11 million children under 5 die every year

6 million die every year of preventable

diseases
HIV/AIDS kills 6,000 people and another 8,200
get infected every day
More than 2.6 billion people do not have basic
sanitation
More than 1 billion people dont have access
to safe drinking water

World Health Organization
Increase # of deaths and injuries
Population displacement
New cases of disease and disability
Worsening of chronic health conditions
Increased # of cases of psychological & social behavioral
disorders
Possible food shortage & nutritional deficiencies
Environmental health hazards (toxic hazards, surface water)
Damage to healthcare facilities & other health infrastructures
Disruption of routine health services
Disruption of routine disease surveillance
Diversion of resources to emergency relief
Disaster Cycle
MEDICAL RESCUE CHAIN
Disaster Area
Advanced
Medical
Post
Transport
Hospitalization
Search
Rescue
Triage
Stabilization
Regulation
Evacuation

Triage
Definitive
Pre-hospital triage Relatives
psychological support

Non-injured
Psychological first-aid
Patients
hospital
Triage
Severely injured
Less severely injured
Ambulatory care
Non-disaster patients
Other departments
Emergency teams
Surgery ICU
Wards
Centralization
Dead
Body
Recovery
Identification
Death
certification
Disposal
Communities, volunteers, NGOs,
police, military
Doctors, medical staff, forensic specialists,
foreign embassies, INTERPOL, NGOs
Coroners, police
Military, police, local authorities
Vector born diseases
VBD
Vaccine
preventable
diseases
VPD
Diseases of
epidemic
potential
DEP
Communicable Disease Controlled
Water supply
Latrine
Site selection and planning
Shelter
Garbage disposal
Vector control
Disposal of dead
Drainage & waste water disposal
Environmental hazard protection:
fires, wind, flooding, etc.
Dust control
ENVIRONMENTAL
HEALTH
MENTAL HEALTH AND
PSYCHOSOSIAL SUPPORT PROGRAM
1. Psychosocial Support Program
Exercise
Spiritual activities
Games and art
Community work /
natural helping network
Recovery programs
Local tradition

2. Mental Health Program
Home visit
Counseling
Medicine treatment

DISASTER SITUATION:

HIGH DEMAND
LIMITED TIME
LACK OF CAPACITY
INFORMATION FLOW
LIMITED ACCESS
LOGISTIC NEEDS >>
DAY-TO-DAY EMERGENCY
MANAGEMENT
CHAOS
(MORTALITY /
MORDIBITY
)
Regulations:
UU RI No 1 tahun 1970 tentang Keselamatan Kerja
UU RI No 23 tahun 1992 tentang Kesehatan
UU RI No 24 tahun 2007 tentang Bencana
UU RI No 44 tahun 2009 tentang Rumah Sakit
Kep Menkes RI no 436/Menkes/SK/VI/1993 tentang standar pelayanan rumah sakit
dan standar pelayanan medis
Peraturan Menteri Tenaga Kerja Per/05/Men/1996 tentang sistem manajemen
keselamatan dan kesehatan kerja
SK Meneg PU No 10/KPTS/2000 tentang ketentuan persyaratan teknis pengamanan
terhadap bahaya kebakaran pada bangunan gedung dan lingkungan
SK Meneg PU No 11/KPTS/2000 tentang ketentuan persyaratan teknis manajemen
penanggulangan kebakaran di perkotaan
Badan Standarisasi Nasional (2000) tentang pencegahan kebakaran pada bangunan
gedung 2000-2001 menyangkut sistem hidran, sprinkler otomatis dan APAR




Vulnerabilities,
risk & resources
assessment of the
Community likely
medical needs before
during & after disaster
Vulnerabilities R&R
assessment
of the hospital:
likely harm caused by
both external &
internal emergencies
Assessment of the reception & treatment capacity
will determine the maximum offer of services
Hospital emergency planning
should be based on
Safe Hospital
Sufficient Human Resources (Quality & Quantity)
Safe Building
Sufficient Facilities and Infrastructure
Hospital Disaster Plan
GOALS OF THE PLAN:
1. manage the critical routine activities
2. manage the extra-load surge capacity
3. organize the response : roles and responsibilities
4. protect the facility and its services (staff &patients) from
harm
5. restore the hospital treatment capacity in case of an
internal disaster as much as possible
6. provide specific services for the pre-hospital phase (triage
teams, decontamination teams)
Planning process there is NO plan unless
Written document
Planning process
Vulnerability analysis
Tested and validated
Training & education
Monitoring & revisions
L
E
G
A
L

A
U
T
H
O
R
I
T
Y
Compatible with
SCHS OH&S Commitment
Hazard Identification
Hazard Analysis
Prioritize risks
Risk Control
Monitor
and
review
Communicate
and
Consult
Commitment
ORGANIZATION
MANAGEMENT OF
THE PERSONEL
SOP / GUIDELINES
/ JAS
COMMUNICATION
SYSTEM
COMMAND
CENTRE
TRIAGE SYSTEM
SPECIAL
TREATMENT AREA
TRAFFIC FLOW
(INT/EXT)
MAJOR
TREATMENT AREA
EMERGENCY
DEPARTMENT
SPECIAL
INCIDENTS
SECURITY
DATA &
SURVEILLANCE
LOGISTIC
INFORMATION
CENTRE / PUBLIC
INFO
T
E
S
T
I
N
G

T
H
E

P
L
A
N

/

R
O
U
T
I
N
E

S
I
M
U
L
A
T
I
O
N

/

T
R
A
I
N
I
N
G

/

P
L
A
N

M
A
I
N
T
E
N
A
N
C
E

TRIAGE component in
emergency management flow
BLACK GREEN
YELLOW RED
Evacuation
Triage
Area

Areas Service Center
> N



tarigang@gmail.com
tarigang311@yahoo.com
@gee_tarigan


Dont worry! Be ready!
Education:
1. Medical Faculty, Trisakti University
2. Magister on Public Health (majoring Hospital Management),
Gadjah Mada University




Public Health Department, Medical Faculty, Trisakti University
Magister on Hospital Management, UGM
Magister on Public Administration, Sjakhyakirti University
Palembang
Diploma on Hospital Administration, STIKES M.H.Thamrin


Professional Experiences:
1. Researcher & Consultant, Disaster Management Div., PMPK-
UGM
2. Director, M.H.Thamrin University
3. Special Staff, Deputy on Prevention&Preparedness, BNPB
4. Consultant, TAGANA, Ministry of Social Affair
5. Liaison Officer, SC DRR, UNDP project
6. Professional Facilitator, UNICEF West Java
7. National Program Officer, WHO Indonesia

Owner & Founder
PT. Geeta Hutama Medika

The Geeta Beauty&Wellness Centre
The Geeta Healthcare Centre
The Geeta Education&Training Centre
Jl. Kranggan, Muda, Gunungputri, Bogor




Affiliation:
Indonesian Medical Doctor (IDI)
World Association on Disaster &
Emergency Medicine (WADEM)


Clinical Specialization:
Esthetic-Dermatology


Core Competencies:
Public Health
Disaster Management
Hospital Management