NTD training knowledge
Module 2. NTD strategies
Preventive Chemotherapy (PC)
Intensified Disease Management (IDM)
Control of Neglected Zoonotic Diseases
Integrated Vector Management
Water and Sanitation
Health Education
Cross cutting strategic approaches
Lymphatic filariasis (LF)
Onchocerciasis (Oncho)
Schistosomiasis (Schisto)
Soil-transmitted Helminth (STH)
Food-borne trematodes (FBT)
Trachoma
Human African trypanosomiasis
Chagas diseases
Buruli ulcer
Leishmaniasis
Dengue
Capacity building
Vector-borne diseases
Veterinary diseases
WASH
1) PC
2) Complex disease management
Inexpensive easy diagnostics
Safe drugs
Integration across diseases possible
Complicated and costly
Difficult to diagnoss, dangerous drugs
Highly stilled staff needed
Strategy
Toxic and expenisve drug
Active case-finding through mobile teams
Decentralization of diagnosis and treatment
Specialized staff, diagnosticand treatment equipment
Objective: to find all the patients, and ensure that they are adequately treated and cured
5 approaches to overcome NTDs
PC
IDM
Veterinary public heatlh
Safe drinking-water sanitation and hygiene (WASH)
Vector control
PC
Def: a public health intervention based on the large-scale administration of safe drugs, either alone or in cominatioin, against selected Neglected Tropical Diseases.
Medicine: ALB+IVE or DEC
PZQ
PZQ
ALB or MBD
AZM
IVE
Integration
Integrate treatment for multiple diseases as a package
Integrate PC-related activities
Stepwise approach for decision making
Integration of distribution channels
Mobidity management and disability prevention
Steps to set up an effective LF MMDP (tool kit available)
Situation analysis
Preparing an implementation policy and plan
Operationalizing activities to provide the minimum package of care
Ensuring activities are integrated into health services
Trachoma MMDP
SAFE strategy: Surgery, Antibiotics, Facial cleanliness, Environmental improvement
Mobidity: impaired vision or blindness due to trichiasis
WASH
Def:
Water: access to safe water.....
Sanitation: Sanitary latrines...
Hygiene Promotion: hygiene campaigns in communities
It reduces PC NTDs
Check SDG goals for access to safe water and sanitation: The Water access MDG target was surpassed, but sanitation target did not atteinded
Water Safety Plans (WSPs): risk management system for water suppliers
Household Water Treatment and Storage (HWTS): promoting low cost interventions to disinfect water and store it
WASH-NTD collaboration
Incorporate face-washing into hygien education
Include sanitation and hand-washing education in training
Mapping/monitoring NTD as proxy of sanitation coverage
Vector control
The role of vector control
To compliment PC strategies
to reduce the transmission potential and new infections
To encourage environmental improvement
To control NTDs dnot taregeted by PC
Integrated Vector Management
Advocacy, social mobilization and legislation
Collaboration within the health sector and with other sectors
Integrated approach
Evidence-based decision making
Capacity building
GMP and GPELF (Malaria and LF)
Actions
Mosquito control - Indoor Residual Spraying (IRS)
Mosquito Control - LLIN
Blackfly control - Larvicides
Snail Control - Molluscicides
Fly control
Module 3. Set up an integrated NTDP
1) Situation Analysis
Geographic overlap of NTDs (Who is doing what in where
4) Tool for Integrated Planning and Costing (TIPAC)
Purpose: presents NTD costs and funding gap. For program management and communication with donors and partners.
Objectives:
Estimate the cost of implementing integrated NTD control programs in accordance with international guidelines and national plans of actions
Quantify existing funds and resources from government and other sources for national plans of action
Generate projections of drug needs for 5 years
Outputs:
Total cost by activity
Total program funding
5 year cost projections
PC drugs needed, acquired and gap
Annual work plan matrix
2) Mapping
Purpose: determine the endemicity and related intervention strategy
Data
Sources: MoH, Academic theses, NGO reports, In-country published literature, in-country disease-specific specialists, health facility records/Statistics
NTD specific data source: WHO/NTD country profiles; WHO/NTD PC databank SAC- School Age Children
Data assessment:
- When was the data collected
- Have interventions been done?
- Has the local ecology changed?
- Is it suitable for decision making for PC and morbidity control?
- Are the maps complete? Are there gaps for any of the NTDs?
3). National Action Plan /NTD Master Plan
Key interventions - Global NTD Roadmap 2020
Preventive Chemotherapy
Vector control
Improvement of veterinary public health
WASH
Intensive Case Management
Integration of NTDPs
Vertical disease control --> one national NTDP
Identify what actions can be integrated
Coordination who is doing what
Identifying the gaps: financial and technical
Integration decision making criteria
Cost-effectiveness
Enhanced impacts
Political advantages
Logistic convenience
Timing
Safety
NTDP "roll-out package"
NTD Task Force - A national NTD Action Plan for integrated management - Stakeholder's meeting (who contribute to which part of funding gap)
Why it is important to have a NTD action plan
How to write an action plan
Assess pub health importance of NTD -> Inclusion of diseases -> Political will ->coordination mechanism ->Identify national FP ->identify potential partners -> international guidelines -> identify a TD coordinator ->perform the situation analysis ->TA from WHO or partners - draft
Who develop the NTDP
Developed by the NTD PMs government, MoH, with its stakeholders and key partners.(WHO has a standardised approach)
Module 1. Introduction
Common feature of NTDs
Social determinants of NTDs
Common feature of NTDPs
Integration opportunities
Main activities for NTDs
Strategic planning and review
Advocacy
mapping
training
Drug logistics &supply chain management
Social mobilization
Drug distribution
M&E
Drug distribution
Community-based
School-based
Child Health Day
Immunization
Health & nutrition day
Health Education
Module 5. Medicines for PC
Joint Application Package
Joint request for selected PC medecines (JRSM
Joint reporting form (for treatment data only)
Annual work plan
PC epidemiological data reporting form (EPIRF)
GSK - ALB
Eisai - DEC
J&J - MBD
Merck KGaA - PZQ