Using Platforms and Partnerships to

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1 Burkina Faso Using Platforms and Partnerships to enhancing surveillance National Surveillance with EBS Adama NDIR, MD, MSc. CDC-CGH-DGHP Burkina Faso Centers for Disease Control and Prevention Health Information & Surveillance Workshop Dakar, July 2017

2 Overview Background Platforms Meningitis and the Burkina Faso Model DGHP country office Partnerships Challenges Elements of success CDC Cross- CIO collaboration Peace Corps partnerships

3 Background Burkina Faso MoH and CDC: Partnership (since 1991) CDC Country office (2016) Collaborations pre-dating GHSA Polio & Measles Meningitis MenAfriNet Rotavirus FELTP GHSA Burkina RESPIRE

4 Background Burkina RESPIRE CDC flagship project Joint efforts of the MoH and CDC Objective: Enhance Surveillance and Reporting Pilot phase in selected Health Districts 2 Components: SARI Surveillance Event-Based Surveillance (EBS)

5 Burkina RESPIRE Led by Division of Bacterial Diseases (NCIRD) with the DGHP Country Office Collaboration with: Influenza Division Field Epidemiology Training Program Emergency Management Program Peace Corps

6 Peace Corps Response and CDC Burkina Faso

7 Laboratory Diagnostics NCIRD Meningitis Respiratory Illness Influenza And others NCEZID Arbovirus Dengue Special Pathogens DGHP Country Office Lab team

8 Background Event-Based Surveillance Pilot phase in 3 Districts: Boussé, Houndé, Kongoussi Builds on existing national system of : Community Health Workers (ASBC*) Local health posts and health centers Rapid response teams (District and National levels) *ASBC: Agent de Santé à Base Communautaire

Event-Based Surveillance in Burkina Faso Detection and report of Unusual Events Unusual Events: events that may indicate the emergence of public health threats or outbreaks.

9 Event-Based Surveillance in Burkina Faso Detection and report of Unusual Events Unusual Events: events that may indicate the emergence of public health threats or outbreaks. They trigger or motivate a response. ASBCs to sort out unusual events among all events in the community and report them immediately to the health services. Figure from RESPIRE EBS Training Manual

Event-Based Surveillance in Burkina Faso 10 trigger events: Unexplained death of a health worker, ASBC or traditional healer Two or more unexplained deaths among a group of people in a week Two or

10 Event-Based Surveillance in Burkina Faso 10 trigger events: Unexplained death of a health worker, ASBC or traditional healer Two or more unexplained deaths among a group of people in a week Two or more people becoming sick after attending a funeral Sickness or death of a recent traveler (< 1 week) Deaths of several poultry and/or other animals in a week Images of events drawn by Burkina Faso, Ministry of Health, Division of Preventive Services

11 Event-Based Surveillance in Burkina Faso ARBRE DÉCISIONEL POUR LES ÉVÉNEMENTS DE L Utiliser pour guider la decision sur les évènements a signaler Health workers process notified unusual events using a decision tree Health District steering committee (ECD*) evaluates and deploys rapid response team if event is confirmed. Surveillez et assurez un suivi Equipe Cadre du District (ECD) d investiguer et riposter *ECD: Equipe Cadre du District Figure from RESPIRE EBS Training Manual

12 EBS Implementation Plan EBS Training of Trainers Trainers conducting cascade trainings in each district: ECD Health Workers ASBC Community Strengthening of existing Rapid Response Teams Linking Districts with Emergency Operations Center (EOC) Linking Health sectors with others (animal resources, environment, law enforcement etc.) for multisectoral response; promoting the One Health approach. EBS training in Dougoumato 2 village, April 19th, 2017, photo courtesy of Charlie Pope, CDC communication specialist

13 Challenges EBS evaluation? Indicators? Communication : Poor communication infrastructures in Burkina Faso Management of EBS noise (fake rumors) Resource management: system efficiency VS sustainability

14 Elements of Success Active engagement from the Ministry of Health and incountry partners country-driven identified priority Alignment with DGHP Country office goals and objectives Alignment with CDC HQ program/ USG partner priorities Clear goals and objectives with identified roles and responsibilities from key stakeholders Clearly defined resource needs and mechanisms for resource exchange (technical, financial, material etc) Commitment from MoH, DGHP country office and CDC HQ Programs/SMEs

15 Dengue Response and Arbovirus/VHF Surveillance Country priority, based on needs and structure of country NCEZID Division of Vector-Borne Disease (Arboviral and Dengue) Division of High Consequence Pathogens and Pathology (VSPB) DGHP Country Office GRRT FETP

means you celebrate the wins and endure the set backs together Using

16 Key Takeaways Common vision, respect and trust and appreciation of local fashion are key to sustained commitment Collaboration and partnership means you celebrate the wins and endure the set backs together Using existing in-country regional national platforms (FETP, Menafrinet, WAHO, WHO (IST )

Center for Global Health. CDC Global Health Saving Lives Overseas, Protecting Americans at Home

Center for Global Health. CDC Global Health Saving Lives Overseas, Protecting Americans at Home Center for Global Health CDC Global Health Saving Lives Overseas, Protecting Americans at Home CDC Overview Part of the U.S. Department of Health and Human Services, CDC is the nation s leading public