FAO ECTAD. Acknowledgement

Size: px

Start display at page:

Download "FAO ECTAD. Acknowledgement"

Lisa Bradford
5 years ago
Views:

1 FAO ECTAD Building Regional Surveillance Capacity for the Control of AI and other EIDs ARF Workshop on Disease Surveillance and Detection September 2011, Philippines Kachen Wongsathapornchai ASEAN RSU Coordinator Acknowledgement FAO colleagues HQ, RAP, Country Teams Wantanee Kalpravidh ECTAD approach David Castellan Capacity assessment Karoon Chanachai FETPV 2 1

2 Outline Knowing FAO ECTAD Building surveillance and response capacity FAO ECTAD thematic activities Diagnosis, Surveillance and response, Risk assessment Capacity building: assessment, competency, FETPV Networking Coordination: ASEAN RSU 3 Outline Knowing FAO ECTAD Building surveillance and response capacity FAO ECTAD thematic activities Diagnosis, Surveillance and response, Risk assessment Capacity building: assessment, competency, FETPV Networking Coordination: ASEAN RSU 4 2

3 44 member countries in Asia Pacific region ECTAD RAP Bangkok established in 2005 Subregional ECTAD Nepal ECTAD Country Offices 10 countries 5 ECTAD RAPpers 6 3

4 ECTAD Projects in Asia Various sources of funding for country and regional projects INDIA BGLDS Myanmar FMD HPAI Nepal CHINA Regional component Viet Nam Laos CAM INDO Timor Leste PRRS Other HPEDs and TADs Ebola Reston Rabies Program approach at regional and country levels by themes 7 Theme of ECTAD Activities Building surveillance and response capacity One Health Approach Diagnostic laboratory support Surveillance, early warning and outbreak response Capacity building HR and Institution Networking Planning and Coordination Specific activities for risk assessment and risk mitigation 8 4

5 Outline Knowing FAO ECTAD Building surveillance and response capacity FAO ECTAD thematic activities Diagnosis, Surveillance and response, Risk assessment Capacity building: assessment, competency, FETPV Networking Coordination: ASEAN RSU 9 Diagnostic Laboratory Support Biosafety Biosafety/ biosecurity Laboratory equipment maintenance and calibration Laboratory support to surveillance and response Early detection, surveillance and epidemiology Facilitate sample submission to International Reference Laboratories Identified for the networks Legislation/ regulation Providing forums and provision of tools to aid in policy development Networking Strengthening linkages between laboratory and epidemiology networks Collaboration with reference laboratories and collaborating centres Promoting laboratory quality Proficiency testing Field necropsy, pathology, and sample collection Laboratory information management systems Sample referral, shipment, and IATA certification Classical and updated diagnostic assays and techniques Validation, standardization/ transfer of new protocols 10 5

Surveillance, early warning and outbreak response At country level with additional support from regional office and HQ CMC/AH missions to epidemic events Provide technical

central to community Risk based approach 11 Specific activities for risk determination and mitiga

6 Surveillance, early warning and outbreak response At country level with additional support from regional office and HQ CMC/AH missions to epidemic events Provide technical assistance to strengthen systems (HR, institution, planning) Information system, traceability (EMPRESi Asia) Surveillance assessment Capacity building at various levels from central to community Risk based approach 11 Specific activities for risk determination and mitigation Operational research to identify risks, e.g. market chain studies at domestic and cross border levels, price monitoring for livestock products, wildlife studies, field surveys, etc. Provide support to risk mitigation biosecurity improvement at farm and livestock markets 12 6

Outline Knowing FAO ECTAD Building surveillance and response capacity FAO ECTAD thematic activities Diagnosis, Surveillance and response, Risk assessment Capacity building: assessment, competency,

7 Outline Knowing FAO ECTAD Building surveillance and response capacity FAO ECTAD thematic activities Diagnosis, Surveillance and response, Risk assessment Capacity building: assessment, competency, FETPV Networking Coordination: ASEAN RSU 13 Capacity building Rapid spread of HPAI was partly attributable to lack of capacity to provide timely detection and response to outbreaks Provision of trainings in epidemiology More than 100 trainings from Inventory of epidemiology training was conducted by FAO Source: EMPRESi, FAO 14 7

8 Challenges: Multi source trainings Country A C E Regional H J L No. of Epidemiology Training Courses Reported by Country From January 2006 to June 2009 (n=103) Challenge: Majority of training does not include application of concepts Missing Data 2% Epidemiology Training Format in Region of Asia and Pacific from January 2006 to June 2009 (n=103) Other 2% Class + Field Exercise 25% Classroom 71% Collated responses from CTA s (all inputs),

9 Challenge: Epidemiology training is not always targeted appropriately Epidemiology Target Group Level in Region of Asia and Pacific From January 2006 to June 2009 (n=103) Combination 29% Missing Data 5% Local 25% Subnational 10% National 31% Collated responses from CTA s (all inputs), In Service Model for Governments Government Services Competencies Skills Learning Objectives 18 9

CVO Meeting, Phuket, Thailand August 2010 19 Determining capacity building needs CVO perception of institutional

10 Competencies Conduct Outbreak Investigations Develop Surveillance Systems Effective Communication Conduct Field Research Produce Scientific Publications Other Country Input Biosecurity AH Economics Risk Analysis Conduct Surveys CVO Meeting, Phuket, Thailand August Determining capacity building needs CVO perception of institutional versus individual capacity in veterinary epidemiology (11 countries) Understanding of what is needed at each level is discordant 20 10

11 Priorities CVO self assessment (Phuket, 2010): Job duties clearly described for veterinarians at the central level by 100% of respondents Job duties were clearly described for field veterinarians by only 55% of respondents 21 Meeting the needs Different duties for veterinarians at local through national levels: An example... Local - Sample collection - Passive reporting - Train paravets - Post-mortem - Community liaison Sub-national - Clinical diagnosis - Train local vets - Conduct surveys - Data collection - Report findings - Initiate regulatory action - Inspection - Investigation - Surveillance design National - Surveillance design - Design questionnaires - Technical support - Data collation - Data storage - Data analysis - Write reports - Administration - Investigation Different needs for each country 22 11

Institutional Structure Director of Animal Health National Director of Animal Health Laboratory Epidemiology Unit Laboratory Province/St ate/region Local/Distric t (Epidemiology Unit) Province/St

12 Institutional Structure Director of Animal Health National Director of Animal Health Laboratory Epidemiology Unit Laboratory Province/St ate/region Local/Distric t (Epidemiology Unit) Province/St ate/region Local/Distric t 23 Human Resource Development Does HRD Policy addresses surveillance? Veterinarians and animal health workers Number present and ratio Qualifications Duties Example 24 12

13 Surveillance Programs Surveillance versus monitoring? Use and utility of data collected? 90% of countries in S. and S.E. Asia have at least one active disease surveillance program 30% produce regular surveillance reports 25 Preliminary assessment Training needs at sub national level Application of theory to pragmatic situation In service training Long term approach 26 13

14 Field Epidemiology Training Program for Veterinarian 27 FETPV Hosted by Thai Department of Livestock Development (DLD), in collaboration with Ministry of Public Health using the concept learning through providing services Integrating wildlife, socio economic and communication modules Regional strategy is being developed for longer term purpose 28 14

15 FETPV Benchmarking with other existing epidemiology training programs in the region, e.g. AVET, MS, MVPH Country FETPV China short and 2 year course Laos short course India developing short and 2 year course Myanmar, Cambodia developing short course Need to link with Regional Epidemiology Network 29 Outline Knowing FAO ECTAD Building surveillance and response capacity FAO ECTAD thematic activities Diagnosis, Surveillance and response, Risk assessment Capacity building: assessment, competency, FETPV Networking Coordination: ASEAN RSU 30 15

Regional Epidemiology Network Epidemiology Consortium Technical Advisory Group 3 areas of focus: Capacity Building Knowledge generation and utilization Facilitate information sharing facilitate early

16 Regional Epidemiology Network Epidemiology Consortium Technical Advisory Group 3 areas of focus: Capacity Building Knowledge generation and utilization Facilitate information sharing facilitate early warning Regional resource persons: Alumni from FETPV and related trainings Building trust among the member countries which will facilitate collaboration Platforms for information sharing 31 GLEWS: Global Early Warning System for major animal diseases, including zoonoses 16

ECTAD Building surveillance and response capacity FAO ECTAD thematic activities Diagnosis, Surveillance and

17 EMPRES-i: Information intelligence intervention Surveillance module: to collect and display information on active surveillance from projects Map surveillance areas Summarize surveillance activities Outline Knowing FAO ECTAD Building surveillance and response capacity FAO ECTAD thematic activities Diagnosis, Surveillance and response, Risk assessment Capacity building: assessment, competency, FETPV Networking Coordination: ASEAN RSU 34 17

Planning and Coordination Coordination at country level Ministry of Agriculture, Ministry of Natural Resources, or related Ministries Country collaboration and ownership Donors and partners

18 Planning and Coordination Coordination at country level Ministry of Agriculture, Ministry of Natural Resources, or related Ministries Country collaboration and ownership Donors and partners Coordination at regional level Harmonization of protocols, approaches, strategies Regional Organizations ASEAN and SAARC Establishment of Regional Support Units for ASEAN and SAARC

19 Regional Support Unit Supported by EU through HPED programs To enhance capacities and capabilities of ASEAN to prevent, control and eradicate HPEDs, including HPAI, at regional level RSU in Bangkok, then to ASEAN mechanism (RCM) RSU will strengthen regional cooperation, disease response capacity, and policy development through sustained coordination and partnership with stakeholders 37 FAO/OIE GF-TADs ASEAN Secretariat FAO ECTADRAP ASEAN Regional Support Unit (RSU) Regional Diagnostic Network Regional Epidemiology Network FMD CSF HPAI Network of National Diagnostic Laboratories Network of National Epidemiology Teams NATIONAL COMPONENTS 38 19

Regional Cooperation Initiatives: FAO Updates Food and Agriculture Organization of the United Nations Regional Office for Asia and the Pacific

1 Regional Cooperation Initiatives: FAO Updates Food and Agriculture Organization of the United Nations Regional Office for Asia and the Pacific 2 @ Ensuring food security and safety @ Improve livelihoods