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Multi-sector Pandemic Preparedness and Response for Migrants Host Communities, Svay Reing Province, Cambodia

A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

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Page 1: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

A Multi-sector Pandemic Preparedness and Response for Migrants andHost Communities, Svay Reing Province, Cambodia

Page 2: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Why do we develop a multi-sector for Pandemic Preparedness and Response Planning?

• Pandemic an ‘all-of-society’ emergency – will have social, economic and public safety impacts

• Health will be the key technical sector, but will need support from other sectors in order to function.

• Over-all pandemic response will be coordinated through existing emergency management structures – the NCDM, PCDM & DCDM

Page 3: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Objectives • To integrate the pandemic preparedness and response

mechanism into a broader national disaster management system (in NCDM)

• To provide a quick and appropriate response to a pandemic• To reduce the public panic and confusion• To reduce a negative impact of pandemic influenza and

opportunities of its transmission • To reduce the social and economic impacts due to a

pandemic and would save millions of dollars • To maintain business continuity in all stages of pandemic.

Page 4: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Focal points from health and non health sectors

• 24 Provincial government departments/entities

• Including military, police and gendarmeries.

• Local authorities/community leaders ( provincial, district and commune level)

• Non governmental organizations, • Private companies/Service

providers

Page 5: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Key processes of a multi-sector pandemic planning

• Established the PPPT through reinforcing and modifying roles of existing provincial committee for disaster management (PCDM)

• Conducted Training of Trainer on a multi-sector PPP and response to the selected provincial trainers from diverse 22 government departments, civil societies and private sectors.

• Conducted the planning workshops for health and non-health sectors which involved participants from provincial, district and community level.

• Each sectors workshop, the trained provincial ToT were merged with new participants to lead their planning and discussions.

Page 6: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Before each sector planning session started • Participants were introduced overall overviews of the

planning

• Background of the pandemic influenza

• Cause of pandemic and differentiate between seasonal, avian and pandemic influenza

• Recognize mild and severe signs and symptoms

• Prevention, reduction of impacts and transmission such as cover nose and mouth when coughing and sneezing, frequency washing hands with soap and social distancing.

Page 7: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Additional tools supported in process of

planning

Page 8: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

NCDM-Video PresentationNCDM-Video PresentationNational Geographic Documentary

On Super Flu , NCDM

Page 9: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

The current WHO phase of pandemic alert is 6

• Phase 6 the pandemic phase, is characterized by community level outbreaks in at least one other country in a different WHO region in addition to the criteria defined in Phase 5.

• Designation of this phase will indicate that a global pandemic is under way.

Page 10: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

% of Morbidity and Mortality in 100 days , Svay Rieng Population

535365

187379

10708 2677 0.5%2%100% 35%0

100000

200000

300000

400000

500000

600000

Pop OPD IPD Mortality

Normal OPD and IPD In the outbreak of Pandemic

535365

72710

3487 98100% 13.5% 0.65% 0.02%0

100000

200000

300000

400000

500000

600000

Pop OPD IPD Mortality

Page 11: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Normal OPD and IPD

4900

4950

5000

5050

5100

5150

5200

W1 W2 W3 W4 W5 W6 W7 W8 W9 W10 W11 W12 W13 W14 W15 W16 W17 W18 W19 W20 W21 W22

In the outbreak of pandemic influenza within 12 weeks

0

5000

10000

15000

20000

25000

30000

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

Page 12: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Health sector focuses and key areas identified – Modified roles

• Provincial Health Department • Provincial Hospital • District Referral Hospital • Community health center• Village Health Support Groups/Village Health Volunteers

– Health facilities • Essential services to be maintained during a pandemic • Non-essential services to be suspended during a pandemic • Identified external buildings for services expansion

– Controlling patients flow and the crowds • Setting up a triage system, OPD and IPD• Separation of respiratory and non respiratory patients

– Managing resources• Mapping and redeployment of staffing: MD/MA, Nurses, midwives• Medicines: Tamiflu, Antibiotics, Paracetamol, IV fluids, ORS etc• Equipments: PPE, Oxygen, Intubation, Ambulances

– Internal and external coordination/communications• Situation update and reporting• Staff motivations/ volunteers like medical students

Page 13: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Non-health sectors focus and key areas identified • Information/education

– Key health messages – Disseminations – Communities/schools

• Water and energy system– Maintain services 24 hours

to key institutions/facilities

• Public Security – Reinforce law, public order– Secure key facilities– Secure essential transport

• Transport– Assist health sector – Other sectors – Food and water– Emergency team and

supplies

• Border Management– Human health screening – Animal health screening – Goods controlling

Page 14: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Non-health sectors focus and key areas identified cont.

• Food emergency – Vulnerable groups – Patients and hospital staff – Emergency team– Community and individual

stock

• Economic and Finance– Maintain staff salaries – Control/ monitoring food

prices and other essential consumptions

• Command & Control– Ensure the continue of

essential services in all stages of pandemic

– Mobilizing and monitoring existing resources

– Coordinate information flows between health and non health sectors

– Assist health and non health sectors on technical inputs, decision making and problems solve

– Update on the severity of the crisis

Page 15: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia
Page 16: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Ex. Organization Chart of Public Security

Page 17: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Each Sector Produced

Roles Essential Services

Priorities Key activities Supports &

Dependencies

Page 18: A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Thank You !