Transcript Document 440722

The East African Integrated Disease Surveillance Network (EAIDSNet)
Collaboration of EAIDSNet and
EAPHLNP
Dr Willy Were
ECSA Health Community
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Presentation outline

Genesis and evolution of EAIDSNet and EAPHLN
project

Regional Legal Instruments

Major achievements in the joint project/EAIDSNet
implementation
ECSA Health Community
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East African Community 1999
Area: 1.82 million Km2
Population: 145.5 Million
EAC, 2015
Examples of Recent Epidemics in EAC
Country
Disease
Burundi
Measles (2000), cholera (2012,2013,2015)
Kenya
Measles (2002), Rift valley fever (2006-07),
cholera (2009, 2010, 2014, 2015), Dengue
(2011, 2013, 2014), meningitis (2006)
Rwanda
Meningitis (2000), cholera (2012)
Tanzania
Cholera (2012, 2013, 2015), hepatitis (2013),
rabies (2009), plague (2011), Anthrax (2012,
2014), measles (2011)
Uganda
Measles (2001), yellow fever (2010), meningitis
(2012)Marburg (2012), Ebola (2007, 2012),
Crimean Congo fever (2013), Typhoid (2015).
ECSA Health Community
Enabling Legal Instruments
• EAC Treaty 1999
• Article 108 Plant and animal disease control
• Article 118 Human Health
• Protocol on Cooperation on Health
• Framework on Cross-Border
Surveillance in EAC
• IHR (2005) Articles 44 (Collaboration
and assistance)
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Disease Surveillance Strategies
• IDSR 1998
• IHR
2005
• EAIDSNet 2000
• Epidemiologist and Infectious diseases Experts
• Public Universities
• Research Organizations
• MoH
• Voluntary
• Rockefeller funding
• Coordinating disease control activities
• 2004: Moved to EAC for easier and sustainable operation
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EAIDSNet: Objectives
i.
ii.
iii.
iv.
v.
Enhance cross-country and cross-institutional
collaboration on disease prevention & control,
Promote exchange and dissemination of information
on Integrated Disease Surveillance
Harmonize disease surveillance systems in the
region,
Strengthen
regional
capacity
for
disease
surveillance and response
Ensure continuous exchange of expertise and best
practices for disease surveillance and control.
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Progress of EAIDSNet

Stakeholders recognized that labs were
the weakest point in disease surveillance

Aimed to establish efficient, high
quality labs accessible in esp remote
peri-border areas
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EAPHLNP

5 Yr World Bank funded (since 2010),
extended for 4 yrs-The East Africa
Public Health Laboratories Networking
Project

Closely works with EADSNet
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Project Sites
ECSA Health Community
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Achievements: Laboratory Diagnostics - Lab Networking &
Accreditation



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Implemented SLMTA to accelerate
laboratory improvement
Coordinated and supported peer
laboratory audit in preparation for
accreditation - 90% scored =>2 stars,
while 72% scored =>3 stars in March
2016
Trained mentors and laboratory
auditors to support implementation of
Improved Projects
Enrolled laboratories to regional EQA
scheme
Supported buy-in proess for increased
utilization of TB Supranational
Reference laboratory in Uganda (18
countries MoU)
ECSA Health Community
120%
Proportion of laboratories with 2 stars
and above

100%
80%
80%
60%
87%
90%
2014
2016
44%
40%
23%
20%
0%
2011
2012
2013
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Disease Surveillance
• Established a framework for joint
response to outbreaks
• Developed the Regional Mobile phone web
based system for surveillance and
laboratory data
• Supported cross border meetings &
establishment of cross border surveillance
committees• Supported Joint IDSR and community
based disease surveillance
• Supported VHF field simulation exercise in
preparedness for VHF outbreaks
• Supported investigation/control of Ebola,
Marburg, Cholera outbreaks (material and
RRT) and Needs Assessment for
Burundian Refugees
• Developed a Regional One-Health
Contingency Plan for Health Events in EAC
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Cross-Border Surveillance
Committee Activities
• Work plans
– Joint Disease Control Activities
• Routine, Quarterly
• Emergency, as needed
• Epidemic, as needed
– Trainings
– Information and data sharing on disease
outbreaks-Formal and informal
– Simulation exercises
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Joint Training and Capacity Building
• Provided training to over 10,290
across all countries .
• Courses for laboratory/health
workers include: Mentorship, Lab
auditing, Research methodology,
ICT Web Refresher, M&E,
Quality Management Systems
and Biorisk management
• Developed e-learning platform
with the following modules:
Laboratory Management, Lab
based surveillance, ICT and
Biorisk Management
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JOINT TRAINING AND CAPACITY BUILDING
• Harmonized curricula for
training of laboratory
professionals (degree diploma
and certificate curricula were
reviewed)
• Worked with MUHAS and other
stakeholders and upgraded the
laboratory management course to
professional course offered at
university
• Pilot training was held at
MUHAS from 29th March to 29th
April, 2016
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Operational Research
• Three multi-country, multi-site
studies in Tanzania, Kenya,
Rwanda, Burundi and Uganda:
• Malaria
• TB
• Enteric pathogens
• Emerging antimicrobial drug
resistance
• Offshoot studies
• Publications of the study findings
• Identified capacity needs in the
use of new diagnostic
technologies
• Capacity building in conducting
operational research for
technical staff
Knowledge and experience sharing
http://www.eaphln-ecsahc.org/
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Conclusion
• EAPHLNP is supporting EAIDSNet to
achieve the grand objectives set at the
beginning
• Disease control in EAC is still “work in
progress”. A lot more is still needed.
• Involvement of all stakeholders at all
stages is important to deal with the
ever changing target
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Thank you
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