IEHK 2011 IEHK has been revised on average every 5 years Process is proposed to accommodate interim updates especially to recognize changes in treatment guidelines or unavailability of products Current request ID: 676334
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Slide1
Accommodating interim changes to the IEHKSlide2
IEHK 2011
IEHK has been revised on average every 5 years
Process is proposed to accommodate interim updates, especially to recognize changes in treatment guidelines or unavailability of productsSlide3
Current request
Proposed changes, malaria products
Phase out
artemether
20 and 80 mg injection and quinine 300mg/ml with and replace with
artesunate
60 mg injection in keeping with revised treatment guidelines.Slide4
Propose process
Interagency Coordination Group (ICG) should note problems or anticipated revisions every 6 months
Agencies (UNICEF, WHO, UNFPA, MSF, ICRC, MSF) to update their focal points
Interim changes should be proposed and confirmed with the relevant WHO programme and the ICG focal pointsSlide5
Proposed process, continued
Once agreed, the changes would be notified in writing to all procurement agencies
A six month period for transition would be permitted to avoid wastage and disruption
Printed copies of an amendment would be included in all shipmentsSlide6
Longer term changes
Develop additional modules e.g., NCD module for emergencies that have longer duration
Revise packing e.g., weight limits are not in alignment with occupational safety standards and are also resulting in damage and loss
Inventory system could be reviewed for the number of kits packed and stored versus held in revolving inventorySlide7
Longer term changes
A data base of inventory where agencies who provide kits voluntarily upload information on which kits are available, and where in order to better coordinate emergencies.Slide8
Usage of kits, WHO 2013
Regions
Countries
IEHK basic unit
IEHK suppl. module
Reproduc-tive health kit
IDDK
Trauma kit
SSK
Total
AFRO
Angola, Benin, CAR, Chad, DRC, Eritrea, Ethiopia, Guinea-Bissau, Ivory Coast, Kenya, Liberia, Mali, Mozambique, Niger, Nigeria, Rwanda, Senegal
515
71
958
92
26
4
1,633
AMRO
N/A
EMRO
Afghanistan, Jordan, S.Sudan, Somalia, Sudan, Syria, Yemen
2,234
75
122
51
28
2,510
EURO
Turkey
60
6
7
73
SEARO
DPRK
18
2
49
3
3
72
WPRO
Philippines, Solomon Islands
102
13
2
115
Total kits per type
2929
154
1020
216
87
35
4405
Coverage per kit, patients
1,000
10,000
50
700
100
100
Slide9
IEHK in disasters
Original design-
“to meet the initial primary health-care needs of a displaced population without medical facilities…”
Additional language-
“or a population with disrupted medical facilities in the immediate aftermath of a natural disaster or during an emergency”Slide10
Caveats
“No equipment for resuscitation or major surgery… in situations of war, earthquake or epidemic, specialized teams with medicines and medical devices will be required”
“further supplies should be ordered according to assessed need” ….
i.e. don’t send more of the same after initial supply
“the kit is neither designed nor recommended for re-supplying existing healthcare facilities
”Slide11
The FMT Initiative
http://www.who.int/hac/global_health_cluster/fmt/en/index.html
FMT Secretariat e-mail
nortoni@who.int
Slide12
Summary
Revision of IEHK content and design/logistics based on changes in treatment protocols and feed-back from users.
Additional modules- NCDs, Pain
Mx
etc
Revision of messaging about usage and purpose
Clear messaging to national medical teams and FMTs on use of IEHK’s in disasters and complex emergencies
Standard medical response kit for such teams?