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Session 5:From Thematic Actions to Delivery –
Tuesday 14 July, 16:30‐17:30Chair Dr Peter Mertens, Director – International Health Regulations, Ministry of Health, The Netherlands
Panellists:• Dr Fausta Mosha ‐ United Republic of Tanzania • Dr El Hadj Mamadou Ndiaye ‐ Senegal
Towards 2017:Prioritized Activities for IHR 2005
implementation
Dr. Fausta MoshaMOHSW, Tanzania
Cape Town Workshop, 13‐15th July 2015
Layout• Background
• Existing framework in place [Structure, Guiding
principles and regulations]
• Key IHR Core Capacities targeted for strengthening in
the pilot period
• Approach/methodology for implementation
• Expected results
Background • Total population is 44,928,923• Health facilities : 6,000• Laboratories: One BSL‐3, National
BSL‐ 2. NPHL under construction • Frequent outbreaks
– Cholera– Cerebrospinal Meningitis– Bacillary Dysentery– Anthrax– Dengue– Malaria– Chikungunya– Rift Valley Fever
Existing Preparedness and Response at Country Level
Overall: Disaster Management Framework [PMO office]
o Sets Policies and Strategies
o Coordinates Disasters and Emergencies of “Large Scale”
o In each government sector,
o Disaster Sections
o Task Force Committees
o Regions and Districts: prototype framework
Tanzania Disaster Management Framework
Existing Preparedness and Response framework at Ministry of Health level
• SWAP TWG no 8 –Emergency Preparedness and Response– Multisectoral and mutidisplinary
– Co chaired by EPRU and Epidemiology
• IHR TWG (part also of the TWG 8)
• National Task Force (EPR) Committee [CMO and WR]– Activated by the TWG
– 5 Subcommittees in place
• Coordination• Surveillance, Lab and PoE• Case Management• Social Mobilization/Psychosocial • Logistics
Policy Guiding Documents
• Disaster management Act (2015)
• Disaster Relief Coordination Act. No. 9 (1990)
• Public health Act, (2009)
• National operations Guidelines (2003)
• Disaster Management Policy of 2004
• International Health Regulations 2005
• Integrated Disease Surveillance and Response, revised in 2011 (in line with IHR)
• Emergency Communication Strategy (2012)
• EAC Framework for cross border Surveillance & Response (2012)
Strategic plans and other initiatives in Place
• IHR Action plan (2014‐2016) linked to GHSA initiative
• National Ebola and Marburg preparedness and Response plan (2015‐2020)
• eIDSR in place in 42 districts
• National Lab strategic Plan (2009‐2015)
• Community based surveillance in 4 districts initiated
• EpiHack database addressing One health Approach in selected districts
• Field Epidemiology Program since 2008 (tier approach‐Basic, Intermediate, MSc courses)
• All hazards Plan (Draft)
Opportunities for EPR Support• Political commitment and Government support• Regional bodies initiatives (EAC, ECSA,SADC)• Partners support for the EPR Plans– World Health Organization and other UN organizations– World Bank (EAPHLN)– US through GHSA initiative and other initiatives – Germany (KFW, GIZ)– EU– KOICA– Network (ASLM‐Lab, AFENET‐Field Epidemiology, AFRICHOL‐African
Cholera Network)• Private sectors (Port Health Services)• Community political structures for CBS (“Ten Cell leader”)
What are Prioritized Core Capacities identified towards 2017?
1. Strengthen coordination structure for PH events
2. Preparedness and Response
3. Surveillance, Information & Data Systems
management
4. Laboratory
Optimum Organized
&Coordinated Response
capacity for PHE
SurveillanceLaboratory
services
Preparedness & Response
Workforce Capacity & Competency
Information & Data Systems management through EOC
Linkage –All sectors & community
Essential Capabilities
Basic Infrastructure
Vision towards 2017
Key activities and Approaches
1. Strengthen coordination structure for PH events
Strengthen the coordination structure for PH events
‾ Revise the organogram
‾ Revise the TOR for various levels
Strengthen the NFP
‾ Advocacy for the NFP existence for all levels
‾ Develop Operational Guidelines for NFP
Enhance the function of the IHR TWG
‾ Develop TOR
‾ Ensure identification of focal person from all relevant sectors
‾ Link with SWAP TWG 87/24/2015 14
7/24/2015 15
2. Preparedness and Response
Develop a functional PHEOC
Ensure formation of functional multidisplinary RRT at all levels
Capacity building of HCW
Ensure Contingency plan and other EPR plans at high risk regions are functional
Ensure surge capacity for management of large number of affected individual
Developed operation guidelines for PHEOC
Use FELTP training and other CE training programs
Conduct Simulation exercises
Build/Renovate Treatment/Holding centres
7/24/2015 16
• Key Activities Approach
3. Surveillance
• Ensure real time information for PH events
• Strengthen country wide event based surveillance (EBS) system starting initially at high risk regions
Ensure EWS in place for forecasting
Ensure performance of IDSR/IHR
• Roll out eIDSR
• Train CHW on surveillance basing on existing established CHW curriculum
• Develop a comprehensive database for EWS
• Conduct supervision to ensure quality performance of IDSR/IHR7/24/2015 17
• Key Activities • Approach
4. Laboratory services
• Develop a continuous plan for supply of lab reagents, consumables to ensure capacity to perform other PH events
• Develop an established system for specimen collection and transport at various levels
• Establish lab networking at all levels
• Establish capacity to test all VHF and other events
7/24/2015 18
• Develop a system for tracking supplies and reagents
• Work with various partners (Private and Government) to have a comprehensive plan
• Develop a guiding document for Lab networking
• Establish BSL 3 capacity at the NPHL
Conclusive points
• Identified Key Intervention areas are a part of the
overall IHR Action Plan towards 2017
• This Project aims to accelerate key IHR Core
capacities for attaining desired targets when a PH
events occurs
• IHR 2005 will still remain the legal framework to
address the issues of GHSA in the country
7/24/2015 19
Full implementation
of IDSRIHR 2005
A resilient community
Initiatives [GHSA, One Health, Pilot Projects] and All resources from Partners
and other International Organizations
Key Strategic Directions for Building Tanzania`s Health System to respond to PH events
Thank youAsante
7/24/2015 21
Règlement Sanitaire International: état de actuel de mise en œuvre et stratégies envisagées pour le
renforcement des capacités
Dr Elhadji Mamadou NDIAYEDirecteur Prévention – Point Focal National RSI
REPUBLIQUE DU SENEGAL Un Peuple – Un but – Une foi
------------MINISTERE DE LA SANTE ET DE L’ACION SOCIALE
Revue des principales capacités requises en 2011
Revue des risques potentiels et au niveau des PE en 2011
Capacités minimales prioritaires
– Politique et Coordination – Surveillance– Préparation– Réponse– Communication du risque– Capacités du Laboratoire– Ressources humaines
Alerte
vérification
évaluation
réponse nationale ou internationale de santé
publique
confirmation
détection des évènements
rapport
Evaluation des capacités d’une porte d’entrée terrestre en 2014 (frontière Kalifourou)
Evaluation des capacités d’une porte d’entrée maritime en 2014 (Port Autonome de Dakar)
Evaluation des capacités d’une porte d’entrée aérienne en 2014 (aéroport international LSS)
Etat de mise en œuvre du RSI au Sénégal
Nomination d'un Point Focal National RSI
Evaluation des capacités minimales requises faite en 2012, stade de budgétisation
Evaluation complète de trois points d'entrée (Aéroport LSS, Port A.Dakar et Poste frontière Kalirourou) en 2014
Demande d'extension pour une mise en place avant juin 2016 acceptée
Points forts
Etat de mise en œuvre du RSI au Sénégal
Mise à niveau périodique du personnel chargé de la surveillance (formation, supervision, monitorage, réunion de coordination)
Mise en réseau des laboratoires (RNL)
Guide technique SIMR/RSI révisé en 2013
Points forts
PFN RSI se limite à une seule personne
Absence d’une approche multisectorielle dans la
mise en œuvre du RSI (équipe de suivi)
Rôle limité du laboratoire
Absence de ressources financières au RSI (OMS)
Etat de mise en œuvre du RSI au Sénégal
Points à améliorer
Stratégies nationales
Renforcement des compétences du personnel et du point focal
national RSI
Renforcement des capacités minimales requises conformément
au RSI
Renforcement des moyens logistiques et communicationnels de
la SIMR
Renforcement des activités du système de surveillance
Coordination, suivi et évaluation
Finalisation de la budgétisation de l’évaluation du
plan 2012 du RSI
Financement des parties budgétisées des plans de
2012 et 2014
Evaluation des capacités minimales restantes
Financement de toutes les capacités minimales
requises
Priorités
Priorités (suite)
Renforcement de capacité du personnel:
Points Focaux surveillance (PF régions et districts,
PF Hôpitaux, PF structures privées, laborantins)
Agents de santé communautaires sur la surveillance
communautaire (ASC, Matrones, relais, …)
Point focal national RSI
Priorités (suite)Renforcement en moyens logistiques
Véhicule et motos pour la surveillance active
Ordinateurs pour la gestion et le partage des données
Téléphones mobiles pour la transmission des données
Kits prélèvement et Réactifs aux laboratoires
Renforcement en moyens de communication
Plan de communication, confection et reprographie de
supports
Priorités (suite)Coordination, Suivi et Evaluation
GHSA:
Renforcement de 3 capacités (surveillance, laboratoire
et coordination des urgences )
PROJET PILOTE OMS DE SECURITE SANITAIRE
Renforcement du RSI dans 4 capacités en une
unité fonctionnelle (surveillance, laboratoire,
coordination et communication)
Conclusion mondialisation et facteurs de propagation rapide
de nombreux évènements de portée internationale
RSI : outil essentiel d'harmonisation des mesures
de prévention et contrôle des menaces
Comblement des GAPS du RSI est une urgence
Prise en compte de la SIMR : outil clé de mise en
œuvre du RSI
Leadership et appropriation des Etats
Accompagnement durable des Partenaires
Session 5:From Thematic Actions to Delivery –
Tuesday 14 July, 16:30‐17:30Chair Dr Peter Mertens, Director – International Health Regulations, Ministry of Health, The Netherlands
Panellists:• Dr Fausta Mosha ‐ United Republic of Tanzania • Dr El Hadj Mamadou Ndiaye ‐ Senegal