Transcript Updates on Indepth Phase IV Effectiveness and Safety Studies

Livesy Abokyi
Kintampo Health Research Centre
9th INDEPTH AGM 26-29th October,2009 Pune, INDIA

Main stakeholders meeting held 15th July,
2009
– Representatives from both public and private
Heath Facilities, District Health Administration
and Regional Health Directorate



Community meetings
Radio discussions on local radio station in
the local languages.
Media briefing with presenters on the local
radio stations





Redemarcation of field worker areas from 14
to 18 to make up for additional workload
More field workers and supervisors have been
recruited
Field workers and field supervisors have been
trained on: fever form, HH access and costing
survey and Assessment of population parasite
prevalence
Listings for HH access and costing generated
for 2nd half of HDSS round– 25% (4226 HHs).
Listings have also been generated for the
assessment of population parasite prevalence

Population monitoring for fever burden
– Eleven weeks of data collection
– 1384 forms completed
– 478 Households with fever

Household Access and Costing survey
– Four weeks of data collection
 Spontaneous
Adverse Event Reporting
System (SAERS)
 Cohort Event Monitoring (CEM)
 Situational analysis on SAERS done
-Coordinators from the two major hospitals have
received training but not implementing
-Some staff in the peripheral health facilities know
about the form but have never reported
-There were no forms at the periphery

Challenges from the perspective of health workers
-Inadequate forms
-Inadequate knowledge about the system of
reporting
Response to situational analysis
 INESS
safety team meeting held in Oct
– discussed findings and the way forward
– -discussed terms of reference of the safety team
and frequency( monthly at district level and two
safety teams to meet quarterly)
Training for reporters on 21st and 23rd Oct.
organized with the FDB
Health workers and chemical sellers
-Plan to do radio discussion to increase community
awareness
-Supply of forms for by FDB upon request by the
District Health Administration with support from
the INESS Safety coordinator
-INESS Safety team will be responsible for
monitoring and supervision
Targeting Accuracy & Provider Compliance
-Training of staff planned
-Assessment of drug stock levels done
 Patient and Community Acceptability –
Communities selected
 Adherence yet to start
 Other measures of contextual determinants
yet to start


Changes to the initial design for blood
sample taking-may require protocol
amendment and ethical considerations
-Now all members in sampled households are
included in the blood sample taking

Sampled households have substantial number
of moved outs
Thank You