monitoring Arrangements BUILDING DISASTER RESILIENCE IN ASEAN

27 AADMER Work Programme is a 5-year rolling plan and we are now in the second phase ( ) Mid-Term Review July 2012 May 2013 ASEAN vision of a more disaster-resilient and safer community by December Adoption of AADMER WP, March 2010, Singapore - Prioritisation Exercise, April 2010, Manila - AADMER Partnership Conference, May 2010, Makati

28 AADMER has gone from policy discussions to actions on the ground A H A C E N T R E A R D E X E R A T

29 Our partners Internal or Related to ASEAN Other sectors within ASEAN (such as environment, health, defence, military, insurance, finance, education, science & technology, etc.) ASEAN Dialogue Partners, including Australia, Canada, EU, Japan, US, etc. Other mechanisms initiated by ASEAN (such as East Asia Summit, ASEAN Regional Forum) External Regional organisations (EU, ECOWAS) AADMER Partnership Group (APG): a consortium of CSOs helping AADMER Academic & scientific community in the region United Nations, World Bank National Societies of Red Cross & Red Crescent in the region, including IFRC and ICRC ASEAN-ERAT Other institutions, centres and facilities (ADPC, ADRC, PDC, etc.) Private sector (being explored)

30 ASEAN s Lessons from Typhoon Haiyan/Yolanda

31 PHILIPPINES On Friday, 8 Nov 2013, Super Typhoon Haiyan made its landfall at 04:00 AM in the Visayas area and caused massive destructions Displaced 4,095,280 Deaths 6,109 Injuries 28,626 Missing 1,779 Affected Population 16,078,181 US$ Total Cost of Damages 142,191,945 = 62,500 person Data as of Dec 24, 2013

32 Setting up and testing of Emergency Telecommunication in Tacloban one day before disaster Utilisation of emergency telecommunication equipment by OCD region 8 within one hour after disaster

33 Within 48 hours after disaster, a full team of ASEAN Emergency Response and Assessment Team (ERAT) arrived in Tacloban to join the initial ERAT member deployed to Tacloban prior to the disaster

34 ..and establish coordination, conduct assessment and facilitate the arrival of incoming assistances from ASEAN Member States

35 In responding to the Typhoon Haiyan, AHA Centre focused on 4 main areas (mission objectives) Managing Information Provide continuous update on disaster situation to all of ASEAN Member States 1 2 Facilitating Assistance from ASEAN Member States Administration and logistical support and field coordination with the Government of the Philippines 3 4 Support the NDMO of the affected country Provide operational support to the Office of Civil Defense Region 8 in Tacloban through the provision of emergency communication, food & water, office prefabs, generators, mobile storage units, office tents, etc. Providing support to the affected people Provide emergency relief items to the affected people such as tarpaulin, hygiene kits, shelter tool kit

36 Managing Information Provide continuous update on disaster situation to all of ASEAN Member States 1

37 2 Facilitating assistance from ASEAN Member States Administration and logistical support and field coordination with the Government of the Philippines

38 3 Support the NDMO of the affected country Provide operational support to the Office of Civil Defense Region 8 in Tacloban through the provision of emergency communication, food & water, office prefabs, generators, mobile storage units, office tents, etc.

39 4 Providing support to the affected people Provide emergency relief items to the affected people such as tarpaulin, hygiene kits, shelter tool kit

40 There are 7 core elements required for a multi-sectoral response based on lessons from Haiyan Mandate: High-level coordination in large-scale disasters Mechanisms: Going beyond the current disaster management mechanisms Resource Mobilisation: Mobilising resources from within and outside ASEAN Partnership Building: Garnering support from external partners Communication Strategy: Making ASEAN s efforts more visible Capacity Building: Enhancing institutional capacity to support multi-sectoral responses Monitoring and Evaluation: Enhancing results-based management, and accountability to AMS, donors and stakeholders 40

41 Outline of Presentation I. Disaster Situation in ASEAN Region II. III. ASEAN Mandates: Basis of Regional Priorities and Programmes in ASEAN Implementation and Governance Mechanism in ASEAN IV. Overview on the ASEAN Heath Cooperation V. Overview on the ASEAN Disaster Management and Humanitarian Assistance including AHA Center VI. Overview on ASEAN Defense Cooperation in Military Medicine VII. Key elements of Cross-Sectoral and Cross-Pillar Coordination

42 ASEAN Defense Cooperation in Military Medicine One of the priority areas under the framework of the ASEAN Defense Ministers Meeting-Plus Military Medicine has gained more prominence particularly in supporting civilian response in Humanitarian Assistance and Disaster Relief (HADR) ADMM-Plus Experts Working Group on Military Medicine (EWG on MM) under the ADSOM-Plus Present: EWG on MM focus on enhancing practical cooperation in the area of medical support operations particularly in HADR Future: Explore other aspects of MM such as best practices & cooperation in infectious disease

43 Outline of Presentation I. Disaster Situation in ASEAN Region II. III. ASEAN Mandates: Basis of Regional Priorities and Programmes in ASEAN Implementation and Governance Mechanism in ASEAN IV. Overview on the ASEAN Heath Cooperation V. Overview on the ASEAN Disaster Management and Humanitarian Assistance including AHA Center VI. Overview on ASEAN Defense Cooperation in Military Medicine VII. Key elements of Cross-Sectoral and Cross-Pillar Coordination

44 Key Elements for Cross-Sectoral and Cross-Pillar Coordination Alignment or identifying entry points of coordination or complementation or harmonization in existing regional priorities and programmes towards ASEAN Community 2015 Maximizing the opportunity of possible alignment with ASEAN s emerging cross-cutting issues beyond 2015 (ie. Preparations for ASEAN Community s Post 2015 Vision and Development Agenda) Legislate and Mandate Cooperation

45 Key Elements for Cross-Sectoral and Cross-Pillar Coordination Maintain Active Relations with Key Partnership Platforms Actively Scan for Cross-sectoral Funding and Investment Opportunities Promote Champions and Advocates Integrate Capacity Development

46 SCHEMATIC REPRESENTATION OF ASCC REVIEW MECHANISMS ASCC Blueprint ( ) Goal / Impact Characteristics Elements Actions Activities Inputs Result/Outcomebased Monitoring System Implementationfocused Monitoring System Ongoing Review Mechanisms 2013 Matrix Status of Implementation of ASCC Blueprint requested by ASEAN Chair 2013 ASCC Scorecard ASCC Blueprint Implementation Monitoring System MID-TERM REVIEW OF THE ASCC BLUEPRINT Final Evaluation

47 Towards an ASEAN Community Post-2015 Vision I. ASEAN Health Cooperation: Monitoring & Evaluation Initiated in 2012 Implementation Focused Monitoring System ASCC Scorecard Indicators for Health Level of SOMHD Monitoring submitted to SOCA and ASCC Level of Health Subsidiary Groups II. Mid-Term Review of the ASCC Blueprint (June 2013) III. Post 2015 Vision Exercise (ASEAN Wide) Bandar Seri Begawan Declaration on the ASEAN Community s Post 2015 Vision (23rd ASEAN Summit, Nov 2013) ASCC Council Post 2015 Vision Exercise ACC Council Post 2015 Vision Exercise

48 Roadmap for Post 2015 Health Agenda ACC Working Group SOCA & ASCC Meetings, April 2014 SOCA, ASCC, ASCC Work Group Group, Sept 2014 ASEAN Summit, Nov 2014 ACC Working Group October 2014 SOCCOM Meeting April 2014 Core Group Meeting (16-17 Apr) Conduct of Rapid assessment by consultant from May to June th SOMHD (9-13 June 2014 Thailand) Consultant to present preliminary findings 12 th AHMM (15-19 Sept 2014) Endorsement of the post 2015 agenda based on SOMHD recommendation

49 ASEAN Initiatives Relevant to Disaster Medicine ASEAN Disaster Medicine Workshop in Thailand April 2014 / ASEAN Secretariat Phuket, Thailand