2015-09-28-世界卫生组织-Comprehensive_safe_hospital_framework_12页_465kb

Comprehensive Safe Hospital Framework Summary

Background

The Comprehensive Safe Hospital Framework is a strategic initiative by the World Health Organization to enhance the safety, security, and functionality of health facilities, particularly hospitals, to ensure they can continue providing essential services during and after emergencies, disasters, and other crises. Hospitals are critical infrastructure, and their destruction can lead to loss of life, financial loss, and diminished trust in health systems. This framework promotes an all-hazards approach, including risks from climate change, violence, and disasters.

Why Safe Hospitals Are a Priority

Health facilities invest significant portions of ministry budgets (e.g., up to 70%) and are vital for community well-being. Protecting them ensures continuity of care, reduces casualties of emergencies, and supports disaster risk reduction efforts globally.

Progress to Date

Since over 20 years, WHO and partners have supported safe hospital programs through global campaigns, assessments, and capacity-building. Seventy-seven countries reported implementing such activities, with many retrofitting facilities and training staff. However, efforts remain sporadic and under-resourced.

Challenges

Many low-resource countries face barriers in integrating safe hospital initiatives into national development plans and securing sustainable funding. Risks include inadequate building standards, lack of emergency preparedness, and insufficient coordination across sectors.

Vision and Goals

The vision is to protect lives and health from emergencies. Goals include enabling hospitals to function sustainably in crises, protecting staff and patients, safeguarding physical infrastructure, and enhancing resilience to future threats like climate change.

Framework Components

The Safe Hospital programme comprises four key components:

• Policy, Legislation, and Norms: Develops standards for safe construction and operation, including accreditation and enforcement.
• Coordination and Service Delivery: Ensures multi-sector collaboration for preparedness and response, addressing referral systems and emergency plans.
• Knowledge and Information Management: Relies on risk assessments, evidence, and lessons from past disasters for continuous improvement.
• Resource Management: Allocates financial and human resources for implementation, including efficient equipment and infrastructure.

Implementation Mechanisms

Guiding principles include strong coordination, stakeholder engagement, evidence-based practices, and monitoring. Countries should adapt the framework to local contexts, with global partners providing technical and financial support through task teams and indicators for evaluation.

Expected Results

• Safer, more resilient health facilities.
• Healthcare systems that deliver services in emergencies.
• Hospitals recognized as critical assets in disaster risk management.
• Enhanced designs to withstand future risks, with reduced costs through improved efficiency and sustainability.

Targets

By 2030, all new hospitals should comply with safety codes, at least 80% of other health facilities should be safely retrofitted, and all hospitals must have emergency plans. Monitoring indicators include assessment completion, plan implementation, and functionality in crises.