Digital engagement briefing for
veterinary paraprofessionals and
their equivalent in the medical
and agricultural sectors
Rosie Herrington
EuFMD. European Commission for the Control of Foot-and-Mouth Disease
Project Aim:
To improve Veterinary paraprofessionals‘ capacity to deliver essential
animal heath services
VPP Project Presentation
• Digital tool - TOM
• Managed by competent
national authority (VSB).
• Linking smallholders to VPPs
• Linking VPPs to vets and quality
veterinary input suppliers
• Public private multi-stakeholder
platform
• Technical skills: preventive
animal health care
• Business & soft skills
3 KEY PILLARS
Certification Management System: VPP Business Environment:
Competency Based Training :
Competency Framework tool
Blended Learning
Background:
How are we best going to design:
o The virtual learning aspect of the
training
o The digital engagement tool for
smallholder farmer outreach &
Veterarinary paraprofessional
linkages with vaccine supply chain
and vet supervision
Literature Review Case Study Interviews
Method:
Aim not to be exhaustive academic approach but to answer key questions
for our project strategy and also inform basis of this workshop.
1. Are there existing examples of the use of digital tools for the training
of Veterinary Paraprofessionals?
Method:
Aim not to be exhaustive academic approach but to answer key questions
for our project strategy and also inform basis of this workshop.
1. Are there existing examples of the use of digital tools for the training
of VPPs?
2. How about more general digital engagement of VPPs and livestock
holders?
Method:
Aim not to be exhaustive academic approach but to answer key
questions for our project strategy and also inform basis of this workshop.
1. Are there existing examples of the use of digital tools for the training
of VPPs?
2. How about more general digital engagement of VPPs and livestock
holders?
3. Are there existing examples of the use of digital tools for training
professionals in similar roles to VPPs in the medical
Method:
Aim not to be exhaustive academic approach but to answer key
questions for our project strategy and also inform basis of this
workshop.
1. Are there existing examples of the use of digital tools for the training
of VPPs?
2. How about more general digital engagement of VPPs and livestock
holders?
3. Are there existing examples of the use of digital tools for training
professionals in similar roles to VPPs in the medical or agriculture
sectors?
4. What lessons can we learn from previous e-learning initiatives?
Method:
1. Lessons Learned – Availability of Technology
• Use available, useable and sustainable
technology
• Be aware of male control over household
phone ownership
• Be aware of hidden costs associated with
using technology : barrier to access
1. Lessons Learned – Availability of Technology
Example: NCDE Tanzania Clinical Officer
Upgrade Programme
• Tablets provided to local e-learning centres
• Only one participant owned a personal
computer
• Majority reliant on self-funded access at
internet cafes
2. Lessons Learned – Computer Literacy + IT Support
• Assess and tailor training to context specific
computer literacy skills
• Consider training including computer
literacy skills
• Consider how to include on-going IT
support (Joynes, 2014)
2. Lessons Learned – Computer Literacy + IT Support
Example – The Open University for Philippines
Agriculture (OPAPA) e-learning project
• Two day computer literacy program (face to
face) for 10,000 extension workers.
• Followed by distance learning on rice
production techniques.
Lessons Learned – Access to and cost of internet/bandwidth
• Simple content to minimize bandwidth use
• E-learning should be customized to meet
local infrastructure: hardware, software,
bandwidth and electricity availability
• Conduct survey before choosing modalities
Lessons Learned – Access to and cost of internet/bandwidth
Example: Pacific Paravet Training Project
• Designed a website for mobile use with a
simple structure
• Team recommended creating simple
content to minimize bandwidth
Benefits include:
• Easier to update content on platform
• Cheaper for people who pay per megabyte
• Can be used in poorer connectivity
4. Lessons Learned – Use of Blended Learning
• Students complimented blended learning
and requested further face-to-face contact
• Those with more contact felt more
connected to tutors, other students and
their studies
• Mixture of platforms
4. Lessons Learned – Use of Blended Learning
Example 1 – Amref Kenya Nurse Upgrade
• Four modules, each with a clinical
placement associated.
• Additional 2 weeks of face-to-face tutorial
• 2 telephone tutorials
Example 2 – HEAT Ethiopia
• Monthly face-to-face support sessions near
a local health centre
• 10 student per tutor, in local language and
close to home
5. Lessons Learned – Maintenance of Materials
• Need for continous improvement &
assessment of program as environment
changes
• Structure of resource tailored to allow easy
update of material throughout project
duration
5. Lessons Learned – Maintenance of Materials
Examples: Jan, Mohutsiwa-Dibe &
Loukanova (2014)
• Consider local technical or expert
knoledge on maintenance of
platforms (soft and hardware)
• Consider network losses, cost of
phone maintenance, risk of
loss/theft, local of software flexibility
for updates.
6. Lessons Learned – Engagement/Integration with
Local Health Authorities
• Without a context specific design many
projects fail completely
• Integrate project into present healthcare
system and liaise with Veterinary Statutory
Body
• Partnership key for sustainability
• Syllabus developed with appropriate
professional body
7. Lessons Learned – Training Particulars
• Benefit of programs that link students
together: more enthusiatic and motivated to
learn
• Inter-disciplinary soft skills were requested
from VPPs
• Consider training of trainers model
Digital Engagement and Gender
• Gender element to digital
engagement → digital gender
gaps
• More on this during
WOUGNET’s presentation
• Digital gender gaps may
vary between VPPs and
smallholder farmers - level of
education can have more of an
impact in determining digital gaps
than gender.
• Objective: Ensure an inclusive,
intersectional approach to digital
engagement so as not to
unintentionally exclude marginalized
groups including women and youth.
• How: Needs assessment and
participatory rural appraisal to
examine gendered challenges
and adapt digital strategy
accordingly.
For the context of this project:
Taking Gender into account
Thank you !
Thank you !
Rosie.Herrington@fao.org
The EuFMD / European Commission for the Control of Foot-and-Mouth Disease
HOLD-FAST strategy. Foot-and-mouth And Similar Transboundary animal diseases
www.fao.eufmd.org..
1
1
VPP
FAO, WVA, H4A
presentation
October 2021
2
2
WELCOME & INTRODUCTION
Dr. Gabriel Varga
Regional Director Sub Sahara Africa
Zoetis
3
3
Very proud to be part of
this initiative !
Healthier animals are
sustainable animals for
sustainable farming
4
4
Note: Facts and figures shown are as of Dec. 31, 2019 | 1Excludes revenue associated with Client Supply Services, which represented 1% of total 2019 revenue.
27MANUFACTURING
SITES
8CORE
ANIMAL
SPECIES
7
BILLION
$
ANNUAL REVENUE
1,100
APPROXIMATE
R&D COLLEAGUES 300 APPROXIMATE
NUMBER OF
PRODUCT LINES
7MAJOR PRODUCT
CATEGORIES
WE PROVIDE
MEDICINES
VACCINES
DIAGNOSTICS
GENETIC TESTS
BIODEVICES
PRECISION LIVESTOCK FARMING
65+
YEARS OF
EXPERIENCE
100+
COUNTRIES
MARKET PRESENCE IN
11,300
APPROXIMATE COLLEAGUES
WORLDWIDE
OUR FOCUS
51%1 49%1
COMPANION
ANIMAL
HEALTH
LIVESTOCK
HEALTH
3,200
APPROXIMATE
FIELD FORCE
MEMBERS
5
5
INNOVATING ACROSS THE CONTINUUM OF CARE
Genetics
Diagnostics
Data
Analytics
& Sensors
Vaccines, Robotics
& Automation
Medicines
6
6
ZOETIS A.L.P.H.A. INITIATIVE
Zoetis and BMGF have developed a
unique multimillion dollars initiative to
improve livestock farming in Sub Sahara
region over a 5-year period in 4 SSA
countries
BACKGROUND OBJECTIVE
To improve livestock health
and positively impact farmers’
livelihoods in Sub-Saharan
Africa.
7
7
THE A.L.P.H.A INITIATIVE 3 FOCUS AREAS
Registrations to support product availability
>1.7 bln doses of treatment/prevention supplied
Dx labs to support the right diagnosis, therapy and
prevention, PPP approach
Trainings both f2f/digitally to
support the correct use of products
and services, strong gender focus
8
8
ALPHA Diagnostic Partnerships
▪ 16 Dx labs operational
▪ Dx sustainability assessment is done with follow up action plan
▪ LabCards 2.0 release & continuous support of application use. (used
outside of ALPHA region in Zimbabwe and to be introduced to Zambia)
Dx Manager – Niyi Bankole
5 Dx partners 3 public/2 private, 1
well established, others operational
but still in development
80% of focus in Poultry
Dx Manager – Bitsu Mekete
1 Dx partner/private, at the beginning
of the journey
100% of focus in Poultry
Dx Manager – Mwajuma Kudema
5 Dx partners; 3 private, 2 public
(universities); beg-intermediate stage
80% of focus in Poultry
Dx Manager – Francis Kalule
3 Dx partners/4 labs, 1 public/3
private, 3 well established, one is
operational but in development
90% of focus in Ruminant
ACHIEVEMENTS AND HIGHLIGHTS OF DIAGNOSTIC LABS
9
9
Digital innovation – LabCards diagnostics in a pocket
▪ Easy data collection samples on the farm through mobile app
▪ All relevant diseases, test methods and test types built-in
▪ Overview of all sent requests
▪ Convenient onboarding in laboratory
▪ Fast input of results on web portal
▪ Instant sharing of results to veterinarian
▪ Scalable to other species, diseases, test methods and test
types as well as countries
9
10
10
Easy access to LabCards data with visualization
of performance metrics and mapping
Easy-to-understand, real-time data visuals
Easy to filter interesting data from LabCards
Easy to sort these data (and download, export )
Different levels: regional, country, lab …
11
11
EDUCATION
ALPHA Initiative TRAININGS who/what?
Distributors
• Certification via e-
learnings on key topics
Dx lab personnel
(species: poultry, ruminant,
swine)
•Role of Dx services in Farm
management/Vet practices –
detection & prevention
•Poultry ELISA methods &
interpretation
Vets & Paravets
• Continuum of care
predictions detection,
preventions, treatment
• Business/entrepreneurship
trainings
Farmers
• Biosecurity
• Poultry Health
• Diagnostic services
Disease awareness & solutions; specific trainings incl product handling,
storage, application; effective management of farms
12
12
EDUCATION - HOW WE DELIVER TRAININGS
• Face-to-face as well as digital trainings in
ALPHA countries
Local team
members
• Partnership with local NGOs, associations,
Universities, cooperatives, etc
• Pooled Vaccinators
Partnership
• Specialised portals: Docebo, Vetvance,
Velexicon (Bovis)
• YouTube videos
• Webinars/Online trainings
Digital
platforms
13
13
Professionals trained
15% in 2020
During 2019-21
• >22 thousands people trained
• With average 28% female participation
Covid 19 impact
• N of trainings was impacted as majority of
the F-to-F trainings were cancelled
• Trainings were moved to virtual format which
limited access to some target audiences ex.
Farmers
▪ Female participation dropped
• due to lower availability/acceptance of digital
solutions
• timing of the trainings, as majority of them
held in the evenings – busy time with families
COVID 19
outbreak start
Female participation:
37% in 2019 27% in 2021
Women of Uganda Network(WOUGNET)
DIGITAL GENDER GAPS IN WOUGNET PROJECTS
AND APROACHES USED TO BRIDGE THE GAPS
By Goretti Amuriat
Program Manager, Gender and ICT Policy Advocacy
Digital Engagement Workshop
Presentation Out Line
• About WOUGNET
• Projects implemented by WOUGNET
• Digital gender gaps
• Approaches used to address the gender gaps
• Recommendations
• Conclusions
About WOUGNET
• Women of Uganda Network (WOUGNET) is a non-
governmental organization initiated in May 2000 by
several women’s organizations in Uganda to
develop the use of information and communication
technologies (ICTs) among women as tools to share
information and address issues collectively
About WOUGNET Cont’d
WOUGNET Vision
• An inclusive and just society where women and
girls are enabled to use ICTs for sustainable
development.
WOUGNET Mission
• To promote the use of ICTs by women and girls for
gender equality and sustainable development
WOUGNET Strategic objectives
• Gender and rights are integrated and enforced in
government ICT policy processes and programs
• Women and girls have access to relevant
information in urban and rural areas
• Communities are empowered to use ICTs and
demand for their digital rights.
• WOUGNET is a strong, vibrant and sustainable
center of Gender and ICT excellence in Uganda
About WOUGNET Cont’d
• WOUGNET is a Network organization that works with
like-minded women’s rights organizations and
individuals in Uganda.
• Currently WOUGNET has over 60 members that are
strategically operating nationwide
• WOUGNET advocates for integration of gender and
rights in Policies and Programs, conducts evidence
based research to support her advocacy, shares
relevant information on various digital platforms,
Conducts digital literacy among communities and
empowers community to address their own needs
Projects implemented by WOUGNET
• Enhancing Access to Agricultural Information through the
use of Information and Communication Technologies” (EAAI)
that aimed at improving access to agricultural information
to women farmers in Northern Uganda.
• Enhancing income growth among small and micro women
enterpreneurs for economic empowerment implemented
in 3 districts in Uganda ( Apac, Ibanda and Mukono).
• Enhance effective use of ICTs and social media for citizen
engagement with leaders for improved serviced delivery in
Northern Uganda 2018-2019.
• Enhancing Citizenry Engagements to Promote Human
Rights and Accountability in the Service Delivery Framework
using ICTs in three districts in Uganda (Busia, Tororo,
Pallisa)
Projects implemented by WOUGNET
• Enhancing Rice-Greengram Productivity in Northern
Uganda. The project involved the introduction of
greengram in the rice cropping system that led to increased
land productivity, improved soil fertility and enhanced
farmer’s income and nutrition among women and youth
farmers in selected districts of northern Uganda.
• “Marker-assisted breeding of selected Native Chicken in
Mozambique and Uganda” with the objective to Increased
quantity and quality of chicken products that will result in
better income and nutrition for farmers in Mozambique,
and Uganda
• Engendering ICT Policy processes in Uganda
• Projects targeted grass roots women farmers and
entepreneurs, leaders, women groups and policy makers
Digital gender gaps
• Illiteracy among women
• Digital illiteracy
• Hight cost of digital tools such as Smart phones that
makes it hard for women to acquire
• Language of content disseminated in English
• Patriarchal norms that limit women’s access, control,
use of resources
• High cost of the internet
• Irrelevant content
• Technophobia
Digital gender gaps……Cont’d
• Heavy work load/gender responsibilities that limit
time to access and use
• Long Distance from the centers of ICT access
• Women lack confidence
• Low internet penetration
• Un favorable policies such high internet costs, 12% levy
on data
• Misconception or negative mindset about the internet
eg, its immoral
• Online violence experienced
Approaches used to address
gaps
• Sensitization/ awareness raising on need to access and use
the digital tools
• Conducted Gender and ICT campaigns among boys and girls
in secondary schools
• Conducted Digital literacy trainings in communities
• Setting up of Information centers in rural communities for
them to acquire knowledge on ICT
• Organizing activities on the time suitable/ agreed upon
• Provide translations in local language
• Provide digital tools such as smart phones and other
tools such as cameras to selected women so as they able
to teach others
Approaches used to address
gaps….Cont’d
• Set up Digital access centres near homes
• Sensitize women and girls to access and use internet safely
• Advocate for gender sensitive policies and programs
• Participate in policy review meetings and integrate gender
issues
• Mainstream gender in all our project activities such invite
both men and women for project meetings ( 30 male to 70
female)
• Organize separate meeting for men and women if you want
them to voice out needs
• Economic empowerment of women to enable them be
confident and also afford tools
Approaches used to address
gaps….Cont’d
• Sensitize Women and Girls that access and use of
digital tools is their right
• Advocate for favorable policies
• Project activities organized should end early
enough to allow women to do care activities at
home to motivate women to particiapate
• Breast feeding mothers should be allowed to
move with their children and also if possible
provide breastfeeding rooms/changing rooms
Recommendations
• Do a gender analysis at the beginning/start of the
project to identify gender issues that might
constrain the project implementation
• Involve men and women in the different
categories to understand the gender issues that
cut through
• Involve different stake holders such as policy
makers, CSOs, program developers, Private
institutions to understand the gender issues
broadly
• Mainstream gender in all project activities and at
all levels
Recommendation ……cont’d
• Make the project activities as inclusive as
possible
• Promote equality in access and use of digital tools
• Monitor and evaluate implementation of gender
issues integrated
• Document/report project activities using a
gender perspective
Recommendations……… cont’d
• Address existing gender inequalities eg under
representation of women in decision making roles
especially in internet governance.
• Build stronger multi-stakeholder coalition to
advance and promote Women’s right’s online.
• CSO’s and other actors should create/encourage
promotion of online content that reflect women
voices and needs.
• Research alone is not enough; organizations should
sensitize and train communities on meaningful use
of ICT enabled tools.
Conclusion
• Gender is key development issue and should be
addressed in project implementation if project is
to be successful
• It is cross cutting and should be examined
among all categories of people.
• Different places experience gender differently,
need to understand the context
• Women are not a homogeneous group so their
digital needs are different and should be examined
that way eg women with disability, rural women,
LGBT women, university girls, illiterate women,
educated women etc
Contacts
• Email: Info@wougnet.org
• Website: www.wougnet.org
• Twitter, Facebook: @wougnet
Event Mobile Application (EMA-i)
To strengthen animal diseases reporting,
surveillance and early warning
Asma Saidouni, Fairouz Larfaoui, Sabina Ramazzotto
Animal Production and Health Division (NSAH), Join Center for zoonosis and AMR (CJWZ), FAO
What is EMA-i
• Mobile App for Veterinary Services to
facilitate quality & real time reporting
of animal diseases from the field
• Integrated into EMPRES-i to safely
store epidemiological data
• Access to disease events in real-time
(“Near me” map)
• Improve communication among
veterinary services, animal health
workers, laboratory experts
• Support Early Warning for an effective
Early Response to disease threats.
EMA-i workflow
Real-time disease reporting for Early Warning
• EMA-i implemented in 12 countries
(Cote d’Ivoire, Democratic Republic of Congo, Ghana, Guinea,
Lesotho, Liberia, Mali, Malawi, Uganda, United republic of
Tanzania, Sierra Leone, and Zimbabwe).
• Over 1 200 Users
• Over 19 000 Disease events reported & safely stored in
EMPRES-i
• 26 Training workshops
• 13 First implementation (TOT approach)
• 13 Scaling up workshop
• Weekly reports generated automatically
• Data visualization analysis tool for Monitoring of disease
reporting and Early Warning ➔ Reports for decisions makers
• Developed M&E case study (piloted in Tanzania)
EMA-i Results: Tanzania
283
1199
Before EMA-i (countrywide) One year of EMA-i (20 districts)
❑ Number of disease events (Jun 2016 –May 2021): 11501
✓ Mainland (Dec 2017- May 2021): 9 001
✓ Zanzibar: (Jun 2016 –May 2021): 2 503
❑ Implementation :
✓ 5 phases (2016, 2017, 2018, 2019, 2020)
✓ Number of users: over 200
✓ Districts: 62% (115/185)
GHSA & Emergency Preparedness and Response fund
• Expand the use of electronic reporting systems
• Support national policies and regulations through the
institutionalization of Early Warning
• Interoperability:
✓ Laboratory systems: such as SILABFA (ongoing)
✓ Public Health/One Health systems (DHIS2)
✓ Syndromic surveillance systems (Afyadata)
✓ National surveillance systems
✓ International organization WAHIS
• Expand data collection to additional risk factors
• Develop additional Early warning indicators (EMPRES-i +)
• Integrate Disease recognition, EPI definition & best practice on
sampling
• Create a Tele-diagnostic system with use photo library collected
with EMA-i and creation of national, regional and international
experts network (Feedback System).
Next step on Electronic reporting systems with EMA-i
Questions & discussion
Food and Agriculture Organisation
Technology-aided Program Coordination
Dr Andy Gibson
Director of Strategic Research
Worldwide Veterinary Service
Discussion
What experiences do you have in using digital tools for
disease reporting or recording vaccine usage?
Which aspects were key for the success of the role out
of your tool?
What challenges did you face?
Integration of
systems
Data hosting and
access
Functionality &
training
SCIENCE POLITICS
IMPLEMENTATION
Overview
Technology-aided
dog vaccination
Technology-aided
rabies surveillance
Overview
Technology-aided
dog vaccination
Data capture
Geo-communication
Reporting
System structure
Geographic instruction
Data entry
BACKEND FRONTEND
“Focus on this
patch” “I vaccinated dogs
here. What next?”
OFFLINE
Overview
Data capture
Geo-communication
Reporting
Technology-aided
dog vaccination
Evolving data needs
RESEARCH REFINEMENT MASS APPLICATION
[REF 1]
Research & development
Restraint method
Ownership
Confinement
Age
Sex
Neuter status
Research & development
Research & development
Optimisation
[REF 5]
Evolving data needs
RESEARCH REFINEMENT MASS APPLICATION
[REF 1]
Data trade-off
Speed
Detail
Early stage Late stage
pilots
SCALE
Data
priority
Data trade-off
2
3
4
Overview
Technology-aided
dog vaccination
Data capture
Geo-communication
Reporting
Homogenous coverage
[REF 6,7]
Technology-aided vaccination
[REF 8]
1,035
vaccination zones
User 2
User 1
User 3
Technology-aided vaccination
[REF 8]
Post vaccination evaluation
%
VACCINATED
Haiti evaluation
Without App Guidance:
• 3,282 dogs vaccinated
• 44% vaccination coverage
With App Guidance:
• 5,873 dogs vaccinated
• 80% vaccination coverage
Overview
Technology-aided
dog vaccination
Data capture
Geo-communication
Reporting
Team 1
Team 2
Team 3
District X
892
1,039
984
2 3 4 5
2,915
…
1
DAY DAY
Limitations of paper
• Aggregated total vaccinations
• Aggregated total vaccinations
• by district
• Aggregated total vaccinations
• by district
• by commune / EPA
• Aggregated total vaccinations
• by district
• by commune / EPA
• by village
• Aggregated total vaccinations
• by district
• by commune / EPA
• by village
• by individual vaccination
• National vaccinations per week
• National vaccinations per day
• Vaccinations per team per day
OVER
2,000,000
DOG
VACCINATION
EVENTS
Surveillance
Technology-aided
rabies surveillance
Rabies Epidemiology and Case Tracker
?
?
?
?
?
?
?
• Customisable high-resolution campaign
data for optimisation
• Improved remote resource direction for
maximum impact on disease transmission
• Transparent reporting
• Intersectoral One Health coordination
Conclusion
Thank you
andy@missionrabies.com
References
1. Wallace RM, Undurraga EA, Blanton JD, Cleaton J, Franka R. Elimination of Dog-mediated human rabies deaths by 2030: Needs assessmnet and
alternatives for progress based on dog vaccination. Front Vet Sci. 2017;4: 1–14. doi:10.3389/fvets.2017.00009
2. Bonwitt J, Bonaparte S, Blanton J, Gibson AD, Hoque M, Kennedy E, et al. Oral bait preferences and feasibility of oral rabies vaccination in
Bangladeshi dogs. Vaccine. 2020. doi:10.1016/j.vaccine.2020.05.047
3. Sánchez-Soriano C, Gibson AD, Gamble L, Burdon Bailey JL, Green S, Green M, et al. Development of a high number, high coverage dog rabies
vaccination programme in Sri Lanka. BMC Infect Dis. 2019;19: 1–12. doi:10.1186/s12879-019-4585-z
4. Gibson AD, Ohal P, Shervell K, Handel IG, Bronsvoort BM, Mellanby RJ, et al. Vaccinate-assess-move method of mass canine rabies vaccination
utilising mobile technology data collection in Ranchi, India. BMC Infect Dis. 2015;15: 589. doi:10.1186/s12879-015-1320-2
5. Mazeri S, Burdon JL, Mayer D, Chikungwa P, Chulu J, Orion P, et al. Using data-driven approaches to improve delivery of animal health care
interventions for public health. 2021;118. doi:10.1073/pnas.2003722118/-/DCSupplemental.Published
6. Townsend SE, Sumantra IP, Pudjiatmoko, Bagus GN, Brum E, Cleaveland S, et al. Designing Programs for Eliminating Canine Rabies from Islands:
Bali, Indonesia as a Case Study. PLoS Negl Trop Dis. 2013;7. doi:10.1371/journal.pntd.0002372
7. Ferguson EA, Hampson K, Cleaveland S, Consunji R, Deray R, Friar J, et al. Heterogeneity in the spread and control of infectious disease:
consequences for the elimination of canine rabies. Sci Rep. 2015;5: 18232. doi:10.1038/srep18232
8. Gibson AD, Mazeri S, Lohr F, Mayer D, Burdon JL, Wallace RM, et al. One million dog vaccinations recorded on mHealth innovation used to direct
teams in numerous rabies control campaigns. PLoS One. 2018;13. doi:https://doi.org/10.1371/journal.pone.0200942
9. Wallace RM, Cliquet F, Fehlner-Gardiner C, Fooks AR, Sabeta CT, Setién AA, et al. Role of oral rabies vaccines in the elimination of dog-mediated
human rabies deaths. Emerg Infect Dis. 2020;26: E1–E9. doi:10.3201/EID2612.201266
10. Gibson AD, Wallace RM, Rahman A, Bharti OK, Isloor S, Lohr F, et al. Reviewing Solutions of Scale for Canine Rabies Elimination in India. Trop Med
Infect Dis. 2020;5: 1–22. doi:10.3390/tropicalmed5010047
11. Kasemsuwan S, Chanachai K, Pinyopummintr T. Field Studies Evaluating Bait Acceptance and Handling by Free-Roaming Dogs in Thailand. Vet Sci.
2018;5. doi:10.3390/vetsci5020047
12. Gibson AD, Mazeri S, Yale G, Desai S, Naik V, Corfmat J, et al. Development of a Non-Meat-Based, Mass Producible and Effective Bait for Oral
Vaccination of Dogs against Rabies in Goa State, India. Trop Med Infect Dis. 2019;4: 118. doi:10.3390/tropicalmed4030118
13. Gibson AD, Yale G, Vos A, Corfmat J, Airikkala-otter I, King A, et al. Oral bait handout as a method to access roaming dogs for rabies vaccination in
Goa , India : A proof of principle study. Vaccine X. 2019; 100015. doi:10.1016/j.jvacx.2019.100015
14. Etheart MD, Kligerman M, Augustin PD, Blanton JD, Monroe B, Fleurinord L, et al. Effect of counselling on health-care-seeking behaviours and
rabies vaccination adherence after dog bites in Haiti , 2014 – 15 : a retrospective follow-up survey. Lancet Glob Heal. 2017;5: e1017–e1025.
doi:10.1016/S2214-109X(17)30321-2
Discussion
What experiences do you have in using digital tools for
disease reporting or recording vaccine usage?
Which aspects were key for the success of the role out
of your tool?
What challenges did you face?
Integration of
systems
Data hosting and
access
Functionality &
training
Data hosting and
access
Functionality &
training
Integration of
systems

Digitalengagementandlearningforveterinaryparaprofessionalsppts

  • 1.
    Digital engagement briefingfor veterinary paraprofessionals and their equivalent in the medical and agricultural sectors Rosie Herrington EuFMD. European Commission for the Control of Foot-and-Mouth Disease
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    Project Aim: To improveVeterinary paraprofessionals‘ capacity to deliver essential animal heath services VPP Project Presentation • Digital tool - TOM • Managed by competent national authority (VSB). • Linking smallholders to VPPs • Linking VPPs to vets and quality veterinary input suppliers • Public private multi-stakeholder platform • Technical skills: preventive animal health care • Business & soft skills 3 KEY PILLARS Certification Management System: VPP Business Environment: Competency Based Training : Competency Framework tool Blended Learning
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    Background: How are webest going to design: o The virtual learning aspect of the training o The digital engagement tool for smallholder farmer outreach & Veterarinary paraprofessional linkages with vaccine supply chain and vet supervision
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    Literature Review CaseStudy Interviews Method:
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    Aim not tobe exhaustive academic approach but to answer key questions for our project strategy and also inform basis of this workshop. 1. Are there existing examples of the use of digital tools for the training of Veterinary Paraprofessionals? Method:
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    Aim not tobe exhaustive academic approach but to answer key questions for our project strategy and also inform basis of this workshop. 1. Are there existing examples of the use of digital tools for the training of VPPs? 2. How about more general digital engagement of VPPs and livestock holders? Method:
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    Aim not tobe exhaustive academic approach but to answer key questions for our project strategy and also inform basis of this workshop. 1. Are there existing examples of the use of digital tools for the training of VPPs? 2. How about more general digital engagement of VPPs and livestock holders? 3. Are there existing examples of the use of digital tools for training professionals in similar roles to VPPs in the medical Method:
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    Aim not tobe exhaustive academic approach but to answer key questions for our project strategy and also inform basis of this workshop. 1. Are there existing examples of the use of digital tools for the training of VPPs? 2. How about more general digital engagement of VPPs and livestock holders? 3. Are there existing examples of the use of digital tools for training professionals in similar roles to VPPs in the medical or agriculture sectors? 4. What lessons can we learn from previous e-learning initiatives? Method:
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    1. Lessons Learned– Availability of Technology • Use available, useable and sustainable technology • Be aware of male control over household phone ownership • Be aware of hidden costs associated with using technology : barrier to access
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    1. Lessons Learned– Availability of Technology Example: NCDE Tanzania Clinical Officer Upgrade Programme • Tablets provided to local e-learning centres • Only one participant owned a personal computer • Majority reliant on self-funded access at internet cafes
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    2. Lessons Learned– Computer Literacy + IT Support • Assess and tailor training to context specific computer literacy skills • Consider training including computer literacy skills • Consider how to include on-going IT support (Joynes, 2014)
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    2. Lessons Learned– Computer Literacy + IT Support Example – The Open University for Philippines Agriculture (OPAPA) e-learning project • Two day computer literacy program (face to face) for 10,000 extension workers. • Followed by distance learning on rice production techniques.
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    Lessons Learned –Access to and cost of internet/bandwidth • Simple content to minimize bandwidth use • E-learning should be customized to meet local infrastructure: hardware, software, bandwidth and electricity availability • Conduct survey before choosing modalities
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    Lessons Learned –Access to and cost of internet/bandwidth Example: Pacific Paravet Training Project • Designed a website for mobile use with a simple structure • Team recommended creating simple content to minimize bandwidth Benefits include: • Easier to update content on platform • Cheaper for people who pay per megabyte • Can be used in poorer connectivity
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    4. Lessons Learned– Use of Blended Learning • Students complimented blended learning and requested further face-to-face contact • Those with more contact felt more connected to tutors, other students and their studies • Mixture of platforms
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    4. Lessons Learned– Use of Blended Learning Example 1 – Amref Kenya Nurse Upgrade • Four modules, each with a clinical placement associated. • Additional 2 weeks of face-to-face tutorial • 2 telephone tutorials Example 2 – HEAT Ethiopia • Monthly face-to-face support sessions near a local health centre • 10 student per tutor, in local language and close to home
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    5. Lessons Learned– Maintenance of Materials • Need for continous improvement & assessment of program as environment changes • Structure of resource tailored to allow easy update of material throughout project duration
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    5. Lessons Learned– Maintenance of Materials Examples: Jan, Mohutsiwa-Dibe & Loukanova (2014) • Consider local technical or expert knoledge on maintenance of platforms (soft and hardware) • Consider network losses, cost of phone maintenance, risk of loss/theft, local of software flexibility for updates.
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    6. Lessons Learned– Engagement/Integration with Local Health Authorities • Without a context specific design many projects fail completely • Integrate project into present healthcare system and liaise with Veterinary Statutory Body • Partnership key for sustainability • Syllabus developed with appropriate professional body
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    7. Lessons Learned– Training Particulars • Benefit of programs that link students together: more enthusiatic and motivated to learn • Inter-disciplinary soft skills were requested from VPPs • Consider training of trainers model
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    Digital Engagement andGender • Gender element to digital engagement → digital gender gaps • More on this during WOUGNET’s presentation • Digital gender gaps may vary between VPPs and smallholder farmers - level of education can have more of an impact in determining digital gaps than gender. • Objective: Ensure an inclusive, intersectional approach to digital engagement so as not to unintentionally exclude marginalized groups including women and youth. • How: Needs assessment and participatory rural appraisal to examine gendered challenges and adapt digital strategy accordingly. For the context of this project: Taking Gender into account
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    Thank you ! Thankyou ! Rosie.Herrington@fao.org
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    The EuFMD /European Commission for the Control of Foot-and-Mouth Disease HOLD-FAST strategy. Foot-and-mouth And Similar Transboundary animal diseases www.fao.eufmd.org..
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    2 2 WELCOME & INTRODUCTION Dr.Gabriel Varga Regional Director Sub Sahara Africa Zoetis
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    3 3 Very proud tobe part of this initiative ! Healthier animals are sustainable animals for sustainable farming
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    4 4 Note: Facts andfigures shown are as of Dec. 31, 2019 | 1Excludes revenue associated with Client Supply Services, which represented 1% of total 2019 revenue. 27MANUFACTURING SITES 8CORE ANIMAL SPECIES 7 BILLION $ ANNUAL REVENUE 1,100 APPROXIMATE R&D COLLEAGUES 300 APPROXIMATE NUMBER OF PRODUCT LINES 7MAJOR PRODUCT CATEGORIES WE PROVIDE MEDICINES VACCINES DIAGNOSTICS GENETIC TESTS BIODEVICES PRECISION LIVESTOCK FARMING 65+ YEARS OF EXPERIENCE 100+ COUNTRIES MARKET PRESENCE IN 11,300 APPROXIMATE COLLEAGUES WORLDWIDE OUR FOCUS 51%1 49%1 COMPANION ANIMAL HEALTH LIVESTOCK HEALTH 3,200 APPROXIMATE FIELD FORCE MEMBERS
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    5 5 INNOVATING ACROSS THECONTINUUM OF CARE Genetics Diagnostics Data Analytics & Sensors Vaccines, Robotics & Automation Medicines
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    6 6 ZOETIS A.L.P.H.A. INITIATIVE Zoetisand BMGF have developed a unique multimillion dollars initiative to improve livestock farming in Sub Sahara region over a 5-year period in 4 SSA countries BACKGROUND OBJECTIVE To improve livestock health and positively impact farmers’ livelihoods in Sub-Saharan Africa.
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    7 7 THE A.L.P.H.A INITIATIVE3 FOCUS AREAS Registrations to support product availability >1.7 bln doses of treatment/prevention supplied Dx labs to support the right diagnosis, therapy and prevention, PPP approach Trainings both f2f/digitally to support the correct use of products and services, strong gender focus
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    8 8 ALPHA Diagnostic Partnerships ▪16 Dx labs operational ▪ Dx sustainability assessment is done with follow up action plan ▪ LabCards 2.0 release & continuous support of application use. (used outside of ALPHA region in Zimbabwe and to be introduced to Zambia) Dx Manager – Niyi Bankole 5 Dx partners 3 public/2 private, 1 well established, others operational but still in development 80% of focus in Poultry Dx Manager – Bitsu Mekete 1 Dx partner/private, at the beginning of the journey 100% of focus in Poultry Dx Manager – Mwajuma Kudema 5 Dx partners; 3 private, 2 public (universities); beg-intermediate stage 80% of focus in Poultry Dx Manager – Francis Kalule 3 Dx partners/4 labs, 1 public/3 private, 3 well established, one is operational but in development 90% of focus in Ruminant ACHIEVEMENTS AND HIGHLIGHTS OF DIAGNOSTIC LABS
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    9 9 Digital innovation –LabCards diagnostics in a pocket ▪ Easy data collection samples on the farm through mobile app ▪ All relevant diseases, test methods and test types built-in ▪ Overview of all sent requests ▪ Convenient onboarding in laboratory ▪ Fast input of results on web portal ▪ Instant sharing of results to veterinarian ▪ Scalable to other species, diseases, test methods and test types as well as countries 9
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    10 10 Easy access toLabCards data with visualization of performance metrics and mapping Easy-to-understand, real-time data visuals Easy to filter interesting data from LabCards Easy to sort these data (and download, export ) Different levels: regional, country, lab …
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    11 11 EDUCATION ALPHA Initiative TRAININGSwho/what? Distributors • Certification via e- learnings on key topics Dx lab personnel (species: poultry, ruminant, swine) •Role of Dx services in Farm management/Vet practices – detection & prevention •Poultry ELISA methods & interpretation Vets & Paravets • Continuum of care predictions detection, preventions, treatment • Business/entrepreneurship trainings Farmers • Biosecurity • Poultry Health • Diagnostic services Disease awareness & solutions; specific trainings incl product handling, storage, application; effective management of farms
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    12 12 EDUCATION - HOWWE DELIVER TRAININGS • Face-to-face as well as digital trainings in ALPHA countries Local team members • Partnership with local NGOs, associations, Universities, cooperatives, etc • Pooled Vaccinators Partnership • Specialised portals: Docebo, Vetvance, Velexicon (Bovis) • YouTube videos • Webinars/Online trainings Digital platforms
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    13 13 Professionals trained 15% in2020 During 2019-21 • >22 thousands people trained • With average 28% female participation Covid 19 impact • N of trainings was impacted as majority of the F-to-F trainings were cancelled • Trainings were moved to virtual format which limited access to some target audiences ex. Farmers ▪ Female participation dropped • due to lower availability/acceptance of digital solutions • timing of the trainings, as majority of them held in the evenings – busy time with families COVID 19 outbreak start Female participation: 37% in 2019 27% in 2021
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    Women of UgandaNetwork(WOUGNET) DIGITAL GENDER GAPS IN WOUGNET PROJECTS AND APROACHES USED TO BRIDGE THE GAPS By Goretti Amuriat Program Manager, Gender and ICT Policy Advocacy Digital Engagement Workshop
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    Presentation Out Line •About WOUGNET • Projects implemented by WOUGNET • Digital gender gaps • Approaches used to address the gender gaps • Recommendations • Conclusions
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    About WOUGNET • Womenof Uganda Network (WOUGNET) is a non- governmental organization initiated in May 2000 by several women’s organizations in Uganda to develop the use of information and communication technologies (ICTs) among women as tools to share information and address issues collectively
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    About WOUGNET Cont’d WOUGNETVision • An inclusive and just society where women and girls are enabled to use ICTs for sustainable development. WOUGNET Mission • To promote the use of ICTs by women and girls for gender equality and sustainable development
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    WOUGNET Strategic objectives •Gender and rights are integrated and enforced in government ICT policy processes and programs • Women and girls have access to relevant information in urban and rural areas • Communities are empowered to use ICTs and demand for their digital rights. • WOUGNET is a strong, vibrant and sustainable center of Gender and ICT excellence in Uganda
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    About WOUGNET Cont’d •WOUGNET is a Network organization that works with like-minded women’s rights organizations and individuals in Uganda. • Currently WOUGNET has over 60 members that are strategically operating nationwide • WOUGNET advocates for integration of gender and rights in Policies and Programs, conducts evidence based research to support her advocacy, shares relevant information on various digital platforms, Conducts digital literacy among communities and empowers community to address their own needs
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    Projects implemented byWOUGNET • Enhancing Access to Agricultural Information through the use of Information and Communication Technologies” (EAAI) that aimed at improving access to agricultural information to women farmers in Northern Uganda. • Enhancing income growth among small and micro women enterpreneurs for economic empowerment implemented in 3 districts in Uganda ( Apac, Ibanda and Mukono). • Enhance effective use of ICTs and social media for citizen engagement with leaders for improved serviced delivery in Northern Uganda 2018-2019. • Enhancing Citizenry Engagements to Promote Human Rights and Accountability in the Service Delivery Framework using ICTs in three districts in Uganda (Busia, Tororo, Pallisa)
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    Projects implemented byWOUGNET • Enhancing Rice-Greengram Productivity in Northern Uganda. The project involved the introduction of greengram in the rice cropping system that led to increased land productivity, improved soil fertility and enhanced farmer’s income and nutrition among women and youth farmers in selected districts of northern Uganda. • “Marker-assisted breeding of selected Native Chicken in Mozambique and Uganda” with the objective to Increased quantity and quality of chicken products that will result in better income and nutrition for farmers in Mozambique, and Uganda • Engendering ICT Policy processes in Uganda • Projects targeted grass roots women farmers and entepreneurs, leaders, women groups and policy makers
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    Digital gender gaps •Illiteracy among women • Digital illiteracy • Hight cost of digital tools such as Smart phones that makes it hard for women to acquire • Language of content disseminated in English • Patriarchal norms that limit women’s access, control, use of resources • High cost of the internet • Irrelevant content • Technophobia
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    Digital gender gaps……Cont’d •Heavy work load/gender responsibilities that limit time to access and use • Long Distance from the centers of ICT access • Women lack confidence • Low internet penetration • Un favorable policies such high internet costs, 12% levy on data • Misconception or negative mindset about the internet eg, its immoral • Online violence experienced
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    Approaches used toaddress gaps • Sensitization/ awareness raising on need to access and use the digital tools • Conducted Gender and ICT campaigns among boys and girls in secondary schools • Conducted Digital literacy trainings in communities • Setting up of Information centers in rural communities for them to acquire knowledge on ICT • Organizing activities on the time suitable/ agreed upon • Provide translations in local language • Provide digital tools such as smart phones and other tools such as cameras to selected women so as they able to teach others
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    Approaches used toaddress gaps….Cont’d • Set up Digital access centres near homes • Sensitize women and girls to access and use internet safely • Advocate for gender sensitive policies and programs • Participate in policy review meetings and integrate gender issues • Mainstream gender in all our project activities such invite both men and women for project meetings ( 30 male to 70 female) • Organize separate meeting for men and women if you want them to voice out needs • Economic empowerment of women to enable them be confident and also afford tools
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    Approaches used toaddress gaps….Cont’d • Sensitize Women and Girls that access and use of digital tools is their right • Advocate for favorable policies • Project activities organized should end early enough to allow women to do care activities at home to motivate women to particiapate • Breast feeding mothers should be allowed to move with their children and also if possible provide breastfeeding rooms/changing rooms
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    Recommendations • Do agender analysis at the beginning/start of the project to identify gender issues that might constrain the project implementation • Involve men and women in the different categories to understand the gender issues that cut through • Involve different stake holders such as policy makers, CSOs, program developers, Private institutions to understand the gender issues broadly • Mainstream gender in all project activities and at all levels
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    Recommendation ……cont’d • Makethe project activities as inclusive as possible • Promote equality in access and use of digital tools • Monitor and evaluate implementation of gender issues integrated • Document/report project activities using a gender perspective
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    Recommendations……… cont’d • Addressexisting gender inequalities eg under representation of women in decision making roles especially in internet governance. • Build stronger multi-stakeholder coalition to advance and promote Women’s right’s online. • CSO’s and other actors should create/encourage promotion of online content that reflect women voices and needs. • Research alone is not enough; organizations should sensitize and train communities on meaningful use of ICT enabled tools.
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    Conclusion • Gender iskey development issue and should be addressed in project implementation if project is to be successful • It is cross cutting and should be examined among all categories of people. • Different places experience gender differently, need to understand the context • Women are not a homogeneous group so their digital needs are different and should be examined that way eg women with disability, rural women, LGBT women, university girls, illiterate women, educated women etc
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    Contacts • Email: Info@wougnet.org •Website: www.wougnet.org • Twitter, Facebook: @wougnet
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    Event Mobile Application(EMA-i) To strengthen animal diseases reporting, surveillance and early warning Asma Saidouni, Fairouz Larfaoui, Sabina Ramazzotto Animal Production and Health Division (NSAH), Join Center for zoonosis and AMR (CJWZ), FAO
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    What is EMA-i •Mobile App for Veterinary Services to facilitate quality & real time reporting of animal diseases from the field • Integrated into EMPRES-i to safely store epidemiological data • Access to disease events in real-time (“Near me” map) • Improve communication among veterinary services, animal health workers, laboratory experts • Support Early Warning for an effective Early Response to disease threats.
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    Real-time disease reportingfor Early Warning • EMA-i implemented in 12 countries (Cote d’Ivoire, Democratic Republic of Congo, Ghana, Guinea, Lesotho, Liberia, Mali, Malawi, Uganda, United republic of Tanzania, Sierra Leone, and Zimbabwe). • Over 1 200 Users • Over 19 000 Disease events reported & safely stored in EMPRES-i • 26 Training workshops • 13 First implementation (TOT approach) • 13 Scaling up workshop • Weekly reports generated automatically • Data visualization analysis tool for Monitoring of disease reporting and Early Warning ➔ Reports for decisions makers • Developed M&E case study (piloted in Tanzania)
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    EMA-i Results: Tanzania 283 1199 BeforeEMA-i (countrywide) One year of EMA-i (20 districts) ❑ Number of disease events (Jun 2016 –May 2021): 11501 ✓ Mainland (Dec 2017- May 2021): 9 001 ✓ Zanzibar: (Jun 2016 –May 2021): 2 503 ❑ Implementation : ✓ 5 phases (2016, 2017, 2018, 2019, 2020) ✓ Number of users: over 200 ✓ Districts: 62% (115/185) GHSA & Emergency Preparedness and Response fund
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    • Expand theuse of electronic reporting systems • Support national policies and regulations through the institutionalization of Early Warning • Interoperability: ✓ Laboratory systems: such as SILABFA (ongoing) ✓ Public Health/One Health systems (DHIS2) ✓ Syndromic surveillance systems (Afyadata) ✓ National surveillance systems ✓ International organization WAHIS • Expand data collection to additional risk factors • Develop additional Early warning indicators (EMPRES-i +) • Integrate Disease recognition, EPI definition & best practice on sampling • Create a Tele-diagnostic system with use photo library collected with EMA-i and creation of national, regional and international experts network (Feedback System). Next step on Electronic reporting systems with EMA-i
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    Questions & discussion Foodand Agriculture Organisation
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    Technology-aided Program Coordination DrAndy Gibson Director of Strategic Research Worldwide Veterinary Service
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    Discussion What experiences doyou have in using digital tools for disease reporting or recording vaccine usage? Which aspects were key for the success of the role out of your tool? What challenges did you face? Integration of systems Data hosting and access Functionality & training
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    System structure Geographic instruction Dataentry BACKEND FRONTEND “Focus on this patch” “I vaccinated dogs here. What next?” OFFLINE
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    Evolving data needs RESEARCHREFINEMENT MASS APPLICATION [REF 1]
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    Research & development Restraintmethod Ownership Confinement Age Sex Neuter status
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    Evolving data needs RESEARCHREFINEMENT MASS APPLICATION [REF 1]
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    Data trade-off Speed Detail Early stageLate stage pilots SCALE Data priority
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    Haiti evaluation Without AppGuidance: • 3,282 dogs vaccinated • 44% vaccination coverage With App Guidance: • 5,873 dogs vaccinated • 80% vaccination coverage
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    Team 1 Team 2 Team3 District X 892 1,039 984 2 3 4 5 2,915 … 1 DAY DAY Limitations of paper
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    • Aggregated totalvaccinations • by district
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    • Aggregated totalvaccinations • by district • by commune / EPA
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    • Aggregated totalvaccinations • by district • by commune / EPA • by village
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    • Aggregated totalvaccinations • by district • by commune / EPA • by village • by individual vaccination
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    • National vaccinationsper week • National vaccinations per day • Vaccinations per team per day
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    Rabies Epidemiology andCase Tracker ? ? ? ? ? ? ?
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    • Customisable high-resolutioncampaign data for optimisation • Improved remote resource direction for maximum impact on disease transmission • Transparent reporting • Intersectoral One Health coordination Conclusion
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    References 1. Wallace RM,Undurraga EA, Blanton JD, Cleaton J, Franka R. Elimination of Dog-mediated human rabies deaths by 2030: Needs assessmnet and alternatives for progress based on dog vaccination. Front Vet Sci. 2017;4: 1–14. doi:10.3389/fvets.2017.00009 2. Bonwitt J, Bonaparte S, Blanton J, Gibson AD, Hoque M, Kennedy E, et al. Oral bait preferences and feasibility of oral rabies vaccination in Bangladeshi dogs. Vaccine. 2020. doi:10.1016/j.vaccine.2020.05.047 3. Sánchez-Soriano C, Gibson AD, Gamble L, Burdon Bailey JL, Green S, Green M, et al. Development of a high number, high coverage dog rabies vaccination programme in Sri Lanka. BMC Infect Dis. 2019;19: 1–12. doi:10.1186/s12879-019-4585-z 4. Gibson AD, Ohal P, Shervell K, Handel IG, Bronsvoort BM, Mellanby RJ, et al. Vaccinate-assess-move method of mass canine rabies vaccination utilising mobile technology data collection in Ranchi, India. BMC Infect Dis. 2015;15: 589. doi:10.1186/s12879-015-1320-2 5. Mazeri S, Burdon JL, Mayer D, Chikungwa P, Chulu J, Orion P, et al. Using data-driven approaches to improve delivery of animal health care interventions for public health. 2021;118. doi:10.1073/pnas.2003722118/-/DCSupplemental.Published 6. Townsend SE, Sumantra IP, Pudjiatmoko, Bagus GN, Brum E, Cleaveland S, et al. Designing Programs for Eliminating Canine Rabies from Islands: Bali, Indonesia as a Case Study. PLoS Negl Trop Dis. 2013;7. doi:10.1371/journal.pntd.0002372 7. Ferguson EA, Hampson K, Cleaveland S, Consunji R, Deray R, Friar J, et al. Heterogeneity in the spread and control of infectious disease: consequences for the elimination of canine rabies. Sci Rep. 2015;5: 18232. doi:10.1038/srep18232 8. Gibson AD, Mazeri S, Lohr F, Mayer D, Burdon JL, Wallace RM, et al. One million dog vaccinations recorded on mHealth innovation used to direct teams in numerous rabies control campaigns. PLoS One. 2018;13. doi:https://doi.org/10.1371/journal.pone.0200942 9. Wallace RM, Cliquet F, Fehlner-Gardiner C, Fooks AR, Sabeta CT, Setién AA, et al. Role of oral rabies vaccines in the elimination of dog-mediated human rabies deaths. Emerg Infect Dis. 2020;26: E1–E9. doi:10.3201/EID2612.201266 10. Gibson AD, Wallace RM, Rahman A, Bharti OK, Isloor S, Lohr F, et al. Reviewing Solutions of Scale for Canine Rabies Elimination in India. Trop Med Infect Dis. 2020;5: 1–22. doi:10.3390/tropicalmed5010047 11. Kasemsuwan S, Chanachai K, Pinyopummintr T. Field Studies Evaluating Bait Acceptance and Handling by Free-Roaming Dogs in Thailand. Vet Sci. 2018;5. doi:10.3390/vetsci5020047 12. Gibson AD, Mazeri S, Yale G, Desai S, Naik V, Corfmat J, et al. Development of a Non-Meat-Based, Mass Producible and Effective Bait for Oral Vaccination of Dogs against Rabies in Goa State, India. Trop Med Infect Dis. 2019;4: 118. doi:10.3390/tropicalmed4030118 13. Gibson AD, Yale G, Vos A, Corfmat J, Airikkala-otter I, King A, et al. Oral bait handout as a method to access roaming dogs for rabies vaccination in Goa , India : A proof of principle study. Vaccine X. 2019; 100015. doi:10.1016/j.jvacx.2019.100015 14. Etheart MD, Kligerman M, Augustin PD, Blanton JD, Monroe B, Fleurinord L, et al. Effect of counselling on health-care-seeking behaviours and rabies vaccination adherence after dog bites in Haiti , 2014 – 15 : a retrospective follow-up survey. Lancet Glob Heal. 2017;5: e1017–e1025. doi:10.1016/S2214-109X(17)30321-2
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    Discussion What experiences doyou have in using digital tools for disease reporting or recording vaccine usage? Which aspects were key for the success of the role out of your tool? What challenges did you face? Integration of systems Data hosting and access Functionality & training
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    Data hosting and access Functionality& training Integration of systems