Increasing Incidence of Rabies in Dogs in the Philippines

Transcription

1 POLICY BRIEF Increasing Incidence of Rabies in Dogs in the Philippines FIDELINO F. MALBAS JR. DVM,MPH Head,Veterinary Research Department Research Institute for Tropical Medicine, Alabang Muntinlupa City, Philippines

2 EPIDEMIOLOGY OF RABIES Viral zoonotic disease causing encephalitis Acute infection of CNS with fatal outcome Rabies is a disease primarily of animals

3 EPIDEMIOLOGY OF RABIES Urban(canine)rabies transmitted by dogs (Cats and other mammals have spill over infections) Sylvatic rabies disease of wild carnivores Occurrence : worldwide reported to other countries.

4 Number of Animal Rabies in the Philippines, Number Source: Phil Animal Health Center, BAI Year

5 Solutions Capacity Building / Advocacy Regional Animal Diagnostic Laboratories and the stakeholders Production and Distribution of IEC Materials Responsible Pet Ownership Save money for the family

6 What Issues / problems RADDL equipment lacking /Reagents/ Vaccines not tested by Phil. Animal Health Center as vet. Regulatory body High cost of vaccination for the patient Animal Rabies Lab. Diagnosis form is incomplete Laboratory sample (dog head) is unfit for testing

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8 RITM in 1989 RITM in 1981

9 Research Groups 1981 Research Projects Acute respiratory infections Diarrhea Schistosomiasis 2008 Multidisciplinary Research Groups Acute respiratory infections Diarrhea Schistosomiasis Dengue Filariasis Filovirus Hepatitis HIV/AIDS Leprosy Malaria Rabies TB Emerging Diseases

10 Problem Tree Analysis Tourism Animal Health Public Health Vision Problem Increasing Incidence of Rabies in Dogs

11 Increasing incidence of rabies in dogs Failure to vaccinate Failure of vaccine Failure of vaccinations Government Owner Community At the Time of production Wrong site of vaccination Inadequate implementation of the policy Lack of local staff Low capacity Lack of accessibility/affordability of the vaccines Vaccine is expensive Lack of vet clinics KAP inadequate IEC materials Storage problem transport problem Vaccine dose insufficient No annual vaccination No dedicate d unit Lack of funds Vaccination site is far

12 Increasing incidence of rabies in dogs Failure to vaccinate Failure of vaccine Failure of vaccinations Government Owner Community At the Time of production Wrong site of vaccination Inadequate implementation of the policy Lack of local staff Low capacity Lack of accessibility to vaccines Vaccine is expensive Lack of vet clinics KAP inadequate IEC materials Storage problem transport problem Vaccine dose insufficient No annual vaccination No dedicate d unit Lack of funds Vaccination site is far Revision 4

13 Causes Subcauses Root Causes Solutions Stakeholders Government level Inadequate implementation of the policy Low Capacity Strict implementation of the policy additional local staff Creation of the local organizational structure Funds Sourcing BAI Director, AHD Chief, Governor Mayor and staff / Vet. Org. NACADCE Mayor, Budget Officer Accountant Mayor, AHD BAI Director, AHD Chief/ Prof. Org/Government Partners Individual level Lack of accessibility/affordability of vaccine Ensure that vac. site is near the local brgy, centers Regulated price of vaccine Dog Owners/ Brgy. Leaders / Private Vet Clinics /Vet. Companies and Suppliers/ Community Level KAP Develop IEC Materials BAI AHD Chief / Surveillance Officer / Mayor, Information officer

14 Causes Subcauses Solutions Stakeholders At the time of Production Conduct testing of vaccine BAI Dir.. PAHC Chief,RITM,RADDL Failure of the vaccines Storage Problem of the vaccine Provide Proper Storage BAI Dir.,AHD Chief,, Biomed Engr.,Warehouse Head,Lab Staff Problem After the Transport Provide Transport system Biomed Engr. Warehouse Head, Lab Staff Failure of vaccinations Wrong Injection site Insufficient Dose No annual vaccination Conduct proper training Provide correct /proper dose of vaccine Conduct yearly vaccination(annual vaccination) BAI Animal Health Chief, RADDL Chief,PAHC Head,Vets, Governor,Mayor, Dog owners, vaccinators,

15 Stakeholder Analysis High Keep Satisfied Engage closely and influence actively Power Monitor (Minimum effort) Keep Informed Low Low Interest High

16 Stakeholder Analysis High Power Low Professional Organizations(PVMA) Private Organizations/,Biomed Engineer,Warehouse Head,Lab.Staff Dog owners Dog Vaccinators Extension Workers BAI Director /,Director RFU,RADDL Head, RITM Director,VRD Head of PAHC/PAHC Governor,Mayor Govt. Partners NACADCE Private Vet Clinics Agricultural and Vet. Suppliers Veterinary Companies Low Interest High

17 Stakeholder Influence Mapping BAI Director/DA RFU Director AHD /PAHC/RITM VRD/Biomed Engr. Warehouse Head, Mayor /Governor Decision- Makers Government Partners/ Prof.Org. (PVMA) Advisors & Opinion Leaders Private Vet Clinics, Vet Drug Companies Extension Workers Vet Schools Dog Owners Dog Vaccinators Interest Groups, Constituencies and Lobbies

18 Goal 1 Submission of Policy Brief to RITM Director for Approval by the end of October 2010.

19 ACTION PLAN Objective 1 Activities Process Indicators Output Indicator To assure internal consensus and agreement on policy brief Discuss policy brief to Vet. Research Dept. (VRD) Staff for inputs on problem solution evidence Dialogue conducted for support Policy Brief consensus Face to face discussions with RITM Director for endorsement Policy Brief to BAI Meeting conducted and received feedback for the RITM director Policy Brief Endorsement

20 ACTION PLAN Objective 2 Activities Process Indicator Output Indicator To advocate the policy idea to the Bureau of Animal Industry (BAI) Meeting with BAI Director regarding policy idea Include additional input from BAI director suggestions/r ecommendati on Proceeding of the minutes of the meeting produced Policy brief approved by the BAI director

21 ACTION PLAN Objective 3 Activities Process Indicators To promote policy brief with other stakeholders Stakeholders meeting to get interest and inputs on policy idea Proceedings of the minutes of the meeting be provided/pro duced Output Indicator Policy Brief supported by other stakeholders

22 Thank You!!!!!