disaster

VOLUNTEER & LOGISTIC

MANAGEMENT

SULANTO SALEH-DANU R., dr., SpFK

DEPT. OF PHARMACOLOGY & THERAPY ;
CENTER FOR POLCY & MANAGEMENT HEALTH CARE;
FACULTY OF MEDICINE;
UNIVERSITAS GADJAH MADA.
JOGJAKARTA.
1

JAPAN TSUNAMI

JAPAN TSUNAMI

EARTHQUAKE

EARTHQUAKE

ERUPTION

ERUPTION

FLOOD

TORNADO

OBJECTIVE THIS SESSION :

- HOW TO MANAGE THE VOLUNTEER DURING DISASTER
- HOW TO MANAGING THE LOGISTIC
(MEDICAL & NON-MEDICAL) :
SELECTIONS
PROCUREMENT
STORAGING
DISTRIBUTING
RECORD & REPORTING
HOW TO MANAGE THE WASTED LOGISTIC

10

5. Disaster Management

4.3.2 PYROCLASTIC FLOW IN NOVEMBER 22, 1994

RESULTED FROM THE COLLAPSE OF THE 1994S DOME

RIVER GENDOL COVERED BY LAHAR FLOW

OF MERAPI ERUPTION 2010

An area coved by nue ardente (hot cloud)

4.3 Volcanic Disaster

Two different eruption types of volcano

Types of volcanic hazard

1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)

Volcanic earthquake
Pyroclastic falls
Lava flow
Nue ardente or glowing cloud
Collapsing of lava dome
Hot lahars flow
Rain lahar flow
Subsidence
Flash flood
Drought
Toxic gas

Hazard susceptibility of volcanic hazard

1. Type of the volcano
2. Relief
3. Slope
4. Geological structure
5. Landform condition
HAZARD MAP
6. Rainfall
7. Wind
8. Drainage pattern and density
9. Morphometry of the valley
10.Land use or land cover.

Illustration of flood and flash flood

Figure Landslide

Landslide

(Koto Tangah
Sub-district, Padang, 30 Sep
2009)

HAZARD
MODIFICATION

RISK

PREVENTION

EVENT
IMPACT
Vulnerability
(provided by
nature +
augmented by
man)

DAMAGE
(The destruction
and Injuries
resulting from
The event

Absorbing
Capacity
Buffering
Capacity

DISASTER

Response

Resilience

(PERSI-Adib Yahya)
22

VOLUNTEER
RELAWAN
LOGISTIC

23

VOLUNTEER
RELAWAN
LOGISTIC
VOLUNTEER
RELAWAN

LOGISTIC
DISASTER

VOLUNTEER
RELAWAN

LOGISTIC
LOGISTIC

VOLUNTEER
RELAWAN
24

1. KERUSAKAN :
FISIK;
SOS-EK-BUD;
dll.
2. KORBAN
BENCANA
3. KESEHATAN
4. PENCARIAN
KORBAN
(SAR)
5. PANGAN
6. TEMPAT
BERTEDUH/
BERLINDUNG
7. KOMUNIKASI
8.
TRANSPORTA
SI
9. LOGISTIK
10. DLL

VOLUNTEER/
RELAWAN :
STUDENTS

A
S
I
D
R
E
ST
S
A
S
I
D
R
E
ST
S

MASYARAKA
T

PRAMUKA
PENGANGG
UR
VETERAN ,
DLL

25

DISA
STER
S
TEAM :
-DISASTE
R;
- SAR;
-MEDEMRG;
-Etc..

MEDICA
MEDICA
LL
STUDE
VOLUNTEER
STUDE
NTS
NTS

OBJECTIVE
and
TARGETS
The TEAM
26

QUALITY : healthy;
knowledge & skills

VOLUNTEER
RESOURCES

TEAM :
-DISASTE
R/
- SAR/
-MEDICAL
,
-Etc..

QUANTITY :
How many students

ORGANITATION
THE
VOLUNTEER

The leaders?
Member job
discript ?
ID CARD ?

FASCILITY,
LOGISTIC &
EQUIPMENT

INDIVIDUAL /
PERSON
TEAM OF
VOLUNTEER
OPERATIONAL

FINANCE &
BUDGETING

OWN SELF ?
ORGANITATION ?
DONATION ?

27

QUALITY :
healthy;
knowledge &
skills

VOLUNTEER
( HUMAN )
RESOURCES

( VR )

QUANTITY :
How many
students

Must be health
(physic & psychic)
Have knowledge :
- first aid
- basic life support:
- referral system
- communication
SKILLS :
First Aid
Basic Life Support
(Driving) &
Referral procedure

How many TEAM ?

( Evacuation Team;
Medical Emergency
Team;Social Team;
or others )
Member each TEAM ?
28

ORGANITATION
OF THE
VOLUNTEER
TEAM / GROUP

The leaders?
Member job
discript ?

The Leader ( Commander ) :

> known and had leader skill
( the INCIDENTS COMMAND SYSTEM ICS )
> communication information .system;
Coordination with others organitations
The member of the VolunteerTeam :
> volunteer / recruiment
> knowledge and skills background of the volunteer.
Operation ( plan and action) ?
Administration ?
Logistics ?
- etc
29

ACTORS

MULTILATERAL
AGENCIES

NGOs

FOREIGN
GOVERNMENT
PRIVATE
SECTOR
NATIONAL &
LOCAL GOVERN

TARGET
VOLUNTEER
GROUP

COORDINATION &
COOPERATION
NEIGHBORING
REGIONS

SPEIALIZED
INSTITUTIONS

RESIDENTS
OF AFFECTED

MILITARY
INSTITUTIONS

30

Insident Command System

Disaster Team Organization

Com m and

O p e r a t io n s

S a fe ty

I n f o r m a t io n

L ia is o n

Medical Staff
Officer

P la n n in g
Planning

L o g is t ic s

F in a n c e
31

Com m and

O p e r a t io n s

S a fe ty

I n f o r m a t io n

L ia is o n

Medical Staff
Officer

P la n n in g
Planning

L o g is t ic s

VOLUNTEER

F in a n c e

32

FIELD TEAM : basic equip.&

log.
team composition :

team leaders (commander)

( who can activate teams )
medical equipment
protective clothing
communications
situation reports to base camp
transportation arrangements
roles & responsibilities of team members
( job description )
briefing & debriefing arrangements
duties on return to base camp

(PERSI-Adib Yahya)

33

What is an Incident?
An Incident is anything out of the ordinary
day-to-day activities that necessitates a
response.

Emergencies and Disasters

Outbreaks
Vaccination Programs
Important meeting/conference
( HW-Ics )

Denver Center for Public Health Preparedness

34

I.

Understand the Incident Command System (ICS) - in

the context of Disaster / Public Health

II.

Understand the five primary functions of the ICS.

III.

Identify the elements of the ICS roles as well as the

personal characteristics needed to fill the positions in
both general and command staff.

IV.

Develop a clear understanding of the Incident Action

Plan (IAP), and its utility.

V.

Successfully complete the final examination for the

Federal Emergency Management Agency (FEMA) basic
ICS course (and get a certificate!)

Denver Center for Public Health Preparedness

35

ICS
Five Management
Functions
Operations

Logistics
Command

Planning

Finance /
Administration

Denver Center for Public Health Preparedness

36

ICS = tool i.e., hammer

37

Denver Center for Public Health Preparedness

ICS as a tool
For the command, control
and coordination of
resources during an
activity and/or incident

Consisting of procedures

for organizing personnel,

facilities, equipment, and
communications during
an activity and/or incident
38

Denver Center for Public Health Preparedness

Merlin, 1999:2

COMMAND AND MANAGEMENT DISASTER:

- Initiate the response and recovery
activities
- Notify staff and external authorities
- Identify and assign staff
- To manage the hospitals resources
- To be the face of the hospital to the
outside world

(PERSI-Adib Yahya)
39

Reasons to use ICS

Mandated by Office of Homeland Security
Creates a safer work environment for
response personnel
Establishes a clear focus on objectives
and lines of authority
Removes emotion from the decision
making process

40

Denver Center for Public Health Preparedness

ICS
Challenges for ALL
Management
To establish clear objectives and
priorities
To clarify decision making and
resource allocation
To minimize direct reports and
establish clear lines of authority
To facilitate effective
communication among all
responders and with external
agencies
41

Denver Center for Public Health Preparedness

ICS
Functional Responsibilities
COMMAND
responsibility
OPERATIONS
PLANNING

Overall

=
=

Carry out the plan

Thinking, whats
going to be needed
in hours/days to
come
LOGISTICS
=
Provide support
FINANCE / ADMINISTRATION
=
Tracking cost and
procurement
Denver Center for Public Health Preparedness
42

ICS
Incident Commander
Overall incident responsibility-(i.e., individual
with the most experience with the particular
incident)q24
Determines the Public Health incident objectives
and strategy
Objective(s): What can be accomplished
during an operational period (24 hours)
Strategy(s): What needs to be done
(activities) to accomplish the objective.

Develops an organizational structure that can

effectively manage the incident
43

Denver Center for Public Health Preparedness

ICS
Incident Commander
Within the first responder community the
initial Incident Commander is the first
person responding to the scene, who will
then be replaced as needed.q1
He or she will establish a command as
soon as possible, and set up an incident
command post (ICP).q3,4

44

Denver Center for Public Health Preparedness

ICS
Command Staff
Information Officer
Coordinates all information dissemination
to the public q36,45

Safety Officer
Anticipates, detects, and corrects unsafe
situations q20

Liaison Officer
Serves as contact point for representatives
of assisting and cooperating agencies q14,44
45

Denver Center for Public Health Preparedness

ICS
Operations Section
Participates in the planning process
Operationalizes the strategy of the
Incident Action Plan
Accomplishes the incident
objectives
(Gets the work done!)

46

Denver Center for Public Health Preparedness

ICS
Planning Section
Determines resource need, assess the situation q41
Gathers and analyzes data
Surveillance, data collection
Provides situational information
Geographic Information System (GIS), mapping, graphs
Estimates future probabilities
Modeling
Prepares alternative strategies
Whats next?
47

Denver Center for Public Health Preparedness

ICS
Logistics Section
Acquires resources (personnel,
equipment, services, and support) q8
Gets whats needed

Obtains supplies (food, water, TP)

Manages internal communications
equipment
Maintains equipment
48

Denver Center for Public Health Preparedness

ICS
Finance/Administration Section
Provides financial management and
accountability q7
Authorizes expenditures
Maintains reimbursement records
Maintains injury, death and damage
documentation
Negotiates contracts with vendors
Tracks cost associated with mutual aid
agreements with other agencies
49

Denver Center for Public Health Preparedness

OPERASIONAL PLAN :

PATIENT TREATMENT
EVACUATION / REFER
ALTERNATIVE CARE
SITES
SECURITY
REESTABLISHING USUAL
OPERATIONS AFTER
THE EMERGENCY

?
disaster Event
(PERSI-Adib Yahya)

50

ICS
Elements
1.
2.
3.
4.
5.
6.
7.
8.

Management by objectives
Unity and chain of command
Organizational flexibility
Span of control
Common terminology
Personal accountability
Integrated communication
Resource management

51

Denver Center for Public Health Preparedness

ICS
Challenges for ALL Management
To establish clear objectives and
priorities
To clarify decision making and
resource allocation
To minimize direct reports and
establish clear lines of authority
To facilitate effective communication
among all responders and with external
agencies
52

Denver Center for Public Health Preparedness

Universal Responsibilities
Before:
Locate and read your agencys emergency
response plan
Know the location of your agencys emergency
operations center
Identify your own BT competencies and shortfalls
and identify training needed to get up to speed
Be aware of the role you agency expects you to
play
Maintain any BT equipment in your possession in
working condition
(PERSI-Adib Yahya)

53

> Recruitment ( VOLUNTEER ).

From Public ?
Military/Police ?
NGO ?
University ?
or Private Sector ?
Quantity ?
Qualification ?

54

-RESOURCES :
- HUMAN
- FASCILITIES &
FINANCING
-ORGANIZATION & RECRUIT.
JOB DESCRIPTION
-INFORMATION SYSTEM
-BACK-UP ( FAC.; STUD.ORG;
INTSTITUTION; etc )

VOLUNTEER
TEAM ???

ORGANIZED ?

TARGETS :
Phase : preparedness; event;
rehabilitation/recovery; mitigation.
Type of disaster;
Population;
Population
Location;
Activity (medical/social/culture; etc)

ICS

(Incident
Command
System)
>
COORDINATION
55

BENCANA

BEBAN KERJA:
-VOLUME
-MACAM
-LOKASI & WAKTU
-DURASI

??

RELAWAN
RELAWAN
RELAWAN
RELAWAN

56

BEBAN KERJA:
-VOLUME
-MACAM
-LOKASI & WAKTU
-DURASI

> INVENTARISASI
JENIS PEKERJAAN YG
DIPERLUKAN
> KUALIFIKASI YG
DIPERLUKAN
> KUANTITAS/JUMLAH
YG DIBUTUHKAN
> SARANA-PRASARANA

RI
I
D

S
A
T
TI p) AN
N
a
E
ID ngk UAIK R
RELAWAN (le ES ITO I
S
S
DI MON LUA
RELAWAN
DI EVA
DI

RELAWAN
RELAWAN

> KESELAMATAN
Lokasi penempatan
Daftar kegiatan
Daftar kehadiran
Hasil pekerjaan

57

,
Y
T
T
I
L
I
FASC
d
n
a
C
I
T
S
I
G
O
L
T
N
E
M
P
I
EQU

LOG.

TO DETERMINE IMPORTANT LOGISTIC FOR THE RESCUE TEAM

- HOW TO MANAGING THE LOGISTIC (MEDICAL & NON-MEDICAL) :
SELECTIONS
PROCUREMENT
STORAGING
DISTRIBUTING
RECORD & REPORTING
HOW TO DESTROY THE WASTED LOGISTIC

58

MENGAPA PERLU PENGELOLAAN LOGIST

1. BENCANA DAPAT MEMPENGARUHI KEHIDUPAN MANUSIA :
KESELAMATAN HIDUP
KESEHATAN
SOSIAL-EKONOMI maupun BUDAYA
KELANGSUNGAN HIDUP
LINGKUNGAN
2. PENANGGULANGAN DAN PENCEGAHAN AKIBAT ADANYA
BENCANA SANGAT
MEMERLUKAN SUMBERDAYA YANG MENCUKUPI, TEPAT
GUNA SERTA CEPAT.
3. SUMBERDAYA YANG DIMAKSUD :
MANUSIA

LOGISTIK

SARANA-PRASARANA
PENDANAAN
4. AGAR SUMBERDAYA YANG TERSEDIA DAPAT BERMANFAAT
OPTIMAL, EFISIEN
DAN EFEKTIF DIPERLUKAN SISTEM

LOG.

........ before the fighting proper,

the battle is won or lost
by quartermasters ...........................
( Rommel The desert lion 2nd World War)

60

LOG.
LOG.

LOGISTIC ( originally from military procedure for : procurement;

maintenance;
material transportation;
facilities;
personal ).
a system whose parts interact smoothly to help reach a good
promptly and effectively to optimized use of resources.
in EMERGENCY :
logistic are required to support the organization and
implementation of response operation in order to
ensure their timeliness and efficiency
(PAHO-WHO, 2001)

61

ORGANISASI
&
MEKANISME
KERJA
PERMASALAHAN
LOGISTIK OBAT /
BARANG
DARI
DONATOR
(fase akut)

SUMBER DAYA
MANUSIA

BENCANA GEMPA
D.I.Y. & JA-TENG:
ORGANISASI &
MEKANISME KERJA :
-Lambat;
-Tumpang-tindih;
-Banyak pemimpin;
-Birokrasi panjang.
SUMBER DAYA
MANUSIA:
-Kurang: kualitas &
kuantitas;
-SOP belum tersusun;
-Tanggung jawab tidak
jelas;
SISTEM INFORMASI:
-Belum tertata &
belum berfungsi;

SISTEM
INFORMASI
PEMBIAYAAN

SUMBER
PEMBIAYAAN:
-Belum tertata;
-Birokrasi yang panjang &
berbelit;
-SOP tidak jelas;
-Tim pengendali (BPK,KPK)
62

(Zaenab,N., Diah, 2006)

BANTUA
N

BANTUA
N

BANTUA
N

BANTUA
N

BANTUA
N

BENCANA GUNUNG - MERAPI

OKTOBER-NOPEMBER 2010

POSKO
POSKO

POSKO
POSKO
POSKO
63

LOGISTICS

LOG.

Responsible for the procurement and provision

of personnel, equipment (medical equipment;
non-medical equipment) and
support services needed to sustain the refugee
camp response, including food,
drink, linen, and supplies witch are critical .
Back up internal and external communications.
Transportation of patient, staff and necessities.
Facilities for isolation and decontamination
area.
(PERSI-Adib Yahya)

64

LOG.

LOGISTIC / HUMANITARIAN SUPPLIES

1. MEDICINES
2. HEALTH SUPPLIES / KITS
3. WATER and ENVIRONMENTAL HEALTH
4. FOOD
5. LOGISTIC / ADMINISTRATION
6. SHELTER-ELECTRICAL-CONSTRUCTION
7. PERSONAL NEEDS / EDUCATION
8. HUMAN RESOURCES
9. AGRICULTURE / LIVESTOCK
10. UNCLASSIFIED / OTHERS

65

LOG.
TO DETERMINE IMPORTANT LOGISTIC FOR THE RESCUE TEAM
- HOW TO MANAGING THE LOGISTIC (MEDICAL & NON-MEDICAL) :
SELECTIONS
PROCUREMENT
STORAGING
DISTRIBUTING
RECORD & REPORTING
HOW TO MANAGE THE WASTED LOGISTIC

Individual personal of the team

(prepared by team member)

LOGISTIC for
the RESCUE TEAM

Rescue team: for daily life

for team protection
communication
transportation

Team operational :
type of disaster; amount of victims;
diseases pattern, etc.
66

LOG.

Individual personal of the team

(prepared by each member of the team)

-Bath equipment
-Underwear
-Cloths
-Payama / sarong
-Prayer mat
-Private medicine
-Sandal shoes
-Sleeping back
-Communication (hp)
-Note / diary
-Flashlight
-Back pack, etc etc.

Calculate :
how long team stay
in disaster location

67

LOGISTICfor
forRescue
The Rescue
LOGISTIC
Team:
Team
>

for daily life

> for team

protection
>

communication

> transportation

-personal carrier
-ambulance
-truck
-bicycle/motorcycle ( !? )

LOG.
Calculate :
how long team stay
in disaster location

-shelter / tend
-toilets
-lighting / generator
-kitchen equipment : stove; gas; etc
-food for the team (rice; bread; vegetables ?;
noodles; corned; etc, etc)
-gloves
-masker
-goggles
-apron
-protective clothes (depend disaster type)
-spec. shoes (depend disaster type)
-helmets (depend disaster type)
-radio comm. (amatir band/satelit); handy-talky; hp.
-loudspeaker, etc, etc.
68

Disaster
LOGISTIC
for : Management
OPERATIONAL in Timeline
DISASTERS
Time

Preparedness
Disaster
Management
Plan
Mitigation
Plan

Risk
Assessment
Early
Warning

Hazard
Episode

Continuous
Possible Hazards

Evacuation &
Acute Medical Emergency

Mitigation

Hazard Surge Event

Continuous Possible Hazards

Rehabilitation

Response

Hazard Evaluation

R.A. L.L.
O.P. R.P.

Redevelopment
Plan

Management
RA Rapid Assessment, OP Operational Plan, LL Lessons Learned,
RP Rehabilitation Plan

69

RESPONSES

DISASTER

RAPID ASSESSMENT

LOG. NEEDS : population

operational
CAPACITY : - local, province, national
- resources
- infrastructure

LOG.

OPERATIONAL PLAN

LOGISTIC RESOURCES
MOBILIZING

What is needed
How much is needed
When is it needed (urgency ?)
Where is it needed
70

RESOURCES and AVAILABILITY RESOURCES

FOR LOGISTICAL SUPPORT:

LOG.

- STOCK AT NATIONAL PROVINCE LEVEL, LOCAL

- CAPACITY OF TRANSPORT SYSTEM
- CAPACITY OF PORTS : SEAPORTS; AIRPORT
- POTENTIAL SITE FOR LOGISTIC BASES
- AVAILIBILITY OF SPARE PARTS and SERVICES
REVIEWING : GOVERNMENT POLICIES, PLANS and PREPARATION

ACTIVITY Assessing KEY INFRASTRUCTURE :

mapping & evaluating TRANSPORT INFRASTRUCTURE
historical national meteorological records
monitoring major new construction or changes
71

LOGISTICS FOR OPERATIONAL OF THE TEAM LOG.

:
type of disaster; amount of victims;
diseases pattern, etc.
What is needed
How much is needed
When is it needed (urgency ?)
Where is it needed

-TYPE OF EVENT/DISASTER
-DISEASE PATTERN
-RESPONSIBLE PERSON

POPULATION AFFECTED :
- total
- age, sex
- culture
TYPE OF EVENT/DISASTER
SIZE OF DISASTER
PHASE OF DISASTER
LOCATION OF DISASTERS

LOCATION AREA AFFECTED

TRANSPORTATION INFRASTRUCTURE
COMMUNICATION
72

CATEGORIES EMERGENCY LOGISTICS

& SUPPLIES

LOG.

1. MEDICINES
2. HEALTH SUPPLIES / KITS
3. WATER and ENVIRONMENTAL HEALTH
4. FOOD
5. LOGISTIC / ADMINISTRATION
6. SHELTER-ELECTRICAL-CONSTRUCTION
7. PERSONAL NEEDS / EDUCATION
8. HUMAN RESOURCES
9. AGRICULTURE / LIVESTOCK
10. UNCLASSIFIED / OTHERS

MEDICAL LOGISTICS : > Medical Supplies and Equipment

> Selected Essential Medicines
> Guideline for Donations of Medicine
Medicin
73
(PAHO, 2001)

LOG.
What is needed
How much is needed
When is it needed (urgency ?)
Where is it needed
-TYPE OF EVENT/DISASTER : - manmade : wars; conflict etc
- NATURAL : tsunami; earthquake; flood;
landslide; typhoon; etc

DISEASES PATTERN : traumatic

infection
communicable diseases
chronic ( DM; hypertension;
psychiatric; etc ). :
RESPONSIBLE PERSON : specialist; physician; nurse;
MEDICAL STUDENT (1st; 2nd; 3rd; 4th year)
74

LOG.

What is needed
How much is needed
When is it needed (urgency ?)
Where is it needed
POPULATION AFFECTED :
- total
- age, sex
- culture

HOW MUCH IS NEEDED :

formula : - Indonesian MoH, 2007
- Sundnes, K O., 2002
75

LOG.

RESOURCES
INPUT
RESOURCES

DISASTERS
/ EVENT

FUNCTION
(OUTPUT)

(PROCESS)

AVAILABLE RESOUCES (AR) = NI + St CR IR

where :

NI = New Input
St = Stores
CR = Consumption of the resources
IR = Inaccessible resources

(Sundnes, K O., 2002)

76

LOG.

OPTIMAL STOCK = WS + SO + LT + BS - S
where

WS
SO
LT
BS
S

=
=
=
=
=

Working stock
Stock out
Lead time
Buffer stock
Stock in hand
(MoH / DepKesRI,2007)

77

How to Calculate

( VIJAJ,LOG.
2006 )

Specific Item Standard unit calculation on need

(1000 x 250 units = 250,000)

Stock need for population

Target population at risk

Stock in Store
(Stock in hand +
Known stock coming)

Stock need for population

Stock needed

Stock needed

20 % (Multiplication
Of Magnitude Time)

Buffer stock

Stock needed

Buffer stock

Stock to Order
78

LOG.
Multiplication of Magnitude
- Time

Search Time / Purchase Time /

Order Time (In days)
Lead Time From Source (in Days)
Lead Time To Affected Area (In
Days)
Storage Time (in Days)
No supplies available (0)
MMT
x NS
= ST / PT / OT + LT - F + LT - T + ST
20 (%) =

5 +

3
( VIJAJ, 2006 )
79

LOG.

CONDITION IN GREAT VICTIMS POPULATION

AT LEAST 10.000 FOR 3 MONTHS HEALTH CARE :
The NEW EMERGENCY HEALTH KIT (WHO) :
1.00
0
1.00
0

1.00
0
1.00
0

1.00
0
1.00
0

10.000

1.00
0
1.00
0

1.00
0
1.00
0

10 x 1 basic units

1
supplementary
unit

1 EMERGENCY HEALTH KIT

for 10.000 persons
for 3 months
Detail supplies see attachment (copy)

80

LOG.

1 basic units

-DRUGS
-RENEWABLE SUPPLIES
-EQUIPMENTS

Detail supplies see attachment (copy)

1 supplementary
unit

-DRUGS
-RENEWABLE SUPPLIIES
-EQUIPMENT

Detail supplies see attachment (copy)

81

SOME QUESTIONS in LOGISTIC

PROBLEMS

LOG.

1. Organization and Command System /

Coordinator ? Which Task Force ? Responsibility ?
2. Logistic (Medical) who will be charge of overall
COORDINATION the System ?
3. What kind of logistic need ?
4. How much must be prepared?
5. When must be procured?
6. Storage ?
7. Where and must be distribute?
8. What about the management support:
Human Resources
Management Information System
Finance support
Faciliteis, etc., etc.
9. What alternative action can be implemented ?
82

CYCLE of
MEDICAL LOGISTIC MANAJEMENT &
PHARMACEUTICAL GOODS

LOG.

LOGISTIC
SELECTION

THE USE OF
LOGISTICS

PROCUREMENT

STORAGING &
DISTRIBUTION
MANAGEMENT
SUPPORT:
-organization & mechanism of action
-human resources
-management information systems
-financing

83

LOG.

WHATS THE PROBLEMS

PREPAREDNESS

1. SELECTION ?
2. PROCUREMENT ?
3. STORAGING & DISTRIBUTION ?

ACUTE / EMERGENCY

4. USING THE MEDICINES ?

5. MANAGEMENT SUPPORT ?
- Organization and Mechanism of Action
- Human Resources
- Management Information Systems
- Financing

RECOVERY/
REHABILITATION

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- ACTION OF THE TEAM

IN DISASTER.

THE
TEAMS
(OFFIC &
VOLUNT.)
???

PREPARE :
FASCILITY;
EQUIMENT;
NETWORKING :
-logistic
-transportation
-other instituion

PREPAREDNESS (US/ICS)
READYNESS (N.Z., AUS)
2 TEAM TYPE :

DISASTER TEAM/
SAR TEAM/
MED. EMERG / etc

RECRUITMENT
COURSE-TRAINING &
PRACTICES
COORDINATION
COMMUNICATION

OFFICIAL & VOLUNTEER

85

FIRST AID;
BASIC - ADVANCE
LIFE SUPPORT
VICTIMS TRANSPORTATION/
REFFERAL
Etc., etc.

STUDENT GRADE
SPECIAL SKILLS (certificate)
FROM OTHERS ORGANIZATION/
PROFFESSION

RECRUITMENT
COURSE-TRAINING &
PRACTICES
COORDINATION
COMMUNICATION

With other ORGANIZATION / INSTITUTION:

Red Cross; NATIONAL BOARD for DISASTER;
POLICE; Military (ARMY; NAVY; AIR FORCE);
HEALTH OFFICE; HOSPITALS ; etc., etc
86

DISASTER & SAR Team :

-prepare all disaster type
(healthy; strong; powerfulmember)
-could driving; swimming,
exploring; special skill; etc
- first-aids skill.
MED. EMERGENCY Team :
- first aid skill & knowledge;
Basic-Advance Life Support;
Patient/victim transportation;
driving;

PREPARE :
2
FASCILITY;
EQUIMENT;
NETWORKING :
-logistic
-transportation
-other instituion

TEAM TYPE :
DISASTER TEAM/
SAR TEAM/
MED. EMERG / etc

DISASTER & SAR Team :

- transportation (truck, ambulance,
boat, rope, fire-protection,
air transportation, etc
- stretchers;
- first aids equipment
- life supply (team and victims); etc.
MED.EMERGENCY Team :
- transportation ( personal carrier,
ambulance with stretchers )
- shelters (for team and patients)
- first aids equipment;
- medical instruments (minor surgery;
oxygen tank + accessories;
- medical logistic: health care
operational, etc
87

in LIMITED CONDITION :
- RESOURCES : - human resources
(volunteer)
- facilities/logistics
- financing
- NET WORKING
- COORDINATION COMMUNICATION
etc. etc.
ANOTHER
ACTION /
ACTIVITY

VOLUNTEER :
- Supporting Medical Care;
- Supporting another activities: :
Welfare supplies
Foods supplies
Education (especially children &
geriatric)
Psyche / mental support
88

LOG.

DONATION
CORE PRINCIPLES OF A DONATION:
1. MAXIMUM BENEFIT TO THE RECIPIENT
2. RESPECT FOR WISHES AND AUTHORITY OF
THE RECIPIENT
3. NO DOUBLE STANDARDS IN QUALITY
4. EFFECTIVE COMMUNICATION BETWEEN DONOR
AND RECIPIENT
(WHO)

89

LOG.

DISASTERS
DONATIONS : MEDICINES,
MEDICAL SUPPLIES, etc.
DONOR RECEIVER
DISTRIBUTION
STORAGING

RECORD & REPORTING

PROBLEMS
90

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