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Operation Room

Health Systems Resilience

Health systems are a lifeline for any community. In rural areas a single hospital or clinic may be the only place to go for medical care. But at a time when people need them most, disasters can cripple these facilities. 

Utilities and roads can also suffer damage and fail, cutting off outside services.

 

To care for a surge of injured patients, and to keep functioning through challenging conditions, health systems must prepare to go it alone. That’s why we help medical staff identify their crisis roles, plan how to evacuate, practice disaster response in realistic simulations, and avoid losses. We also help plan for backup water, power, communications, and critical supplies.

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“No one should survive a disaster and then die at a hospital due to poorly built facilities or system failure. Hospital resilience is more than ensuring the safety of facilities. It is also developing staff leaders who are ready to face the unexpected situation that many recent disasters have provoked.”

Garmalia Mentor-William, M.D.

Haiti Representative, GeoHazards International

Projects

Projects

Strengthening Haiti's Health Facilities for Disaster Resilience

2025 - 2027

Haiti

Haiti’s health infrastructure faces substantial challenges delivering consistent, inclusive, quality care across the country. A Small Island Developing State with a challenging political context, Haiti has endured extreme consequences from several types of hazard events.

Hospital Safety Index Assessment Training and Implementation Nepal

2024

Nepal

A comprehensive three-day training program on the application of a customized WHO Hospital Safety Index (HSI) tool was conducted in Kathmandu, Nepal, from December 9-11, 2024. The event, organized by Nepal's Ministry of Health and Population in collaboration with its health emergency units, WHO (both country and regional offices), and partners including GeoHazards International (GHI) and Coalition for Disaster Resilient Infrastructure (CDRI), aimed to enhance the resilience of the country's healthcare facilities against various hazards.

Bhutan Health Emergency and Disaster Contingency Plan (HEDCP)

2024

Bhutan

The Bhutan Health Emergency and Disaster Contingency Plan was developed through the WHO funding in collaboration with the Ministry of Health.

Mizoram Health Sector Training

2022 - 2023

India

Building resilient health facilities in Mizoram through disaster preparedness planning, training, and scenario-based simulation exercises

Rapid Post Earthquake Community-Sourced Data Collection

2021

Haiti

A magnitude 7.2 earthquake struck Haiti’s southern peninsula in August 2021, causing extensive building failures that killed thousands.

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“It is not enough that a hospital building itself withstands an earthquake, flood, fire, or terror attack. Critical equipment and services of the hospital have to remain running, at 300% of design capacity, to serve the dependent community.”

Hari Kumar, Ph.D.

South Asia Coordinator, GeoHazards International

News

Blog

Publications

Publications

Bir Hospital Assessment Report, Nepal

2013

A seismic assessment of Bir Hospital, a tertiary referral and teaching hospital run by the National Academy of Medical Sciences. Bir's disaster preparedness is a high priority because it offers numerous medical specialties, serves as a center for disaster response, and provides care for Kathmandu’s poor and a large number of people.

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Seismic Vulnerability Assessment of Trashiyangtse Hospital, Bhutan

2013

Recommendations to reduce vulnerability at the sole hospital in a remote district. Earthquake-triggered landslides that will block access, so the hospital must prepare to provide essential care in isolation.

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Seismic Vulnerability Assessment of Trashigang Hospital, Bhutan

2013

Recommendations to improve preparedness at Bhutan’s main district hospital, facing high earthquake hazard and geographic isolation that will affect relief and resupply.

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Paropakar Maternity and Women’s Hospital Assessment Report, Nepal

2013

A seismic assessment of Kathmandu’s specialty centre providing essential care for women and newborn babies. A tertiary central hospital popularly known as Prasuti Griha, its disaster preparedness is a high priority.

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Kanti Children’s Hospital Assessment Report, NEPAL

2013

A seismic assessment of the only tertiary referral hospital for children in the Kathmandu Valley, and its disaster preparedness is a high priority. Almost half of patients travel from far and remote areas outside the Valley to access care.

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Seismic Vulnerability Assessment, Jigme Dorji Wangchuck National Referral Hospital (JDWNRH), Bhutan

2012

The assessment report is considered a best practice report in the hospital seismic safety sector, and it informed extensive preparedness and planning in this hospital.

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Reducing Earthquake Risks in Hospitals from Equipment, Contents, Architectural Elements and Building Utility Systems

2011

Shows how to equip hospitals to function in a disaster: plan for backup utilities, find and mitigate vulnerabilities in the buildings, and secure objects that could topple and cause injuries in an earthquake. Intended for hospital administrators, engineers, and maintenance staff. 

Additional Resources

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