Strengthening Community-Based Approaches to Management of Avian and Human Influenza (AHI) in Asia...

Strengthening Community-Based Approaches to Management of Avian and Human

Influenza (AHI) in Asia(Nov 2008 – Feb 2009)

Bradford PhilipsDirector, Public Health Emergencies

ADPC9 November 2009

Project Activities, Key Outcomes/Accomplishments

Project Activities, Key Outcomes/Accomplishments

AHI-NGO-RC/RC Asia Partnership

Background of the Project Objectives, Key Activities/Outcomes Gaps/Priorities Video Showing Questions and Answers

Outline of Presentation:Outline of Presentation:

AHI-NGO-RC/RC Asia Partnership

NGO/CBO experience & effective interventions in managing AHI in Asia - not systematically documented, collected, disseminated to benefit other AHI practitioners, organizations, communities, countries & regions

Limited opportunity for collective sharing of experience – workshops

Limited availability of evaluations, training material and courses for community based AHI practitioners

Strengthening Community-Based Approaches to Management of Avian and Human Influenza (AHI) in Asia

Project Rationale:Project Rationale:

Limited engagement with national policymakers or international technical agencies – small scale, fragmented nature of CB projects

Regional AHI Forum – desire for value-adding to this experienceResult: Formation of the AHI-NGO-RC/RC Asia Partnership

and proposal to Asian Development Bank with funding from Canadian Government


Project Rationale:Project Rationale:

Target Countries: Cambodia, Indonesia, Lao PDR, Myanmar, Philippines, Thailand, Vietnam

strengthened the role of NGOs and CBOs in combating AHI at the community level in the Asia region

increased capacity of CBOs to engage with governments to include homegrown solutions into national policies for AHI control and prevention

To strengthen community-based prevention & control of avian & human influenza (AHI) in Asia region.


The Project:The Project:

Project Goal:Project Goal:

Representatives from 4 organizations + ADB Provide overall direction; guide implementation of activities;

responsible for monitoring & review


Project Steering Committee:Project Steering Committee:

Engagement with Partners:Engagement with Partners: Project Activities: in line with global & country AHI strategies

(WHO Global Influenza Preparedness Plan & national AHI plans Coordination: key stakeholders (country/regional levels) –

prevented duplication & overlap of activities; enhanced info sharing & coordination of activities

1.A regional Resource Kit for Community-Based Management of AHI in Asia was developed, published and disseminated to agencies and organizations involved in the management of AHI in Asia to provide AHI Practitioners with a compilation of lessons learnt, key tools and resources.


Objectives/Activities/Outcomes:


Process:

– Solicited, documented & collected good practices in CB AHI through experienced sharing at the Regional Practitioners Workshop – compiled into Resource Kit of resources & reference materials for AHI practitioners




– Resource Kit: lessons learned drawn, complemented existing guides & communication toolkits (e.g. UNICEF), contributed to multi-sector perspective in AHI control & prevention at community level, enhanced strategies (CBO/NGO) in engaging with international technical agencies and the government

– Target Users: project managers (local, national, international NGOs), RC/RC, local government staff – working with communities to implement AHI programs




Resource Kit Title: “Communities Respond: Experience –Sharing in Community-Based Management of AHI in Asia:”

5 Thematic Areas/Chapters Easy-to-use set of key lessons, case studies and AHI resources

(guidelines, reports, etc.) for community-based AHI management in Asia

A DVD of resources for community-based management of AHI in Asia

Electronic copy is available in the project website: www.adpc.net/communityAHI-Asia




Resource Kit Thematic Areas: Chapter 1: Understanding Communities: From Knowledge into

Practice Chapter 2: Communicating for Action: Mobilising Individual and

Social Change through Communication Chapter 3: Promoting Sustainable Livelihoods through Health

Community-Level Poultry Production and Trade Chapter 4: Participatory Surveillance at Community Level and

Training of Animal/Human Health Workers Chapter 5: Community Preparedness




2. The sharing of experiences between community-level practitioners in Asia was promoted through Four Study Tours for community-based AHI practitioners




Process:– Facilitated exchange of experience among CB AHI

practitioners in the region

– 4 one-week long study tours (participated by community, RC/RC, NGO reps)

– Categories: cross-border (communities from neighboring countries), national (reps from communities within a country)




Process:– Cross-border Study Tour in Cambodia (June 2008) hosted

by CelAgrid, IFRC and Cambodian Red Cross 23 participants, from 12 different organizations Focus on Rural Bio-security (impact of AI and family

economics); field visit to rural development livelihoods project

Sharing of experience and cross-learning across countries




Process:– National Study Tour in Vietnam (July 2008) hosted by

Catholic Relief Services 23 representatives from NGOs, UN organizations &

provincial government working at the community level Focus on Ensuring Safe & Sustainable Small-Scale Poultry

and Livestock Raising Among Vulnerable Communities Field observations of CRS’ project sites in Thanh Hoa

Province (North)




Process:– National Study Tour in Thailand (July 2008) hosted by

International Office for Migration, ADPC and Int’l. Rescue Com.

Focus on Emergency Preparedness involving Vulnerable Groups (migrants, refugees)

17 participants (14 stakeholders (including representatives from migrant communities, village health workers, local government, etc)




Process:– Cross-border Study Tour in Indonesia (Feb 2009) hosted

by GTZFocus on Awareness-Raising And Life-Skills Development

for AHI Prevention and Control in-Schools 28 participant representatives from CBOs, NGOs,

INGOs donor organizations & Min. of National Education (MoNE) provincial government working at the community level (school community)




3. A Training Package for community-based AHI Management Practitioners was developed to train AHI practitioners in participatory tools and methods for working with communities

– Goal: to enhance the skills and knowledge in different technical areas of AHI management at the community level




Process:

– developed based on the outputs all the project activities: the Regional Community-Based AHI Management Practitioners’ Workshop, the Resource Kit and Study Tours

– was piloted and enhanced through 2 regional multi-agency workshops attended by a total of 42 practitioners from NGOs and community-based organizations in Asia




Training Package Modules (based from Resource Kit Framework): Module 0: Introduction & Basic Concepts of CB-AHI

Management Module 1: Understanding Communities: From Knowledge to

Practice Module 2: Safe and Sustainable Village Poultry Production and

Trade Module 3: Communicating for Action: Mobilizing Individual &

Social Change through Communication Module 4: Community-based AHI Surveillance Module 5: Community level Emergency Preparedness




Training Workshops: 42 community-level practitioners from NGOs, CBOs and Red Cross

Societies acquiring enhanced knowledge and skills in the different technical

areas of AHI management and training in the use of participatory tools and methods for community-based management of AHI

strengthening the network of community-level practitioners involved in community-based management of AHI in Asia

sharing of experiences, successes, challenges and lessons in community-based management of AHI (among participants from different countries and agencies, facilitators/resource persons)

Strengthening Community-Based Approaches to Management of Avian and Human Influenza (AHI) in AsiaObjectives/ Key ActivitiesOutcomes:

Objectives/ Key ActivitiesOutcomes:

4.Communication and coordination among organizations involved in the management of AHI in Asia is strengthened by a monthly Regional Inter-Agency Information Sharing/Coordination Forum on AHI

– Goal: to contribute to the overall communication and coordination among different types of organizations working on the management of AHI in Asia

Strengthening Community Based Approaches to Management of Avian and Human Influenza (AHI) in Asia



Process:

– SEA monthly Regional Forum (coordinator: IFRC 2006-2008; ADPC 2008-2009); 50 organizations Bangkok-based

– Quarterly newsletter: regional developments; availability of AHI-NGO-RC project outputs




– Web-page: provide links with other AHI website; inventory of CB AHI programs in the region; disseminate reports of regional events & tools developed under this project; facilitate networking for practitioners in CB management of AHI




sharing and dissemination of information on policies, guidelines, projects and activities in the management of AHI in Asia, that are being implemented by the different involved agencies and organizations

highlighting and sharing of the experience of practitioners working at the community level in prevention and control of AHI – including successes, challenges and lessons




strengthening of the network of organisations(INGOs, NGOs, UN agencies, donors, academics, private sector, etc.) working with communities in the management of AHI in Asia through regular sharing of information and resources, both formally and informally, and upon which individuals and organizations can depend upon for assistance when needed; and

improving coordination between individuals and organizations working to mitigate the threat of AHI in Southeast Asia, and other regions, through this regular networking and sharing of information




Community-based AHI practitioners shared best practices Strengthened community based and national surveillance Facilitated communication and collaboration between:

– health and animal health

– Ministries and local counterparts Strengthened capacities of national NGOs and CBOs, cross-

border, regionally Served as a bridge between technical fields and sectors

Strengthening Community-Based Approaches to Management of Avian and Human Influenza (AHI) in AsiaObjectives/Activities/Outcomes:


Project Workshops: Regional Community-Based AHI Management

Practitioners’ Workshop, Bangkok: 10-13 March 2008 Resource Kit Peer-Review Workshop, Bangkok: 16-17

June 2008 Regional Pilot Training Workshop, Bangkok: 27-31

October 2008 Second Practitioners’ Workshop, Bangkok: 26-31

January 2009


Objectives/Key Activities/Outcomes:

Objectives/Key Activities/Outcomes:

1.Community-level Surveillance:

– Communities tend to be poorly linked into national systems for communicable disease surveillance, reporting and control, thereby increasing the risks of AHI at community level and weakening national, regional and international capacity to detect and control AHI.


Addressing Gaps/Priorities:Addressing Gaps/Priorities:

2. Emergency preparedness at the community level:

– Communities are still rarely directly involved in emergency preparedness planning activities and exercises (including preparedness planning for rapid response to outbreaks of AI, to human infection with H5N1, and to a possible pandemic influenza outbreak); such low levels or lack of community preparedness for and resilience to AHI-related emergencies, including a possible pandemic, increases national and regional risks.



3. Capacity of national staff to develop, implement, assess and evaluate participatory community-based AHI management projects:

– Country-level NGO and local government staff have limited capacity to develop, implement, assess and evaluate participatory projects in community-based management of the risk of AHI, resulting in frequent cases of project failure, lack of sustainability, and misdirected resources.



4. Private sector involvement in community-based management of AHI:

– Private sector organizations at the local level are not sufficiently involved in community-based management of AHI.



Video Showing:“Bridging the Gap: Between

HPAI Awareness and Practice in Cambodia”

By: FAO

Questions?

Public Health In Emergencies, ADPCTel: +66-2 298 0681ext 400 Fax: +66-2 298 0012 to 13E-mail: [email protected] URL: www.adpc.netProject Website: www.adpc.net/communityAHI-Asia


More Information:More Information:

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