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INFORMATION > WHO Paper
 
WHO Recommendations

Paper for the Workshop on ‘Disaster Management for the Health Sector in Indonesia’,
Bali Padma Hotel, Kuta, 11-13 Juni 2003

VOLUNTEER ASSISTANCE AT SANGLAH HOSPITAL
AFTER THE KUTA BLAST (12-10-2002)

Sita T. van Bemmelen1

  1. Coordination of volunteer assistance

    “We did have chaos”, is the description one volunteer leader gave of the situation during the first 2 days. This is a personal view, but I think that many volunteers had that feeling at the time. An overall organizational structure, a central point delegating tasks, was lacking. Volunteers and volunteer groups did not have a coordinating point yet, neither amongst themselves, nor with the hospital.

    For three reasons this has not thwarted voluntary work. First, some volunteers had a more or less established line of contact with some doctors in charge of this disaster’s management (Dr. Cakra, Dr.Wayan Sutarga)6. Secondly during the first days the hospital was welcoming assistance and very accomodating. Appropriate spaces – for the intake at the entrance of the polyclinic, a hotline, a crisiscentre, intake of medicines, intake of cloth, a cafetaria - and some use of facilities were very quickly provided. Third, amongst volunteers some persons stepped into a leadership role quite naturally.

    However, over the days the lack of structure and control became a problem – in particular for the hospital - as the number of volunteers swelled and not every volunteer had something useful to do. Moreover the Red Cross, which had not been able to take on all the tasks done by volunteers at once, after a few days was ready for it7. The request by the hospital to step back, caused friction and frustration on the part of some volunteers, especially those who had been working hard. This could have been forestalled with an organizational structure in place.

    Recommendation:
    • COORDINATION of all volunteer assistance must be with the task force of the HOSPITAL

    Note. Perhaps on the outside this recommendation seems self-evident. But at the time, the situation proved it was not. The hospital asked the volunteers to organize themselves -which was impossible because too many different groups of individuals not knowing eachother were involved. For some volunteers it was also not self-evident as they were close to ‘running their own show’. The recommendation given here implies that it should be clear from the beginning that volunteers are there to assist the hospital, and nothing more.

    Detailed recommendations:

    Preparation (including recruitment of volunteers)

    • specify taks to be assigned to each organization. This makes it easier for the organizations to recruit volunteers with the required skills.
    • determine which volunteers tasks fall under which member of the Hospital Crisis Intervention Team that has been trained for Disaster Preparedness and include this in an organisation chart.
    • include representatives from consulates (if there are consulates, like in Bali)
    • Put these data on a website listing all registered volunteers including their specific skills and organization (the web site could have an sms capability, so that hundreds of sms messages can be sent very quickly to people needed immediately). Include a registration form and ad in local media (Bali advertiser, Bali Post, Nusa) so people can apply as a volunteer and fill in their skills.
    • Set up an agreement who will and how to phase out of volunteers.
    • Training updates (once a year?) with volunteer organizations to go over the procedures according to the emergency plan and to exchange updated information on the names, telephonenumbers etc. of the contact persons at the hospital and on the side of the organisations.
    When disaster occurs:
    • Organisation chart to be at hand and to be put up in strategic places in case of crisis (in print).
    • Register ’loose’ volunteers (doctors and nurses on holiday) at a special coordinating desk by the hospital, that works with a classification system for volunteers (professionals in categories, ‘muscles’). So they can be called if needed later.
    • Hand out badges for volunteers with their section and task on it are available beforehand. (now every volunteer had a name tag saying ‘volunteer’, actually not very functional).
    • Rosters to be made for volunteers. People got totally overworked (and worked-up!).

  2. Back to Recommendations Page


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