Transcript Monitoring and Evaluation: Joint WPRO/US CDC Assessment for Influenza Pandemic Preparedness and Response: Ann Moen Associate Director for Extramural Program Influenza Division Centers for Disease Control.

Monitoring and Evaluation:
Joint WPRO/US CDC Assessment for Influenza
Pandemic Preparedness and Response:
Ann Moen
Associate Director for Extramural Program
Influenza Division
Centers for Disease Control and Prevention
Objectives
• History
• Purpose of the project
• Content of the tool
• Summary of Findings
• Next steps
http://www.gao.gov/new.items/d07604.pdf
APSED AND WORKPLAN
Avian
Influenza
Pandemic
preparedness
IHR
(Public Health Emergencies of International Concern)
Asia Pacific Strategy for Emerging Diseases (APSED)
Bi-Regional Workplan
Member States’ Country Workplan
Regional Health Security by 2010
Marriage of Two Ideas
Birth of a New Tool
• Used the format and content of the CDC tool and
built on the pandemic preparedness components
• Modify to include specific APSED core capacities
• Group previous capabilities into 5 core capacity
areas for APSED
• Built on monitoring for pandemic preparedness and
expanded to monitoring capacities for IHR
• Add Zoonoses
• Expand other areas
Measurement Notes
Regional Health Security by 2010
Purpose of the Project
• Document core capabilities at a single point in time
• Determine progress toward enhanced
preparedness for pandemics and core capacity for
APSED over time
• Demonstrate accountability for use of resources to
donors or stakeholders
• Guide ongoing investments for enhancing core
capacity for IHR and pandemic influenza
• Inform strategic and program planning
Guiding Principles
• Content reflects best available science and practice
• Progress from one level to the next demonstrates a
meaningful improvement in public health function
• Capabilities reflect composite progress in distinct
domains —not all domains
• While all countries strive for enhanced core
capacity and preparedness, end-points are not
identical
• WPRO is requesting that each member state reach a
2 or greater in each area
Five areas under APSED
• Surveillance and Response
3 stages of
intervention
• Laboratory
• Risk Communication
• Infection Control
• Zoonoses
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•Averting AI
•Rapid Containment
•Pandemic Response
Core Capabilities for Pandemic
Preparedness
• Country Planning
• Research
• Communications
• Epidemiologic Capability
• Laboratory Capability
• Routine Influenza Surveillance
• National Respiratory Disease Surveillance & Reporting
• Outbreak Response
• Resources for Containment
• Community Interventions to Prevent the Spread of Influenza
• Infection Control
• Health Sector Pandemic Response
Distribution of Capabilites for Pandemic Preparedness and Response
Group B
100%
90%
80%
3
70%
2
60%
50%
40%
30%
20%
10%
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Key Results
• Continue to strengthen the response system by
formalizing surveillance and ensuring designed staff are
provided with appropriate training and equipment
• Member States need to strengthen operational local
government pandemic preparedness plan
• Continue to support Member States to review and
distribute their SOPs for collection, storage and
transport within the country.
• Strengthen systems for communicating between
laboratories and the outbreak response teams and
across sectors
Key Results Continued
• Plan to ensure sufficient surge capacity for laboratory
testing
• Strengthen risk communications by ensuring adequate
staff and development of IEC materials
• Provision of resources and training for infection
control is needed especially in group A countries
• Capitalize on current lessons to improve health
sector pandemic response planning and
community mitigation measures
Armenia
Complete
Georgia
Complete
Kazakhstan
Complete
Mongolia
Complete
Ukraine
Complete
Egypt
2009
United States
In Process
Dominican Rep
Complete
Mexico
Complete
Morocco
Complete
Belize
Complete
Brazil
Complete
Guatemala
Complete
Ethiopia
Complete
Cote D’ Ivoire
Complete
El Salvador
Complete
Costa Rica
Complete
Tanzania
Complete
Nigeria
Complete
Peru
Complete
Argentina
Complete
Angola
2009
South Africa
In Process
Pakistan
Complete
Afghanistan
Complete
Uganda
Complete
Rwanda
Complete
Democratic Republic
of Congo
2009
Laos
Complete
Philippines
Complete
Papua New
Guinea
Complete
Cambodia
Complete
Solomon Isl.
Complete
India
Complete
Kenya
Complete
Ghana
Complete
Panama
Complete
Honduras
Complete
Nicaragua
Complete
China
2009
Vietnam
Complete
Thailand
Complete
Bangladesh
Complete
New Caledonia
Complete
Vanuatu
Complete
Fiji
Complete
Distribution of Capabilities for Pandemic Preparedness and Response
N=40 (NOT FOR DISTRIBUTION)
Why is it Important to Monitor ?
• To understand where we are
• To plan where we are going
• To keep focus on what needs to be done
• To be able to show we have made progress
Distribution of Capabilities for Pandemic Preparedness and Response
(NOT FOR DISTRIBUTION)
The Way Forward
• Each country needs to use their scores for their
own planning
• Continue to improve readiness for pandemic and
strengthen core capacity in all five programme areas of
APSED
• Conduct exercises to test and validate the areas
needing improvement on a regular basis
• Use lessons learned about your strengths and
weaknesses during the current H1N1 pandemic to target
future improvements
• Plan to reassess your core capacities for APSED and
pandemic preparedness in 2010