This document outlines Afghanistan's National Emergency Action Plan (NEAP) for polio eradication from 2016-2017. The plan's goal is to stop wild poliovirus transmission in Afghanistan by the end of 2016 with no new cases in 2017. Key strategies include maintaining program neutrality, focusing on high-risk areas, strengthening community engagement, and enhancing accountability. Targets include conducting 10 vaccination campaigns in 2016-2017 and improving surveillance. The plan also discusses improving campaign quality, monitoring, and data collection to enhance polio eradication efforts.
Polio eradication in afghanistan way forward 2016 17Najibullah Safi
The document outlines Afghanistan's National Emergency Action Plan for polio eradication for 2016-2017. The key points are:
1) The goal is to stop wild poliovirus transmission in Afghanistan by the end of 2016.
2) Lessons from 2015-2016 include the need for strong coordination, a focus on high risk areas, and improving campaign quality in areas with access limitations.
3) Strategies include maintaining program neutrality, focusing on high risk provinces and districts, strengthening surveillance, and cross-border coordination with Pakistan.
This document provides an update on polio eradication efforts in Afghanistan. It notes that 5 provinces and 47 districts are at high risk for polio, with districts categorized from fully accessible to inaccessible. In 2016, all confirmed polio cases were reported from access-compromised areas. To strengthen polio eradication, the approach focuses on gaining access, implementing alternative strategies, engaging communities, and enhancing monitoring. Lessons from 2015-2016 highlight the importance of strong coordination, maintaining neutrality, and improving quality in accessible but limited areas. Opportunities include political support and neutrality, while challenges include inaccessibility, knowledge gaps, and possible funding issues.
Overview of polio eradication initiative, afghanistanNajibullah Safi
- The document provides an overview of the Polio Eradication Initiative in Afghanistan, including key updates on surveillance indicators, vaccination campaigns, and strategic plans.
- AFP surveillance meets global criteria nationally but is slightly below thresholds in some southern regions. Environmental surveillance found 25 samples positive for wild poliovirus type 1 out of 200 total samples collected across 13 sites.
- The remaining plans for 2015 include improving access in hard-to-reach areas, increasing cross-border vaccination, strengthening campaign quality, and introducing IPV in routine immunization. Ongoing challenges include inaccessibility in the east, partner concerns about the new EOC arrangement, and security issues.
Tag afghanistan 2016 challenges and way forward 22 jan 2016Najibullah Safi
The document outlines the current challenges facing Afghanistan's polio eradication program and presents a 6-month plan to address these challenges and interrupt polio virus transmission. The plan focuses on strengthening program management and oversight; improving access, quality of campaigns, and cross-border coordination; and conducting supplementary immunization activities synchronized with Pakistan. Key elements include engaging political and community leaders, operationalizing an emergency action plan, targeting high-risk districts, and developing innovative approaches for reaching children in inaccessible areas. The TAG is asked to provide feedback on the appropriateness and feasibility of the 6-month plan.
The document summarizes India's national surveillance system for HIV/AIDS (NACO). It describes how information flows from NACO to state and district levels to monitor patients and communities. It outlines the behavioral surveillance system (BSS) that monitors high-risk populations using structured questionnaires. Key populations surveyed include female sex workers, men who have sex with men, and transgender individuals. The document also describes India's HIV sentinel surveillance (HSS) system, which generates data on epidemic patterns from over 1,000 sentinel sites. HSS monitors trends in HIV prevalence among high-risk and bridge populations through testing at sites like STD clinics, antenatal clinics, and facilities serving injecting drug users.
Use of Secondary Data Analysis to Assess the Contribution of Nutrition to the...MEASURE Evaluation
Emily Bobrow presented on using secondary data analysis to assess the contribution of nutrition to achieving the 90-90-90 HIV treatment targets. She summarized two evaluations - one of the Partnership for HIV-Free Survival program in multiple countries which included nutrition assessment and counseling, and a secondary analysis of nutrition data from the Kabeho Study in Rwanda to examine the link between nutrition and viral load suppression. Initial results from the PHFS evaluation found improved integration of services, community engagement, and quality improvement approaches. The Kabeho Study followed over 600 women and infants in Rwanda receiving lifelong ART and nutrition support, and data from this will be analyzed to understand the role of nutrition in treatment outcomes.
POSHAN District Nutrition Profile_Purba Champaran_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
The document summarizes the National AIDS Control Programme (NACP) in India. It discusses the four phases of NACP, their objectives and strategies. Key services discussed include integrated counselling and testing centres (ICTC), prevention of parent-to-child transmission (PPTCT), HIV/TB collaboration, care and treatment services, guidelines on infant feeding, and STD control programs. The NACP aims to slow the spread of HIV/AIDS through prevention efforts like targeted interventions and increasing access to treatment.
Polio eradication in afghanistan way forward 2016 17Najibullah Safi
The document outlines Afghanistan's National Emergency Action Plan for polio eradication for 2016-2017. The key points are:
1) The goal is to stop wild poliovirus transmission in Afghanistan by the end of 2016.
2) Lessons from 2015-2016 include the need for strong coordination, a focus on high risk areas, and improving campaign quality in areas with access limitations.
3) Strategies include maintaining program neutrality, focusing on high risk provinces and districts, strengthening surveillance, and cross-border coordination with Pakistan.
This document provides an update on polio eradication efforts in Afghanistan. It notes that 5 provinces and 47 districts are at high risk for polio, with districts categorized from fully accessible to inaccessible. In 2016, all confirmed polio cases were reported from access-compromised areas. To strengthen polio eradication, the approach focuses on gaining access, implementing alternative strategies, engaging communities, and enhancing monitoring. Lessons from 2015-2016 highlight the importance of strong coordination, maintaining neutrality, and improving quality in accessible but limited areas. Opportunities include political support and neutrality, while challenges include inaccessibility, knowledge gaps, and possible funding issues.
Overview of polio eradication initiative, afghanistanNajibullah Safi
- The document provides an overview of the Polio Eradication Initiative in Afghanistan, including key updates on surveillance indicators, vaccination campaigns, and strategic plans.
- AFP surveillance meets global criteria nationally but is slightly below thresholds in some southern regions. Environmental surveillance found 25 samples positive for wild poliovirus type 1 out of 200 total samples collected across 13 sites.
- The remaining plans for 2015 include improving access in hard-to-reach areas, increasing cross-border vaccination, strengthening campaign quality, and introducing IPV in routine immunization. Ongoing challenges include inaccessibility in the east, partner concerns about the new EOC arrangement, and security issues.
Tag afghanistan 2016 challenges and way forward 22 jan 2016Najibullah Safi
The document outlines the current challenges facing Afghanistan's polio eradication program and presents a 6-month plan to address these challenges and interrupt polio virus transmission. The plan focuses on strengthening program management and oversight; improving access, quality of campaigns, and cross-border coordination; and conducting supplementary immunization activities synchronized with Pakistan. Key elements include engaging political and community leaders, operationalizing an emergency action plan, targeting high-risk districts, and developing innovative approaches for reaching children in inaccessible areas. The TAG is asked to provide feedback on the appropriateness and feasibility of the 6-month plan.
The document summarizes India's national surveillance system for HIV/AIDS (NACO). It describes how information flows from NACO to state and district levels to monitor patients and communities. It outlines the behavioral surveillance system (BSS) that monitors high-risk populations using structured questionnaires. Key populations surveyed include female sex workers, men who have sex with men, and transgender individuals. The document also describes India's HIV sentinel surveillance (HSS) system, which generates data on epidemic patterns from over 1,000 sentinel sites. HSS monitors trends in HIV prevalence among high-risk and bridge populations through testing at sites like STD clinics, antenatal clinics, and facilities serving injecting drug users.
Use of Secondary Data Analysis to Assess the Contribution of Nutrition to the...MEASURE Evaluation
Emily Bobrow presented on using secondary data analysis to assess the contribution of nutrition to achieving the 90-90-90 HIV treatment targets. She summarized two evaluations - one of the Partnership for HIV-Free Survival program in multiple countries which included nutrition assessment and counseling, and a secondary analysis of nutrition data from the Kabeho Study in Rwanda to examine the link between nutrition and viral load suppression. Initial results from the PHFS evaluation found improved integration of services, community engagement, and quality improvement approaches. The Kabeho Study followed over 600 women and infants in Rwanda receiving lifelong ART and nutrition support, and data from this will be analyzed to understand the role of nutrition in treatment outcomes.
POSHAN District Nutrition Profile_Purba Champaran_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
The document summarizes the National AIDS Control Programme (NACP) in India. It discusses the four phases of NACP, their objectives and strategies. Key services discussed include integrated counselling and testing centres (ICTC), prevention of parent-to-child transmission (PPTCT), HIV/TB collaboration, care and treatment services, guidelines on infant feeding, and STD control programs. The NACP aims to slow the spread of HIV/AIDS through prevention efforts like targeted interventions and increasing access to treatment.
The document summarizes the implementation status of Afghanistan's National Emergency Action Plan (NEAP) for polio eradication from 2015-2016. It discusses key strategies used, including focusing efforts on high risk areas, improving the quality of supplemental immunization activities, addressing inaccessibility, maximizing the impact of frontline workers, and strengthening cross-border coordination with Pakistan. The status and outcomes of interventions are assessed, and challenges and plans for further improvements are outlined.
POSHAN District Nutrition Profile_Pashchim Champaran_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
Philadelphia Department of Public Health HIV Prevention ActivitiesOffice of HIV Planning
Coleman Terrell of the Philadelphia Department of Public Health presented on the PDPH's HIV Prevention Activities at the Philadelphia HIV Prevention Planning Group's December 2014 meeting.
NACP IV aims to halt and reverse the HIV epidemic in India from 2014-2019. Key strategies include intensifying prevention services for high-risk groups, increasing access to comprehensive care and treatment, expanding IEC services, building program capacities, and strengthening strategic information management systems. The goal is to reduce new HIV infections by 50% from the 2007 baseline. Prevention efforts will focus on high-risk groups like female sex workers, while care, support and treatment will be expanded through more ART centers and linkage to health services.
The National AIDS Control Programme was launched in 1987 in India with the aims of preventing further HIV transmission, decreasing HIV-related morbidity and mortality, and minimizing the socioeconomic impacts of HIV. It has gone through several phases focused on prevention, care, treatment, infrastructure development and information. The current phase aims to reverse the HIV epidemic over 5 years by reducing new infections by 60% in high prevalence states and 40% in vulnerable states. It prioritizes prevention efforts for high-risk groups, treatment for those infected, and prevention of parent-to-child transmission.
The slides contain a brief review of NACP 1 through 4.
Key achievements and challenges of NACP Phase 4 have been mentioned. Further, Key strategies of national strategic plan for elimination of HIV/AIDS 2017-2024 has been discussed.
NACP (National AIDS Control Programme) launched on February 12 ,2014. The Objectives was:
- Reduce new infections by 50% (2007 Baseline of NACP III)
- Comprehensive care, support and treatment to all persons living with HIV/AIDS
The document proposes a proof-of-concept and pilot program for an integrated women and child health program using a community outreach model in Gajwel constituency, Hyderabad. The program would address critical gaps in healthcare access and services through three dimensions: 1) segmentation of populations to reach socially and economically vulnerable groups, 2) redefining intervention areas and care services, and 3) a care services continuum of screening, identification, referral, enablement and follow-up. The pilot would focus on women aged 15+, children aged 5-15, pregnant women, and newborns, providing services across primary care, reproductive health, eye care, oral health and more. It would employ community health workers and leverage ICT platforms
POSHAN District Nutrition Profile_Banka_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Aurangabad_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Nawada_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
Maharashtra has the highest number of people living with HIV (PLHIV) in India at 330,000, followed by Andhra Pradesh, Karnataka, Telangana, West Bengal, Tamil Nadu, Uttar Pradesh and Bihar. These eight states account for about three-fourths of India's total estimated PLHIV. HIV was first reported in 1981 in the United States and the first cases in India were detected in Chennai in 1986. The National AIDS Control Programme was initiated in 1987 to raise awareness and establish surveillance systems. It has since expanded to include targeted interventions, treatment, and efforts to reduce stigma and discrimination.
POSHAN District Nutrition Profile_Madhubani_BiharPOSHAN
This document profiles the state of nutrition in the Madhubani district of Bihar, India. It finds that child undernutrition levels are very high, with over 50% of children stunted and underweight. Anemia prevalence among children, pregnant women and adolescent girls is also alarmingly high. Infant and young child feeding practices are poor - very few infants are breastfed early or receive a diverse diet. Access to healthcare, sanitation and nutrition services is limited. High levels of poverty, food insecurity, illiteracy, and lack of access to water and electricity contribute to undernutrition in the district. The data shows that urgent action is needed across multiple sectors to address the complex causes of undernutrition in Madhubani.
Ebola Transmission Prevention and Survivor Services Program, GuineaJSI
Presentation by Dr. Meba Kagone at "Post-Ebola Survivors - Research and Recovery Lessons from West Africa," a USAID Brown Bag on May 2, 2019 at USAID/Crystal City.
Together with NIH/PREVAIL, today’s session focuses on learnings from these programs in relation to survivor care and post-outbreak recovery of health services and health systems.
Facilitator: Jeff Sanderson, Team Leader, West Africa Post-Ebola Programs, JSI R&T/APC
The Presenters:
Dr. Libby Higgs, Global Health Science Advisor for the Division of Clinical Research at NIAID, NIH (confirmed)
Dr. Meba Kagone, former Chief of Party for ETP&SS, Guinea, JSI/APC (confirmed)
Dr. Rose Macauley, former Chief of Party for ETP&SS, Liberia, JSI/APC (confirmed)
Jeff Sanderson (for Dr. Kwame Oneill, former Director of the Program Implementation Unit, Ministry of Health and Sanitation, Sierra Leone)
Background:
The Ebola Transmission Prevention & Survivor Services (ETP&SS) program included four components; country programs in Guinea, Liberia and Sierra Leone, and a regional program designed to share best practices and lessons learned.
ETP&SS assisted these governments to prevent further Ebola transmission, reduce stigma and other barriers to care for survivors when accessing health services, support the strengthening of needed specialty services, and build more resilient and self-sustaining health systems.
The regional program sought to ensure the sharing of lessons learned and best practices across the three countries and the region through meetings, exchanges and conferences with partners such as NIH, WHO, and the West African Consortium.
Funded by the Global Health Bureau through the Advancing Partners & Communities Project, John Snow Research & Training Institute implemented the program from July 2016 through July/August 2018.
This presentation provides an overview of the Affordable Care Act's Maternal, Infant, and Early Childhood Home Visiting Program. It discusses the program's legislative authority, goals of improving maternal and child health outcomes, priority populations, implementation of evidence-based home visiting models, status of program implementation across states, and opportunities the program provides. Evaluation of program impacts is being led by MDRC and partners through the Mother and Infant Home Visiting Project Evaluation.
The document summarizes Nepal's Avian Influenza Control Project. It outlines the risks of avian influenza in Nepal, including migratory bird flyways and common farming/slaughtering practices. The project's goals are to reduce human infection risk and mitigate health/socioeconomic impacts of an influenza pandemic. Key components include surveillance, quarantine, laboratory capacity building, and communication strategies. An overview of achievements in fiscal year 2065/66 includes policy updates, surveillance/laboratory activities, prevention/containment measures, and health system preparedness in response to A(H1N1)2009 cases.
POSHAN District Nutrition Profile_Muzaffarpur_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Patna_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
Sindh provincial acceleration operational plan for MDGs4 &5 june 18, 2014Abdul Rehman Pirzado
This document outlines a provincial acceleration operational plan for achieving Millennium Development Goals 4 and 5 in Sindh, Pakistan from 2013-2015. It summarizes the socio-demographic characteristics of Sindh's population, health indicators, coverage across the continuum of care, proposed sites and process of implementation, interventions, indicators to measure impact and progress, budget requirements, current status and constraints. The plan aims to reduce maternal and child mortality rates through integrated MNCH services, strengthening health information systems, and community interventions delivered by lady health workers and community midwives across Sindh. Barriers to implementation including lack of resources, awareness, and coordination between programs are also discussed.
Strategies to strengthen Mission Indradhanushshayonisen2012
Mission Indradhanush aims to increase full immunization coverage in India from 65% to 90% by 2020 through special catch-up drives. It focuses on conducting immunization rounds in identified districts, targeting pregnant women, children up to age 2, and those up to age 5 for booster doses. Key challenges include only 65% of Indian children being fully immunized and continued disease burden. Strategies proposed to address this include defining state-specific desired outcomes, intensive training, effective communication, and involving community leaders. A patient reminder system is also suggested to identify children due for immunization.
The document summarizes the implementation status of Afghanistan's National Emergency Action Plan (NEAP) for polio eradication from 2015-2016. It discusses key strategies used, including focusing efforts on high risk areas, improving the quality of supplemental immunization activities, addressing inaccessibility, maximizing the impact of frontline workers, and strengthening cross-border coordination with Pakistan. The status and outcomes of interventions are assessed, and challenges and plans for further improvements are outlined.
POSHAN District Nutrition Profile_Pashchim Champaran_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
Philadelphia Department of Public Health HIV Prevention ActivitiesOffice of HIV Planning
Coleman Terrell of the Philadelphia Department of Public Health presented on the PDPH's HIV Prevention Activities at the Philadelphia HIV Prevention Planning Group's December 2014 meeting.
NACP IV aims to halt and reverse the HIV epidemic in India from 2014-2019. Key strategies include intensifying prevention services for high-risk groups, increasing access to comprehensive care and treatment, expanding IEC services, building program capacities, and strengthening strategic information management systems. The goal is to reduce new HIV infections by 50% from the 2007 baseline. Prevention efforts will focus on high-risk groups like female sex workers, while care, support and treatment will be expanded through more ART centers and linkage to health services.
The National AIDS Control Programme was launched in 1987 in India with the aims of preventing further HIV transmission, decreasing HIV-related morbidity and mortality, and minimizing the socioeconomic impacts of HIV. It has gone through several phases focused on prevention, care, treatment, infrastructure development and information. The current phase aims to reverse the HIV epidemic over 5 years by reducing new infections by 60% in high prevalence states and 40% in vulnerable states. It prioritizes prevention efforts for high-risk groups, treatment for those infected, and prevention of parent-to-child transmission.
The slides contain a brief review of NACP 1 through 4.
Key achievements and challenges of NACP Phase 4 have been mentioned. Further, Key strategies of national strategic plan for elimination of HIV/AIDS 2017-2024 has been discussed.
NACP (National AIDS Control Programme) launched on February 12 ,2014. The Objectives was:
- Reduce new infections by 50% (2007 Baseline of NACP III)
- Comprehensive care, support and treatment to all persons living with HIV/AIDS
The document proposes a proof-of-concept and pilot program for an integrated women and child health program using a community outreach model in Gajwel constituency, Hyderabad. The program would address critical gaps in healthcare access and services through three dimensions: 1) segmentation of populations to reach socially and economically vulnerable groups, 2) redefining intervention areas and care services, and 3) a care services continuum of screening, identification, referral, enablement and follow-up. The pilot would focus on women aged 15+, children aged 5-15, pregnant women, and newborns, providing services across primary care, reproductive health, eye care, oral health and more. It would employ community health workers and leverage ICT platforms
POSHAN District Nutrition Profile_Banka_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Aurangabad_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Nawada_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
Maharashtra has the highest number of people living with HIV (PLHIV) in India at 330,000, followed by Andhra Pradesh, Karnataka, Telangana, West Bengal, Tamil Nadu, Uttar Pradesh and Bihar. These eight states account for about three-fourths of India's total estimated PLHIV. HIV was first reported in 1981 in the United States and the first cases in India were detected in Chennai in 1986. The National AIDS Control Programme was initiated in 1987 to raise awareness and establish surveillance systems. It has since expanded to include targeted interventions, treatment, and efforts to reduce stigma and discrimination.
POSHAN District Nutrition Profile_Madhubani_BiharPOSHAN
This document profiles the state of nutrition in the Madhubani district of Bihar, India. It finds that child undernutrition levels are very high, with over 50% of children stunted and underweight. Anemia prevalence among children, pregnant women and adolescent girls is also alarmingly high. Infant and young child feeding practices are poor - very few infants are breastfed early or receive a diverse diet. Access to healthcare, sanitation and nutrition services is limited. High levels of poverty, food insecurity, illiteracy, and lack of access to water and electricity contribute to undernutrition in the district. The data shows that urgent action is needed across multiple sectors to address the complex causes of undernutrition in Madhubani.
Ebola Transmission Prevention and Survivor Services Program, GuineaJSI
Presentation by Dr. Meba Kagone at "Post-Ebola Survivors - Research and Recovery Lessons from West Africa," a USAID Brown Bag on May 2, 2019 at USAID/Crystal City.
Together with NIH/PREVAIL, today’s session focuses on learnings from these programs in relation to survivor care and post-outbreak recovery of health services and health systems.
Facilitator: Jeff Sanderson, Team Leader, West Africa Post-Ebola Programs, JSI R&T/APC
The Presenters:
Dr. Libby Higgs, Global Health Science Advisor for the Division of Clinical Research at NIAID, NIH (confirmed)
Dr. Meba Kagone, former Chief of Party for ETP&SS, Guinea, JSI/APC (confirmed)
Dr. Rose Macauley, former Chief of Party for ETP&SS, Liberia, JSI/APC (confirmed)
Jeff Sanderson (for Dr. Kwame Oneill, former Director of the Program Implementation Unit, Ministry of Health and Sanitation, Sierra Leone)
Background:
The Ebola Transmission Prevention & Survivor Services (ETP&SS) program included four components; country programs in Guinea, Liberia and Sierra Leone, and a regional program designed to share best practices and lessons learned.
ETP&SS assisted these governments to prevent further Ebola transmission, reduce stigma and other barriers to care for survivors when accessing health services, support the strengthening of needed specialty services, and build more resilient and self-sustaining health systems.
The regional program sought to ensure the sharing of lessons learned and best practices across the three countries and the region through meetings, exchanges and conferences with partners such as NIH, WHO, and the West African Consortium.
Funded by the Global Health Bureau through the Advancing Partners & Communities Project, John Snow Research & Training Institute implemented the program from July 2016 through July/August 2018.
This presentation provides an overview of the Affordable Care Act's Maternal, Infant, and Early Childhood Home Visiting Program. It discusses the program's legislative authority, goals of improving maternal and child health outcomes, priority populations, implementation of evidence-based home visiting models, status of program implementation across states, and opportunities the program provides. Evaluation of program impacts is being led by MDRC and partners through the Mother and Infant Home Visiting Project Evaluation.
The document summarizes Nepal's Avian Influenza Control Project. It outlines the risks of avian influenza in Nepal, including migratory bird flyways and common farming/slaughtering practices. The project's goals are to reduce human infection risk and mitigate health/socioeconomic impacts of an influenza pandemic. Key components include surveillance, quarantine, laboratory capacity building, and communication strategies. An overview of achievements in fiscal year 2065/66 includes policy updates, surveillance/laboratory activities, prevention/containment measures, and health system preparedness in response to A(H1N1)2009 cases.
POSHAN District Nutrition Profile_Muzaffarpur_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Patna_BiharPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
Sindh provincial acceleration operational plan for MDGs4 &5 june 18, 2014Abdul Rehman Pirzado
This document outlines a provincial acceleration operational plan for achieving Millennium Development Goals 4 and 5 in Sindh, Pakistan from 2013-2015. It summarizes the socio-demographic characteristics of Sindh's population, health indicators, coverage across the continuum of care, proposed sites and process of implementation, interventions, indicators to measure impact and progress, budget requirements, current status and constraints. The plan aims to reduce maternal and child mortality rates through integrated MNCH services, strengthening health information systems, and community interventions delivered by lady health workers and community midwives across Sindh. Barriers to implementation including lack of resources, awareness, and coordination between programs are also discussed.
Strategies to strengthen Mission Indradhanushshayonisen2012
Mission Indradhanush aims to increase full immunization coverage in India from 65% to 90% by 2020 through special catch-up drives. It focuses on conducting immunization rounds in identified districts, targeting pregnant women, children up to age 2, and those up to age 5 for booster doses. Key challenges include only 65% of Indian children being fully immunized and continued disease burden. Strategies proposed to address this include defining state-specific desired outcomes, intensive training, effective communication, and involving community leaders. A patient reminder system is also suggested to identify children due for immunization.
The document summarizes a review meeting of the WV partnership with UNICEF in West Virginia. It provides details on the project period, funding, scope of interventions including supporting 5 PHCs and health/nutrition services, campaigns targeting 17,447 children, and capacity building. It outlines maps of operational presence, the project team structure, progress on indicators, activities, finances, supply status, management/coordination, monitoring, challenges, and upcoming plans over the next 3 months.
This document provides an annual report on polio immunization efforts in Myanmar from January 2016 to September 2017. It summarizes population data, national immunization committee activities, polio vaccination coverage rates, surveillance of acute flaccid paralysis cases, and supplemental immunization campaigns. Challenges in Rakhine State due to conflict and natural disasters are also discussed. The goal is to maintain Myanmar's polio-free certification by ensuring high vaccination rates, especially in hard to reach and vulnerable populations.
Mass drugs administration IDA DCC meeting .pptxSekhNisar
This document summarizes the 2nd District Coordination Meeting on Mass Drug Administration (MDA) held on February 5th, 2024. It discusses the current scenario of lymphatic filariasis in Odisha and Kalahandi districts. Night blood surveys from 2023-2024 found infection rates over 1% in 3 villages. Drug compliance rates from the February 2024 MDA round are reported. The roles and responsibilities of district and block level teams are outlined for pre, during and post MDA activities. Special activities and the roles of different line departments are also summarized.
Nutritional Study Capacity Mapping and Capacity building in Emergencies,Afgha...Mujeeb Ahmed Wadho
This document summarizes nutrition and capacity building efforts in Afghanistan. Key points include:
- Surveys from 2011-2012 found high acute malnutrition levels ranging from 9-30% in some provinces. Stunting affected over 50% of children nationwide.
- Capacity mapping in 2011 found gaps in areas like IFE and micronutrients. Training and workshops strengthened capacities by 2013.
- CMAM programs treated over 60,000 children for SAM and nearly 120,000 for MAM in 2012 through over 500 sites.
- Sentinel site surveillance in drought regions found persistent acute malnutrition from 14-23% with high diarrhea prevalence.
- Factors like coordination, funding, and national surveys helped
Future of Integrated Community Case Management KozukiCORE Group
1) An integrated community case management (iCCM) program in South Sudan was able to continue providing services during an acute emergency situation caused by conflict in 2014. Some community-based distributors were displaced themselves but continued treating people in their new locations using remaining drug supplies.
2) There was high demand for iCCM services from displaced community members as health facilities closed. While funding did not increase to meet higher needs, donors allowed the program to continue using existing funds.
3) The iCCM model proved resilient during the crisis and indicators returned to pre-crisis levels within a few months. However, implementing agencies did not have a systematic strategy for responding to emergencies or accommodating increased demand. With proper planning
EPI and Polio Related Activities District Okara Pakistanشہزاد عامر
1) The document discusses the composition and functions of Union Council Polio Eradication Committees (UPECs) and District Polio Eradication Committees (DPECs) in Okara district. It also outlines the roles and responsibilities of these committees before, during, and after polio vaccination campaigns.
2) Statistics on polio cases in Pakistan and Okara district in 2014 are provided, as well as data on vaccination coverage rates across polio campaigns that year in Okara.
3) Details are given about Okara district's implementation of best practices to improve polio vaccination, including identifying and increasing coverage in weak union councils, and conducting data validation through a District Data Validation Committee.
The document discusses the Pantawid Pamilya Pilipino Program (4Ps), the Philippines' conditional cash transfer program that aims to meet the Millennium Development Goals of eradicating extreme poverty, achieving universal primary education, promoting gender equality, reducing child mortality, and improving maternal health. It provides cash grants to poor households on the condition that they comply with requirements for health care and education. The 4Ps is implemented through inter-agency coordination and uses a proxy means test to identify eligible households. It has systems to assess community services, monitor beneficiary compliance, and address grievances.
This document outlines the planning process for a measles and rubella vaccination campaign in Delhi, India. The goals are to eliminate measles and control rubella/congenital rubella syndrome. Objectives include achieving 95% population immunity through two MR vaccine doses and vaccinating all children aged 9 months to 15 years. An estimated 55 lakh children will be targeted. The plan involves mapping areas, identifying vaccination sites, procuring vaccines and supplies, training staff, conducting social mobilization activities, and monitoring and evaluating the campaign. Implementation will follow the planning cycle of assessment, prioritization, goal-setting, resource assessment, plan formulation, execution with monitoring, and evaluation.
This document summarizes an assessment of early warning indicators (EWIs) of HIV drug resistance in Namibia in 2015. Key findings include:
- Less than half of ART sites met targets for on-time pill pickup and patient retention. Pharmacy stockouts were also issues.
- Viral load suppression rates could not be fully assessed due to low rates of viral load completion among eligible patients.
- Namibia has successfully integrated EWI monitoring into its ART program. Improvement areas include patient adherence, retention, medication availability, and viral load monitoring. Corrective actions are being implemented.
Comprehensive Field Practice (CFP) : District Health Service Management Mohammad Aslam Shaiekh
The document summarizes the activities and learnings of a group of public health students during their 30-day field placement in Surkhet District, Nepal. The group conducted various assessments of the district's health management system including a secondary data review, critical analysis using SWOT, an epidemiological study on major health issues, and a mini action project on plastic waste reduction. Key findings included gaps in safe motherhood services, increasing HIV trends, and issues with logistics management and data reporting. The placement helped the students gain important academic and management skills applicable to their public health careers.
The Integrated Disease Surveillance Project (IDSP) was launched in 2004 with World Bank assistance to improve disease outbreak detection and response in India. It established a decentralized surveillance system from the national to district levels. Key components include syndromic surveillance, reporting of priority diseases, strengthening laboratories, and using information technology. However, integration with other health programs remains a challenge. Issues exist at the national, state, and district levels including staff shortages, lack of coordination, and underreporting that weaken disease surveillance. While IDSP established an important framework, ongoing efforts are needed for it to reach its full potential.
This document provides information about Intensified Mission Indradhanush 4.0 (IMI 4.0), India's immunization drive. It discusses declining immunization coverage nationally and in some states based on NFHS surveys. It notes programmatic challenges during COVID-19 like reduced outreach sessions. IMI 4.0 will target partially/unvaccinated children and pregnant women across 374 districts in 3 phases from February to April 2022. The drive will focus on high-risk areas and strengthen immunization systems through coordination, planning, monitoring and communication.
1) Community volunteers like ASHAs play an essential role in improving access to malaria control services in rural communities in Odisha.
2) ASHAs are trained to diagnose malaria using rapid diagnostic tests and treat positive cases in their villages. They also distribute long-lasting insecticide nets and educate communities about malaria prevention.
3) Initiatives like the DAMaN program use a camp approach led by ASHAs to conduct mass screening for malaria in hard-to-reach tribal areas and have helped reduce malaria incidence and deaths in Odisha over time.
This document outlines a 5-year, 5.4 million Euro project in Malawi aimed at improving comprehensive sexuality education and family planning among adolescents and women. The project will be implemented in 5 districts by 4 partners led by Save the Children International. It aims to reduce teenage pregnancy and unplanned childbearing through increased access to reproductive health services, especially among underserved populations. Key strategies include training community health workers, establishing youth centers, integrating HIV/AIDS services, and conducting communication programs to increase demand. The project expects to reach 160,000 individuals through activities linked to its 4 result areas: increasing access to services, improving service quality, enhancing demand, and strengthening advocacy. It has made progress in areas such as outreach clinics,
Improving the Quality and Scale_WaltenspergerCORE Group
This document summarizes Karen Z. Waltensperger's presentation on Save the Children's experiences supporting government integrated community case management (iCCM) strategies and programs. It discusses early iCCM treatment experiences in Mali and Ethiopia in the 1990s-2000s. It then outlines critical ingredients for successful iCCM programs, including government strategy, viable community health workers, evidence base, and broad consultation. The document also provides examples of signature iCCM programs in Nicaragua and Malawi, partnerships in Mali supporting the national Secrétaire de Santé Communautaire strategy, and ongoing challenges in implementing quality iCCM at scale.
UHC and Benefits Package Design - Afghanistan expereince.pptxNajibullah Safi
The document summarizes Afghanistan's experience transitioning from the Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS) to a new Integrated Package of Essential Health Services (IPEHS). It describes the process of developing the IPEHS through expert committees and working groups. The IPEHS was officially launched in 2019 but implementation has faced challenges due to political instability, lack of government recognition, and dependency on donor funding. Key lessons highlight the need for inclusive stakeholder engagement, political commitment beyond just the Ministry of Public Health, and capacity building to support the transition to the new package.
This document provides an introduction to quantitative research methods. It defines quantitative research as a formal, systematic process of collecting and analyzing numerical data to find patterns, make predictions, test relationships, and generalize results. The key characteristics of research discussed are that it must be controlled, rigorous, systematic, valid and verifiable, and empirical. Common quantitative research methods include descriptive, correlational and experimental designs. Measurement, sampling, levels of measurement from nominal to ratio, and quantitative data analysis techniques such as descriptive and inferential statistics are also outlined. Finally, both the advantages of standardization and generalizability as well as limitations such as superficiality and structural bias are discussed.
The Sehatmandi project is a 3-year health services delivery project running from 2018 to 2022 with a total budget of $622 million financed mainly by the World Bank, EU, USAID, and Canada. It is implemented through contracts with national and international NGOs in 31 provinces, with a strengthened mechanism in 3 provinces. Performance is managed by a Project Management Office, with contract management by a Grants and Contracts Management Unit and coordination through a Sehatmandi coordination office in the Ministry of Public Health. Key performance is tracked through over 200 indicators and reviewed at quarterly and annual meetings. Oversight is provided by a Health Sector Oversight Committee comprised of representatives from the Afghan government and international
The COVID-19 pandemic an opportunity to strengthen health system Najibullah Safi
The document discusses the impact of the COVID-19 pandemic on Afghanistan's already strained healthcare system. It outlines the status of the pandemic in Afghanistan, including limited testing and underreporting. It also discusses the health system response, including expanding surveillance, labs, and hospital capacity as well as training healthcare workers. However, the recent political changes have put health sector gains at risk by interrupting services and funding. Sustained support is needed to strengthen the health system and vaccination efforts amid ongoing challenges.
The document discusses conflict management in organizations. It begins by defining conflict and explaining that conflict arises due to differences in goals, interests, or values between individuals or groups. The document then covers various topics related to conflict such as the causes of conflict, different types and styles of managing conflict, and the positive and negative effects of conflict in organizations. It emphasizes that the goal of conflict management is to resolve conflicts in a constructive manner that strengthens relationships and trust.
Covid 19 continuation of essential health servicesNajibullah Safi
This document discusses strategies for sustaining non-COVID-19 essential health services in Afghanistan during the COVID-19 pandemic. It notes that health service utilization has decreased and some providers have been affected by COVID-19. WHO recommended 10 strategic actions including prioritizing essential services, optimizing service delivery, maintaining health workforce and supplies, and strengthening communication and monitoring. Afghanistan established coordination committees and continued providing basic health services while adapting delivery and establishing separate fever clinics. Monitoring was increased and digital platforms expanded to support essential service delivery during the pandemic. The impact on services was mixed but the response provided opportunities to strengthen capacity.
Covid 19 pandemic control options in AfghanistanNajibullah Safi
The document discusses control options for the COVID-19 pandemic in Afghanistan. It provides context on the spread of the virus in Afghanistan and demographic information. It then outlines current control measures including surveillance, case management, laboratory testing, points of entry screening, and non-pharmaceutical interventions. Three potential future options are presented: 1) strengthening current measures and enforcing lockdown, 2) strengthening measures while gradually relaxing lockdown, and 3) strengthening measures while immediately ending lockdown. Each option is discussed in terms of its potential impacts on disease transmission and the economy.
Najibullah Safi, MD, MSc. HPM presented on the history and current state of Afghanistan's health care system. He discussed key progress made in health indicators like immunization coverage and under-five mortality. However, challenges remain such as high stunting rates, poor quality of care in hospitals, and a high maternal mortality ratio. Moving forward, Afghanistan aims to implement an Integrated Package of Essential Health Services to address the triple burden of diseases. Principles of the way forward include prioritizing the poor, increasing community engagement, and raising domestic financing for health.
Implementation of bphsphc afghanistan experience august 2019Najibullah Safi
The document discusses Afghanistan's experience implementing the Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS) through contracting non-governmental organizations (NGOs) since 2003. Key points include:
1) NGOs deliver health services in 31 of 34 provinces through competitive bidding managed by the Ministry of Public Health. Services are financed through international donors.
2) The BPHS defines 7 elements of primary health care including maternal and newborn care, child health and immunization, public nutrition, communicable disease treatment and control, mental health, disability and rehabilitation, and essential drug supply.
3) Health indicators like immunization rates and access to maternal health
The document discusses Afghanistan's experience monitoring basic health services contracts with NGOs in a conflict setting. It outlines Afghanistan's complex monitoring and evaluation (M&E) system involving multiple departments and organizations. Resources for M&E activities are substantial, with a third party responsible for most activities at a cost of $3.2 million per year. The relationship between contract managers and service-providing NGOs aims to improve performance through monitoring reports and meetings, though external factors sometimes interfere.
Global factors are increasingly influencing national policymaking. Globalization has led to greater interconnectedness between countries through increased cross-border movement, trade, and cultural harmonization. Health issues are now global concerns addressed through various global actors and mechanisms beyond traditional inter-state cooperation. These include global civil society, public-private partnerships, and influence from international organizations, transnational groups, and domestic and foreign bureaucrats. Effective health policymaking now requires engagement with this complex global context and array of global actors.
Effective implementation of national health strategy finalNajibullah Safi
The document outlines key actions for effective implementation of Afghanistan's national health strategy 2016-2020 to achieve universal health coverage. The actions include expanding health services coverage and packages, enhancing financial protection, improving coordination, strengthening accountability, increasing efficiency, and addressing cross-cutting issues such as capacity building and private sector regulation. The overall goal is to ensure all Afghans have access to needed health services without financial hardship.
Impact and cost effectivene of rotavirus vaccine introduction in afghanistanNajibullah Safi
This document provides a summary of a cost-effectiveness analysis of introducing rotavirus vaccination in Afghanistan. The analysis finds that vaccination would be highly cost-effective compared to no vaccination. It estimates that over 10 years, vaccination could avert over 1 million cases, 661,000 outpatient visits, 49,000 hospitalizations and nearly 12,000 deaths. The incremental cost per disability-adjusted life year averted is estimated to be $103-$59 depending on perspective, below Afghanistan's GDP per capita threshold for cost-effectiveness. Sensitivity analysis showed results were robust to varying parameters like disease burden and vaccine price. The document discusses limitations and next steps to support government adoption of vaccination.
Evaluation of thermotherapy for the treatment of cutaneousNajibullah Safi
This document summarizes a randomized controlled trial that evaluated the effectiveness of thermotherapy compared to glucantime injections for the treatment of cutaneous leishmaniasis in Kabul, Afghanistan. The study involved 382 patients randomized to receive either a single thermotherapy treatment of 50 degrees Celsius for 30 seconds or 5 injections of glucantime over 7 days. The overall cure rate was 78.2%, with the thermotherapy group having a slightly higher cure rate of 82.5% compared to 74% for the glucantime group. The conclusion is that thermotherapy may be considered as an effective and cost-efficient alternative or complement to antimony treatment for cutaneous leishmaniasis.
This document outlines the governance structure of Afghanistan's Country Coordinating Mechanism (ACCM) for Global Fund grants. It describes the functions and composition of the ACCM, its executive committee, and oversight committee. The ACCM coordinates grant proposals and oversight, comprises up to 30 members from government, civil society, international organizations, and is currently 29 members. The executive committee of 7 members manages daily operations and oversight. The oversight committee of 6-10 members monitors grant implementation and provides recommendations to improve performance.
The Afghanistan Demographic Health Survey 2015 provides key findings on the country's health indicators. It surveyed nearly 26,000 households between June 2015 and February 2016, achieving a high response rate. Key results include:
- The total fertility rate is 5.3, with higher rates in rural (5.4) versus urban (4.8) areas. Only 51% of deliveries were assisted by skilled birth attendants nationally.
- Childhood immunization rates ranged from 57.7% for pentavalent vaccine to 73.7% for BCG. Infant and under-5 mortality rates have declined significantly from 2001-2005 to 2011-2015.
- Literacy rates remain low, at 50.6%
The Afghanistan Demographic Health Survey 2015 provides key findings on the country's health indicators. It surveyed nearly 26,000 households between June 2015 and February 2016, achieving a high response rate. Key results include:
- The total fertility rate is 5.3, with higher rates in rural (5.4) versus urban (4.8) areas. Only 51% of deliveries were assisted by skilled birth attendants nationally.
- Childhood immunization rates ranged from 57.7% for pentavalent vaccine to 73.7% for BCG. Infant and under-5 mortality rates have declined significantly from 2001-2005 to 2011-2015.
- Literacy rates remain low, at 50.6%
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Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
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share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
3. NEAP 2016-17
• Goal:
– To stop WPV transmission in Afghanistan by the end of
December 2016, with no new wild poliovirus type 1 (WPV1)
cases from January 2017 onwards
• Strategic approach:
– Maintain programme neutrality and gain access to all
children with OPV, irrespective of the area where they
reside
– Implement alternate strategies, i.e. use Polio Plus
interventions and the PTT, particularly in inaccessible areas
– Focus on identified high-risk provinces and districts and
areas where children are persistently missed
– Underpin all strategies by ensuring strong household and
community engagement; and
– Enhance accountability of all stakeholders, at all levels
4. Targets and milestones
• 5 SIAs in the second half of 2016 and 5 in the first half of
2017:
– Reaching over 90% of children during each SIA
– >90% LQAS lots accepted at 80% and <5% missed children in
PCM
• One IPV-OPV SIA in all VHRDs by end Sept 2016
• Revise microplans of all VHRDs by the end Sept 2016
• Operationalize full-time ICN in all VHRDs by the end Sep 16
• Maintain NPAFP rate of >2 cases/100 000 with adequate
stool specimens collected from >80% of AFP cases in every
district across the country
• Implement the accountability framework: End August’16
5. NEAP 2016-17
• Continue strengthening polio governance and
management structure:
– EOC: Task team modality, weekly TCs
– Expansion of M&A officer to all 47 districts
– Provincial & district task force: Revise TOR
– Implement accountability framework from August
onwards
• High risk approach:
– Focus on 47 district and 5 high risk province
– District profile and specific plans for all VHRDs after each
SIA
– Districts in between VHRDs treated as high risk
– Revision in December 2016
7. District profile and
specific plan of action
• Profiling done for all VHRDs
• Specific issues identified and
action plan developed
• Updated after every
campaign
• Process supervised/ guided
by regional/national level
• Reviewed and tracked from
national level
District profile Updated 15-May-16 Fill in light blue cells
District details Number # High risk population groups Y/N Pop size Pattern
District name Shahwalikot 117,691 Nomads Yes 600
Mobile nomads
(stays for 5
months- (Nov-
Mar)
Geo-code (DCODE) 3306 4,708 Migrant labourers, Ailaks No -
LPD (1, 2) 1 23,538 IDPs No -
Province Kandahar 52,961 Others (specify) No -
Region South
Number # Number #
Epidemiology Number # 3 2
WPVs in 2015 1 1 2
WPVs in 2010-14 7 2 1
Compatibles in 2015 No 0 0
5 0
# Planned # Implemented
3 3
24 24
16 13
Number #
139
56/day
# adeq # inadeq
5 0
10 6 28
9 3
5
0
Number #
0
2
0
Number #
72 %
1,320 23%
12 17%
165 19%
o
#
76
93
69
9
Round 1 Round 2
# No
108
13
0
Date
District Polio Officers (DPOs)
District Communication Officers (DCOs)
# of districts same PPO covers
# of districts same PCO covers
M&A Officers
Routine immunization services provided in district
Number of Health Facilities providing RI services
RI sessions per month (total incl. fixed/outrech)
RI outreach sessions per month
NameRoutine immunization
BPHS NGO BARAN
Cluster Supervisors
SIA quality (trend)
7
5
6Intra-campaign Monitors (ICM)
Post-campaign Assessment (PCA) Monitors
28
- Team workload
(# of teams by work load category)
LQAS result (March 2016. if conducted) N/A
2.3.5.7.8.9.10.11.12.13.14.15.16.19.20.22.23.24.25.26.27
2.3.5.7.8.9.10.11.12.13.14.15.16.19.20.22.23.24.25.26.27
Clusters with inaccessibility (list)
Clusters with inaccessibility >6 months (list)
Clusters under AGE influence (list)
Clusters with limited supervision (list) - Refusal
- Others
Clusters with >5% missed children during last round (list)
2.3.4.9.10.11.13.15.17.20.21.23.27
SIA quality (last round)
Reason for missed children (last round)
- House not visited
- Child not available
Missed children (last 4 rounds)
March-16
February-16
January-16
December-15
AGE influence
0
Four Picnic teans are functioning in Dalla Band during revisit day (Friday)
Index case is resident of Maghdod village, Cluster # 7. Base on revised Micro plan and according
to the old SIAs. Micro-plan the area was belong to Cluster # 26. Maghdod hamlet has only 8
households harboring 24 families, and Its population is scattered. This area is fully under control
of AGEs, almost 2 months ago the Ambulance of the Shawalikot district was burned by unknown
people, also AGEs of the area do not allow mobile health services and RI outreach activities.
Implementation, Generally Majority of local people are farmers by occupation and very poor
and have no basic facilities of life. Nutritious status and education level of the index case village
is very poor. Illiteracy level is very high at the district level in general and at the index case area
in particular. The main sources of drinking water are streams, hand pumps and shallow wells,
Area sanitation is very poor, people use pit latrines and also have habit of open defecation
AFG/08/16/141- 2016 WPV case:
IPV campaigns conducted
Start date
% target
PCA coverage
% of clusters under AGE influence 75%
%
*Narrative description of WPV cases in 2015/16
Social mobilization
# of ICN
# of influencers
No
Special events (list incl. descption, timing/frequency)
Special sites (list incl. description, location)
Clusters with no ICN (list)
Gatherings held with community elders/ shuras, mullah imams. Sports events held.
Microplan analysis#
28
6725
Villages
Teams
139
Clusters
Schools
Houses
Vaccination Teams
400-600 children
>600 children
Total
<5 teams
5-6 teams
>6 teams
Supervisors
- Supervisor workload
(# of supervisors by work load category)
Team composition
(# of teams by composition)
15/12/2015
Alternative vaccination strategies
Permanent Polio Teams (PPT)
Permanent Transit Teams (PTT)
Cross-Border Teams (CBT)
Microplan field validation
Field validation of microplan completed
at least 1 female
none local
one local
both local
at least 1 CHW
Human resources
Surveillance
AFP cases in 2014-1016
Demography
Total population
<1 years
<5 years
<15 years
Health Facilities (HFs)
- Primary HFs
- Secondary HFs
- Tertiary HFs
- Private Clinics
Health services
3
Number #
3
1
1
1
Detailed narrative description below*
Category
Total
<400 children
Inaccessible children during SIAs (last 4 rounds)
Access and security
SIA Transit Teams
Nomads Teams
Communication Cluster Supervisors
District Coordinators
%
100%
1.1
HFs which are part of reporting network
- High priority (HP)
- Medium priority (MP)
- Low priority (LP)
Weekly reporting
- Timeliness of weekly report
AFP cases
Children inaccessible for >6 months
March-16
February-16
January-16
December-15
- AFP cases expected/year in 2016
- AFP cases with 0 dose (2014+2015)
- AFP cases reported in 2016
- AFP cases reported in 2015
- AFP cases reported in 2014
Microplan
0
28
0
2 ( I each secondary and high)
Number #
941
8. Jan-SNID Feb-SNIDs Apr-SNIDsMar-NIDs May-NIDs
SIA Schedule for July’16 to June’17
July, VHRD Aug , NID Oct, NID Dec, SNIDNov, SNID
Q3-Q4, 2016
Q1-Q2, 2017
9. IPV: SIAs
• Completing IPV SIAs in 9 districts of Kandahar (Sep/Oct)
Category VHR, no IPV in 2015-16 Areas inaccessible for >6 months
Districts Behsud, Jalalabad,
Qaysar, Jaranj,
Dehrawood, Trinkot,
Qalat, Bermel,
Laskargah, Musaqala,
Nade Ali, Nahre Saraj,
Kandahar, Kabul
Pachieragam, Kot, Achin, Mehtarlam,
Alingar, Watapur, Marawara, Dara-e-Pech,
Chapadara, Nari, Kunduz, Emamsaheb,
Qala-e-Zal, Chardarah, Aliabad, Khanabad,
Dasht-e-Archi, Kamdesh, Chora, Nad-e-Ali,
Zheray, Shahwalikot, Maywand, Reg,
Shorabak, Gardez, Pasaband
Target population 808,859 247,304
Doses required 970,631 296,765
Time period Q1 2017 As soon as access is gained
11. Enhancing campaign quality
• Complete in remaining 10 VHRD by end of Q3
2016, 49 HRD by Q4 2017 and repeat in 47 VHRD
in Q1 2017
Revision of micro-plans
• Local, female and able to read/write, selected on
merit (AGE or Government controlled areas)
Improving team
selection
• Monitoring of training in VHRD; NEOC to track
attendance and quality
Improving the quality of
training
• Tracking performance of vaccinators and
supervisor of VHRD over the rounds
• Reward/sanction as per accountability framework
Monitoring and
performance
management
• Payment within 30 days of end of campaign;
tracking from National EOC. Phase wise expansion
of DDM
Ensuring timely
payment of FLW
12. Enhancing campaign quality
• Identification, training and deployment of
national/ regional level monitors for
pre/intra/post-campaign phase
National monitors
• Rationalized workload, monitoring by DC, tracking
performance over rounds
Improving
performance of
cluster supervisors
• Continue and strengthenRevisit strategy
• pre-campaign dashboard (review on 10/7/3/1
days before campaign
• Corrective actions as needed
Pre-campaign
• VHR districts: 1 ICM for every 5 supervisors, real
time data collection using IVR technology
• ICM data use, intra-campaign dashboards
Intra-campaign
13. Improved campaign monitoring
• PCM: 100% of clusters in VHRD and 50% in
others
• Expansion of all VHRD and HRD as feasible
Expanded scope
• Monitoring of PCM monitors (5% sample
cross checking)
• 10% surveyors and completed forms to be
cross checked
Ensuring quality
• Availability of data within 10 days of end of
campaign
• Use of mobile technology for real time data
flow
Data flow
• Detail field investigation and plan for
corrective action for areas with failed LQAS
lots and PCM with >3 missed children in one
team area
Corrective
action
14. Field investigation of areas with poor performance
• Detail investigation of each
failed lot in LQAS and PCA
with >3 missed children
• Identification of core issue
and action plan for
improvement
• Done by joint team from
provincial level
• Review and tracking from
national level
Detailed Investigation Form for failed lots in LQAS (failed at 80%) and/or >3 missed children in PCA
Instructions
Date of detailedinvestigation
Dr. Tahsil PEI and Dr.Matiullah PPO WHO
0 UNICEF
0 MoPH
Yes
Yes, dot mark is there ( S/Mworkingthree days before and duringcampaign)
weak revisit , Weak supervision of DC and C/S.
Plannedinterventions toimprove performance fornextcampaign
Selection of eligible volunteers, Focused on FLWtraining, updatingitinerary, increased S/Mactivities forconvince of family, focussed on dialy and 5th day revisit.
supportive supervision and monitoringaccordingto the plan.
Selection of new volunteers and supervisor, non eligible volunteers, hurriedly working, weak record of missed children, weak follow up of missed children, No commitment of C/S , Volunteers and S/M.
Child2:Reasonof missedchild(as percaregiver) Child was not at home
Child3:Reasonof missedchild(as percaregiver) Child as vaccinated but no fingermarked
Child4:Reasonof missedchild(as percaregiver)
Child5:Reasonof missedchild(as percaregiver)
Child6:Reasonof missedchild(as percaregiver)
Core issues identifiedforpoorperformance
Has the mobilizer(if present) beenpaidforthe lastcampaign?
Is there evidence of social mobilizationactivities inthe area? Please
elaborate.
Commentonawareness andacceptance of poliovaccine by
communityas well as bycaregivers of missedchild;if householdwas
refusing, please explainwhy.
Yes
Child1:Reasonof missedchild(as percaregiver) Child was not at home
Revisits (qualityof revisits duringandpost-campaign) Workingnot well
Qualityof supervision(was the areavisitedbysupervisor, ICMetc
duringthe campaign?)
Yes
Have vaccinators andsupervisorbeenpaidforlastcampaign? No
Teamcomposition(commentonwhetherteammembers are local,
has atleastone female etc.)
Local and Female
Training(commentonknowledge of team, whetherbothmembers
were trainedinlasttraining)
Yes
Teamworkload(commentonworkloadi.e. numberof childrentobe
covered, geographical challenges, etc.)
178/ day ( G1area)
Team# T5
Is the areaincludedinmicroplan Yes
Was the area/houses visitedbyteam. If no, give reasons why. Yes
Village Rahmatulul alamin
Name of area Tortank
Name of ClusterSupervisor Sadiqa
Province Helmand
District Bost
Cluster 29
Component Inputs/Comments
Dates of campaign April, SNIDs 2016
Region Southren
Members of investigationteam
1- Detailed field investigation to beconducted for all lots failed in LQAS (rejected at80%) and/or >3missed children in PCAin a subcluster(village) .
2- Investigation to beconducted within oneweek afteravailability of results.
3- Team fordetailed investigation to consists of WHO, UNICEF, and MoPH (whereapplicable).
4- Team to look into the reasons forchildren missed by visiting thehouseholds with missed children.
5- Investigation team to review composition, work load, and training status of concerned vaccination teams and also look into quality of supervision and microplanning.
15. Campaign review meetings
Pre campaign
• National, regional and
provincial levels
• 2-4 weeks prior to
campaign
• Dashboard
• At EOC10/7/3/1 day
before campaign
Intra campaign
• National, regional,
provincial and district
levels
• Standard matrix for
documentation
• Dashboard
• Core committee at
National level for
response
Post campaign
• National, regional,
provincial and district
levels
• 15 days after the end
of each campaign
• Dashboard
• Representation from
the National EOC in 5
HR provinces
16. Data flow
Data Source Timeline
Pre-campaign
1 Preparation of campaign EOC/PEMT 2 weeks, 1 week,
daily in last week
2 Coordination meeting EOC/PEMT 10 days before SIA
Intra-campaign
3 Administrative coverage EOC/PEMT Next day afternoon
4 ICM EOC/PEMT Next day afternoon
5 Evening meeting EOC/PEMT Next day afternoon
Post-campaign
6 Administrative coverage EOC/PEMT 10 days after SIA
7 PCM WHO 10 days after SIA
8 LQAS WHO 10 days after SIA
9 Out of house survey WHO 10 days after SIA
10 Compiled ICM data EOC/PEMT 10 days after SIA
11 Access data EOC/PEMT 10 days after SIA
18. Accessibility status during recent SIA
Cat 1: Fully accessible
Cat 2: Partially accessible
Cat 3: Accessible with security challenges
Cat 4: Fully inaccessible
May NID
July SNID
19. Addressing inaccessibility
IPV and OPV from nearby health facility
Polio plus from nearby health facility
PTT at entry / exit points
3 rounds of SIADs (1 IPV) in newly
accessible
Cluster & village level mapping
Negotiations & community engagement
Areas inaccessible for vaccination
Areas with limited
access
Negotiations on quality of
campaign & independence
for monitoring
Remote monitoring
Use of neutral third party
Forum for providing
feedback
20. Complementary vaccination activities
• Assess and modify the number and
location as per need of the programme
and evolving accessibility situation
• Strengthen supervision and monitoring
with close tracking from National EOC
PTT and
CBT
• Review the performance of the existing
PPTs and modify as requiredPPT
• Special vaccination campaign for NomadsNomads
• Coordination with OCHA/UNHCR/IOM
through a task team
• Vaccination at UNHCR and IOM sites
• OPV & IPV
Returnee
refugees
21. Demand generation
• Communication plan as part of district specific
plan
• Full-time ICN operational in all VHR districts
Household and
community
engagement
• Mapping & engagement of key religious
leaders at local level building on NIUG platform
• Workshops with doctors, health workers &
other key stakeholders
Partnerships with
key influencers
• Regular media briefings & trainings and
interactions
• Development of awareness raising materials
for print & electronic media platforms
External relations
and partnerships
• Implement 2nd Harvard poll
• Third party monitoring of communication
interventions in VHR districts
Data collection and
evidence
generation
22. Monthly workflow of a full time social
mobiliser
Campaign
Week
Week.+1
Catching up
missed children
from campaign
Week.+/-2
Community
engagement
Polio+
Week.-1
Pre-Campaign
preparation;
Registry;
Awareness;
Shift to sustained engagement
Focus on reducing
missed children
Use of registers for
child registration,
follow up and
vaccination of missed
children after campaign
by ICN Network
Tracking chronically
missed children
Promoting a broader
package including
routine immunization
referral, hygiene and
sanitation and ANC in
between campaigns
24. Surveillance
• Expansion to include newly opening health facilities
• Strengthen sensitization visits and monthly tele calls
Reporting network
• Review the existing ES sites
• Explore possible expansion to the areas surveyed in
2015
Environmental
surveillance
• Alternate mode/route of specimen shipment to RRL
as a contingency
Specimen
shipment
• Disaggregate data analysis by district and access
status to identify gaps and corrective actionData analysis
25. Cross border coordination
• Weekly communication between the focal points;
biannual face to face meetings and regular VCs
• Monthly meetings of concerned provincial teams
• Joint case response for cases at the borders
26. Evaluation
• NEAP progress review in Jan
and June 2017
Operational
• Surveillance review in June
2017
Surveillance
• In Kandahar in Q1 2017Serosurvey
• OPV doses in NPAFP cases
Population
immunity
27. RI strengthening
• 20% time on RI
• Training of program staff of RI
• Monitoring of sessions
• Support in training of FHWs
• Feedback on monitoring to BPHS NGOs
Operations
• Inclusion of RI in the message at key
stakeholders meetings
• Missed children tracking by ICN
• Tracking of newborn and mobilization
of parents for RI
Mobilization
Focus of intervention in VHRDs
There is direct oversight on the PEI from the offices of H.E the President and H.E the CEO. “ Just yesterday, polio was the main point of the agenda of cabinet meeting”
We have office of Presidential focal point for polio eradication providing support through line ministries and governors.
In the ministry of public health, I have the responsibility to engage all line departments of MoPH including BPHS implementers in Polio Program