bohol project team meeting
TRANSCRIPT
DOCUMENTING THE SUCCESSFUL CONTROL AND ELIMINATION OF SCHISTOSOMIASIS IN BOHOL,
PHILIPPINESNATIONAL SCHISTOSOMIASIS CONTROL AND ELIMINATION PROGRAM
DEPARTMENT OF HEALTHOCTOBER 9, 2015
TEAMTEAM LEADER: DR. WINSTON A. PALASI, NSCEP
TEAM MEMBERS FROM THE PHILIPPINESDR. JOANRI T. RIVERAL AND STAFF, REGIONAL HEALTH OFFICE, REGION VII
DR. REYMOSES A. CABAGNOT AND STAFF, PROVINCIAL HEALTH OFFICE, BOHOLDR. FRANCISCO NGOBOC AND STAFF, MUNICIPAL HEALTH OFFICE, TALIBON
DR. ANALITA N. AUZA AND STAFF, MUNICIPAL HEALTH OFFICE, TRINIDADNURSES FROM TALIBON AND TRINIDAD (20)
DEPARTMENT OF EDUCATION REPRESENTATIVESDEPARTMENT OF AGRICULTURE
WHOCLARENCE DE GUZMAN, WHO INTERN, GEORGETOWN UNIVERSITY (USA)
DR. ZAIXING ZHANG, WHO COUNTRY OFFICE
VOLUNTEERSRAGINE VALENTE, MUNICIPAL NURSE, CAVINTI, LAGUNA
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OVERVIEW
BACKGROUND KEY OBJECTIVES APPROACH
NATIONAL BURDEN OF DISEASE• "A DISEASE OF POVERTY THAT LEADS TO CHRONIC
ILL-HEALTH." (WHO)
• ~240 MILLION AFFECTED WORLDWIDE• PHILIPPINES (S. japonicum)
• 12 REGIONS• 28 PROVINCES• 14 CITIES• 203 MUNICIPALITIES• 1,593 BARANGAYS
THE CASE OF BOHOL• ENDEMIC IN 2 MUNICIPALITIES
• TALIBON• TRINIDAD
• 2009-2014 SSR• PREVALENCE RATES OF <1%
• KATO KATZ• UNDERESTIMATION OF RATES
• UP MANILA NTDSG 2014 ASSESSMENT• 414 SAMPLES IN BOHOL
• KK = 0%• ELISA ANTIGEN = 15.7%• ELISA ANTIBODY = 5.1%
Residual Infections
OVERVIEW
BACKGROUND KEY OBJECTIVES APPROACH
OBJECTIVES(1)DESCRIBE THE CURRENT PUBLIC HEALTH
INTERVENTION PROGRAMS FOR SCHISTOSOMIASIS CONTROL IN BOHOL, PHILIPPINES.
(2) EXAMINE THE POTENTIAL RISK/PROTECTIVE FACTORS ASSOCIATED WITH RESIDUAL INFECTIONS OF SCHISTOSOMIASIS IN THE MUNICIPALITIES OF TALIBON AND TRINIDAD.
OVERVIEW
BACKGROUND KEY OBJECTIVES APPROACH
Design
Data & Informatio
n Collection• Collection
of routine data
• Cross-Sectional Survey
Data & Information
Analysis
Report Write-up
Dissemination
TIMELINE
ACTIVITIESCASE STUDY REPORT
• DOCUMENT STRATEGIES AND CONTRIBUTING FACTORS TO BOHOL'S SUCCESS STORY
• COLLECT & ANALYZE HEALTH INDICATORS
• EXTRACT KEY LESSONS• PROVIDE RECOMMENDATIONS AND
FUTURE DIRECTIONS
CROSS-SECTIONAL SURVEY• EXPLORE THE POTENTIAL RISK/PROTECTIVE
FACTORS FOR RESIDUAL INFECTIONS • PART OF DOH'S M&E IN THE REGION• FOLLOW-UP ASSESSMENT OF DR. BELIZARIO’S
STUDY• 414 SUBJECTS FROM BOHOL
• 9-15 SCHOOL-AGED CHILDREN • KAP SURVEYS
• QUESTIONNAIRES (MAGPI) • MAPPING OF SAMPLES IF POSSIBLE (GIS)
ROUTINE DATA COLLECTION DATA FORMS
HEALTH INDICATORS MDA WATER SANITATION SNAIL SURVEILLANCE ADVOCACY IRRIGATION SYSTEM FARMING PRACTICES HUMAN RESOURCES FINANCIAL RESOURCES ORGANIZATIONAL STRUCTURE
(COMMITTEES)
PHO
MHO
Department of
Agriculture, Bohol
CROSS-SECTIONAL SURVEYMEETING WITH ALL
KEY TEAM MEMBERS
• INFORM (METHODOLOGY, ETC.)• MOBILIZATION OF
INTERVIEWERS• DISCUSS BEST IMPLEMENTATION
STRATEGIES AND PRACTICES• INPUT & FEEDBACK FROM TEAM
MEMBERS• FEASIBILITY OF SCHEDULE
• INTRO TO MAGPI
TRAINING OF INTERVIEWERS
• PROTOCOLS & SURVEY APPROACH
• QUESTIONNAIRES• TECHNICAL COMPONENTS• DEMO GPS (GIS APPLICATIONS)
CONDUCTING THE SURVEYS
• 5 DAYS• 10 TEAMS = 16-20 INTERVIEWS/ DAY• VENUE
• 4 BARANGAYS• HOUSEHOLDS (414, IF POSSIBLE)
• INTERVIEWEES• STUDENTS (ALREADY RANDOMLY
SELECTED) • HEAD OF HOUSEHOLDS
• SUBMISSION OF DATA COLLECTED • UPLOAD, WI-FI LOCATION, FEEDBACK
LIMITATIONS
TIME CONSTRAINT ROUTINE DATA:
AVAILABILITY, COMPLETENESS, ACCURACY, INTEGRITY, RECORD-KEEPING TECHNIQUES
CROSS-SECTIONAL SURVEY: OBSERVATION BIAS, RECALL BIAS,
RECORDER BIAS & ERRORS
HOW TO OVERCOME SOME OF THESE CHALLENGES:
PREPARATION COORDINATION COMMUNICATION TRAINING & FEEDBACK
DAGHANG SALAMAT!