a. National and international political agreements

• National civil defense/protection systems should be made aware of the multisectoral nature of the challenge and collaborate on this issue.
• Subregional agencies involved in disaster risk reduction should be involved.
• The topic should receive visibility and should be presented to ministers, congressional health committees, national directors of health, and those responsible for providing health services.

These agreements should reflect a political will to implement these measures, including a policy with work plans and clear strategies and a national safe hospitals program that makes it possible to carry out action, allocate resources and monitor and evaluate progress.