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Rescue 1122 – Development Management Project Report

Acknowledgment:

First of all let us sincerely thanks to ALMIGHTY ALLAH for the timely completion of the RESCUE 1122 – Development Management Project Report “Development and progress of society depends upon creation of new facilities and services which prove to be a game changers and path breaking .We bring out such features in the context of rescue 1122” in accordance with development management.

RESCUE 1122 - Development Management Project Report

RESCUE-1122

Development and progress of society depends upon creation of new facilities and services which prove to be a game changers and path breaking .We bring out such features in the context of rescue 1122.

 

RESCUE 1122 – Development Management Project Report Overview:

  • Vision
  • Mission
  • Founder’s message
  • PDMA (Provincial disasters management authority)
  • Community safety
  • Human rights
  • Non income indicators (longevity)
  • Basic needs of life
  • Level of satisfaction or utility
  • Rescue 1122 as a game changer
  • Rescue 1122 creates new facilities
  • Role of rescue 1122 in the development of Pakistan
  • Institution building vs systems
  • Bottom up development vs top down development
  • Community infrastructure
  • Role of Punjab Emergency Council & District Emergency Boards
  • Community Emergency Response Teams (CERTs)
  • Community Action for Disaster Response (CADRE)
  • Role of rescue 1122 in the development of safer communities in Pakistan
  • Establishing a successful pre-hospital emergency service in a developing country: experience from Rescue 1122 service in Pakistan.

 

Rescue 1122 in the eye of Development Management

  • Introduction:
    The Punjab Emergency Service Act was promulgated in 2006 to provide legal cover to the Emergency Services Reforms initiated in 2004 from Lahore. Start of Rescue 1122 was necessitated by failure of repeated attempts to revitalize and modernize the old organizations mandated for emergency management. Now as a result of the performance of Rescue 1122 during emergencies and disasters in recent years, it has also been notified as the Disaster Response Force by the Provincial Disaster Management Authority (PDMA), Government of the Punjab.
  • The Punjab Emergency Service (Rescue 1122) started in 2004 with a hypothesis that if you are not even prepared for an emergency do not expect a miracle in case of a Disaster.

 

Rescue 1122 Vision :

“Saving lives and changing minds”

Rescue 1122 Mission:

“Development of safer communities through establishment of an effective system for emergency preparedness, response and prevention.”

Rescue 1122 a Trend setter:

  • Community Safety
  • Rescue 1122 is not just providing the emergency victims with the basic right to timely emergency care but believes in “saving lives and changing minds”. This is vividly reflected in the mission statement of the Service which is “development of Safer Communities through establishment of an effective system for emergency preparedness, response and prevention”

Human rights and rescue 1122

  • Non income indicators
  • Basic needs of life
  • Level of satisfaction or utility

 

Rescue 1122 as a game changer:

  • Role of Punjab Emergency Council & District Emergency Boards
  • The Punjab Emergency Council at provincial level and District Emergency Boards at District level have been constituted under the Act for prevention, effective management of emergencies and mitigation of hazards endangering public safety. The Provincial Council and the District level Boards are well represented by senior Government Management including heads of related organizations like Health, Home, local Government, Transport, Police and Environment Departments and members of Legislative assemblies.
  • Fire safety and prevention
  • Road safety
  • Community Emergency Response Teams (CERTs)
  • Safety Education
  • Emergency Training of Citizens
  • Collaboration with Chamber of Commerce & Industries
  • Community Action for Disaster Response (CADRE)

 

Rescue 1122 and development approaches

  • Institution building vs systems
  • Bottom up development vs top down development

 

New facilities/Role of rescue 1122 in the development of safer communities in Pakistan

  • Pre hospital service:

Until recent past, people of the Pakistan were deprived of their basic human right of availability of timely pre-hospital emergency care. There were 95% chances that an injured person dying on the road, shall not get an ambulance in time. Similarly, emergency services like fire, rescue and disaster response teams were virtually non-existent in the country.

Pre Hospital service :

  • Old trend was just an ambulance and a stretcher
  • Modern trend is pre hospital service ( not just and ambulance and a stretcher but also oxygen , first aid , trained staff and much more)

 

Expanding the scope of service

Rescue 1122, which initially started as an ambulance service, has over time expanded its scope to include the following other services:

  • < Fire services
  • < Rescue services
  • < Disaster response teams
  • < Community safety programme

Construction of ambulance stations

  • Target time: 7 minutes
  • Ambulance station on different locations

 

Monitoring quality of service

A GPS (global positioning system) fleet tracking system has been developed with a street map which is linked to a centralized tracking system being monitored and analyzed in control rooms and provincial monitoring cells. This system watches the movement of all vehicles and is also used to track response times. Furthermore, all calls received are also monitored with a comprehensive call monitoring software.

Putting up an organizational structure:

The service operates in all districts of the province, with plans to expand to the rural areas. All of the districts are directly under the command of the headquarters which is located in the provincial capital and is directed by the Director General of Rescue 1122. Each district is headed by a district emergency officer and a subordinate emergency officer responsible for smooth running of the service, during both routine as well as mass casualty events. Each district has a control room which functions as a dispatch center, and various rescue stations housing ambulances, fire and rescue vehicles. The headquarters is responsible for policy guidelines, development, recruitment and training, and quality monitoring through a provincial monitoring cell. However, for day to day administrative support the district emergency officer reports to the local district head.

 

KEY LESSONS LEARNED

Some of the reasons why Rescue 1122 is a low-cost viable model for EMS services which can be replicated elsewhere in the developing world are as follows:

  1. Local manufacturing of the required infrastructure is possible in Pakistan. All vehicles used by the services, including ambulances, fire engines, aerial platforms and rescue vehicles have been indigenously developed in Pakistan, following international standards. This has saved a foreign exchange of US$ 25.58 million. The local manufacturing has also facilitated the maintenance and repair of vehicles.
  1. The service stations have been established according to the response time rather than the target population as discussed above. This can be a model for other developing nations because more people can be served with less resources. The instructors of the Academy were certified as trainers for Medical First Responder and Collapsed Structure Search and Rescue courses from the Programme for Enhancement of Emergency Response Programme of United States Agency for International Development. Since then the 4 month training has been taken over by these instructors, incurring a bare minimum average expenditure of Rupees 19 902 (US$ 234)
  1. All the training and teaching manuals have been adapted where necessary for local needs and some have been translated. This has further helped in reducing costs.
  1. The Emergency Ambulance, Rescue and Fire Service is run under a single command and control structure. This was done to avoid confusion, especially during disaster situations where a break in communications is a major pitfall. Its actual impact on outcomes of disaster response needs to be studied through prospective studies.

 

CONCLUSION

Rescue 1122 has managed to set up a low cost, effective system of pre-hospital care which can be replicated in other developing countries with little or no modification. Almost all the recommendations of the World Health Organization guidelines for pre-hospital trauma care systems have been fulfilled. However, prospective and retrospective clinical trials are needed to verify the efficacy of the system and its role in the healthcare sector.

We salute you!!!

Lets salute, Rescue 1122 for providing flawless emergency rescue services even during the Eid Days, they are the real heroes of Pakistan … !!! #RESCUE 1122 – Development Management Project Report

http://www.rescue.gov.pk/Display.aspx?ID=15797351248943