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ONE HEALTH AND THE POWER OF PLATFORMS
One Health Models for Cross-Sectoral Coordination on Zoonotic Diseases
OPENING REMARKS
Dr. Fuadi Darwis, MPHSenior Advisor, Advisory Board, National Disaster Agency (BNPB)
INDONESIA
ASSIGNMENT
EXPERT PANEL 1) Provide scientific and strategic consideration2) Other assignment from chairperson of NCZC
EXECUTIVE TEAM 1) Implement the task of the National Commission for Control of Zoonoses2) Implement operational command3) Implement the institutional working relationship4) Reporting of national zoonotic control 5) Other assignment from chairperson of NCZC
SECRETARIAT 1) Prepare materials for coordination program and cross sectoral policy development
2) Facilitating national commission activity3) Facilitate of the national commission report
Commisioner of KNPZ Chairedby Coordinating Minister
EXECUTIVE TEAM (55 MEMBER)
EXPERT PANEL (16 MEMBER-MULTI DICIPLIN
BACKGROUND) SECRETARIAT
Vice Chair (eschelon I )
INDONESIA
INDONESIA ONE HEALTH COORDINATION
Human
Animal Environment
MOH
MOHA
MMAFMOEF
PMK
Institutions
CommunitiesBNPB
MOA
ONE HEALTH PLATFORM (KNPZ)• The KNPZ report directly to the President. The SC
consist of 19 Ministries/agencies headed by the Coordinating Ministry for Human Development and Culture (PMK)
• Day-to day operationalization of KNPZ Conducted by KNPZ Secretariat – representatives of the government, professional organizations, Expert Panels and Academia, funded by PMK
MAIN ACCOMPLISHMENT
• OH Coordination Guidelines in outbreak of zoonoticand EID as a Non-Natural Disaster
• Integrated Information System for:
EID and Zoonosis Early Warning System
Integrated Risk Mapping System
One Health Coordination Guidelines for Outbreaks
HARMONISATION OF OUTBREAK STATUS AS NON NATURAL DISASTER
COORDINATION
PRE OUTBREAKS
OUTBREAKSPOST OUTBREAKS
RISK ANALYSIS
CONTROL PLAN
MITIGATION
PREPAREDNESS
EARLY WARNING
RAPID ASSESMENT
INVESTIGATION
TRANSMISSION LIMITATION
CASE MANAGEMENTINFECTION SOURCE
ERADICATION
SOCIAL RECOVERY
ECONOMIC RECOVERY
PUBLIC SERVICES RECOVERY
SIZE
RISK ANALYSIS APPLICATION TO RECOGNIZE WHERE OUTBREAK POTENTIALLY AREA
Static system : Update data done in a planned manner after the indicator and subindikator determined by the type of threat character whose number is inputted by the local government
User : Ministrial and Provincial Government
Intervention : mitigation / risk reduction
Potential upgrade : Addition of character types, indicators and sub-indicators according to K / L interests
EARLY WARNING APPLICATION TO WARN STAKE HOLDERS REAL TIME WHERE SYNDROME TO OUTBREAK
Dynamic Sytem: Data update is done in real time result of data communication of K / L surveillance information system based on report of officer at primary service center (puskesmas dan puskeswan)
Users : ministrial officer (minister, senior and middle officer)
Intervention : coordination and fast response
Potential upgrade : Presentation of reporting and addition of number of communication and data exchange
Integrated Information System
• Commitment from government to ensure sustainability of Prevention, control, eradication of zoonosis and EID through annual budget as One Health is a collective effort from various ministries under the coordination of PMK
• Mechanism for accessing, sharing and analyzing data from animal and human health and wildlife is in place
• Institutionalization of the One Health Platform to the government structure (KEMENKO PMK)
• Established and legalized a coordination mechanism for zoonosis and EID outbreaks using the One Health Coordination Guidelines
• Strong collaboration with international organizations and donor agencies
STRENGTHS AND WEAKNESSES
• Need to expand the scope of KNPZ to include AMR and Food Safety
• Decentralized country, needs a commitment from sub-national levels
• Maximize the role of the other sectors that play crucial roles during outbreaks are National Disaster Agency (BNPB), Ministry of Village Development, and Ministry of Home Affairs, among others, aside from conventional agencies (MOA, MOH and MOEF)
NEXT STEPS
BANGLADESH
BANGLADESH ONE HEALTH PLATFORM• Multi-tier, formal, government funded; result of advocacy of One Health
Bangladesh and inclusive Field Epidemiological Training Program
• Leadership rotates among partner ministries and departments. Members
include observers from international partners; secretariat is operated by
seconded technical officials from three ministries.
Role of One Health Platform in GHSA implementation :
Develop shared vision with leadership and key stakeholders on importance
of multi-sectoral coordination mechanism; assist government partners
during outbreaks; Initiate a One Health approach to control zoonoses
PLATFORM ACTIVITIES• Regular Activities of Platform: Advise GOB on OH issues,
networking , information sharing, planning, develop and implement M&E tool, disease and research prioritization , development of joint surveillance, outbreak investigation and response on zoonotic diseases.
• Coordination is exemplified by current collaborative effort of BLRI , DLS , IEDCR with the support from GHSA –USCDC
• Platform support to other GHSA action packages :As a mutli –sectoral entity the platform can support in other GHSA packages like AMR, Surveillance, Reporting and Information
• Strong Advocacy from One Health Bangladesh for institutionalization of One Health
• Approved One Health Strategy with a dedicated component for One Health Governance and Program Management
• Commitment from government and International partner to platform (human capital, funding, etc)
• Differing level of commitments and capacities across the sector • Reflection of recognition by involving One Health platform is weak
STRENGTHS AND WEAKNESSES
• Advocacy for using One Health platform for joint planning, preparedness and response
• Generate evidence of advantage of platform (economic analysis, case studies, after action review, etc.)
NEXT STEPS
KENYA
KENYA ONE HEALTH PLATFORM
• One Health Technical Committee (OHTC) and a Secretariat the Zoonotic Diseases Unit (ZDU)
• The OHTC meets quarterly • ZDU is a collaborative office nested between Ministry of
Health and Ministry of Agriculture Livestock and Fisheries with a permanent staff from both ministries
• Coordinates joint strategies and activities on zoonotic diseases (rabies elimination, anthrax investigation, response)
• The ZDU coordinates GHSA in general and the Zoonotic Disease Action Package in particular
• ZDU successfully coordinated the JEE exercise in March 2017
KENYA ONE HEALTH PLATFORM
PLATFORM ACTIVITIESRegular activities• Coordination: disease outbreaks, preparedness and response, policy• Share information on public health events w a One Health approach• Advocacy• Joint proposals for resource mobilization, operational research• Quarterly Meetings of ZDTWG
Other GHSA action packages support:New TORs of the platform spell out broader areas of One Health –antimicrobial resistance, food safety, environmental health and other public health issues
• Government commitment
• Supportive donor community and technical partners
• Local programs are being implemented using a One Health approach (rabies elimination program)
• Relatively weak policy and legal backing for ZDU/ZDTWG
• Inadequate allocation of government funds
• Weak inclusion of emerging One Health themes
STRENGTHS AND WEAKNESSES
• Policy advocacy including budget advocacy are ongoing
• Review of the TORs of the platform- underway• Sensitization of top government officials on OH-
planned • Development of a new One Health strategic
plan 2018-2023 is underway
NEXT STEPS
THE POWER OF PLATFORMS
Q&A
CLOSING REMARKS
