H2P Overview

1
H2P or H2P(R) Limiting pandemic influenza impact
via community-level actions Meeting of the
ASEAN Technical Working Group on Pandemic
Preparedness and Response 22-24 June 2009 I
Bangkok, Thailand
2
H2P An initiative
USAID-funded initiative with the singular goal
-limiting excess mortality during a pandemic
Partners

• United Nations agencies OCHA, WHO, WFP, UNHCR,
  IOM
• The CORE Group
• InterAction
• AI.COMM (Academy for Educational Development)
• International Federation of Red Cross Red
  Crescent Societies, through National Societies

3
H2P A Federation programme
Overall objective Strengthen humanitarian
response capacity to address community needs in
an influenza pandemic, particularly in areas of
public health, food security and livelihoods

• Specific objectives
• Capacity and competency of relevant staff and
  volunteers and civil society organizations are
  strengthened
• Preparedness plans and mechanisms for national
  societies and civil society organisations are
  developed
• Well functioning coordination mechanisms are
  established

4
H2P Assumptions

• Country capacity will be exceeded
• Vaccines and antivirals will not be available in
  adequate quantity
• Substantial mortality will also be due to
  illnesses other than influenza
• Time required for action will be limited
• Funding will be available for response but.
• Limiting impact will be dependent on
  community-level actions

5
H2P Project deliverables

• Off the shelf tools and guidelines on public
  health, food security, livelihoods adapted,
  field-tested and pre-positioned at strategic
  locations
• Ready-to-go trainers, leaders prepared to
  conduct just-in-time trainings to community
  volunteers and responders
• H2P preparedness and response plan tested,
  disseminated, country-wide inter-agency plan for
  rolling out off-the-shelf capacity service
  continuity plan
• Resource map inventory of organisations with
  roles, services essential for pandemic response
• Coordination, partnership among civil
  society/NGO, national authorities, UN agencies,
  etc.

6
H2P Projects Approach

• At district level
• Pre-position tools, guidelines,
• materials
• Prepare trainers

National headquarters
Provincial branches
At country level A country-wide roll out plan
map of partners and resources
District branches
To be done now!

• Upon trigger (Phase 4?) Based on country-wide
  plan, roll out -
• Of the shelf tools, guidelines
• Just in time trainings
• Volunteer mobilisation

Volunteers/ responders

Communities
7
Possible first responder roles during a pandemic
influenza

• Educate public to prevent spread of flu and other
  illnesses -- flu fighting behaviours
• Home care for those sick with flu
• Home care for those sick with other illnesses
• Bring food, non-food items
• for quarantined
• households
• Link sick or needy people
• to health system,
• community care and
• government

8
Key content of public health messagesfor
households and communities
Family, household level
Community, district level (Depending on pandemic
severity)

• Keep distance
• Wash hands
• Cover coughs and sneezes
• Isolate the ill

• Educate families on NPI
• Close schools
• Limit /delay public gatherings
• Advice on travel, transport
• Train community workers in infection control

Prevention

• Educate families on home care
• Assist the neediest, sickest households
• Manage cases in community, including use of
  antibiotics
• Continue care for selected conditions (TB, HIV),
  if feasible

• Care for those sick with flu, including flu-like
  illnesses
• Rest
• Fever medications
• Fluids
• Nutrition
• Care-seeking

Care
Cross- cutting
What is influenza pandemic? Best sources of
information, guidance and help.
9
H2P training and planning package for first
responders, leaders
District level trainers composition varies from
one country
Introduction, planning
Community representatives
Health responders
District officials, leaders
What is pan flu?

Spreading prevention messages

Infection control for health responders

Home care for ill

Community mitigation
10
H2P planning timeline
Preparedness Getting ready
Trigger Response phase
Response phase Handling the crisis
Now!
Announcement - PI is spreading globally
Pandemic influenza is coming or in the country

• Adapt curriculum
• Create training plan
• Prepare trainers
• Maintain until trigger

• Train community reps, leaders, health responders,
  others

• Just in time trainings
• Adapt trainings/needs
• Follow-up, supervise
• Disseminate updated information, guidance

• Start implementing district, community-level
  plans

• Continued plan implementation
• Monitor, evaluate
• Update structure, plan as needed

• Create district, community-level response
  arrangements
• Maintain until trigger

11
H1N1 National society response

• Contribute to national response
• Coordination with national authorities, bodies
• Prevention, mitigation campaigns household,
  community, school-based
• Reproduction, distribution of communication
  materials
• Human resource augmentation
• Pharmaceutical, medical supply support
• Enhance preparedness and response
• Activation of focal persons, task forces
• Updating of plans, protocols, BCP
• Guidance to branches on coordination, community
  activities, staff/volunteer protection and safety

12
Thank you!
www.pandemic preparedness.org www.ifrc.org/what/h
ealth/ relief/influenza.asp