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Kambia District Surveillance and Response Framework Kambia District Surveillance and Response Framework

Kambia District Surveillance and Response Framework - PowerPoint Presentation

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Kambia District Surveillance and Response Framework - PPT Presentation

2 April 2015 Rationale for Enhanced Response Framework Issues Despite efforts community engagement remains challenging in some areas Multiple partners with different strengths could coordinate ID: 798611

response community engagement house community response house engagement areas surveillance case contact positive 100 indicators key cases target evd

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Presentation Transcript

Slide1

Kambia DistrictSurveillance and Response Framework

2 April 2015

Slide2

Rationale for Enhanced Response Framework

Issues

Despite efforts, community engagement remains challenging in some areas

Multiple partners with different strengths could

coordinate betterFragmentation of approaches Selection of areas is not adequately based on consistent criteriaReactive approach

Opportunities

Harness energy from HE’s visit and focus on need for improved community engagement

Harness resources being offered by partners/other districts

Bring all partners together in well-coordinated approach under DERC operational structure and target areas and activities more appropriately

Incorporate cross-border work

Slide3

Key Performance Indicators

 

 

OBJECTIVES

INDICATORS

Last 21 days*

Trend

Compared

GOAL

Get

to zero in Kambia

District

Primary Objective

 

Improve

the efficiency and effectiveness of the district surveillance and response system

100% of confirmed EVD cases

coming

from a contact list

66%

All suspect cases transferred to appropriate health facility within 24 hours of an alert being raised

100%

 

Outcome

1

Strengthen

alert system

to better

detect suspected EVD cases

(

live and dead)

Number of live alerts

104

Proportion of

death alerts

55%

Outcome 2

Strengthen reactive and proactive capacity of the surveillance system

100% of credible alerts are investigated within 24 hours

94%

100% of confirmed

EVD

cases come from a contact list

66%

Outcome 3

Strengthened community engagement in response activities

Time between symptom onset and alert report is less than 48 hours

49%

Median:

3

days

All positive swabs come from known contact lists

20.0

%

100% lab results are

tested and

returned to

patient/family members <24h from publication

99%

Slide4

What does it look like?

An over-arching framework enhancing surveillance and response mechanisms

Requires that we work through the following steps

Slide5

Indicators and Approaches

Issue

Appropriate Approaches

 

HotspotE.g.Active Case Search, Community meetings

Positive Swab

E.g.

d

irect

household engagement

New case not on a contact list

E.g. Active

Case Search in surrounding area, house to house

mobilisation

Death in a quarantine home

E.g. Direct

household Engagement

Cross-border transmission

E.g.

Active

Surveillance, radio messaging

Under reporting of deaths

E.g. Radio,

IEC

material dissemination, political engagement

,

community meetings,

house

to house

Unsafe

burial

E.g.

DERC

/ DO meeting with Paramount Chief and/or other key leaders, community visit from DO and Paramount Chief

Community

resistance/mistrust and denial

E.g. Community

visit from DO and Paramount Chief, Community meetings with key stakeholders and appropriate target groups (e.g. women,

soways

, youth),

EVD

Survivors, engagement with religious leaders and traditional

healers

Remote/hard-to-reach areas

E.g. House

to House mobilisation, community meetings with key

stakeholder,s

radio,

s

upport

to chiefdom and village taskforces

Areas not reached by social mobilisation activities

E.g. House

to House mobilisation, Support to chiefdom and village level taskforces, Radio interviews with key spokespersons

Slide6

Target Areas

ISSUES

CHIEFDOM

VILLAGE

Hotspot

Magbema

Malal

Gbingleh

-Dixon

Lokoya

Positive swab

Magbema

Malal

Gbingleh

-Dixon

Konta

Dubalai

,

Lokoya

, Fouta,

Rogberay

,

Yeam-Labey

Samu

Soriya

Border issues

Samu

Soriya

,

Kanbagham

Gbingleh

-Dixon

Magbengbeh

,

Yeam-Labey

villages

around Pamelap

Community resistance

Mambolo

Malambay

Masungbala

Wula

Lol

Samu

Mabonah

,

Kortimaw

Slide7

Target Areas of Intervention

Hotspot

Positive Swab

New case not on a contact list

Death in a quarantine home

Cross Border transmission

Community resistance

Community denial

Under reporting of

deaths

Epi link to + case

Slide8

Issue

: Hotspot

Indicators:

Ongoing transmission. Out of nine

confirmed cases in week 11, eight came from a single household under quarantine in Malal

Response

:

D

edicated surveillance/

socmob

team assigned for daily visits

,

detailed

c

ase investigation,

contact tracing,

PC engagement.

Issue: Under reporting and community mistrust

Indicator: Positive swab/death in quarantine home

Response: DO and DC meeting with PC to define action plan. PC making frequent visits to

HH

and community.

SocMob

Pillar Lead engaging community directly

Weekly Response Plane.g. Malal

Issue

: Community Resistance to response efforts

Indicators: HH refusal to cooperate with surveillance team or to transfer suspect case to Holding Centre. Response: Dedicated team surveillance and PSS to make daily visits to the household. All suspects now removed.