Trainer's Notes for the UNHCR Emergency Management Training SESSION 5.1. Simulation Debriefing Humanitarian Results Session at a glance Content Approx. Time Instructional Activity Introduction 15 minutes Q&A; Participant perceptions of humanitarian results Mortality rate presentation 15 minutes Plenary presentation Humanitarian results of simulation 20 minutes Plenary Presentation of actual results Message traffic review 10 minutes 5 biggest problems 15 minutes Small group work Review and Wrap-up 15 minutes Group reports Total Time 90 minutes Main objectives After completing this session, participants will be able to: understand the importance of the mortality rate in ascertaining the progress – or lack thereof - of the emergency response describe the actual results of the previous day's simulation and understand the reasons for those results Supplies Flip chart and markers Overhead or data projector and screen Applicable overheads (to be edited according to the results achieved during the previous day’s simulation) General guidance This session is designed to explain the role of the mortality rate in understanding the magnitude of the emergency, and to provide a common understanding of the actual humanitarian results of the simulation. It is a lead-in to the follow-up debriefing session which focuses on the need for good coordination amongst all actors in an emergency. Key Points The main points in this session include: 1 Trainer's Notes for the UNHCR Emergency Management Training 1. Changes in the mortality rate are the clearest indicator of improvement - or worsening - in the emergency situation. 2. In an emergency, managers must try against all odds to avoid red tape and move quickly when lives are at stake. The normal operating rules often do not - and should not - be applied. 3. Time taken for preparedness and operations planning is time well-spent. Session Activities Introduction 15 minutes Introduce the session by engaging the participants in a brief review of the simulation: what were some of the major successes and problems encountered with regard to humanitarian issues. Do not spend more than a few minutes on this; the session will dig into major problems. The intent is simply to get the participants in an analytical frame of mind with regard to the simulation. Try not to have any one participant go on and on - there will be plenty of time for them to discuss their views in the session. Mortality rate presentation 15 minutes Tell them that to understand the actual results of the simulation - as in any real emergency it is critical to understand the role of the mortality rate in assessing the magnitude of the emergency situation. This activity show s participants how the rate is calculated. Stress that the first aim of any emergency response is to bring down excess mortality - i.e. mortality caused by the emergency situation - to the normal level. Show slide 3 and ask “Does this represent an emergency?” Note then the importance of knowing the "rate" of death: to know that 2 or 3 or 300 individuals died last week tells us nothing in terms of ascertaining whether or not an emergency actually exists. Note that there is always mortality; it is knowing whether or not the rate that is "normal" for a population is increasing to unacceptable levels that can inform the manager about whether or not conditions have deteriorated to what can be considered "emergency" conditions. Use slides 4-6 to explain the meaning and role of the mortality rate in assessing the magnitude of an emergency, and to indicate normal mortality rates for the industrialized and developing worlds, both crude and child. Indicate the rates for normal. Serious, out of control, and catastrophic situations. Then use slides 7-8 to quiz participants on calculation of the mortality rate. Take their responses until a participant correctly offers "6 deaths per 10,000 persons per day" as the answer. Stress that the answer must be expressed as a rate - not as an absolute number. Humanitarian results of simulation 20 minutes This activity is intended to give participants a graphic portrayal of the changes in population and death rates of each refugee camp and local communities during the progress of the previous day's simulation. The death rate and population change slides should have been prepared the previous evening, based on the calculations in the monthly reports prepared by the participants playing refugees and SCAD. Use these slides (9-20) to indicate the death rate and population changes throughout the simulation day. Note any sharp increases or decreases in death rates in particular camps. 2 Trainer's Notes for the UNHCR Emergency Management Training Ask participants why they think such steep changes occurred. Note that a series of steep increases and decreases is often seen in a catastrophic situation as particular groups become more and more vulnerable and then die off, one after another. Message traffic review 15 minutes The message traffic review is included simply to indicate to the participants how much time and energy were spent generating "paper" traffic- as is the case in many emergencies. The point to make is that participants were told during simulation instructions to use the message forms to requisition supplies and submit required reports. In all simulations, participants use them for almost every correspondence need, using up valuable time in writing rather than meeting face to face. The facilitator should read through a few choice messages and then make the point that managers working in an emergency should do their best to reduce red tape. Slides 21-23 are available to graph the changes in and major topics of the simulation message traffic; facilitators can decide whether or not to edit them in advance and show these changes during this debriefing session. 5 biggest problems 15 minutes Form the participants into five groups, show slide 24, and ask each group to spend about fifteen minutes discussing what they felt were the five biggest problems encountered during the simulation. Ask them to prioritize them on a flip chart. Review and Wrap-Up 15 minutes Go around to each group and ask them what their number one priority problem was. Ask each group to explain briefly there reasoning for this number one issue. Then quickly note those issues that pop up on the flip charts most frequently. Presumably, most groups will mention lack of coordination as one of the major problems. This is your lead-in to the next session. Wrap-up by noting the critical need for coordination – both vertical and horizontal – in an emergency. Note that the next session will focus in on this issue of emergency coordination. 3