World Vision International

Health in Emergencies

Health is a critical determinant for survival in emergency. World Vision's Health and Nutrition Emergency Response reduces mortality and disease burden in vulnerable populations affected by humanitarian emergencies.  We restore access to curative and preventative health and nutrition services. Our response framework and programmes are aligned to the Sphere Minimum Standards for Health in Action.

World Vision responds to four types of emergencies:

  • Rapid Onset: Geophysical (Earthquakes, Landslides, Tsunamis, Volcanic activity); Hydrological (Avalanches, Floods); Meteorological: (Cyclones, Storms / wave surges);  Climatological (Wildfire)
  • Slow Onset: Climatological (Drought, extreme temperatures);  Displaced populations
  • Complex: National conflict (fighting between groups); International conflict; Displaced populations
  • Disease Outbreak/Epidemics: Airborne / person to person (Influenza, Meningitis, Measles, Ebola /  Marburg); Waterborne (Cholera & AWD / ABD, Poliomyelitis, Typhoid, Leptospirosis); Vector (Dengue Fever, Zika, Yellow fever, Malaria, Leishmaniasis) 

 Our Response: 

  1. Vulnerable groups such as women and children can access essential health and nutrition services in the immediate aftermath of a disaster.
  2. Health and nutrition systems are strengthened to meet the immediate and longer term needs of the affected populations.
  3. Families and communities are supported to understand, monitor and protect themselves from public health risks, ensure each other’s wellbeing and access to health and nutrition services.
  4. Early Warning and Surveillance are established to enable rapid detection and response to public health issues of concern.  
  5. Inter-agency level health and nutrition coordination platforms (area / country / regional levels) are supported, effective and meeting key needs of target groups

Maternal Newborn Child Health in Emergency:

During an emergency response, World Vision implements the interventions from our 7-11 strategy, prioritized to the context of the emergency.

The vast majority of childhood deaths in emergency context are due to the same conditions that take lives every year in non-emergency situations. Diarrhoeal diseases, measles, malaria, pneumonia are direct causes of child morbidity and mortality. In emergency conditions, the 7-11 MNCH programming interventions are given to provide services that hope to reduce these diseases that lead to child mortality.

Read the "7-11 in Emergency" Field Guide.

Childbirth and Newborn Care:

To prevent excess maternal and newborn death in emergency context, minimum initial services package for reporductive health are to be put into place. These include: 

  • Establishing a referral network that facilitates transportation and communication to and from the health centre and the hospital, especially for emergency obsteric and newborn care
  • Providing clean delivery kits to all visibly pregnant women and to birthing facilities
  • Educating the community on healthy childbirth practices, immediate newborn care and early and exclusive breastfeeding



Nutrition for Expectant and Lactating Mothers:

In communities where nutritional needs of the general population are not met, World Vision staff should work with the United Nations World Food Programme to determine the appropiate food needs and nutrition supplementation for both pregnant and lactating women. Even if pregnant and lactating women are receiving fortified foods, UNICEF and World Health Organization recommend a daily multiple micronutrient formula to meet the mother's needs. Read more on World Vision Nutrition in Emergencies Programming.

Infant and Young Child Feeding: 

In emergency context, children become more vulnerable to disease and death. With optimal infant and young child feeding practices, the high risk of undernutrition and death can be reduced. Complementary feeding, which significantly contributes to the prevention of undernutrition and mortality in children after 6 months of age, should not be overlooked in emergencies. Read more about our Nutrition in Emergencies Approaches.

WAYCS Approach:

WAYCS stands for Women Adolescent and Young Children Space, a WV project model that are set up as part of health response in emergency context to enable women to breastfeed in privacy and facilitate peer-to-peer support for breastfeeding and to give those who are having diffiuclties to breastfeed or those who wish to restart to do so to receive skilled support.

Watch this video on creating a space for women to express their needs while accessing life-saving health and nutrition information for their families.

Recent Response Actions

Provided remote support to regional and national offices to the following emergencies in 2015 and 2016: Led the Health and Nutrition operations to IraqSyriaSierra Leone, Ebola Virus Disease OutbreakNepal Earthquake and Zika.

Other health responses that were undertaken by World Vision have included access to MNCH services in Iraq(2014), Northern Syria(2013), Haiti Earthquake and Pakistan Floods(2010); and, support to pregnant and young mothers in N.Syria, Philippines(2013) and Pakistan(2009,2010) in addition to supporting bottle fed children involved in the European Migration crisis (2015). 

Strengthening and support to the health system to improve access to Maternal and Child Health services: WV responded in Kurdish Region of Iraq(2014), Northern Syria(2013), Haiti Earthquake and Pakistan Floods (2010) by providing basic medical needs and services in addition to training for community health workers. Additionally, in response to the Haiti Earthquake, WV supported 10 hospitals with essential drugs and equipment. 

Support for Infant and Young Child Feeding in Emergencies: WV gave access to clean delivery kits in Haiti and Pakistan, N.Syria and KRI. WV provided optimal support to lactating women through Women and Young Child Spaces(WAYCS) and to bottle fed children amidst the European Migration crisis (2015). 

Control of communicable diseases: Our response team worked closely with the WASH team in control of disease outbreak in cholera affected areas such as Zimbabwe (2009, 2015), Pakistan (2010) and Kenya (2015). 

Management of Acute Malnutriton: With support from UNICEF and WPF, WV worked towards setting up programs, such as Supplementary Feeding Programs(SFP).  In addition, in 2015 alone, World Vision treated more than 160,000 children with acute malnutrition through it's Community-based Management of Acute Malnutrition (CMAM) Programme.

Rehabilitation of Health Centers: In response to health centers that were damaged by the disaster, WV rehabilitated centers in Phillipines, Nepal, Iran and N.Syria in addition to providing ambulance services in N.Syria

Support to Ebola Affected communities: Through WV Channels of Hope for Ebola (2015), WV worked with faith leaders on providing support to survivors and affected families along with bringing awareness of practices towards Ebola prevention.  You can read more on the Ebola Response at this link.

Dr. Mesfin Teklu on World Vision's Emergency Health and Nutrition Programmes

Publications and Toolkits

     

Contact: 

For more information or general questions about Health in Emergencies, please contact:

Dr. Ando Tiana Raobelison
Health Specialist-Global Technical Team-Humanitarian Operations
Phone +254 733 770 I 49 
Skype: ando.tiana