Namibia PDNA 2009 - GFDRR

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Disaster Risk Management Issues Strategies to overcome disaster risks in the affected Regions: Needs • Strengthen the capacity of health professionals in Epidemic Preparedness and Response including management of diseases of Epidemic potential and development of Epidemic Response Plans. • Strengthen capacity of communities through recruitment and training of community health workers in life saving skills, such as provision of first aid to reduce the effects of injuries and drowning in the community during the crisis. • Strengthen integrated disease surveillance and response by training the health workers in collection, investigation, analysis and reporting and also introducing community based disease surveillance.; • Strengthen nutrition surveillance system through setting up sentinel surveillance site. • Enhance the knowledge of health staff on prevention and treatment of malnutrition. • Ensure that safe water supply is provided to all health facilities by testing the submerged boreholes supplying the clinics that were flooded and also collaborating with Namwater and rural water supply for provision of safe water to health facilities without water; • Strengthen the transport and communication networks by providing ambulances to health centres and boats (especially in Caprivi) and provision of telephones to the health facilities; strengthen information, education and communication on early warning signs, disease prevention and health promotion. • Provision of power in terms of solar energy to improve deliveries that occur at night in the health facilities without any source of power. Recovery expectations: The expectations for recovery include the provision of a safe water supply to health facilities that were flooded, such as Mabushe, Lisikili, Schuckmansburg clinics. In addition, a nutritional survey to assess the nutritional status of children and women in affected regions should be conducted. The survey will provide the prevalence of malnutrition in children which will assist in designing appropriate nutrition intervention in the affected areas. Finally, there is a need to provide tents and screens for carrying out outreach health services for purposes of confidentiality and privacy at outreach service points most especially in camp situation. Expectations – capacities gap • Need for capacity building to ensure that services are not disrupted. Need for telephone communications for health facilities such as Biro Clinic (Kavango Region), Schuckmansburg, Impalila, Kabbe, Isize, Mbalasinte Clinics (Caprivi Region) and Onakazizi, clinic (Oshikoto Region) to mention a few. • Where facilities are cut off, expand outreach services and ensure that there is communication (budget should be put aside for additional outreach services, fuel, as well as communication). • Purchase of two motor boats for accessing cut off clinics in Caprivi Region to work as ambulances and to transport medical supplies and equipment to the health facilities • Provision of means of transport to health centres especially those of Caprivi to quicken the process of referral and saving life to serve health centres and clinics that are attached to the health centres and to be used for outreach services • Need to have a community link with the health facilities; identify, train and support the community health care workers. Link their reporting to the health facilities including community-based disease surveillance • Train health workers at Regional and district levels in EPR and development of response plans and later cascade the training to lower levels • Build capacity of Health Information System and health facility in-charges in data collection, analysis, reporting and interpretation and cascade the training to community health workers • Introduce acute psychiatric In-patient care services in Rundu Intermediate Hospital. • Upgrade one of the clinics in Kabbe Constituency to be a modern health centre that can handle most of the referral cases to solve the problem of flood barrier for referrals and post a doctor there. Policy implications: Upgrading or construction of the modern health facility or setting up an acute psychiatric in-patient unit will require policy to address the issue. The activities from the recovery needs will be facilitated by: agreeing on an implementation plan and sharing information between delivery agencies and MoHSS, who will supervise on going activities with the purposes of ensuring that they are moving according to plan and agreed standards. 99
Intensive capacity-building activities in training and health service provision will be done in the first year and the rest will be completed within four years. Estimate of the health recovery and Reconstruction needs: Table 75: Estimates of health recovery and reconstruction needs ITEMS Total (N$) A. Reconstruction B. Recovery and filling in capacity gaps Health and nutrition education and promotion (including outreach teams) 400,000 Nutrition survey and surveillance 300,000 Integrated management of malnutrition 100,000 Transport and communication for health facilities: boats for Caprivi 37 100,000 Ambulances (5) 3,500,000 Telephones 21,000 Screens and tents for outreach points 210,000 Community Link including community based disease surveillance (Pilot in Caprivi and Kavango) 500,000 EpiDDRMic preparedness and Response (EPR) 200,000 Integrated Disease Surveillance and Response (IDSR) 300,000 Acute Psychiatric care unit in Rundu intermediate hospital - Modern Health Centre in Kabbe Constituency - Water and solar power to the Health facilities lacking 300,000 Coordination and supervision of health services and recovery activities 300,000 Total 600,000 Transport and communication for health facilities: boats for Caprivi 35 35 The boats required by Caprivi are Hoover boats that cannot get stuck in shallow water because of grass. The unit cost of the boats is N$150,000, and it is estimated that they will need two boats 100 <strong>Namibia</strong> POST-DISASTER NEEDS ASSESSMENT
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POST-DISASTER NEEDS ASSESSMENT FLOO
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Foreword In March of 2009, torrenti
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Table of Contents Foreword ii Ackno
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Table 51 Indication of losses incur
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List of Abbreviations AIDS Acquired
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Executive Summary In March 2009, fl
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The recommendations for recovery an
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Strengthened Community Awareness Co
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1.1 The 2009 Floods Omusati Oshana
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In addition, the President called u
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prolonged dry spells and droughts),
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2.1 Methodology In the aftermath of
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Figure 10: Distribution of damage (
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The average value of damage in the
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3.1 Sector Impacts: Infrastructure
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Rail and Air Transport There was no
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3.2 3.2.1 Sector Impacts: Productiv
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Needs/Timeline Table 16: Summary of
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worst, some in Oshikoto, Kavango an
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Private sector reconstruction using
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not have to provide food to learner
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Needs The needs of the environment
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4.1 Macro-economic Impact This sect
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Impact on the balance of payment Th
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4.2 Impact on Income and livelihood
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HIV/AIDS The floods caused consider
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5.1 Introduction The most likely sc
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Box: 2: Early Recovery: Guiding pri
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Housing, shelter and settlements Th
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5.4 Recommendations on when to move
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6.1 Recovery and Reconstruction Str
Page 63 and 64: Figure 36: Long-term reconstruction
Page 65 and 66: 6.5 The way forward The medium and
Page 67 and 68: 7.1 Situation during the Disaster T
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Page 71 and 72: could involve flags, megaphones or
Page 73 and 74: 7.3 On-going interventions While th
Page 75 and 76: Annex 1 Water Supply and Sanitation
Page 77 and 78: access. It was observed that if the
Page 79 and 80: water. Similarly, access roads from
Page 81 and 82: Table 44: Roads proposed for improv
Page 83 and 84: Annex 3 Energy Pre-disaster Situati
Page 85 and 86: Table 50: Losses incurred due to 20
Page 87 and 88: Annex 4 Agriculture, Livestock and
Page 89 and 90: System (NEWFIS), reported concerns
Page 91 and 92: and affect both urban and rural vul
Page 93 and 94: In 1998, the Government launched a
Page 95 and 96: Annex 5 Industry and Commerce Pre-d
Page 97 and 98: In Namibia, small businesses can be
Page 99 and 100: Needs In light of the vulnerability
Page 101 and 102: Table 66: Total damages and lost re
Page 103 and 104: Governance Issues Namibia is one of
Page 105 and 106: constructed elevated roads increase
Page 107 and 108: epresents 31 percent. In comparison
Page 109 and 110: Table 73: Early and medium and long
Page 111 and 112: and reproductive health. This was f
Page 113: Provision of safe water was done by
Page 117 and 118: The Table below indicates the numbe
Page 119 and 120: Table 80: Budget for 2008/2009 and
Page 121 and 122: The total damages and losses are su
Page 123 and 124: displacement and often impact girls
Page 125 and 126: Needs The education sector response
Page 127 and 128: The major long-term environmental c
Page 129 and 130: paltry in comparison to ongoing thr
Page 131 and 132: Table 90: Environment sector needs
Page 133 and 134: Annex 11 Food Security Pre-disaster
Page 135 and 136: mahangu and maize meal must be mutu
Page 137 and 138: Figure 42: Maize Meal Prices in Urb
Page 139 and 140: The total amount of food commoditie
Page 141 and 142: Food distributions • To strengthe
Page 143 and 144: Annex 12 GIS Mapping Background One
Page 145 and 146: spectrum (and roughly comparable to
Page 147 and 148: Useful web links and References For
Page 149 and 150: Activities Key Outputs Time Frame R
Page 151: Activities Key Outputs Time Frame R
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Namibia PDNA 2009 - GFDRR

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