This service is part of the preparatory study for the project to rebuild the Melsisi health centre and provide support for its reopening. For Axis 2 "Study of climatic vulnerabilities and formulation of a risk management plan", the expected deliverables are described below:

1.    Deliverable 1: Methodological proposal, detailing the working approach, tools, planned methodology and detailed work schedule.

2.    Deliverable 2: A diagnostic report providing an exhaustive analysis of the climatic risks and vulnerabilities specific to the island of Pentecost and the Melsisi site, including the following questions: 

• Identification of climate risks : 
  a.    The most exhaustive possible review of current climatic risks;
  b.    Consideration of future projections;
• Identification of vulnerabilities :            
  a.    Translation of risks into territorial vulnerabilities: what climate vulnerabilities are Vanuatu and Pentecost island exposed to? 
  b.    How do these risks translate into sectoral vulnerabilities for health and health infrastructure?
• The service provider will identify existing national documents already framing/guiding government action on climate: mitigation and adaptation.
  a.    UNFCCC Climate Communication/ NDC (adaptation section) / National Adaptation Plan ; 
  b.    Existence of an "environment/climate" legislative/legal framework;
  c.    Assessment of climate integration in national and sectoral development strategies;
• Sectoral integration: assessment of the existence of a health and climate roadmap at the level of the Ministry of Health:
  a.    Are there any sectoral studies (Ministries, World Bank, WHO, etc.)? 
  b.    What is the level of ownership of these issues?
  c.    What is the level of dialogue between the Ministry of Health and the Ministry of the Environment?
  d.    Resources (HR and budget) dedicated to these issues;
  e.    Existence of specific regulations: building standards, crisis management plan, business continuity plan, and if applicable, specify the inclusion and role of the Melsisi hospital in the crisis management and business continuity plans.

3.    Deliverable 3: Recommendations and proposals for risk mitigation. Three main areas will be proposed:

• On the infrastructure (mitigation and adaptation): 
  a.    How to ensure that the Melsisi health centre is resilient in the face of climatic risks, and how best to adopt bioclimatic architecture in order to limit the health centre's carbon impact and also limit its energy consumption;
  b.    How, if necessary, to incorporate changes into hospital construction standards that will take better account of these issues.
• With regard to population health (adaptation): 
  a.    Propose ways of guaranteeing and adapting the skills of health centre staff to the consequences of climate change.
• Crisis management/natural disasters:
  a.    Formulate recommendations aimed at strengthening the hospital's capacity to continue its activity/respond to an emergency within the framework of crisis management and business continuity plans (organisation/planning, human and material resources, etc.).