Dr. Sushma BhusalNational H2P CoordinatorNRCS

Nepal H2P Initiative

National Coordination Meeting

16th November, 2009

Policy framework and working modalityKey achievementsPrioritiesMajor challenges

Presentation outline:

H2P initiative

‘First Responders’- Federation- CORE Group- AED-InterAction

Goal: To contribute to the reduction of excess To contribute to the reduction of excess mortality and the impact of a human influenza mortality and the impact of a human influenza pandemicpandemic

Develop community pandemic preparedness plans, mechanisms – esp. on health, food security, livelihoods

Produce trained, competent staff/volunteers for community pandemic preparedness activities

Establish functional coordination mechanisms at various levels

Objectives:

•NRCS•SCF•Care

•AI.COMM

USAID

Ways of Working Together

Lead: Facilitate/coordinate…NOT DO ALL THE WORKContribute: Participate, engage, bring expertise, etc.

L ead/Contribute Profile (Example)

Design/Develop/Test CARE S ave N RCS

Prototype plan framework

C L C C

Communication/BCC L C C C

Training C C L C

C C C L

AI.COMM

Monitoring and Evaluation, Simulations

•Build synergy and advocate with other I/NGOs, UN agencies and governmental organizations for integrating the H2P issue in national disaster risk reduction plan

•Establish/strengthen linkages with partners working in the area of AI/PI

•Meet on a monthly basis in order to plan together, review progress, share feedback and provide support

Roles and Responsibilities (Working Group)

Key Achievements

•Draft pandemic preparedness plan is prepared and submitted to EDCD and AICP for comments and finalization.

•Developed district pandemic preparedness plan in three district ( Parsa, Chitwan & Rupendehi).

• Disseminated messages in local FM in the three districts

• Supported NHEICC to develop IEC materials and disseminated.

CARE Nepal

•Developed and translated training manuals ( health workers and volunteers)

Conducted Training of Trainers at central level to H2P project staff and DPHO’s focal persons from 10 District

Organized district TOT in four districts ( Kanchnapur, Kailali, Banke and Jhapa ) to 101 health workers

Organized two days training to 302 health workers in three

districts (Jhapa, Kanchanpur & Banke)

Save the Children

Save the Children

Developed district pandemic preparedness plan in three district ( Jhapa, Banke & Kanchnapur ) based on global generic template translated into Nepali language .

Disseminated messages in local FM in the three districts

Supported to NHEICC to develop IEC materials and disseminated

AI. Comm•Radio Public Service Announcement ( Oct 21 – Nov 19) :15 spots per day

Synergy FM, Classic FM, Maitri FM, Times FM, Headlines & Music FM, Radio Filmy, Radio City, Image News, Image FM, Kantipur FM, VOY, ABC FM, Ujjayalo Network, Annapurna FM, Bageshwari FM, Birat FM, Hetauda FM, Indreni FM (Birjung), Indreni FM (Dang), Kanchanjungha, Narayani FM, Synergy FM, Butwal FM, Siddhartha FM, Dinesh FM, Saptakoshi FM Radio Mithila, Radio Appan Mithala.

•Cue cards for Community Health workers

• Vulnerability and capacity assessment conducted in project districts

• 9 National and district pandemic preparedness ToTs conducted(235 participants)

• District Pandemic Preparedness plan drafted.

• District level trainings for local health professionals and community leaders

• National level workshop with Community based first aid and drafted curriculum to integrate in ongoing community based health programmes of NRCS.

• Regular national and district level coordination meetings ongoing

NRCS

•Influenza Pandemic A(H1N1) 2009 prevention campaign in 8 districts: - Parbat, Baglung, Gorkha, Bhaktapur, Rautahat, Sindhupalchok,Chitwan,Kailali.• - IEC distribution• - Orientation to ~350 volunteers and their mobilisation•Considering the geographical spread, need to prepare in other districts too.•Business Continuity Plan (Being drafted)•Close coordination with Nepal government in order to future response of H1N1

NRCS’s response to current Influenza Pandemic A(H1N1) 2009

H2P partners efforts• Training manual developed on pandemic influenza

preparedness

• Trained pool of human resources at national and district levels on pandemic influenza preparedness

• Drafted national and district level pandemic influenza preparedness plan

• M and E tool under preparation.

H2P partners efforts…• Pandemic Influenza messages developed and disseminated.

• Coordinated effort to address current situation of Pandemic Influenza A (H1N1).

• Information dissemination through various media.

• IEC material development, production and distribution.

• Promotion of non pharmaceutical intervention

Major challenges•National priority•Security situation

•Non pharmaceutical interventions- less focus

•Variation in Project duration of implementing partners-accountability of H2P partners

•Frequent changes of trained human resource both at national and district level

• Involvement of key national level stakeholders in order to address current situation of Pandemic Influenza A(H1N1) in the country. •Availability of resources

Priorities of present context •Conducting trainings in all project districts involving participants from different

level and stakeholders

•Organize simulation exercises based on plan.

•Raise awareness on pandemic influenza up to community level.

•Prepare Monitoring and Evaluation framework

•Continue response to H1N1 outbreak based on need

•Advocacy: For the endorsement of the National H2P preparedness and response plan

•Explore,identify and bring together potential partners for the response.

THANKS