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Hospital Preparedness for Emergencies (HOPE)

Prof. Pradeep Vaidya

There are three core courses – Collapsed Structure Search and Rescue (CSSR), Medical First Responder (MFR) and Hospital Preparedness for Emergencies (HOPE) under the PEER program. Among the three, the Hospital Preparedness for Emergencies Course addresses the structural, non-structural, organizational and medical concerns of health facilities in order to develop and implement well-designed plans that increase their capacity to respond effectively to emergencies. The HOPE course was developed by the regional experts with the collaboration of the John Hopkins University. The course is being delivered in Bangladesh, India, Indonesia, Nepal, Pakistan and the Philippines.

The first HOPE Course in Nepal was conducted in Godavari in the year 2004, where some Nepali doctors and nurses were trained. National Society for Earthquake Technology-Nepal (NSET) a NGO was implementing it with the aim of institutionalization in the country. NSET signed a Memorandum of Understanding (MOU) with Institute of Medicine with the aim of institutionalization and maintaining the highest standard of the course. After the MOU, IOM has conducted almost all the HOPE courses in Nepal with collaboration with NSET and Ministry of Health and Population (MOHP), Nepal. IOM was assisting the NSET to conduct the course in the other five countries of the region. In the process of gaining ownership for the country, IOM signed a MOU with MOHP and from then onwards for two years, HOPE was included in the budget of MOHP. In the year 2008, following many suggestion to make it a Multi Hazard Disaster Course instead of Earthquake specific Course, it was revisited and modified by again the regional disaster experts, coordinated by Prof. Pradeep Vaidya of IOM. It was completed, tried and tested successfully in all the six countries of the region.



Modifying HOPE to Multi Hazard Course Taking HOPE class

The HOPE courses are intended for members of hospital disaster-planning committees, including hospital administrators, hospital engineers, emergency room physicians, nurses and hospital planning staff. It is a four days of in house course. The instructors are all experts and had gone through rigorous training after the HOPE course. The instructor first completes the HOPE course successfully followed by a five days course of HOPE Training for Instructors (HOPE – TFI). The HOPE – TFI is a course where the participants must gain good marks to successfully complete it. After completion of this course, the participants with good potential on being instructors are chosen as Assistant Instructor in subsequent courses. From the pool of the assistant instructors, only some make it to being a full instructor. From then one may become a coordinator and the monitor.

Methodology includes interactive lectures and discussions, case studies and a variety of exercises and simulations. The course consists of interactive lectures and exercises. Materials include an Instructor Guide, Lesson Plans, Participant Workbook, Coordinator Guide and Reference Materials. The course focuses on the following issues and topics:


Disaster simulation Certificate distribution from the former Dean, Prof. Ramesh K. Adhikari


Overview of Disasters
Disaster Risk Management
Disaster Epidemiology and Patterns of Injury
Structural Components
Non Structural Components
Functional Collapse of Hospitals
Pre- Hospital Care
Emergency Department
Principles of Disaster Medicine
Hospital Emergency Incident Command System (HEICS)
Hospital Preparedness Planning
Techno-Industrial Disasters
Complex Emergencies
Mass Casualty Incident
Mass Gathering Event
On-Site Medical Care
Psychosocial Consequences of Disaster
Inter-agency Coordination
Hospital Internal Disaster
Mass Fatality Management
Disaster Risk Communications
Resource Management
Epidemics and Emerging Infections
Return to Normal Health Operations