(WP)HSVICPIHSV3.S/OOI-E Report series number: RSI200S/GE/OS(PHL)
ENGLISH ONLY
REPORT
INFORMAL MEETING ON NATIONAL TRAINING PROGRAMMES AND PATIENT MONITORING SYSTEMS FOR HIV/AIDS CARE AND TREATMENT
Manila, Philippines 31 January - 4 February 2005
Convened by:
WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR THE WESTERN PACIFIC
Not for sale Printed and distributed by: Wodd Health Organization Regional Office for the Western Pacific Manila, Philippines WHOfWPRO LIBRARY
MM'IlLA,l'llILit'I'INES
o1 ,ii,: :'i 2005
NOTE The views expressed in this report are those of the participants in the Informal Meeting on National Training Programmes and Patient Monitoring Systems for HIV/AIDS care and treatment and do not necessarily reflect the policies of the Organization.
This report has been prepared by the World Health Organization Regional Office for the Western Pacific for government of Member States in the Region and for those who participated in the Informal Meeting on National Training Programmes and Patient Monitoring Systems for HIV / AIDS care and treatment, which was held in Manila, Philippines from 31 January to 4 February 2005.
CONTENTS
1. 2. 3.
INTRODUCTION ..................................................................................................... 1 PROCEEDINGS ........................................................................................................ 2 CONCLUSIONS ....................................................................................................... 4 ANNEXES: ANNEX 1 - PROGRAMME OF ACTIVITIES ANNEX 2 - CURRENT STATUS OF PREREQUISITES AND KEY ELEMENTS OF THE NATIONAL TRAINING PROGRAMME IN EACH COUNTRY ANNEX 3 - NEXT STEPS FOR FOUR PRIORITY COUNTRIES ANNEX 4 - LIST OF TEMPORARY ADVISERS, OBSERVERS, CONSULTANT AND SECRETARIAT
Keywords Acquired immunodeficiency syndrome-nursing, therapy/HIV infections-nursing, therapylTraining programmes/Patients
1. INTRODUCTION
A variety of initiatives on HIVI AIDS care and treatment are being carried out in countries in the Western Pacific Region. Many of them are oriented towards tertiary (provincial, regional or national) level hospitals, while a few have started to focus on the district/intermediate level. They are often fragmented and are not harmonized, despite the willingness of key stakeholders. It is now crucial for countries to establish harmonized and unified national training programmes and patient monitoring systems for HIVI AIDS care and treatment in the context of the "Three Ones" principle (One agreed AIDS action framework, One national coordinating body, and One country level monitoring and evaluation system). WHO and its global partners have developed a training package on HIV/AIDS care and treatment. This was recently adapted to the Western Pacific Region. The training package has a special emphasis on the district/intermediate level and a team approach to care. WHO and its global partners have also developed interim guidelines on patient monitoring. The Informal Meeting on National Training Programmes and Patient Monitoring Systems for HIV/AIDS Care and Treatment was organized with a view to development of harmonized HIVI AIDS care and treatment training programmes and monitoring systems in Member States in the Region. 1.1 Objectives The objectives of the Informal Meeting were: (1) (2) (3) (4) to review the status of development of national training programmes and patient monitoring systems at country level; to carry out mapping of ongoing initiatives and tools at country level; to introduce and discuss tools developed by WHO and its partners and to share experiences in country adaptation; and to discuss and identify country action points for the development of harmonized national training programmes and patient monitoring systems.
1.2. Participants Twenty-three participants attended the meeting, including temporary advisers and representatives from partner organizations, such as Family Health International (FHI), Viet Nam-CDC-Harvard Medical School AIDS Partnership (VCHAP) and United States Centers for Disease Control (US CDC China); a short-term consultant and staff of
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WHO Headquarters and WHO country offices in Cambodia, China, Papua New Guinea and Viet Nam. A full Jist of temporary advisers, observers, consultant and the secretariat is attached (Annex 4). 2. PROCEEDINGS
The meeting addressed the following subjects through presentations, plenary discussions and country group discussions (see Annex 1 for the programme of activities). 2.1 Current status ofHIV/AIDS care and treatment and training
Country presentations were given by representatives from Cambodia, China, Papua New Guinea and Viet Nam, followed by discussion. 2.2 Prerequisites for and key elements of a national training programme
Following a presentation (WHO), country group discussions took place and their findings were reported in plenary. This was followed by plenary discussions on the current status of prerequisites for and key elements of a national training programme in each country (Annex 2). 2.3 Training for doctors, nurses and other health workers
Presentations were given by Cambodia, China, Papua New Guinea and Viet Nam, with emphasis on the experiences of the Viet Nam-CDC-Harvard Medical School AIDS Partnership; the Albion Street Centre; the Australasian Society of HI V Medicine; the HIV Netherlands Australia Thailand Research Collaboration; and WHO. The presentations were followed by country group discussions and reports to plenary. 2.4 Local partnership development and training
Presentations were given by Family Health International, the Albion Street Centre and WHO, followed by discussions. Country group discussions were then held, followed by reports to plenary. 2.5 Involvement of people living with HIV/AIDS and volunteers and training
Presentations were given by the Asia-Pacific Network of People Living with HIV/AIDS, Family Health International, WHO and the Albion Street Centre, followed by country group discussions and reports to plenary. 2.6 HIV care coordinator at district/intermediate level and training
Presentations were given by staff of the WHO Stop TB programme, followed by discussions.
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2.7
Patient monitoring and reporting
Presentations were given by staff of the WHO Stop TB programme and the Office of the WHO Representative in Cambodia, followed by discussions. 2.8 Next step for participants from the four countries
Country group discussions were held by Cambodia, China, Papua New Guinea and Viet Nam, followed by reports to plenary. Next steps for participants, including temporary advisers and representatives from Cambodia, China, Papua New Guinea and Viet Nam, were identified (Annex 3). 2.9 Tools suitable for wider distribution
A series of tools developed by WHO and its partners were presented in the meeting and distributed in CD-ROM for country use. 2.10 Evaluation of the meeting An evaluation was conducted at the end of the meeting using a questionnaire (indication of respondents' name was optional). Almost all the temporary advisers and representatives responded that:
• the meeting objectives had been achieved; • new skills or concepts had been learnt; • these skills and concepts could be applied in their respective countries; • participants had had the opportunity to express their ideas or problems at the meeting; • participants had had enough opportunity to exchange knowledge and experiences with other participants; • the methods of introduction and presentation of different topics had been satisfactory; • the discussions at the plenary and group discussions had been satisfactory; • the administrative arrangements had been satisfactory; • such meetings should be held regularly; • the attendance ofthe respondent had been worthwhile for himJher personally; and • the attendance ofthe respondent had been worthwhile for hisfher country.
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With regard to the working papers provided, more than two thirds of respondents were satisfied with them. More than half of the respondents indicated HIV/AIDS care and treatment: guide for implementation and the whole or part of the Regional Training Package, including A manual for HIV care coordinators at district/intermediate level, were suitable for wider distribution. Others indicated included Tuberculosis and HIV: a framework to address TB/HIV co-infection in the Western Pacific Region and Interim patient monitoring guidelines for HIV care and antiretroviral treatment. Comments provided by respondents included: • More informal discussion and break out groups should have been organized. • Too many PowerPoint presentations were provided. More facilitated or mixed group work should have been organized. • Brainstorming during discussion needed. • Time allocated for discussion was not enough. • Too many presentations did not discuss the components/structure of the national training programmes. • More time should have been allocated to patient monitoring systems. • More discussion should be done on care and treatment issues. • It was difficult to see the screen / The position of the screen was not ideal.
• The meeting was too long (Duration of the whole meeting and that of daily session) Three to four days would have been enough. • More advanced notice of meeting and pre-meeting tasks is desirable. • Need more meetings with same participants to follow up on the plans from this meeting and discuss obstacles encountered. 3. CONCLUSIONS
The participants in the meeting reached the following conclusions. 3.1 Prerequisites for a national training programme development (1) National antiretroviral treatment and opportunistic infections guidelines:
Two WHO publications, Scaling up antiretroviral treatment in resource-limited settings: Treatment guidelines for a public health approach (Geneva, WHO, 2003) and HIV/AIDS care and treatment: guide for implementation
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(Manila, WHO Western Pacific Regional Office, 2004) and other documents may serve as reference guides. (2) HIV/ AIDS care and treatment scale-up plan: The scale-up plan should illustrate major components and phases/steps for expanding HIV/ AIDS care and treatment, preferably through harmonization and coordination of partner initiatives. (3) Service delivery model for implementing HIV/AIDS care and treatment: The service delivery model needs to identify a mechanism for collaboration among partners, including public health, clinical services, the private sector, peer support groups of people living with HIV/ AIDS, community-based organizations, local authorities, nongovernmental organizations (NGOs) and faith-based organizations. It should articulate the support and links between the different levels of service delivery.
Key examples in the Region include a daycare centre as the place for providing comprehensive HIV/AIDS care and treatment through a partnership oflocal key players, including peer support groups of people living with HIV/AIDS. It serves as the "hub" or "heart" of the continuum of care. (4) Service package ofHIV/AIDS care and treatment for each level of the health system: The service package needs to be defined for provincial/tertiary, district/intermediate, and health centrelhome-community level. It should encompass HIV testing and counseling; clinical care, including management of opportunistic infections and antiretroviral treatment; psychosocial support; and HIV prevention
(5) Clear tasks of individual players, with emphasis on local partnerships and a team approach: Based on the defined service delivery model and service package, clear tasks should be developed for HIV care coordinators, doctors, nurses and other health workers, people living with HIV/AIDS, pharmacists, laboratory technicians, community-based organizations, faith-based organizations, NGOs and local authorities. 3.2 Key elements of a national training programme (1) National technical working group on training: Establishment of a working group is one of the most critical steps in the development of a national training programme.
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The objectives of a national training programme should include: • • • • standardization of training curricula; definition of other crucial procedures, including selection of trainees; organization of follow-up and ongoing support; harmonization of different training initiatives in training 'roll-out' to avoid fragmentation and overlap in geographical distribution and technical areas; and monitoring and evaluation of the implementation of training activities
•
The working group should consist of relevant experts and institutions, including international organizations. (2) Standardized training curriculum: The standardized training curriculum should: • be compliant with national antiretroviral treatment and opportunistic infection guidelines, the defined service delivery model, and the defined service package for each level; be implemented according to the defined clear tasks of individual players, with emphasis on local partnership-building and a team approach (Key target audiences include doctors, nurses, people living with HIV/AIDS, HIV care coordinators, laboratory technicians, pharmacists, NGOs, community-based organizations, faith-based organizations, among others.); and use a variety of training methods to facilitate effective and efficient capacity-building. (The methods should not only be lectures, but also e.g. exercises, case-based learning, group discussions, role-play, clinical site observations and practice sessions, utilization of expert patient trainers. The experience of the global TB programme has shown that standardization is one of the most important factors in rapid and effective implementation of the TB directly observed treatment, short-course [DOTS] strategy.)
•
•
(3) Trainer development and selection of adequate trainees: Capacity-building and networking of a critical mass of domestic experts to be trainers is essential. Designated members of the care team in each area should be prioritized as trainees.
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(4) Measures for motivation and ongoing support after training: Measures for mobilizing and motivating those who should playa role in HIVI AIDS care and treatment need to be identified. Examples of such measures include explicit recognition of their work, promotion of personnel, financial incentives through cost recovery schemes and equity funds, and assuring workplace security. Ongoing support, such as tutoring, consultation, regular case conference, distant communications, supervisory visits and refresher courses, should be developed (5) Initiating training activities according to the HIV/AIDS care and treatment scaleup plan: Different training initiatives should be harmonized, in line with the HIVI AIDS care and treatment scale-up plan, to avoid fragmentation and overlap in geographical distribution and technical areas. (6) Monitoring and evaluation of individuals trained and training activities: Possible measures to evaluate individuals trained include development of a certification/diploma scheme. 3.3 Patient monitoring and reporting system
(1) Interim patient monitoring guidelines for HIV care and antiretroviral treatment have been jointly developed by WHO, Joint United Nations Programme on HIVI AIDS (UNAIDS), United States Agency for International Development (USAID), US Centers for Disease Control and Prevention (US CDC), Health Resources and Services Administration (HRSA) and Global Fund to Fight AIDS, Tuberculosis and Malaria (GF A TM) for country adaptation, based on the experiences of the global TB programme. (2) Integration of cohort analysis to come up with treatment outcomes is an essential element of a patient monitoring system. (3) It is important to link the patient monitoring system with drug supply. (4) Management of patient monitoring and reporting system should be a core responsibility of the HIV care coordinator at the district/intermediate level
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ANNEX I PROGRAMME OF ACTIVITIES
DAY 1: 31 January 2005 (Monday) 13:00 - 13:30 Opening Opening Remarks Introduction Meeting Objectives and expected outcomes 13:30 - 15:30 Country presentations on status of care/treatment/training - Cambodia - VietNam - China -PNG 15:30 - 15:45 Coffee break 15:45 - 16: 15 Prerequisite for the national training programme DrM. Fujita DrP. Sano DrC. Thuy Dr Z. Fujie DrL. Kawa DrM. Fujita Dr M. Tailhades
16:15 -17:00 Country work on how to fill gaps (based on previous presentations)
Day 2: 1 February 2005 (Tuesday) 08:00 - 09:00 Report of countries on work done 09:00 - 10:30 Country presentation and discussions on training for doctors, nurses and other health workers (30 minutes for presentation and 15 minutes for discussion) - Cambodia - China 10:30 - 10:45 Coffee break 10:45 - 12:30 Country presentation and discussions on training for doctors, nurses and other health workers, continued, - Viet Nam Dr D. Colby - Papua New Guinea DrL. Kawa Dr A. Brink Dr Z. Fujie
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Annex I 12:30 - 13:30 Lunch 13:30- 14:30 Presentations on their training programmes for doctors, nurses and other health workers - Albion Street Centre - Australasian Society of HIV Medicine - HIV Netherlands Australia Thailand Research Collaboration 14:30 - 15:30 Basic ART care 15:30 - 15:45 Coffee break 15:45 -16:15 Training on secondary case management (doctors and nurses) (doctors and nurses) Dr J. Fleischl / DrM. Fujita 16: 15 - 17 :00 Country work by to discuss best basic model based on presentations Ms C. Turton Mr E. Reis Dr C. Duncombe Dr F. Celletti
Day 3: 2 February 2005 (Wednesday) 08:00 - 09:00 Reporting from country work 09:00 - 10:30 Plenary discussion: Current status of prerequisite for and key elements of national training programme in each country 10:30 - 10:45 Coffee break 10:45 - 12:30 Training for local partnership - Family Health International (Viet Nam and Cambodia) - Albion Street Centre - Orientation training on local partnership building (introducing ART manager tasks on local partnership building based on country examples)
Dr C. Natpratan Ms C. Turton Dr M. Tailhades / Dr F. Celletti
12:30 - 13:30 Lunch break 13:30 - 15:00 Training for PHA, other volunteers and ART Aid - Association of People living with HIV/AIDS Plus - Family Health International MrG. Gray Dr C. Natpratan
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Annex 1
- World Health Organization - Albion Street Centre 15:00 -15:15 Coffee break 15:15 -16:15 Expert-patient training 16: 15 - 17:00 Group work on local partnership and PHA volunteers
Dr F. Celletti Ms C. Turton
Dr F. Celletti
Day 4: 3 February 2005 (Thursday) 08:00 - 09:00 Reporting from Group work 09:00 - 10:30 Plenary discussion: Current status of prerequisite for and key elements of national training programme in each country (continued) 10:00 -10:15 Coffee break 10: 15 - 12:30 Training for HIV care coordinator at district/intermediate level, Dr P. Van Maaren - Stop TB Programme
-WHO 12:30 - 13:30 Lunch break 13:30 - 15: 15 Patient monitoring linked to drug supply - Stop TB Programme
Dr F. Celletti
Dr P. Van Maaren
-WHO - Cambodia 15:15 - 15:30 Coffee break 15:30 - 16:30 Patient monitoring tools presentation 16:30 - 17:00 Discussions on patient monitoring
Dr F. Celletti Dr M. Ghidinelli
Dr F. Celletti
Day 5: 4 February 2005 (Friday) 08:00 - 10:00 Country work on preparation of next step 10:00 -10:15 Coffee break 10: 15 - 11 :00 Country presentation of their action plan 11 :00 - 11 :30 Evaluation of the workshop 11 :30 - 12:00 Wrap up and Closing
CURRENT STATUS OF PREREQUISITES AND KEY ELEMENTS OF THE NATIONAL TRAINING PROGRAMME IN EACH COUNTRY Element Guidelines Cambodia All necessary guidelines in place 01 - revision needed China Free ART - in place HIV Diagnosis & Treatment - in place ART - in place Paediatric - in place VCT - under revision or for rural setting - to be developed Target for ART scale-up determined, national budget allocated Each province to develop scale-up plan for VCT, Treatment & Care, Laboratory, Clinical procedures 15 Provinces in 2004 31 Provinces in 2005 Formal 3 Tier SDM Strengthening CDC & Medical Administration coordination at each level is needed. HIV/AIDS Expert group at county & higher Central level provides outcome indicators, Province level develops own package with central level technical assistance Papua New Guinea ART - in place or - to be developed VCT - to be developed Viet Nam ART & or - being finalized VCT - to be developed
Scale-up Plan
In place for district level - VCT; COC for institutional care, HBC, PHA support; TB/HIV; PMTCT includes training plan for Dr, Nurses, Lab (OIlART Team)
Development in progress
National HIV Strategic Plan identifies targets - 9 action plans in development for National and Provincial levels ART access, ST!, Surveillance fM&E, VCT, PMTCT, BCC, Harm Reduction, Treatment, Human Resources Implementation guide drafted, no coordinating body
I W I ~
Service Delivery Model (COC)
COC framework, TWG COCCC
No overall SDM framework, fragmented TWG
Team Approach
Service Package
National standard - OllART team at 00, MMM Team, COCCC In COC framework
Not in place, Project based teams in FBO clinics In progress
Preventive medicine HIV team at district care be used for care Implementation guide drafted
-
-
~ N
I Element Coordination of Key Players Human Resources Staffingrrrainers Task addition Mappinlt Standard Curriculum Cambodia TWG in place China In progress through developing the National Training Plan Papua New Guinea Responsible person to be identified, make existing structures function Viet Nam Responsible person / unit not yet identified tv
Quality Assurance
Doctor - in place Nurse - in final stages Pharmacy - in final stages Laboratory_- in progress Diploma scheme
Doctor - ART; Paediatrics; Methadone ART core administration Pre / post test
No standard - various project based curriculum
No standard - various project based curriculum; Mechanism to endorse curriculum not clear Not in place; Pre / post test I
National Training Council established - could be a mechanism
I I-'
Follow-up, Ongoing support
"'I "
Financing
L
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--
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--
--
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- 15 Annex 2 CAMBODIA HIVCare Coord Existing Dep Dir Referral Hosp at Operational District Too busy Doctor Nurse/ Allied Health Nurse at Referral Hosp Inf Ward Training PHA Lab Pharmacy OtherNGO, FBO,CBO NGO-HBC
Gap
Dr at Referral Hosp Infectious Ward Sustainability of motivation, incentive
MMMTeam - Project paid
Ph:RH drug supply, counseling To expand incl adherence support & forecasting
Health poor, low education, compensation
Unclear responsibility HFBCHBC-PHA support
Task Clear
Expand tasks education, counseling, 01 prophylaxis, adherence support
CHINA HIV Care Coord Dep Director Health Bureau (CDC) county and above Too busy Doctor Nurse / Allied Health Township I village nurse, County Nurse PHA Lab Pharmacy OtherNGO, FBO,CBO FP in some areas
Existing
CDCDir County, Dr at Township, Village Dr
Project only
None at Township
Gap
Task Clear
Lack of involvement of county Dr, low education of township I village Dr CDC DrDrug supply, admin County Orsupervise Township Dr - service provider
Task I capacity to be expanded
Stigma & descrim, No role for PHA
To expand incl adherence support & forecasting
To be involved in psychosocial support
Expand tasks - education, counseling, O! prophylaxis, adherence support
- 16Annex 2 PAPUA NEW GUINEA HIVCare Doctor Coord Existing Provincial HIV Care coordinator Drat Province
Nurse I Allied Health Health Extn Officer, Nurses
PHA
Lab
Pharmacy
Other NGO, FBO,CBO FBOmain providers, CBO initial stage Link organizations & involve FBO
No
Gap
Role unclear resource gap
Lack of Dr at District, Lack of motivation to treat HIV
Insufficient nurses, capacity
Role not recognized or discussed
None at District, Not involved in Team To expand incl adherence support & forecasting .
Task Clear
Expand tasks education, counseling, 01
prophylaxis, adherence support
VIETNAM HIV Care Coord Existing Dir District HCHIV unit Gap Too busy
Doctor
Nurse I Allied Health Nurse at community
PHA
Lab
Pharmacy
Dr at district / commune
At commune related to project
Not involved
Other NGO, FBO,CBO Women's union, FP
Unclear responsibility
Unclear responsibility
To expand incl adherence support & forecasting
To be involved in psychosocial support
Task Clear
Unclear
Expand tasks - education, counseling, 01
prophylaxis, adherence support
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ANNEX 3 NEXT STEPS FOR FOUR PRIORITY COUNTRIES NEXT STEPS: CAMBODIA
Main Activities Training an HIV care coordinator at OD - including inpatient monitoring, procurement and supplies, PEP and UP management OD Director RH Director PHA training TOT - decentralize to provincial level PHA support group at OD level HBC training TOT OD level UP Training Central Decntralise Paediatric Care - guidelines and curriculum needed Supervision Management: operational guidelines and tools required Technical: clinical network and supervisorY visits HCBC - operational implementation and clinical care PHA - operational guidelines and clinical care Patient Monitoring - operational guidelines, review of system introduced, linked to procurement and supply
Responsible Person NCHADS
QI
Timing Q2 Q3
Q4
Resources Technical Financial
NCHADS/ OD Coord/ PAO
NCHADS/ OD Coord/ PAO
NCHADS NCHADS / National Hosp/NGO
NCHADS NCHADS/ CPN+ NCHADS
- 18Annex 3
NEXT STEPS: CHINA Main Activities Responsible Person QI Develop national training plan including: (a) database of who should be trained, how many and at what level (b) develop provincial training guidelines (c) assist provinces with assessing training needs Establish four additional training centres (3 Rural, I Provincial) NCAIDS X
Timing Q2 X
Resources Q3 Q4 Financial 3X51 USCDC GAP
Technical WHO/CF IFHII USCDC GAP
NCAIDS (Yu Lan)
NCAIDS
WHO/CF IFHII USCDC GAP
Strengthen patient monitoring system; pre-ART and ART registers and summary forms
NCAIDS (Ma Ye)
X
WPROI FHl Regional
WHO/CF IFHII USCDC GAP
Provide HIV ARV Coordinator I Manager Training
GF3 (Jiang Xiapeng)
X
GF3
CF I WHO /USCDC GAPI NCAIDS
- 19Annex 3 Follow partner implementation support plan for the national treatment backup plan (Elements of the National ART 2005 Plan Paediatric Treatment roll out (6 sites) IOU - MMT ART Pilot implementation (2 sites) HlV - TB collaboration (national) WHO (Connie) X 3X5 All key partners
CTX prophylaxis scale-up (2 provinces) Mobile population ART follow up (national) Strengthen ART database (national) M&E for care and treatment (national) Scale-up training and capacity building (national)
NEXT STEPS: PAPUA NEW GUINEA Main Activities Development ofO! and VCT Guidelines (standard treatment manual) Scale-up plan for HIV COC Service delivery model - team approach Coordination of key players (standardizing teaching and curriculum) Responsible Person NACTWG Timing Q2 Q3 IX !
QI
Q4
Resources Financial Technical GF/ WHO/ AusAID FHl
NACTWG/ NDoH NACTWG NDoH/ PHA NAC/ NDoH
X X
GF/ AusAID GF/ AusAIO GF/ AusAIO
WHO/ FHI WHOI FHI WHO/ FHI
X
- 20Annex 3 Human Resources Supply Provincial HIV CC role Training X
AusAID
NDoHPHA
WHO/ FHl
NEXT STEPS: VIET NAM
Main Activities Report meeting (Write report on Manila meeting) General report from WHO Office Viet Nam specific section Content, ppt presentation for VietNam Translate to Vietnamese Meet with key decision makers AIDS division Therapy division Chair of HI V treatment sub-committee Subjects for discussion include; Establishment of national working group on training: - Include: care and support, treatment - Topics: curriculum development, standards, methods, quality assurance, target audience (trainee selection) Necessity to define service delivery model and package (finalization of Implementation Guide on HIV/AIDS care and treatment Meeting on service delivery model To be organized by MoH, in collaboration with HCMC and other provinces Taking into account the outcomes / recommendations of Manila workshop and Cambodia workshop Hold and information meeting VCHAP, FHI, WHO, CDC TWG Care and Treatment (Hanoi) report on Manila meeting
Responsible Person
Q1
Timing Q2 Q3
Q4
Resources Financial Technical
WHO
X
At next TWG meeti~
- 21 ANNEX 4 LIST OF TEMPORARY ADVISERS, RESOURCE PERSONS, PARTNER REPRESENTATIVES/OBSERVERS, CONSULTANT AND SECRETARIAT
1. TEMPORARY ADVISERS
Ms Charmaine Turton, Director, International Health Services, Albion Street Centre, Surry Hills, Sydney, Australia. Tel No.: (61 2) 9332 9692. Fax No.: (612) 9332 4219. Email: TurtonC@SESAHS.NSW.GOV.AU Mr Edward John Reis, Australasian Society for HIV Medicine, Level 2, 349 Crown St., Surry Hills NSW 2010, LMB 5057, Darlinghurst, NSW 1300, Australia. Tel No.: (612) 9368 2700. Direct: (612) 9368 2717. Fax No.: (61 2) 9380 9528. Email: edward@ashm.org.au Dr Phal Sano, Head, AIDS Care Unit, National Centre for HIV/AIDS Dermatology and STD, Ministry of Health, Phnom Penh, Cambodia.Tel No.: (855 12) 331 904. Fax No.: (855 23) 216 515. Email: sanophal(a),everyday.com.kh Dr Anne Katherine Brink, Training Programme Adviser, DPAMP Projcct, #48 Samdech Prcah Sihanouk, Phnom Pcnh, Cambodia. Tel No.: (855 12) 509913. Email: annc.brink@brinkschmitt.com Dr Chawalit Natpratan, Country Dircctor, FHIIIMPACT Cambodia, Family Hcalth International, Institute for HIV/AIDS, 11, St. 302 Sangkat Boen Kcng Kang 1, Chamcarmorn, Phnom Pcnh, Cambodia. Tel No.: (855 23) 211 914. Fax No.: (855 23) 211 913. Email: chawalit@fhi.org.kh or natpratanc@fhi.org.kh Dr Zhang Fujic, Director, Division of Treatment and Carc, National Centcr for STD/AIDS Prevcntion and Control, China Centcr for Disease Prevention and Control, No. 27 Nanwei Road, Xuan Wu District, Beijing 100050, People's Republic of China, Tel No.: (8610) 63039086. Fax No.: (8610) 63039087. Email: treatment@chinaids.org.cn Dr Leslie Kawa, Senior Medical Resistrar, Mount Hagen General Hospital, PO Box 36, Mount Hagen, Western Highlands Province, Papua New Guinea. Tel No.: 5421166. Fax No.: 5422127. Email: lkawa 2003(a),yahoo.com.au Dr Christopher James Duncombe, Senior Staff Phys~ ;'ian, HIV Netherlands Australia and Thailand Research Collaboration, 104 Ratchadarnri Road, Bangkok 10330, Thailand. Fax No: (662) 252 5779. Email: chris.d@chula.ac.th Mr Gregory Robert Gray, APN Plus Regional Coordinator, 1701 Pacific Place One, 17th Floor, 140 Sukhumvit Road, Bangkok, Thailand. Tel No.: (662) 254 6090-1. Fax No.: (66 2) 255 1128. Email: ggray@apnplus.org
- 22Annex 4
2. CONSULTANT
Dr Juliet Fleischl, 26 Bollard Avenue, New Windsor, Auckland, New Zealand. Tel No.: (64) 9 829 2633. Mobile No.: 021 264 3165. E-mail: julietf@gmail.com
3. REPRESENTATIVES/OBSERVERS
Family Health International
Dr Penny Miller, Senior Technical Officer, Care and Treatment, Family Health International, Asia Pacific Division, 19th Floor, Tower 3, Sindhorn Building, 130-132 Wireless Road, Kwaeng Lumpini, Khet Phatumwan, Bangkok, Thailand. Tel No.: 662-263-2300. Fax No.: 662-263-2114. E-mail: pmiller@fhibkk.org Dr Donn Colby, Director ofHIV/AIDS Primary Care, Viet Nam-CDC-Harvard Medical School AIDS Partnership Harvard University, 25/1/6 Cuu Long, P2, Q. Tan Binh, Ho Chi Minh City, Viet Nam. Mobile: (84 91) 314 6750. Fax No.: (84 8) 842 3665. E-mail: doctordonn{@,gmail.com Dr Wei Xiaoyu, Project Officer, United States Center for Disease Control, Global AIDS Program, Beijing, People's Republic of China. Tel No.: (8610) 6532 9901-06. Fax No.: (8610) 6532 9908. E-mail: xyw@uscdc.cn
Viet NamCDC-Harvard Medical School AIDS Partnership
United States Center for Disease Control
4. SECRETARIAT
Dr Francesca Celletti, Medical Officer, World Health Organization, Headquarters Office in Geneva, Avenue Appia 20, CH - 1211 Geneva 27, Switzerland. Tel No.: (4122) 791 1211. Fax No.: (4122) 7913111. Email: celletif@who.int Dr Masami Fujita, Medical Officer, HIV / AIDS, World Health Organization Regional Office for the Western Pacific, United Nations Avenue, 10~0 Manila, Philippines. Tel No.: (63 2) 528 8001 (General). (63 2) 528 9719 (Duect). Fax No.: (63 2) 526-0279 / 0362. E-mail: fujitam@wpro.who.int Dr Nguyen Thi Thanh Thuy, ScientistlPublic Health Spec!alist, Se.xually Transmitted Infections, including HIV / AIDS, World Health OrganIzatIOn, RegIOnal Office for the Western Pacific United Nations Avenue, 1000 Manila, Philippines. Tel No.: (632) 528 9717. Fax No.: (632) 521 1036. E-mail: thuyn@wpro.who.int
- 23 Annex 4
Dr Michel Tailhades, Short-tenn Professional (Medical Officer HlV/AIDS), World Health Organization, Regional Office for the Western Pacific, United Nations Avenue, 1000 Manila, Philippines. Tel No.: (63 2) 528 9719 (Direct). Fax No: (63 2) 526-0279. E-mail: tailhadesm@wpro.who.int Ms Gaik Gui Ong, Technical Officer, Sexually Transmitted Infections, including HlV/AIDS, World Health Organization, Regional Office for the Western Pacific, United Nations Avenue, 1000 Manila, Philippines.Tel No.: (632) 528 9718, Fax No.: (632) 521 1036. E-mail: ongg@wpro.who.int Ms Kathleen Fritsch, Regional Adviser in Nursing, World Health Organization, Regional Office for the Western Pacific, United Nations Avenue, 1000 Manila, Philippines. Tel No.: (632) 528 9804, Fax No: (632) 521 1036. Email: fritschk@wpro.who.int Dr Pieter Van Maaren, Medical Officer, Stop TB and Leprosy Elimination, World Health Organization, Regional Office for the Western Pacific, United Nations Avenue, 1000 Manila, Philippines. Tel No.: (632) 528 9706. Fax No.: (632) 521 1036. Email: vanmaarenpia1wpro.who.int Dr Massimo Ghidinelli, Senior Adviser ("3 by 5" Country Officer), World Health Organization, No. 177-179 comer Streets Pasteur (51) and 254, P.O. Box 1217, Sangkat Chak Tomouk, Khan Daun Penh, Phnom Penh, Cambodia. Tel No.: (85523) 216 610; 216 942. Fax No.: (85523) 216 610. E-mail: ghidinellim@cam.wpro.who.int Dr Connie Maiwase Osborne, Senior Adviser ("3 by 5" Country Officer) World Health Organization, 401 Dongwai Diplomatic Office Building 23, Dongzhimenwi Dajie, Chaoyang District, 100600 Beijing, People's Republic of China. Tel No.: (8610) 6532 7189. Fax No.: (8610) 65322359. E-mail: osbomec@chn.wpro.who.int Mr Geoffrey Clark, Nursing Human Resource Development Officer, World Health <?rganization, P.O. Box 5896, Boroko, National Capital District, Papua New Gumea. Tel No.: (675) 3257827. Fax No.: (675) 3250568. E-mail: who@png.wpro.who.int Dr Cao Thi Thanh Thuy, HIV/AIDS Care and Treatment Officer World Health Organization, 63 Tran Hung Dao ~treet, Hoan Kie~ District Ha Noi Socialist Republic of Viet Nam. Tel No.: (844) 9433734. Fax No.: (844) 9433740. E-mail: ThuyCra)'vtn.wpro.who.int