Polio model in Ethiopia

Transcription

1 Polio model in Ethiopia Vaccine supply NID Cold chain Multi-bi cooperation Vaccination EPI Japan & UNICEF Polio eradication Logistics Surveillance Coverage Confirmation Polio Mobbing up eradication JICA Laboratory Support for Polio Eradication at EHNRI JICA laboratory project Polio surveillance Supply reliable laboratory diagnosis Stool collection AFP surveillance AFP active case finding activities Government commitment (fund,manpower), manpower develoement i

2 Vaccine supply Polio model in Kenya NID Cold chain Polio eradication Vaccination EPI Logistics Surveillance Coverage Confirmation Polio eradication Mobbing up Polio surveillance Supply reliable laboratory diagnosis AFP surveillance Stool collection AFP active case finding activities JOCV. Polio volunteers ii

3 TB model in Philippines mortality TB incidence TB HIV related TB Private public mixture Case Border TB and cure Treatment LTI finding Early diagnosis TB Assured TB cases Case finding and tx. MDR TB (DOTS plus) TB Control Project Early diagnosis S+ TB Supervision Recording and reporting DOT Drug supply (logistics) AFB laboratory network Standardized Individualized diagnosis Assured access to Lab. Assured DOT supervisor Capable case management Individualized logistics QC AFB smear Technician Logistics/reagents Microscope technologists HCWs Assured access to centre Culture and DST Sound. Supervision, recording and reporting Reference lab. Management side effects Government commitment (fund, manpower), manpower development iii

4 TB Model in Kenya mortality TB incidence TB HIV related TB Technician Private public mixture AFB laboratory Early diagnosis network Logistics/reagents Border TB S+ TB Microscope Early diagnosis QC AFB smear TB Reference lab. Assured access to technologists Supervision Case finding Lab. and cure Recording and reporting HCWs Assured DOT supervisor DOT Assured TB cases Assured access to Standardized centre Case finding and tx. Drug supply (logistics) MDR TB (DOTS plus) Individualized diagnosis Culture and DST JICA course Sound Management in Japan Capable case management side effects Individualized logistics. Supervision, recording and reporting Treatment LTI Government commitment (fund, manpower), manpower development BCG iv

5 TB Model in Thailand mortality TB incidence TB HIV related TB Private public mixture Case Border TB and cure Treatment LTI finding Early diagnosis TB Assured TB cases Case finding and tx. MDR TB (DOTS plus) JICA course in Japan Early diagnosis S+ TB Supervision Recording and reporting DOT Drug supply (logistics) AFB laboratory network Standardized Individualized diagnosis QC AFB smear Assured access to Lab. Assured DOT supervisor Capable case management Individualized logistics Technician Logistics/reagents Microscope Reference lab. technologists HCWs Assured access to centre Culture and DST Sound. Supervision, recording and reporting Management side effects Government commitment (fund, manpower), manpower development BCG v

6 New technology? JICA Expert on Malaria Control Malaria Model in Philippines Microscopy Proper Early diagnosis Diagnosis IMCI and Proper Logistics (distribution from government) mortality Social marketing Community Participation Malaria Utilize Fund for purchase Insecticide Japanese Grant Aid incidence Malaria treated mosquito Other vector Permanent mosquito nets Environmental management? control? Biological control? Chemo prophylaxis for Indoor residual spraying? Surveil pregnancy lance vi

7 Malaria Model in Kenya mortality Malaria incidence Malaria Surveil lance Early Diagnosis and Insecticide treated mosquito nets Other vector control? Chemo prophylaxis for pregnancy New technology? Microscopy Proper diagnosis IMCI Proper Logistics (distribution from government) Social marketing Fund for purchase Permanent mosquito nets Environmental management? Biological control? Indoor residual spraying? JICA Course vii

8 New technology? Malaria Model in Thailand mortality Malaria incidence Malaria Surveil lance Early Diagnosis and Insecticide treated mosquito nets Other vector control? Chemo prophylaxis for pregnancy Proper Microscopy diagnosis IMCI Proper Logistics (distribution from government) Social marketing Fund for purchase Permanent mosquito nets Environmental management? JICA training course for Biological control? Water supply Indoor residual spraying? JICA Course viii

9 HIV/AIDS HIV/AIDS model in Kenya Improvement management AIDS death Surveillance case HIV infection Improvement Care support PLWHA detection Provision safe blood Prevention and HIV Mother to Child Transmission youth risk groups Japan grass roots grant aid + USAID (FHI) OI management in the periphery HAART Alternative medicine Care and support, counseling awareness, general population Peer education High risk group specific VCT service access to VCT Retroviral during pregnant. VCT HIV testing at ANC counseling JICA training course service provision Establishing testing services JICA Infectious Diseases Control Project, KEMRI KEMRI research Counselor training Laboratory equipment Provision test kits Develop cheap kits KEMRI research ix JICA Kenya Medical College Project (KMTC)

10 HIV/AIDS HIV/AIDS model in Philippines Improvement case management AIDS death HIV infection Surveillance Care and support PLWHA youth risk groups Improvement awareness, general HIV detection Provision safe blood Prevention Mother to Child Transmission OI management in the periphery HAART Care and support, counseling JICA training course Peer education High risk group specific VCT service population access to VCT VCT HIV testing at ANC Retroviral during pregnancy. counseling service provision Establishing testing services JICA HIV/AIDS Project Counselor training Laboratory equipment Provision test kits x

11 HIV/AIDS HIV/AIDS model in Thailand Improvement case management AIDS death HIV infection JICA NIH Project Surveillance Improvement Care support PLWHA detection Provision safe blood Prevention and HIV Mother to Child Transmission youth risk groups OI management in the periphery Care and support, counseling awareness, general population Peer education High risk group specific VCT service access to VCT VCT HIV testing at ANC Retroviral during pregnancy. counseling service provision AIDS day care (Thai, JICA support) JICA HIV/AID Prevention & Care Project Establishing testing services Counselor training Laboratory equipment Provision test kits JICA Donated Equipment xi