Status of Emergency Medicine and Disaster Preparedness in the Philippines

Status of Emergency Medicine and Disaster

Preparedness in the

PhilippinesTeodoro Javier Herbosa MD FPCS FPCEM

Professor Emergency MedicineCollege of Medicine

University of the Philippines, ManilaUndersecretary of Health (2010-2015)

Philippine Emergency Medicine and Disaster Preparedness

• The present status of the emergency care system, emergency medicine training, and the disaster preparedness

• The plan to improve the emergency care system, emergency medicine training, and the disaster preparedness

• The future possibility to have the international collaboration for emergency care system, emergency medicine training, and the disaster preparedness

• The present status of the emergency care system, emergency medicine training, and the disaster preparedness

• Emergency Care System

• Archipelago 7,107 islands

• Universal Health Coverage

• Public and Private Health system

• Decentralized Health Governance

• Varied standards of Emergency Care and Disaster Preparedness

Prehospital Care• Philippine Society of Emergency Medical Technicians

• Local Government Units: Makati, Manila, Davao etc.

• National Bureau of Fire EMS

• DoH Regional Hospital EMS

• Volunteer Groups: Phil. Red Cross; ERUF etc

• Filipino EMTs are exported to EMS in Middle East: KSA, UAE, Qatar etc

Modern Emergency Medicine 1980's

• Philippine Society of Emergency Care Physicians (PSECP) University of the Philippines, Manila 1988

• Philippine College of Emergency Medicine and Acute Care (PCEMAC) Makati Medical Center 1988

• Philippine College of Emergency Medicine 2008

• I year of Rotating Internship and 3 years of EM

PBEM • Philippine College of Emergency Medicine

an autonomous body known as the Philippine Board of Emergency Medicine or PBEM with following functions:➢Accreditation of Emergency Training

Program➢Administration of the Specialty Board

Exam (AND in-service examinations)➢Conferment of Diplomate status

1. De la Salle University Medical Center2. East Avenue Medical Center3. Makati Medical Center4. Ospital ng Makati5. Pasig City General Hospital6. St. Lukes’ Medical Center7. University of Perpetual Help-DALTA Medical

Center8. University of the Philippines-Philippine

General Hospital9. Vicente Sotto Memorial Medical Center

Accredited: (May 2015-May 31, 2018)

1. Daniel Mercado Medical Center (until September 30, 2015)

2. Taguig-Pateros District Hospital (until May 31, 2015)

On-going accreditation

Manila Doctors Hospital

Partial Accreditation:

Disaster Preparedness

• NDRRMC National Disaster Risk Reduction and Management Council

• Regional DRR Mangement Councils

• Provincial DRR Management Councils

• City DRR Management Councils

• Municipal DRR Management Councils

• Barangay DRR Management Councils

Philippine Civil Society DRR• Disaster response in the Philippines is truly a multi-sectoral and

mass-based endeavor.

• A major contingent to the disaster management structure is composed of civic organization, non-government organization, people's organizations, and all forms of religious and social voluntary groupings.

• Partly because of their democratic political experience, the high public awareness of the destructiveness of disaster, and partly because the institutional framework for disaster management has encouraged it, popular participation of the Filipino people in disaster response is very broad, sustained, enthusiastic, organized and ultimately decisive.

Philippine Civil society DRR

• Private organizations have filled gaps in the government response as well as augmented strained officials capacities.

• These include services such as medical care, search and rescue, emergency housing and feeding, and many other needs.

• Initiatives in resource mobilization have allowed the country to tap aid from unaffected areas to flow to affected areas.

• Many social institutions like Church, the schools, the media and professional associations have become channels for popular participation in disaster management.

• This broad response of the civil society provided the Philippine disaster response with a depth and strength gained only from the cruel lessons of recent disasters.

• This may be an important silver lining to dark clouds of disaster which had the threatened the nation.

• The plan to improve the emergency care system, emergency medicine training, and the disaster preparedness

• Prehospital - Leadership & Governance; Standards and Financing; Local Health Systems Strengthening; correct brain drain

• EM Physicians - in every emergency department in all public and private hospitals

• Disasters - Build Back Better; Capacity building; Logistics and Supply Management; Resilence; Research and Innovation Use of Science & Technology, international collaboration

• The future possibility to have the international collaboration for emergency care system, emergency medicine training, and the disaster preparedness

International collaboration• Classification of Disaster Teams

• Pre Registration of Disaster Teams

• Coordination with host government

• Pre arranged Coordination in ASEAN

• Review and Rating system

• Regional (International) DRR plans

Emergency Medicine and Disaster Preparedness