PRIPP OVERVIEW
Pacific Regional Influenza Pandemic Preparedness Project
Presentation By Ken Cokanasiga
Animal Health and Production Adviser
24 – 28 July, 2006
Tanoa Hotel, Nadi, Fiji
Introduction
• The goal of the project is to prepare PICTs
for emerging diseases, in particular highly
pathogenic avian influenza (HPAI) and
pandemic human influenza
Focus
• The project components reflect the three
broad areas of intervention:
– Preparedness and broader Emergency Plans
– Surveillance and Response by Public and
Animal Health Systems
– Regional Coordination and Project
Management
PRIPP Design Steps
• Australia’s announcement to support Pacific states’ capacity to
counter threats posed by HPAI, pandemic influenza and other
infectious diseases, through funding to SPC. Announcement by PM
Howard at the Pacific Islands Forum leaders’ meeting in Port
Moresby, PNG in late 2005. New Zealand has also made funding
available for pandemic influenza preparedness work in the Pacific
• Development of first draft design document in early 2006.
February 2006 Workshop, Nadi, Fiji
• Participants – SPC (Public and Animal Health, and Planning)
-
OIE
WHO
Fiji Ministry of Health
DAFF Australia
CVA President
AUSAID
PHOVAPS Advisory Group Reps (NC, PNG, Samoa, CNMI)
In
Capacities required and strategies to cope
with pandemic influenza
In November 2005, through the WHO workshop on IHR (2005) &
Pandemic Influenza Preparedness in the Pacific, PICTs identified
their capacities, gaps and needs, which have helped formulate,
along with lessons learned, the problem analysis for the PRIPPP.
PICTs identified the need to:
– accelerate, finalize, review the national/territorial planning and test the
plan through an exercise/drill
– have a Multi-sectoral process
– Carefully plan border control measures (effectiveness vs.
consequences)
– Address other public health measures before considering anti-virals and
pandemic vaccines, given the uncertainty of effectiveness, high cost
and limited availability of these interventions and
– develop surveillance system sufficiently sensitive to detect any unusual
cluster of influenza-like illness
Lessons learned from previous PICT
epidemic response experiences
 Neglect of animal health
 Modes of training
 Communications
 Need for multi-sectoral and regional responses
 Procurement
 SARS
Constraints and Challenges in the Pacific
• Status of Pandemic Influenza Preparedness
• Current Laboratory Capacity in PICTs
• Surveillance Capacities
PRIPP project is aimed at addressing the above challenges
in particular the above 3
Strategies and Principles
The PRIPP project also incorporates the principles of the Asia
Pacific Strategy for Emerging Diseases which include:
– Supporting partnerships within countries and territories;
– Choosing actions and activities that are sustainable and/or will build
sustainability
– Building upon existing structures, networks and activities in order to link
with other projects and programmes;
– Aiming to optimise the use of limited resources, and to provide equity of
access to services;
– Including activities and strategies grounded in Pacific knowledge and
experience;
– Drawing on effective and appropriate public health measures, policies
and practices; and
– Promoting consultation, collaboration and regional partnerships as
outlined in the Pacific Plan.
Preparedness and Broader Emergency
Plans
 International “checklists” to assess a country’s preparedness
 Using this Pacific preparedness standard as reference point, the
project will help assess the level of preparedness in each
participating PICTs against these reference points.
 The project will assist governments and administrations in compiling
national preparedness plans
 Testing and reviewing of plans will be important project activities.
 To ensure practical preparedness, the project will aim to fill gaps
between existing capacity (as highlighted by the evaluation of the
plan, especially through the testing) and extra requirements
Surveillance and Response by Public and
Animal Health systems
 PICTs must have in place effective surveillance and response
systems that allow them to monitor the animal and human health
status, detect, early and reliably, any infectious disease health threat
and rapidly respond to it. Although clearly linked to the first
component, the project’s interventions are grouped as a separate
component because of their specialised nature and different entry
points
Regional Coordination and Project
Management
As the lead regional agency in both animal and human health [and
the secretariat to both the PPHSN and the PHOVAPS], SPC has
significant responsibility for coordination of the various stakeholders,
in particular at the regional level. The existing coordination
mechanism will be further developed during the project with a view
to facilitating greater coordination and collaboration between the
animal and the human health sectors.
• Key output
– Effective coordination of key animal and human health stakeholders
– The coordination function of SPC is linked to its project management
responsibilities. For example, the proposed regional task force will both
address coordination issues as well as provide feedback on project
directions and management. As per SPC’s policy for a project of this
size, efficient project management has been identified as a separate
output.
• Key output
– Efficient project management
Management, Monitoring and Evaluation
Management Structure Diagram
PRIPPP ORGANISATION CHART 1
SPC Director
General
AID DONORS
PHOVAPS
Project Secretariat
PPHSN-CB
Regional Task Force on Pandemic Influenza Preparedness
Integrated Animal and Human health
technical teams addressing technical areas incl.:
Legal framework
Training
Surveillance
Biosecurity
ERP
Communication and Soc. Mob.
Infection control
Non-pharmaceutical PH
interventions
Public health S & R
Laboratory and Diagnostic
Capacity and Network
Procurement
PIPTAG membership includes
representatives from:
•CDC
•Donors’ technical representation:
AusAID, NZAid
•FAO
•OIE
•PHOVAP
•PICNet
•SOPAC
•SPC (AH, HH, Maritime)
•UNDP
•WHO
•SOPAC
Management, Monitoring and Evaluation
2) Procurement
•
recruitment of Procurement Adviser to work out, in
consultation with others, develop strategies for;
•
appropriate procurement mechanisms and sources
- types of equipment,chemicals,drugs etc
- stockpiling arrangements
- shipping/freighting arrangements
Management, Monitoring and Evaluation
3) Coordination
•
PRIPP Secretariat
•
PHOVAPS and PPHSN Groups
•
Task Forces through the above two groups
•
National, subregional and regional networks/task
forces
Management, Monitoring and Evaluation
4) Quality Assurance
•
Monitoring – collection of info and reporting, use of logical
framework
•
Planning and Reporting – Accountability against Annual Work Plans,
KPIs, budgets
•
Review, Completion and Evaluation – Annual Evaluations, external
evaluators etc.
Budget and Activities
Risks and Deliverables
Implementation Schedule