APORA 2015 GHANA ARMED FORCES APORA PRESENTATION APORA 2015 APORA 2015 APORA 2015 APORA 2015 INTRODUCTION APORA 2015 APORA 2015 INTRODUCTION 1.
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APORA 2015 GHANA ARMED FORCES APORA PRESENTATION APORA 2015 1 APORA 2015 APORA 2015 2 APORA 2015 INTRODUCTION APORA 2015 3 APORA 2015 INTRODUCTION 1. GAF KEY PLAYERS IN GHANA’S PREPAREDNESS PLAN 2. GAF DEPLOYED IN LIBERIA (UNMIL) AND MALI (MINUSMA) GHANCOY AND GHAV 3. PARTICIPATE IN INTER-MINISTERIAL MEETINGS ON EBOLA PREPAREDNESS 4. ROLE OF MILITARY HEALTH SERVICE IN SUPPORTING CIVIL COUNTERPARTS APORA 2015 4 APORA 2015 AIM To give an overview of the role of the Ghana Armed Forces in the national disease outbreak response. APORA 2015 5 APORA 2015 SCOPE 1. ROLE OF GAF IN NATIONAL OUTBREAK RESPONSE 2. GAFMS STRUCTURE FOR OUTBREAK RESPONSE 3. COUNTRY SPECIFIC OUTBREAK RESPONSE 4. OBSERVED GAPS AND WAY FORWARD APORA 2015 6 APORA 2015 ROLE OF GAF IN NATIONAL OUTBREAK RESPONSE APORA 2015 7 APORA 2015 ROLE OF GAF • AN INTER-MINISTERIAL COMMITTEE FORMED INVOLVING DEFENCE, INTERIOR, COMMUNICATIONS, HEALTH AND LOCAL GOVERNMENT • HON DEP MIN OF DEFENCE REPRESENTS MINISTRY AT INTERMINISTERIAL MEETINGS • ROLE OF MOD – DEPLOY ENGINEERING AND MEDICAL EXPERTISE AROUND GHANA • POSSIBLY PROVIDE AIR TRANSPORT AND SECURITY, MOVE LOGISTICS AND PERSONNEL APORA 2015 8 APORA 2015 ROLE OF GAF Minister of Health Incident Manager Operations Operations DG GHS DG MOH Special Advisor Coord/ Liaison Deputy Incident manager Epidemiology Surveillance Finance Case Management Data Management Communications Logistics Management Finance Lab Services Social Mobilization APORA 2015 9 APORA 2015 ROLE OF GAF 1. DEPUTY INCIDENT MANAGER FOR LOGISTICS AND COORDINATION AT EMERGENCY OPERATIONS CENTRE IS A MILITARY OFFICER 2. 48 ENGINEER REGIMENT INVOLVED IN PLANNING AND CONSTRUCTING TREATMENT CENTRES 3. GAF MEDICAL SERVICE – DEPLOY MEDICAL EXPERTISE TO SUPPORT NATIONAL RESPONSE APORA 2015 10 APORA 2015 GAF PARTNERS 1. NAMRU-3 GHANA DETACHMENT 2. WORLD HEALTH ORGANISATION 3. MINISTRY OF HEALTH APORA 2015 11 APORA 2015 GAFMS SETUP FOR DISEASE OUTBREAK RESPONSE APORA 2015 12 APORA 2015 GAF Medical Facilities TAMALE 6MRS SUNYANI 3MRS HO 7MRS KUMASI 4MRS TAKORADI 2MRS ACCRA 37 MIL APORA 2015 TEMA 1MRS 13 APORA 2015 37 MILITARY HOSPITAL APORA 2015 14 APORA 2015 ORGANIZATION OF RESPONSE 1. GAF HAS AN EBOLA TASK FORCE TO CREATE AWARENESS & DIRECT OUTBREAK CONTROL EFFORTS 2. PUBLIC HEALTH DIVISION COORDINATES SURVEILLANCE AND PREVENTION EFFORTS 3. EACH GARRISON AND UNIT HAS LOCAL TASK FORCE APORA 2015 15 APORA 2015 PUBLIC HEALTH DIVISION OIC HEALTH DIVISION HIV PROGRAMME SARI/ILI EMERGING DX SURVEILLANCE TB CONTROL PROGRAMME MALARIA CONTROL PROGRAMME NON COMMUNICABLE DISEASES PROGRAMMES POLICY & PLANNING SOPs POLICY REVIEW EMED4 NOIC 2IC CSM ADMIN OFFR HEALTH PROMOTION EPIDEMIOLOGY DX CONTROL & SURVEILLANCE RESEARCH FAMILY PLANNING TRAINING CELL VACCINATIONS RESEARCH PROTOCOLS CHILD WELFARE CLINIC HEALTH PROMOTION TEAMS DISEASE CONTROL COUNSELLING SURVEILLANCE OCCUPATIONAL HEALTH REPRODUCTIVE & CHILD HEALTH MEDICAL EXAMS OCCUPATIONAL HAZARDS MONITORING WORKPLACE SAFETY ADOLESCENT HEALTH SCHOOL HEALTH HEALTH COMMUNICATIONS OUTBREAK INVESTIGATION IRB COORDINATION ENVIRONMENTAL HEALTH HYGIENE INSPECTION TEAMS FOOD HYGIENE & SAFETY INFECTION CONTROL VECTOR CONTROL SUBUNITS APORA 2015 16 APORA 2015 GAF CAPABILITIES 1. ON-THE- SPOT INVESTIGATIONS, HANDLING OF DANGEROUS PATHOGENS AND CASE DETECTION 2. PATIENT MANAGEMENT, CONTAINMENT 3. PROVISION OF LOGISTICS IN THE FORM OF STAFF AND SUPPLIES 4. RISK COMMUNICATION APORA 2015 17 APORA 2015 GAF CAPABILITIES 5. TRANSPORTATION OF ASSETS FOR MEDICAL PERSONNEL AND/ OR PATIENTS IN OUTBREAKS 6. SECURITY AND LAW ENFORCEMENT 7. SAFE BURIAL 8. DISEASE SURVEILLANCE OF HUMAN AND ZOONOTIC DISEASES APORA 2015 18 APORA 2015 STATE OF PREPAREDNESS 1. A TEMPORARY ISOLATION TENT IN MIL HOSP 2. LOGISTICS FROM MOH, NGOs, WHO 3. TRAINED PERSONNEL PUT ON STANDBY 4. AWARENESS CREATION WITHIN GAF 5. PPEs AND OTHER LOGISTICS POSITIONED IN GARRISONS 6. CONSTANT SURVEILLANCE FOR EVD AND OTHER THREATS APORA 2015 19 APORA 2015 TEMPORARY ISOLATION APORA 2015 20 APORA 2015 TEMPORARY ISOLATION APORA 2015 21 APORA 2015 TEMPORARY ISOLATION APORA 2015 22 APORA 2015 RISK COMMUNICATION APORA 2015 23 APORA 2015 TRAINING 1. 49 PERSONNEL OF GAF TRAINED IN THE FIRST NATIONAL TRAINING FOR EBOLA CASE MANAGEMENT 2. EXPERTS FROM WHO AND MOD-GHS CONDUCTED HANDS-ON TRAINING 3. AMETHYST TECHNOLOGIES TRAINED 82 PERSONNEL ON INFECTION CONTROL AND PPE DONNING AND DOFFING 4. SCREENING EXERCISE AND LECTURES APORA 2015 24 APORA 2015 TRAINING SESSIONS APORA 2015 25 APORA 2015 TRAINING SESSIONS APORA 2015 26 APORA 2015 COUNTRY SPECIFIC OUTBREAK RESPONSE APORA 2015 27 APORA 2015 EVD RESPONSE STRUCTURE Minister of Health Incident Manager Operations Operations DG GHS DG MOH Special Advisor Coord/ Liaison Deputy Incident manager Epidemiology Surveillance Finance Case Management Data Management Communications Logistics Management Finance Lab Services Social Mobilization APORA 2015 28 APORA 2015 CONCEPT AND TOR OF THE EBOLA EOC MODELED ON SUCCESSFUL NIGERIAN EXPERIENCE AND MODIFIED TO GHANAIAN CONTEXT TORS: 1. PREVENT AND PROTECT AGAINST INTRODUCTION AND SPREAD OF THE EVD IN GHANA 2. IDENTIFY, ISOLATE AND MANAGE INCIDENT OF EBOLA IN RAPID RESPONSE TIME AND COORDINATE ALL ACTIVITIES REGARDING THE CONTROL OF THE INFECTION APORA 2015 29 APORA 2015 CONCEPT AND TOR OF THE EBOLA EOC 3. LIAISE WITH OTHER INSTITUTIONS TO MANAGE PUBLIC INFORMATION AND COORDINATED COMMUNITY ACTION 4. IDENTIFY RESOURCES NEEDS AND LIAISE WITH GOVERNMENT AND DEVELOPMENT PARTNERS TO FILL GAPS 5. BRIEF GOVERNMENT OF ON-GOING ACTIVITIES TO CONTROL THE INFECTION. APORA 2015 30 APORA 2015 COUNTRY PLAN 1. NATIONAL PANDEMIC RESPONSE PLAN DEVELOPED 2005 2. REVISED IN 2009 3. PLAN REVISED AND EXERCISED IN 2009 IN ELMINA (USAFRICOM) APORA 2015 31 APORA 2015 COUNTRY PLAN 1. GHANA ADHERES TO WHO GUIDELINES A. CASE DEFINITION B. PATIENT MOVEMENT C. CLINICAL AND EPIDEMIOLOGICAL PROCEDURES D. LABORATORY PROCEDURES APORA 2015 32 APORA 2015 COUNTRY PLAN 1. DISEASE SURVEILLANCE UNIT COORDINATES OUTBREAK RESPONSE 2. SYSTEM IS BOTH PAPER BASED AND ELECTRONIC 3. CASES REPORTED TO PUBLIC HEALTH AUTHORITIES DAILY, WEEKLY AND MONTHLY PER GUIDELINES 4. GOOD COLLABORATION BETWEEN MILITARY AND NATIONAL SYSTEM APORA 2015 33 APORA 2015 OBSERVED GAPS APORA 2015 34 APORA 2015 GAPS 1. LACK OF A MULTI-DISCIPLINARY TEAM FOR OUTBREAK RESPONSE (HEALTH, SECURITY, EMERGENCY MANAGEMENT AND COMMUNICATIONS) 2. WEAK INDEPENDENT MILITARY DISEASE SURVEILLANCE SYSTEM 3. INFECTION PREVENTION AND CONTROL TRAINING AND LOGISTICS SHORTFALLS 4. LACK OF DEFINITE OUTBREAK COMMUNICATION PLAN 5. LACK OF GENERAL PROTOCOLS AND PROCEDURES FOR COODINATING RESPONSE AMONG DISCIPLINES INCLUDING SOCIAL DISTANCING IMPLEMENTATION APORA 2015 35 APORA 2015 GAPS 5. INADEQUATE ENVIRONMENTAL HEALTH FACILITIES FOR WASTE SEGREGATION, INCINERATION 6. INADEQUATE INFECTION PREVENTION EQUIPMENT SUCH AS AUTOCLAVES IN ALL MILITARY HEALTH FACILITIES. 7. LACK OF A PROPER ISOLATION FACILITY 8. LACK OF LABORATORY CAPACITY FOR PCR, MOLECULAR ASSAYS, SOME SEROLOGICAL ASSAYS, TISSUE CULTURE 9. MORE STAFF TRAINING FOR RISK COMMUNICATIONS 10. NEED FOR TOPIC-SPECIFIC AND MILITARY HEALTH PROMOTION MATERIALS. APORA 2015 36 APORA 2015 APORA 2015 37 APORA 2015 APORA 2015 38