In Nepal, climate induced disaster and non-climatic disaster have huge effect and impact in infrastructures of the Health Care Facilities (HCFs). The 2015 Earthquake have damaged 6,422 HCFs infrastructure (Post Disaster Need Assessment, 2015). Many studies conducted in health sector has informed that climate change impacts has posed serious threats and challenges in achieving the target set out in the Sustainable Development Goals (SDGs) as well as in national policy and strategy documents.
With this context, Rupantaran Nepal was contracted by World Health Organization for developing “Guidelines for Climate Resilient Health Facility” under “Building Adaptation to Climate Change in Health in Least Developed Countries through Resilient Water Sanitation and Hygiene (WASH) in Nepal”. The contract was commenced in November, 2017 and completed by March, 2018.
The main objective of the assignment was to develop “Guidelines for Climate Resilient Health Facility”. RN worked with – and – support MoHP in preparing guidelines to enable the design, operation and well functional of the health care facility in a climate resilient way.
The key activities performed during the contract period were as follows
- Formal and information meetings were done with WHO and MoH prior to undertake inception workshop. An inception workshop was organized with active participation of health sector stakeholders and officials. Total 28 numbers of SHs team including consultant were participated and provided inputs and comments on the overall process/ approaches of guideline development and its contents.
- RN team reviewed the documents including GoN’s acts, regulation, policies, plans, strategies and other related documents which were available in open space. Similarly, Minimum Service Standards (MSS) of District Hospitals and other health care facilities were also referred and reviewed. Based on the inception workshop feedbacks and desk review, Zero Draft of the guideline was prepared with support of consultant outsourced for the assignment.
- A series of consultations with senior officials of MoH, DWSS, DoHS, NHSSP, AEPC, MoFE and Department of Environment were undertaken through which critical feedback and inputs on the draft guideline were received to make the guideline practical and implementable.
- Beside, RN and its consultant team visited two health care facility centers to understand the services offered and observed the HCF infrastructure through the lenses of climate risks and resilient prospects which was very insightful for the improvement and enrichment of the draft guideline and making it practical.
- Based on the consultation and field visit the draft guideline was updated, enriched and shared with the wider stakeholders including WHOs and MoH for their feedback and inputs and received feedback and inputs.
- Finally, the feedback and comments were integrated into the guideline and peer review was undertaken by an internal team and submitted hard and soft copy of the guideline to the WHO and MoH for further process and action.
- The assignment was completed timely and well-coordinated with Government Stakeholders.
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