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General Information

SMART Hospitals Toolkit

UPDATE - All the components of the SMART Hospitals Toolkit are now online

Health care facilities are ‘SMART’ when they link their structural and operational safety with green interventions, at a reasonable cost-to-benefit ratio. This Toolkit is comprised of previously developed instruments such as the Hospital Safety Index, which many countries are using to help ensure that new or existing health facilities are disaster-resilient. The Green Checklist and other accompanying tools support the Safe Hospitals Initiative and will guide health officials and hospital administrators in achieving SMART health care facilities.


Smart Hospital Steering Committee meets in St. Vincent and the Grenadines

The Smart Hospital project is being implemented with financial support from UKAid, Department for International Development and with the full support of the Ministries of Health and the National Disaster Management Offices. PAHO/WHO and UKAid  are partners in this approach as we seek to show how safe and green initiatives can be combined to make critical health facilities smart.


The Hospital Safety Index

The Hospital Safety Index, a tool developed by PAHO and a group of Caribbean and Latin American experts, is being widely used by health authorities to gauge the probability that a hospital or health facility will continue to function in emergency situations. 


Radio Show on Disaster Reduction

"Vida que te queremos tanto” (Life, we love you so much) is a series comprised of four radio soap operas produced by the United Nations Office for Disaster Risk Reduction. It aims to increase awareness about how communities can address disaster risk reduction, to promote community safety and resilience in emergencies, and to increase the welfare and safety of citizens.


Answers to some commonly-asked questions

Much has been written about hospitals safe from disasters, thanks to interest generated by the World Campaign on this very issue. PAHO has prepared answers to some of the most commonly-asked questions we have received. The list will be updated as new questions arise.


Hospitals Can Withstand Disasters - New materials

The countries of Latin America and the Caribbean are exposed to various natural and manmade hazards. We must be able to rely on our hospitals and health centers in all circumstances to avoid an increase in the number of victims after an event. This material, in French, includes a Guide, a training tool for using the guide, a questionnaire with a list of potential elements that can fail, and a short brochure with the key elements of the guide. The guide and accompanying materials have been designed specifically to aid in the construction of hospitals in Haiti, but the patterns shown may be of use to many countries and communities.


Caribbean Wind Hazard Maps Aid in Siting of Hospitals

State-of-the-art wind hazard maps for Caribbean islands and nearby coastal areas of Central and South America are critical aids when designing where to locate a new health facility or rebuild a damaged one.


Resolutions and Reference Documents on Safe Hospitals

Find Resolutions and background documents from PAHO/WHO meetings of the Directing Council, demonstrating the health sector's commitment to safeguarding health facilities, as well as a host of other documents on the issue.



Are you looking for more information than just the basics? Click on this link to view a list of full text publications on safe hospitals ( the Spanish-language section contains even more material! You can also visit our publications catalog and click on safe hospitals in the column to the left for other publications, video, articles and more.

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