30 Medical Society of Papua New Guinea

2018 Medica l Sympos ium

SYMPOSIUM PROGRAM

Sunday 2nd September 2018 900-1800 1900-1915 1915-1930 1930-2130

Registration for symposium participants at Madang Resort Hotel Welcome – Medical Symposium Organising Committee Chairman Dr Vincent Atua Speech – Hon. Minister for Health and HIV/AIDS Dr Sir Puka Temu Meet and greet

Monday 3rd September 2018 800-820 820-825 825-835 835-855 855-925

Master of Ceremony: Dr Sammy Thomas Co-chair: Dr Hal Daniel Official Procession Opening prayer by Chairman of Madang Ministers Fraternity Pastor Kario Veneo Welcome by the President of the PNG Medical Society Professor Nakapi Tefuarani Address by Hon. Minister for National Planning and Monitoring Hon. Richard Maru Official Opening - Prime Minister of Papua New Guinea Rt Hon Mr Peter O’Neill

Session 1. Rural and Remote Medicine Programs Chairperson – Prof Nakapi Tefuarani

925-955 955-1015

Keynote Address : Associate Prof Ruth Stewart – President of the Australian College of Rural & Remote Medicine Rural Generalism. How to thrive Guest Speaker: Dr David Mills – President of the PNG Society of Rural and Remote Medicine The Fork in the road – the renaissance or demise of PNG’s rural health services?

1015-1030 Morning Tea

Session 2. Experiences and challenges at the Provincial & Rural Level Chairperson : Dr Duncan Dobunaba Co-chair: Dr Moses Laman

1030-1050 1050-1105 1105-1120 1120-1135 1135-1150 1150-1205

Guest Speaker: Dr Joe Vilosi Experience of providing rural health services in the Autonomous Region of Bougainville Peter W Challenges of health services delivery in Madang Province Kelebi T Gaps in tuberculosis treatment in West Sepik Province Minn W Evaluating healthy island concept in Milne Bay Province Palm M The Samaritan Aviation: The Success Story of a Partner in Rural Health Service Delivery in remote ESP Bolnga J Reasons for early contraceptive implant removal at a provincial hospital

1205-1305 Lunch Session 3. Focus on experiences and mortality in Rural areas

Chairperson : Prof Jerzy Kuzma Co-chair: Dr Vincent Atua 1305-1325 1325-1340 1340-1355 1355-1410 1410-1425 1425-1440 1440-1455 1455-1510

Guest Speaker: Dr Valerie Archer 65 years of service provision at Kapuna Rural Hospital Maibon J Saman balus: A medivac option for rural Western Province Taune M Bedaquiline-containing regimens for treatment of drug-resistant tuberculosis in PNG Ome-Kius M Impact of malaria, pneumonia and diarrhoeal illness on child growth in PNG Scoullar MJL Previously unreported infections emerge as an important risk for maternal and newborn health in ENBP Emori R Child Mortalities in PNG: New Evidence from the Health Surveillance Systems Kitur U Mortality patterns in Papua New Guinea – Results from empirical data Kwa AV A ‘look’ at deaths in Papua New Guinea

1510-1525 Afternoon Tea

Session 4. Surgery and Anaesthesia Chairperson : Prof John Batten Co-chair: Dr John Maihua

1525-1540 1540-1555 1555-1610 1610-1625 1625-1645

Saulep R Surgical Management of Spinal Tuberculosis at Kundiawa General Hospital, Simbu Province Nassar G Laparoscopic Hysterectomy at Kundiawa General Hospital Moke R Treatment of multidrug resistant tuberculosis with shorter treatment regimen Pühringer FK Basic principles and modern aspects in the management of difficult airways Dr Atua V, Prof Tefuarani T, Dr Thomas S, Dr Laman M Resolutions of symposium discussion on Day One:

7:00-10:00 Welcome Dinner – Madang Resort Hotel Patron’s address by Madang Governor – Hon Peter Yama

Medical Society of Papua New Guinea — 54th Symposium Scientific ProgramRural Health Services, 2nd – 7th September, 2018

Divine Word University Campus, Madang, Madang Province.

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Rural Health Services

Tuesday 4th September 2018

Session 1. Rural Health Service delivery and experiences of TB treatment Chair: Dr Harry Aigeeleng Co-chair: Dr Tina Yarong

800-820 Guest Speaker: Prof John Hall Professor of Primary Care at the University of NSW, Sydney. Universal Health Coverage - Implications for Rural Health in Papua New Guinea

820-840 840-855 855-910 910-925 925-940 940-955 955-1010

Guest Speaker: Dr Otto Numan Experiences of health service delivery - Manus Island Lauwo J Report on the workshop on certificate in Basic Pharmacy Management (CBPM) Namosha E Use of GIS mapping as a public health tool to visualise routinely collected health data Banamu J Impact of GxAlert on management of rifampicin-resistant tuberculosis patients in Port Moresby Morris L The Emergency Response to Multidrug-resistant Tuberculosis in Daru. Apis V Treatment outcomes in children treated with the new dispersible fixed-dose combinations for Tuberculosis in Port Moresby Sodeng K Challenges in the Diagnosis and Treatment of Tuberculosis: the Kavieng Provincial Hospital Experience

1010-1025 Morning Tea Tuesday Concurrent Sessions

Session 2: Trilateral Malarial Program Chairs: Dr Evelyn Lavu and Dr Leanne Robinson

Session 3: Med. Educ. & Health empowerment Chairs: Dr Duncan Dobunaba and Dr Lucy John

1025-1040 1040-1055 1055-1110 1110-1125 1125-1140 1140-1155 1155-1210

Makita L: Trilateral Malaria Pilot Cooperation Project; Australia-China-Papua New Guinea 2016-2018 Velemu E: External quality assessment performance for malaria microscopy in PNG Lelngei F: Validation of new malaria RDT (BIOCREDIT RDT Kit Malaria Pf/Pan Antigen Test Card) at point of care Kombut B: Understanding the true burden of malaria exposure during pregnancy in ENBP Katusele M: Description of malaria vector species in low malaria transmission villages in New Ireland Kaevakore M: Outbreak of febrile illness on Siassi Island in Morobe Province Ak G: Fever in Rural Papua New Guinea-The First Prevalence Study in the Ramu Valley

Koinari M: One Health - Molecular genotyping of zoonotic pathogens in rural PNG Kuzma J: Current trends in Medical Education: The role of rural placement Michon P: The importance of a Science Foundation year in preparing students for Medical degree at DWU Tomdia-Lokes C: What happens to the UPNG Year 2 MBBS students? Maima P: Employee empowerment in the health sector in PNG and its link with perceived service quality Landime J: Improving maternal health by identifying barriers to supervised deliveries - Wain Constituency, Morobe Province Samblap N: Effective Development Empowering the Nation (EDEN): An effective public health intervention approach

1210-1310 Lunch

Session 4: Pneumonia Updates Chairs: Prof William Pomat and Dr Melanie Werror

Session 5: Community Services & Miscellaneous Chairs: Dr John Bolnga and Dr Waikesa Kalala

1310-1325 1325-1340 1340-1355 1355-1410 1410-1425 1425-1440 1440-1455

Morre R: Safety, effectiveness and feasibility of outpatient management of children with pneumonia with chest indrawing at Port Moresby General Hospital Britton KJ: Childhood pneumonia in Goroka: clinical predictors of severe disease Orami T: Persistent High Prevalence of Non-Vaccine Pneumococcal Serotype Carriage in Children under 24 months vaccinated with 10-valent or 13-valent pneumococcal conjugate vaccine in EHP Ford R: High rates of multiple serotype carriage detected by microarray in hospitalised children with pneumonia Kave J: Pneucaptive study: 13-valent pneumococcal conjugate vaccine coverage in hospitalised children with pneumonia in EHP Integrating immunization with other services: mothers’ preferences from the Healthy Mothers Morgan C: Healthy Babies research program in ENBP Fidelis R: Quantifying the burden of Reproductive Tract Infections

Morewaya J: Community pathology and intensive community care units, the basis of sustainable health care Schuele E: Implementation of the National Health Service Standards for Papua New Guinea 2011-2020: A case study at four Lutheran Health Services (LHS) Hospitals Ambang T: An integrated implementation planning framework for district health programs in PNG Wari V: Global Youth Tobacco Survey - 2016 Pogo M: Improving the Adherence of Post Exposure Prophylaxis among Survivors of Sexual Violence - Port Moresby Ramalingam K: Hospital nurses and work-related low back pain: A survey in PNG Houinei W: Evaluation of the impact of a Yaws Elimination

SympoSium Scientific program contd

32 Medical Society of Papua New Guinea

2018 Medica l Sympos ium

SympoSium Scientific program contd

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in pregnant women Program on Lihir Island 1455-1510 Afternoon Tea

Session 6: Influence of Microanalysis on the bigger health Picture Chairs: Dr Jimmy Aipit and Ms Beulah Sipara

Session 7: Challenges of TB, HIV & malnutrition in the Provinces Chairs: Dr Gertrude Marun and Dr Gabriel Kune

1510-1525 1525-1540 1540-1555 1555-1610 1610-1625

Kuma V: Maternal and Neonatal Health in PNG: A synthesis of evidence and identification of gaps Nagani W: Plasmodium falciparum Histidine-Rich Protein 2 Gene Variation in Wosera, East Sepik Karunajeewa H: Pharmacogenetics and its relevance to public health interventions in Melanesia Manning L: Validation of a dried blood spot ceftriaxone assay in PNG children with severe bacterial infections Moore B: Safety, tolerability, and efficacy of high dose, short course primaquine regimens in PNG children

Maha A: Assessing the effect of decentralization of TB services in East New Britain Province Madiowi S: Evaluation of implementation of screening and management of household contacts of tuberculosis cases in Daru, Western Province Dina M: Increasing HIV testing and treatment uptake among TB/HIV co-infected patients in Daru General Hospital, 2014-2016: a pre-post interventional study Ulg P: Increasing HIV Testing Coverage among Pregnant Women attending Mt. Hagen urban clinic Pebe H: Factors Associated with Undernutrition in 6- to 24-

month-old Infants and Young Children in Hela Province 1625-1640 Resolutions of Symposium Discussion on Day two: Dr Aigeeleng H, Prof Pomat W, Dr Aipit J, Dr Tavul L 1630-1830 PNG Medical Society AGM 7:00-10:00 President’s Dinner – Madang Resort Hotel

Promotion of Bebi Kol Kilok Program - Dr G Sethy

DIVINE WORD UNIVERSITY MBBS 3 STUDENTS ON RURAL OUTREACH

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Rural Health Services

SYMPOSIUM PROGRAM

Wednesday 5th September 2018 Session 1. (Post-graduate Presentations)

Chairperson: Prof Trevor Duke Co-chair: Dr Melanie Koinari 800-815 815-830 830-845 845-900 900-915 915-930 930-945 945-1000

Menda C Hepatitis B knowledge and practices among the university and rural communities: comparative study Demok D Arbovirus vector composition and abundance in Madang, PNG Lufele E Intraleucocytic Plasmodium falciparum pigment in PNG children with severe malaria Vinit R Season-specific mosquito populations maintain perennial, hyperendemic malaria transmission on the north coast of PNG Watch V The burden of presumed tuberculosis in hospitalized children at Modilon Hospital Ome-Kius M Malaria epidemiology in young PNG children in the context of rapid reductions in transmission Timinao L Transmission of symptomatic malaria to Anopheles farauti mosquitos through a membrane feeding assay Tommbe R Front line Health Care Workers Experiences of Foreskin Cuttings in four Provinces in PNG: A situation analysis study on male circumcision for HIV prevention

1000-1015 Morning Tea

Session 2. Challenges of disease treatment and prevention in rural PNG Chairs: Dr Damien Martin and Dr Miila Gena

1015-1030 1030-1045 1045-1100 1100-1115 1115-1130 1130-1145

Tavul L Safety and efficacy of mass drug administration for lymphatic filariasis elimination with triple drug therapy Stanley E Identifying and addressing barriers to immunization for young children in Gazelle District, ENBP Taune M Demonstrating change using quality improvement strategies: the experience of Daru TB program Hapolo E TB treatment delay associated with drug resistance and admission at Daru General Hospital Mol W Clinical application of absolute ethanol in rural PNG Carmody M Filling the gaps: The 2018 Earthquake in Hela & Southern Highlands Provinces

1145-1230 Plenary Session and final resolution on Day 3: Prof Ruth Stewart, Prof Tefuarani N, Dr Vilosi J, Prof Kevau I, Dr Numan O, Dr Mills D, Dr. Calvert L

1230-1330 Lunch 1330-1600 NDA AGM / SIGHT SEEING 1700-2200 Cultural Night & Dinner – Madang Resort Hotel Thursday 6th September 2018 8:00-4:00 Specialty Meetings 7:00-10:00 Specialty Dinners Friday 7th September 2018 8:00-4:00 Specialty Meetings 7:00- 12:00 NDA Dinner Dance

SympoSium Scientific program contd

A Proud sponsor of the 2018 Medical Symposium

34 Medical Society of Papua New Guinea

2018 Medica l Sympos ium

SPECIALTY PROGRAMS: Thursday 2nd September 2018 and Friday 3rd September 2015

Thursday 2nd September, 2018 SPECIALTY MEETINGS 08:00–16:00

SPECIALTY MEETINGS VENUES Paediatrics Society of Papua New Guinea Madang Star Hotel PNGSEM TBA PNG Physicians Association Madang Resort PNG Dental Association TBA PNG O&G Society Madang Lodge PNG Society of Remote & Rural Health Jais Aben Centre Otolaryngology – Head & Neck Surgery Soceity TBA Medical Imaging TBA Society of Anaesthestists of PNG Modilon Hospital, DWU Ophthalmology DWU FMHS Building Lecture RM#

19:00–22:00 Specialty Dinners (Specialty Society Arrangements) Paediatrics Society of Papua New Guinea TBA PNGSEM TBA PNG Physicians Association TBA PNG Dental Association TBA PNG O&G Society TBA PNG Society of Remote & Rural Health TBA Otolaryngology – Head & Neck Surgery Soceity TBA Medical Imaging TBA Society of Anaesthestists of PNG TBA Ophthalmology TBA

SPECIALTY PROGRAM HIGHLIGHTS Thursday 7th September 2017 and Friday 8th September 2017

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Rural Health Services

MADANG STARINTERNATIONAL HOTELThe Heart of Madang

SPECIALTY PROGRAM: Friday 3rd September 2018

Friday 3rd September 2018

SPECIALTY MEETINGS 08:00 –16:00

SPECIALTY MEETINGS VENUES Paediatrics Society of Papua New Guinea Madang Star Hotel PNGSEM TBA PNG Physicians Association Madang Resort PNG Dental Association TBA PNG O&G Society Madang Lodge PNG Society of Remote & Rural Health Jais Aben Centre Otolaryngology – Head & Neck Surgery Soceity TBA Medical Imaging TBA Society of Anaesthestists of PNG Modilon Hospital, DWU Ophthalmology DWU FMHS Building Lecture RM#

19:00 till late

National Doctors Association Official Closing Ceremony Dinner and Dance Presidents address: Dr James Naipao - President of NDA Guest Speaker: TBA Venue: TBA

A Proud sponsor of the 2018 Medical Symposium

SPECIALTY PROGRAM HIGHLIGHTS contd