HE03 : Sécuriser les structures de santé dans les environnements dangereux ?

Health care in danger, a question of life and death



According to the data collected by the ICRC in 11 countries affected by armed conflict between January 2012 and December 2014, over 50% of 2400 incidents of violence against health care took place in the vicinity of, within, or had directly targeted health facilities. Beyond the immediate effect, the impact of destructions is felt long time afterwards, affecting public health activities and depriving entire communities of access to health care. Recognizing the urgency of the issue, a work-stream on the security and preparedness of health facilities was launched under the Health Care in Danger Initiative. During 2014, the ICRC consulted a wide variety of experts, including from the health sector, States representatives, partners from the International Red Cross and Red Crescent Movement, NGOs and other relevant stakeholders, with a view to identifying a set of recommendations and measures that could be implemented to improve the situation. A report “Ensuring Security and Preparedness of Health-Care Facilities in Armed Conflict and Other Emergencies” is one tangible result of this process and the development of the “Security Survey for Health Facilities” is another.
The Survey is a practical tool allowing to (1) assess the exposure and preparedness of any given facility operating in the context of armed conflict as well as (2) identify the measures that could be undertaken to improve it. The survey is currently being implemented in 12 countries where ICRC has field offices and promoted by other relevant partners, like the International Hospital Federation.
The Security Survey is applicable to a range of facilities across geographical contexts. The tool is complementary to the WHO’s Hospital Safety Index and seeks to enable hospital managers and other operational actors involved in hospital management to conduct a rapid security assessment to ensure continuity of operations when operating in insecure contexts.


Objectives :

To promote the Security Survey for Health Facilities and mobilize a discussion on what measures can be implemented to improve the security of health facilities in insecure environments.


Participants :

Polkowski, Maciej ChairmanHead of the HCiD Initiative, ICRC
Cholewinska-Nielsen Agnieszka ParticipantAdviser, HCiD Initiative, ICRCSwitzerland
Shaik Shiraz Participantssistant Professor, APPNA Institute of Public Health, Jinnah Sind Medical University, KarachiPakistan
Pagaling John Carlo ParticipantMedical Field Office, ICRC Philippines Philippines
Sittaro Federico ParticipantStrategic Planner: Health and Urban Infrastructure, Water and Habitat Unit, ICRC Switzerland


Contact :

Agnieszka Cholewinska-Nielsen : acholewinska@icrc.org



Organised by ICRC :

HE : Hosted Events