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AUICK Second 2007 Workshop


AUICK held its Second Workshop of 2007 in Kobe, Japan, from 27 August to 7 September, 2007, with the support of the United Nations Population Fund (UNFPA) and Kobe City Government. The theme of the workshop was “Maternal and Child Health Care in Natural Disasters”. Nine participants were invited from the nine AUICK Associate Cities, as well as an interpreter, a UNFPA representative and resource persons.


Great Hanshin Awaji

‘The lives of up to 7 million women, children and newborns can be saved each year if proven and cost-effective interventions are expanded to reach those in need. We are committed to working together to scale up action to achieve Millennium Development Goals [MDGs] 4 and 5 to dramatically reduce child and maternal mortality by 2015. This is a major effort, and no one agency can do it alone. Commitment and partnership are essential.’

(Dr. Thoraya Ahmed Obaid, Executive Director of the United Nations Population Fund, 2005)





Survivors of the 1995 Great Hanshin-Awaji
Earthquake make their way to shelter in Kobe



CONTENTS

1. BACKGROUND
2. AIM
3. PARTICIPANTS
4. PROGRAM
4.1. Opening Remarks
4.2. Presentations
4.2.1. Gender Issues in Natural Disasters
4.2.2. Disaster Management in Kobe
4.2.3. Best Practice Report: India - A Tsunami’s Grim Lessons
4.2.4. Best Practice Report: Danang - A City Braced for Typhoons
4.2.5. Maternal and Child Health Care Services of Kobe City
4.3. Site Visits
4.3.1. WHO Kobe Centre: Maternal and Child Health Care Services in Natural Disasters
4.3.2. Disaster Reduction and Human Renovation Museum
4.3.3. Hyogo Kobe Children’s Hospital
4.3.4. Kobe City Nursing School: Maternal and Child Health Care – Lessons Learnt from the Great Earthquake
4.3.5. Kobe City Nursing School: Mental Care for School Children in Natural Disasters
4.4. UNFPA Forum
4.5. Courtesy Call on the Mayor of Kobe City
4.6. City Reports and Action Plans
4.6.1 Action Plan Guidelines
4.5.2 Development of Action Plans
4.7. Closing Remarks


1. BACKGROUND

Between 1995 and 2005, over 2.5 billion people were affected by natural disasters. In 2006, three-quarters of more than 21,000 deaths from natural disasters were in Asia. The continent is the area most hit by the disasters, creating a huge need for emergency assistance.

UNFPA believes that in relief efforts during natural disasters, support to women and youth must be an urgent priority, and invests in the rehabilitation of families, communities and societies, whilst greatly speeding recovery and reconstruction. In times of disaster, safe childbirths have to be ensured and maternal health services reestablished to provide water, sanitation, food, health, protection and psychosocial support to survivors of the disasters.

Kobe City and its surrounding urban areas were devastated by the Great Hanshin-Awaji Earthquake on 17 January, 1995, which killed over 6,000 people, and destroyed 250,000 homes. Managing the official relief and reconstruction, as well as organizing volunteers from all over Japan and abroad, gave the city valuable experience which can be shared with others.

With this in mind, AUICK held its second workshop of 2007 under the theme of ‘Maternal and Child Health Care in Natural Disasters’. The workshop was funded by UNFPA.

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2. AIM

Through the facilitation of presentations, best practice case studies, city reports, site visits and discussions on maternal health care in disaster situations, the workshop aimed to provide senior officials in charge of the provision of health care in AUICK’s nine Associate Cities (AACs) with the opportunity to learn from experiences of Kobe city representatives on maternal and child health care provision, especially in the context of a natural disaster. Recognizing that many of the AACs themselves had experienced natural disasters and learned useful lessons from that, the workshop was also designed for AAC officials to learn from one another as well as from the experience of Kobe. After the exchange and sharing of knowledge and information on the situations and challenges which each city faces, the participants each made a concrete plan to consolidate lessons learned and to improve MCH services and disaster preparedness in their own cities. The implementation of the plans would be monitored by AUICK over subsequent years.

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3.PARTICIPANTS

AUICK invited senior officials of government health departments or appropriate organizations from the nine AUICK Associate Cities: Chittagong (Bangladesh), Weihai (China), Chennai (India), Surabaya (Indonesia), Kuantan (Malaysia), Faisalabad (Pakistan), Olongapo (Philippines), Khon Kaen (Thailand), and Danang (Vietnam).

The participants included the following (in alphabetical order by country):

Dr. Shahana Perveen
Director, Mid-Wifery Institute, Health, Chittagong City Corporation, Bangladesh
Ms. Peng Xia
Vice-Chairman of Wehai Women’s Federation, Weihai Women and Children Work Committee Office, Weihai Women’s Federation, China
Ms. Usha Kakarla
Joint Commissioner, Education & Health, Corporation of Chennai, India
Dr. Ina Aniati
Head of Disease Prevention and Extermination, Hygiene and Sanitation Field, Health Dept./Service, Surabaya City Government, Indonesia
Dr. Marlia Mohammed Salleh
Deputy Director of Health (Public Health), Public Health, Pahang State Health Department,Malaysia
Dr. Masooma Sardar
Deputy District Officer, Health, City District Government Faisalabad, Pakistan
Dr. Arnildo Castro Tamayo
City Health Officer, City Health Department, Olongapo City Government, Philippines
Mrs. Wilasinee Samanchate
Head of Health Promotion, Health and Environment, Khon Kaen Municipality, Thailand
Dr. Kim Anh Thi Doan Vo
Vice Director, Department of Health, Danang People's Committee, Vietnam

<Accompanying Interpreter>
Dr. Tran Dinh Vinh
Head of Department of Obstetric Gynecology, Danang Hospital, Danang Poeple's Committee, Vetnam

<Resource Persons>
Dr. Gayl D. Ness

Member of AUICK International Advisory Committee
Dr. Prem P. Talwar
Member of AUICK International Advisory Committee
Ms. Shachi Grover
Programme Officer (Population and Development), UNFPA India Office
Mr. Dharmendra Pratap Yadav
Vellore Collector, Government of Tamil Nadu, Corporation of Vellore, Tamil Nadu, India
Dr. Nguyen The Hung
Professor, Danang University

Second 2007 Workshop participants

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4. PROGRAM

4.1. Opening Remarks

The workshop began with the opening remarks from AUICK President, Dr. Hirofumi Ando. He welcomed the participants on behalf of AUICK.

The theme of Maternal and Child Health Care in Natural Disasters was chosen for the workshop in part because of the vulnerability of the region to such phenomena. Natural disasters have been increasing in number and scale in recent years, and are becoming a major obstacle to sustainable development. Annually since 1970, they have affected 160 million globally, killed about 100,000 people and caused more than $33 billion dollars in damage.

In particular, Asia is the region where natural disasters often happen, as in the case of the Indian Ocean Tsunami of 2004, which sacrificed about 230,000 people, and earthquakes in Pakistan and Indonesia. The Asian share of natural disasters in recent years (2000-2004) is about 40 percent of the total number, and more than 80 percent of the deaths and the number of people affected, as well as about 50 percent of the total financial damage.

Developing countries seem to suffer greatly from these natural disasters. As the UNFPA State of World Population 2007 points out, urban areas where large populations (especially women and children) reside in weak infrastructures appear very vulnerable. Each city has to formulate and implement its own unique policies as measures to deal with natural disasters, which take into account their type, frequency, size and pattern.

Dr. Ando went on to point out that the workshop was designed to facilitate the exchange of information and experiences not only between the city of Kobe and the participants’ AUICK Associate cities (AACs), but also among the participants themselves, so that they would have a better understanding of the priority to be given to MCH services, and so that by the end of the workshop, each participant could prepare a viable action plan to implement upon returning to his/her city. In short, the participants are the key players of the AUICK workshops.

Ando_Ness

Dr. Hirofumi Ando and Dr. Gayl D. Ness

Dr. Gayl D. Ness of the AUICK International Advisory Committee followed by welcoming the participants.

He reiterated that they would learn a lot from each other throughout the course of the workshop. He highlighted the fact that Kobe City’s organization comes in part from its administrators’ long tenure in the city, all of whom spend time in the ward offices where they gain great experience in how to deal with citizens, what citizens want and how to organize their high quality of life. This brings about a lifelong commitment to the city.

Mr. Manabu Shinya, Deputy Executive Director, and the members of the AUICK Secretariat were then introduced.

4.2. Presentations

4.2.1. Gender Issues in Natural Disasters

Ms.

Ms. Yoko Saito, UNCDR Hyogo Office
In times of natural disaster, women are as vulnerable, if not more so than men, but the issue of gender is often not incorporated into pre-disaster preparation or management of disaster situations when they arise.  »»More

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4.2.2. Disaster Management in Kobe

Mr. Inaba at AUICK Second 2007 WorkshopMr. Eiji Inaba, Kobe City Crisis Management Office
Through Kobe City’s experience of the Hanshin-Awaji Earthquake of 2005, Mr. Eiji Inaba explained how awareness, volunteer activity, local communities and quake-proof buildings are vital to prepare for the event of a large-scale earthquake.  »»More

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4.2.3. Best Practice Report: India - A Tsunami’s Grim Lessons

Chennai BP presenters at AUICK Second 2007 workhsop

Dr. Prem P. Talwar, Member of the AUICK International Advisory Committee
Ms. Shachi Grover, Programme Specialist, UNFPA India Office
Dr. D.P. Yadav, IAS District Magistrate, Vellore, Tamil Nadu

The 2004 Sumatra Earthquake Tsunami devastated coastal areas of India. The city of Chennai was badly affected, and has taken strides towards recovery through health care provision and other support. Lessons learned will minimize the effects of future disasters.  »»More

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4.2.4. Best Practice Report: Danang - A City Braced for Typhoons

Mr. Nguyen DanangDr. Nguyen The Hung, Professor, Danang University
Danang’s experience of natural disasters and high levels of preparedness averted huge loss of life in the 2006 Xangsane Typhoon. »»More

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4.2.5. Maternal and Child Health Care Services of Kobe City

Ms. Naoko KatoMs. Naoko Kato, Manager, Child Rearing Support, Child Rearing Support Department, Public Health and Welfare Bureau of Kobe
Health care in Kobe is provided to mothers and children through maintaining both records of those needing support and networks of information dissemination. These can serve as countermeasures to the effects of a natural disaster, by creating a community that is both informed and capable of providing healthcare to its citizens. »»More

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4.3. Site Visits

4.3.1. WHO Kobe Centre

Maternal and Child Health Care Services in Natural Disasters: The Viewpoint of the World Health Organization

On 30 August, 2007, AUICK workshop participants visited the WHO Kobe Centre, to learn about its role as part of a network of worldwide research institutions utilizing global knowledge to respond to local concerns and needs. »»More

4.3.2 Disaster Reduction and Human Renovation Museum

Also on August 30, 2007, the workshop group visited the museum built to preserve the memory of the Great Hanshin-Awaji Earthquake of January 17, 1995.  »»More

4.3.3 Hyogo Kobe Children’s Hospital

On August 31, 2007, the workshop group visited the Hyogo prefectural Children’s Hospital. Vice-Director Dr. Eiji Nishijima led the group on a detailed tour the hospital. »»More

4.3.4 Kobe City Nursing School

Maternal and Child Health Care – Lessons Learnt from the Great Earthquake

On Friday afternoon, 31 August, the workshop participants visited the Kobe City College of Nursing. Profs. Masayo Takada and Kyoko Aoyama explained health care provision during the Hanshin-Awaji Earthquake, and subsequent measures to prepare for future disasters. »»More

4.3.5 Kobe City Nursing School

Mental Care for School Children in Natural Disasters

A major disaster such as the Great Hanshin-Awaji Earthquake can induce intense and long-term psychic trauma through the disaster itself and the ensuing environmental changes. Dr. Masahara Uemoto of the Kobe City College of Nursing explained changes in the psyche of children who have experienced a disaster, and outlined how they should be treated, based on experience and research results. »»More

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4.4. UNFPA Forum

4.4 Maternal and Child Health Care in Natural Disasters – Roles of Local Government

An Open Forum Discussion, ‘Maternal and Child Health Care in Natural Disasters - The Roles of Local Government’, was arranged by AUICK with UNFPA on 3 September, 2007. It was designed to provide an opportunity for the sharing of ideas among workshop participants and representatives from UNFPA, the Japanese Ministry of Foreign Affairs, UNCDR, WHO and Kobe City Government. Citizens of Kobe also attended, as key sponsors of the AUICK project.»»More

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4.5. Courtesy Call On The Mayor Of Kobe

On 3 September 2007, the workshop participants and resource persons visited Kobe City Hall to pay a courtesy call on the Mayor of Kobe, Mr. Tatsuo Yada, with members of the AUICK International Advisory Committee.

Mayor Tatsuo Yada with the workshop participants
Mayor Tatsuo Yada (front, center) meets the AUICK Second 2007 Workshop participants

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4.6. City Reports and Action Plans

4.6.1 Action Plan Guidelines

In all AUICK workshops, each participant is required to make an Action Plan to address problems in his/ her city relevant to the workshop theme, with the aim of improving services in all of the AUICK Associate Cities. The Action Plan is a key component of the workshop, based on lessons learned through presentations, discussions and site visits. Time is given for the planning, drafting and presenting of the plans, and participants are assisted by the AUICK Secretariat and each other. Before the plans are made, guidelines are given for their formulation and implementation. Participants are advised to:

  1. Define the problem(s) briefly and clearly
  2. Select objectives which are i) “do-able”, in view of their position and financial and political constraints; and ii) achievable in a reasonable time-frame (within 2 years).

A list of steps/ actions to be carried out under the plans should be designed to achieve:

  1. Administrative support
  2. Financial resources
  3. Political/popular support; community or religious leaders’ and media support

A chronological time frame of actions is then made with:

  1. Sequential, simultaneous or staggered actions       
  2. Some steps to depend on others
  3. Some steps to be undertaken together

A flow chart or calendar form is used for:

  1. Easy reference and an over-all view
  2. Better monitoring of the plan’s progress

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4.6.2 Development of Action Plans

Following guidelines and advice on the formulation of their action plans, workshop participants were given time to draft, present and re-formulate their plans with the assistance of the AUICK Secretariat, resource persons and each other. The results are shown on the following pages:

» Chittagong, Bangladesh by Dr, Shahana Perveen
» Weihai, China by Ms. Peng Xia
» Chennai, India by Ms. Usha Kakarla
» Surabaya, Indonesia by Dr. Ina Aniati
» Kuantan, Malaysia by Dr. Marlia Mohammed Salleh
» Faisalabad, Pakistan by Dr. Masooma Sardar
» Olongapo, Philippines by Dr. Arnildo Castro Tamayo
» Khon Kaen, Thailand by Mrs. Wilasinee Samanchate
» Danang, Vietnam by Dr. Tran Dinh Vinh, Dr. Kim Anh Thi Doan Vo

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4.7. Closing Remarks

On the concluding day of the Second 2007 Workshop, the participants gathered to share their views and suggestions. They appreciated that the workshop had provided much opportunity for interaction both among AACs and with Kobe City.

The visit to Hyogo Prefectural Kobe Children’s Hospital was particularly praised for its lessons on the complexities of providing healthcare to newborn children. The explanation on MCH equipment and nursing strategies at the Kobe City Nursing School was commended, and the UNFPA Discussion session was described as very beneficial as a forum for direct interaction with Kobe citizens, and a lesson on the guiding principles of UNFPA.

The interaction among participants during the drafting and re-formulating of their Action Plans was seen as a chance to ‘widen horizons’, and get new ideas to incorporate into improved health care provision and disaster preparedness. Even participants from areas where natural disasters are not so commonplace felt they had gained insight to improve services upon returning home. Overall, the workshop was praised as giving ‘ample time’ for the airing of opinions and suggestions.

The continued strengthening of AUICK’s institutional relationship with each of the nine cities was encouraged, in order to ensure that the action plans are successfully implemented, and the long term goals of AUICK are met.

Mr. Kazutoshi Sasayama with the workshop participants
Second 2007 Workshop participants meet Mr. Kazutoshi Sasayama, former Mayor of Kobe and Special Advisor to AUICK

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