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Progress report: t he national LF and STH programme in Thailand

Progress report: t he national LF and STH programme in Thailand. By Sunsanee Rojanapanus , Dr. Thitima Wongsaroj 2014 RPRG Meeting WHO Region. Background Information. Geography and Population Total population 64,785,909 (31Dec2013) Ecological zones

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Progress report: t he national LF and STH programme in Thailand

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  1. Progress report:the national LF and STH programme in Thailand By SunsaneeRojanapanus, Dr. ThitimaWongsaroj 2014 RPRG Meeting WHO Region

  2. Background Information • Geography and Population • Total population 64,785,909 (31Dec2013) • Ecological zones Total area 520,000 km2were divided to 6 geographical regions, based on natural features including landforms and drainage, as well as human cultural patterns. Bangkok geographically is part of the central plain as the capital. North, north-east, central, east, west and south region

  3. Background Information • Political & Health Administrative Divisions: • First level (States, Regions, Provinces): Region (4); northern, north-east, central and southern/Province (77) Region; 12 Regional Health office 77 provincial health office • Second level (Districts); 927 districts district health office • Third level (Tambol , Villages) Sub-district or Tambol (7,409), Village (74,944) Tambol health promotion hospital

  4. Historical Perspective (1-2 slides) • Summary of historical data on LF and STH before inception of the NTD programme, e.g. • Geographical distribution • Vector (LF) • Brief history of interventions (drug distribution, treatment of clinical manifestation, vector control etc)

  5. LF LF Endemic province in Thailand, 2013 Vectors W. b Ae. niveus, Ae. annandalei Ae. Desmotes, Ae. Immitator B. m M. bonneae, M. uniformis M. dives, M. indiana, M. annulata, M. annulifera Intervention MDA; DEC+ALB once a year (NELF) DEC alone in Myanmar migrant group Individual treatment; DEC alone Clinical manifestation; home-based care promotion Vector control; - surveillance in migrant group Cx mosquito Non Endemic area Endemic area (MDA stoped)

  6. STH Intervention 100% stool exam in target area 1st round Targeted treatment 2nd round Mass chemotherapy with ALB in area where prevalence>50%

  7. National programme overview

  8. PC Programme Financing • Contributors to the 2013 programme costs (and rough estimate of contributions by each if available):

  9. PC programme achievements 2013

  10. Progress Towards LF Elimination

  11. Progress Towards STH scale up Pre-SAC SAC *Coverage =

  12. PC coverage, 2013 *65% for LF and 75% for STH **reported coverage was verified by coverage survey or similar independent activity

  13. Impacts of MDA in Sentinel Sites (LF)

  14. Post-MDA surveillance 2014 Endemic Area Non endemic Area Hospital

  15. PC Monitoring and Evaluation • Describe how coverage is monitored - report - survey • SAE protocol • Detection by survey • Management; every severe SAE cases had to report to health officer for treatment • Reporting; SAE report

  16. LF Transmission Assessment Survey to stop MDA • Justification for stopping MDA without TAS in the above IUs • - • Integrated assessment of STH considered? • -

  17. LF Transmission Assessment: Forecasting *sum of the total sample size required for each EU assessed;

  18. Integrated Vector Management(LF) • Describe any activities targeted to control LF vectors (including those conducted by other programmes) no for LF vectors improve household sanitation for possible vectors • Describe monitoring and evaluation of such activities entomological survey; density, infective, infection

  19. LF MMDP – Strategy

  20. LF MMDP – monitoring and evaluation

  21. Best Practices • Describe interventions and/or M&E activities that worked well • Small IUs in NELF • Antibody test

  22. Challenges and “Issues” • For each disease, list the specific challenges/issues that need advice from RPRG - post-MDA surveillance • TAS2,3 • Surveillance in migrant group

  23. Programme Plan

  24. PC medicine request for 2015

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