Strengthening CommunityBased Approaches to Management of Avian and Human Influenza AHI in Asia

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AHI-NGO-RC/RC Asia Partnership
Strengthening Community-Based Approaches to
Management of Avian and Human Influenza (AHI) in
Asia (Nov 2008 Feb 2009) Bradford
Philips Director, Public Health
Emergencies ADPC 9 November 2009
Project Activities, Key Outcomes/Accomplishments
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AHI-NGO-RC/RC Asia Partnership
Outline of Presentation

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

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

• 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

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

Result Formation of the AHI-NGO-RC/RC Asia
Partnership and proposal to Asian Development
Bank with funding from Canadian Government
Target Countries Cambodia, Indonesia, Lao PDR,
Myanmar, Philippines, Thailand, Vietnam
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Strengthening Community-Based Approaches to
Management of Avian and Human Influenza (AHI) in
Asia
The Project

• 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

Project Goal
To strengthen community-based prevention
control of avian human influenza (AHI) in Asia
region.
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Strengthening Community-Based Approaches to
Management of Avian and Human Influenza (AHI) in
Asia
Project Steering Committee

• Representatives from 4 organizations ADB
• Provide overall direction guide implementation
  of activities responsible for monitoring
  review

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

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

• 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.

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

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

• 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

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

• 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

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

• 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

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

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

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

• 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)

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

• 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

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

• 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)

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

• Process
• National Study Tour in Thailand (July 2008)
  hosted by International Office for Migration,
  ADPC and Intl. 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)

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

• Process
• Cross-border Study Tour in Indonesia (Feb 2009)
  hosted by GTZ
• Focus 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)

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

• 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

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

• 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

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

• 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

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Strengthening Community-Based Approaches to
Management of Avian and Human Influenza (AHI) in
Asia
Objectives/ Key Activities Outcomes

• 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)

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

• 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

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

• 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

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

• 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

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

• 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

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

• 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

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

• 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

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

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

• 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.

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

• 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.

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

• 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.

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

• 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.

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Video Showing Bridging the Gap Between HPAI
Awareness and Practice in Cambodia By FAO
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Questions?
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Strengthening Community Based Approaches to
Management of Avian and Human Influenza (AHI) in
Asia
More Information
Public Health In Emergencies, ADPC Tel 66-2 298
0681ext 400 Fax [phone] to 13 E-mail
phe_at_adpc.net URL www.adpc.net Project Website
www.adpc.net/communityAHI-Asia
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THANK YOU