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Influenza training network: capacity building activities during pandemic influenza

31 декабря 2010 г. Всемирная организация здравоохранения

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WHO/HSE/GIP/ITP/2011.1

Capacity building activities during pandemic influenza

WHO/HSE/GIP/ITP/2011.1

Capacity building activities during pandemic influenza

© World Health Organization 2010 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion what soever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. Compilation by Marie-Hélène Vannson and Yolanda V. Bayugo Edited by Katie Dedman Designed by minimum graphics Printed in Switzerland

Introduction

The Influenza Training Network (ITN) was created in April 2009 as a platform for intergovernmental and nongovernmental organizations active in pandemic preparedness activities in order to allow them to share material, exchange experiences, provide high-quality training aimed at building strong capacity in the areas of surveillance, laboratory activities and clinical management. The ITN has held two meetings. The first ITN meeting took place as news of the H1N1 (2009) pandemic was filtering out. The second meeting, almost exactly a year later, provided an occasion to review training tools and strategies used during the pandemic. This compendium aims to provide a wide ranging inventory of material, tools and trainings developed by ITN partners to, among others, raise awareness on pandemic influenza preparedness measures, community case management, infection prevention and control, laboratory, risk communication, surveillance and outbreak investigation.

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Capacity building during pandemic influenza

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

A brief background on the Influenza Training Network In 2006, the Global Influenza Programme (GIP) embarked on putting together a generic training package on influenza drawing on existing experiences and available training materials within WHO/HQ and the Regional Offices as well as those of technical partners. A training matrix containing materials from WHO and other partners was developed, shared among the group and then posted on a WHO site. The rationale for the matrix was that it should categorize available training materials based on learning objectives and identify other appropriate training methodologies for a given topic. The matrix subsequently became a living document as more and more members contributed materials and focal points were assigned topics based on their expertise and availability. On 21–24 August 2006, a consultation on training material for influenza was held “to review the training package; agree on the training objectives, the content, training methods and material for a general training for response to avian influenza and containment; as well as to review and adapt existing material in the different areas”. The consultation was also held to begin the compilation of training materials that can be adapted at country and regional levels, as well as identify and fill any gaps in training materials, in particular training aids. In July 2008, the terms of reference for the “Influenza Training Network” were drafted. These revolved around assessing needs and identifying required competencies for influenza training packages: reviewing, adapting new and existing training packages; monitoring progress in the use of these materials to document experiences and best practices; and further development of an evaluation tool for training. It was also envisaged that the training database on influenza-related training materials be available to a wider audience, hence the start of the development of Influenza Training Digital Library. The training material developed in collaboration with the network was updated with the help of the previous contributors and newly developed material was added. In May 2009, the Influenza Training Digital Library (http://www.influenzatraining.org) was officially launched. The first meeting of the Influenza Training Network was held in April 2009, and the terms of reference for the network were shared among members. Subsequently, members brainstormed on the areas the network should focus on in order to further efforts in strengthening global influenza capacity. The exercise identified three core functions, namely: critical mass of (expert) trainers on influenza; a forum to share training materials; and a forum to share training resources. The group decided that yearly meetings would be sufficient and that these meetings should ideally revolve around a specific training topic (e.g. pilot testing of training material), as was done in 2009. Towards the end of the meeting news began to filter out of outbreaks of influenza-like illnesses of unusual severity in Mexico, and network members were mobilized to assist their respective organizations in meeting emerging challenges. Almost a year after the first meeting and a year into the pandemic, network members met again to exchange their training and capacity-building experiences during the pandemic and further the role and function of the network in strengthening global influenza capacity. The list of ITN members from 2006 onwards can be found in Annex 1 page 84.

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Asian Disaster Preparedness Center (ADPC) ASEAN+3 and Kenan Institute Asia – Exercise management training programme for communicable disease emergencies RESPONSIBLE INSTITUTION(S) Asian Disaster Preparedness Center (ADPC) Public Health in Emergencies Team FOCAL PERSON n Frederick John Abo Email: fjbabo@adpc.net Telephone: +66 (02) 298-0682 to 92 Ext. 403 OVERALL GOALS To increase the capacity of those responsible for the management of exercises related to preparedness, prevention and control of emerging diseases in ASEAN+3 countries. TARGET AUDIENCE Emergency health management. National and sub-national level. TARGETED COMPETENCIES Exercise management. MAIN TOPICS Introduction to health risk management, the cycle of continuous improvement for effective capacity development, the incident command system for the health sector, design, conduct and evaluating an exercise. FORMAT Face-to-face. LANGUAGE(S) English. LENGTH 5 training days. CERTIFICATION ADPC certification. EVALUATION MODALITIES Course evaluation questionnaire, action planning, draft exercise plan as an output of the training workshop, daily evaluation. COUNTRIES WHERE IMPLEMENTED n 18–22 February 2008, Thailand, cross-border Cambodia, Lao People’s Democratic Republic & Viet Nam, 50 participants. n 31 March–4 April 2008, Thailand, ASEAN regional training, 24 participants. n 9–13 June 2008, Brunei, BIMP sub-regional training, 24 participants. n 15–19 December 2008, Cambodia, ACMECS subregional training, 24 participants. SUMMARY OF EVALUATION RESULTS Knowledge/competencies acquisition, immediate application of knowledge through various workshop activities to develop an exercise plan. SUCCESSES Opportunity for the Communicable Disease (CD) Programme in the Ministry of Health to work together with military, health facility managers, health emergency management and the National Disaster Management Office in developing a communicable disease multi-sectoral exercise during the training workshop. The training also produced 4 different draft exercise plans that can be used as a reference when they return to their respective offices. CHALLENGES The main challenge is to support actual develop ment and implementation of the exercises at the country level to assess the impact of the training workshop conducted. There is no budget readilyavailable for exercises and a lack of professional staff in the Ministry of Health to manage the exercises, particularly in the CD programmes.

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COMMENTS The culminating activity of the project was to bring together all ASEAN countries to share their experiences and recommend possible follow-up activities on exercise management such as: n Development of a quick reference guide on exercise management n Conduct country-level exercise management training workshops n Support in the actual development, conduct and evaluation of an exercise n Incorporate exercises in regular programmes with appropriate budget n Identify a focal person for exercise management in the MOH n Extend the training to the sub-national and local level n Development of an interactive tool for exercise management n Post a consolidated exercise schedule in the ASEAN n Further translation of the training workshop into local languages n Develop advocacy tools for policy-level officials for exercise management.

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Caritas Internationalis Guidelines on pandemic influenza RESPONSIBLE INSTITUTION(S) Caritas Internationalis

Caritas Internationalis FOCAL PERSON

PANDEMIC INFLUENZA Guidelines for planning and response by Caritas organizations

n Rev. Msgr. Robert J. Vitillo Head of the Caritas Internationalis Delegation to the United Nations in Geneva Office: +41 22 734 4005 or 4007 Mobile: +41 79 811 7983 OVERALL GOALS To inform the 165 national Member Organizations of this global confederation, about the pandemic influenza situation and to suggest appropriate measures to be taken at national and local levels. TARGET AUDIENCE Function: global confederation of Catholic Churchrelated humanitarian assistance, development, social service, and health organizations, and other Catholic organizations and structures. Level in the country: regional, national and local.

April 2009 Caritas Internationalis April 2009

TARGETED COMPETENCIES Administrators and practitioners of humanitarian assistance, development, social services, and health-related programmes. MAIN TOPICS Basic information about pandemic influenza; difference between pandemic influenza and seasonal flu; guidelines for integrating prevention control strategies in ongoing programmes and in mass gatherings and/or group-living situations (e.g. camps for refugees, displaced persons, etc.). FORMAT Written guidelines; consultation, when requested, through e-mail; referral to national and local public health authorities.

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LANGUAGE(S) English, French and Spanish. LENGTH Written materials – no formal training sessions. EVALUATION MODALITIES Feedback received from member organizations; review of reports on measures taken by Caritas and other Catholic Church authorities on national and local levels. COUNTRIES WHERE IMPLEMENTED Materials were disseminated throughout the global confederation in all 7 regions of the world where the confederation is present: North America, Latin America, Europe, Middle East/North Africa, Africa, Asia, Oceania. SUMMARY OF EVALUATION RESULTS Feedback was received from Member Organizations – indicating their appreciation for the material disseminated and their action in sharing the information with other Catholic Church-related organizations.

SUCCESSES n Heightened awareness within Caritas Confederation. n Prevention control measures implemented. CHALLENGES n Difficulties receiving specific information about measures taken. n Difficulties providing on-site, face-to-face training due to financial and human resource limitations and attention to ongoing disaster relief demands. COMMENTS The WHO staff (especially Dr. Claudia Vivas) was extremely helpful in the preparation of these guidelines. FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.caritas.org/ Document in English: http://www.caritas.org/ includes/pdf/PandemicFlu.pdf Document in French: http://www.caritas.org/ includes/pdf/PandemicFlufr.pdf Document in Spanish: http://www.caritas.org/ includes/pdf/PandemicFlusp.pdf

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Centers for Disease Control & Prevention Influenza sentinel site surveillance training RESPONSIBLE INSTITUTION(S) Centers for Disease Control (Influenza Division), WHO-Euro, University of North Carolina School of Public Health, Council for State and Territorial Epidemiologists FOCAL PERSON n Jennifer Michalove CDC Influenza Division E-mail: hju1@cdc.gov n Inzune Hwang CDC Influenza Division E-mail: gox5@cdc.gov OVERALL GOALS n Participants will have increased knowledge of influenza sentinel surveillance and its application. n Knowledge of how sentinel surveillance can be applied to seasonal and pandemic flu monitoring. n Ability to identify ways to improve their influenza surveillance system. n Participants will gain the knowledge and tools to train others on influenza sentinel surveillance (train-the trainer). TARGET AUDIENCE Epidemiology and laboratory focal points at the national level and sentinel site coordinators. TARGETED COMPETENCIES Knowledge of how to set up and run a sentinel surveillance system for influenza. MAIN TOPICS Objectives of a sentinel surveillance system, case definitions, mechanics of sentinel surveillance, data reports and analysis, system monitoring, additional uses of the system and surveillance data, and laboratory specimen processing. FORMAT PowerPoint slides, Epidemiology and Laboratory breakout guides, and reference cards for the field. LANGUAGE(S) English and Russian (planning to translate to French and Spanish). LENGTH 1 day to 1 week depending on background of audience. COUNTRIES WHERE IMPLEMENTED Russia, Ethiopia, United States of America. SUMMARY OF EVALUATION RESULTS Majority of participants agreed or strongly agreed that the epidemiology and virology breakout sessions were useful. The majority also felt that they gained information that they can share with their sentinel surveillance network (from Russia pilot). SUCCESSES Answered many important questions about how to set up and run a successful surveillance system. CHALLENGES Not enough time to go through the entire training course. Different WHO Regions may have slightly different influenza surveillance guidelines. COMMENTS This training course is in CDC clearance and will hopefully be posted on the web in the near future. FURTHER INFORMATION Organization web site or URL where the materials can be found: www.cdc.gov

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European Centre for Disease Prevention and Control Development of public health programmes for prevention and control of human seasonal influenza (curriculum and training materials) Furthermore, the Council Recommendation of 22 December 2009 on seasonal influenza vaccination (2009/1019/EU) clearly encourages the Member States to adopt and implement national, regional and local action plans or policies, aimed at improving seasonal influenza coverage, including fostering education, training and information exchange on seasonal influenza and vaccination. TARGET AUDIENCE Senior public health professionals responsible for the design and implementation of programmes of seasonal influenza prevention and control at national and subnational levels in the EU countries. It is anticipated that participants possess a Master’s degree or equivalent. Level in the country: central, intermediate, peripheral. They can be medical professionals, policy makers and relevant professionals in municipal, NGOs, employers’ organisations and industry. TARGETED COMPETENCIES/LEARNING OBJECTIVES Knowledge objectives n Acquire knowledge about the basic facts of influenza and the statistics of influenza in the EU n Understanding the objectives of a influenza prevention programme n Know the context: policy issues, funding access to health care n Be able to identify and describe the components of a budget n Understand the principles of budget monitoring n Be familiar with the key aspects in the laboratory n Be familiar with the principles of epidemiological and laboratory surveillance and in particular how it is linked to surveillance system design and findings to public health actions

RESPONSIBLE INSTITUTION(S) European Centre for Disease Prevention and Control, through a contract with University of Chester, United Kingdom FOCAL PERSON n Carmen Varela Santos E-mail: Carmen.varela@ecdc.europa.eu Telephone: +46761251565 ECDC Senior Expert for Training n Angus Nicoll, ECDC Coordinator of Influenza Programme E-mail: Angus.Nicoll@ecdc.europa.eu n Ann Bryan, University of Chester OVERALL GOALS Despite WHO targets of achieving high uptake of vaccination in the accepted risk groups adopted in 2003 by all EU countries, recent surveys show that many EU countries fall well short of these. Also, few countries promote basic hygiene for influenza and the management of cases and outbreaks is inconsistent. In the period 2008 to 2010 ECDC will be working with the European Commission, WHO and other partners to improve this situation. Training of key experts especially, those whose job it is to design and implement national and local programmes for influenza prevention and control, will be essential to achieve this goal. 6

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n Understand the cycle for the supply of vaccines, including availability issues and delivery systems n Understand basic economic evaluations and burden of disease studies as they are applied to influenza n Understand what are the current trends in research and development n Be familiar with the methodology for conducting baseline social science studies n Understand the different methodologies available to evaluate vaccination coverage (administrative methods and telephone surveys) n Understand the elements of monitoring and evaluation of a vaccination uptake/programme n Understand the principles for designing information campaigns on vaccination and protective measures, addressing policy makers, the public, the health care professionals and media n Know the methodological principles for conducting analytical epidemiological studies on vaccine effectiveness. Skills to be acquired n Apply the appropriate criteria when deciding risk groups n Be able to develop a budget for a prevention and control programme for human seasonal influenza n Be able to investigate the needs of the target group for planning of further interventions n Apply one of the methods for measuring vaccination coverage. MAIN TOPICS Modules and Sessions include: Module 1: Introduction to Programme i. Introduction to human seasonal influenza education programme including aims, learning objectives, skills objectives and programme timetable ii. Knowledge of human seasonal influenza disease and vaccine Module 2: Human seasonal influenza programme planning i. Objectives for a programme for the prevention of human seasonal influenza ii. Economic/budget skills Module 3: Surveillance systems and epidemiological studies i. Surveillance systems ii. Methods for conducting analytical studies

Module 4: Laboratory issues Module 5: Human seasonal influenza policy i. Policy context and professional, political, ethical and legal challenges ii. Policy application Module 6: Vaccination i. Cycle of supply, vaccine efficacy and safety Module 7: Targeting priority groups Module 8: Communication i. Developing a communication strategy for human seasonal influenza ii. Principles for designing information and vaccination campaigns Module 9: Evaluation and research of human seasonal influenza i. Current research and development trends in relation to human seasonal influenza ii. Research methods and evaluation Module 10: Action planning i. Action planning process and development FORMAT Blended (35 hours, complemented by a CD resource, prior to attendance). It includes a train-the-trainers workbook. The course is divided in 10 modules. Each module has: pre-module workbook, facilitator guidelines, Powerpoint presentation, flip chart template, handouts and references. LANGUAGE(S) English. LENGTH One week. CERTIFICATION The programme has been cross referenced against the UK framework for Public Health Competencies (2008) and against the ECDC competency framework for epidemiologists working in communicable disease surveillance and response in the European Union. EVALUATION MODALITIES Pre- and post-programme questionnaire and focus group. COUNTRIES WHERE IMPLEMENTED Planned in 2010 as a train of trainers workshop.

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Health Protection Agency Simulation exercise for avian influenza in animal and human population RESPONSIBLE INSTITUTION(S) Health Protection Agency (on behalf of WHO/FAO) FOCAL PERSON n Hilary Moulsdale E-mail: hilary.moulsdale@hpa.org.uk Telephone: +441980 612988 OVERALL GOALS Aim Enhanced preparedness and capacity of Eastern Europe country to face outbreaks of highly pathogenic avian influenza (HPAI) in animal and human populations. Objectives n Explore the interaction, co-ordination and communication between the veterinary and health sectors and other associated authorities n Explore animal and human health components of contingency plans n Explore the roles and responsibilities of veterinary and health sectors during an outbreak n Explore media and public communications during an outbreak n Explore the lines of communication between local and central authorities n Explore data gathering and surveillance n Explore the operational measures in containing an HPAI outbreak Note: Focus on avian influenza rather than pandemic influenza. TARGET AUDIENCE All healthcare professionals, veterinarians, border control, government departments. MAIN TOPICS n International interaction n Media and public communications during an outbreak n Strategic plans n Legal framework n Training FORMAT Desk-top exercise. LANGUAGE(S) English. LENGTH 2 days. CERTIFICATION Attendance certificate. COUNTRIES WHERE IMPLEMENTED 2007–2008 Albania, Armenia, Azerbaijan, Moldova, Tajikistan. (Also Bosnia Herzegovina, Croatia, Montenegro, Serbia, the Former Yugoslav Republic of Macedonia and UN Administered Province of Kosovo attended a Balkans regional exercise in Albania, Dec 2009). SUMMARY OF EVALUATION RESULTS Documented in detailed reports. SUCCESSES Documented in detailed reports. CHALLENGES Documented in detailed reports. FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.hpa.org.uk/ CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

Health Protection Agency Camden flu pandemic game RESPONSIBLE INSTITUTION(S) Health Protection Agency (on behalf of Department of Health) FOCAL PERSON n Debbie Reed E-mail: Debbie.reed@hpa.org.uk Telephone: +441980 612191 OVERALL GOALS The Flu Pandemic Game is a business continuity game for 3 to 60 players. The aim of the game is to help players appreciate the impact of a possible influenza pandemic on their own businesses. The Game simulates the effects of a flu pandemic on staffing in an imaginary group of small businesses. TARGET AUDIENCE All health-care professionals. MAIN TOPICS Business continuity. FORMAT Face-to-face. LANGUAGE(S) English. LENGTH Up to one hour. COUNTRIES WHERE IMPLEMENTED England from 1 April 2009. Number of trainees unknown as this training game is freely available to all with access to the Department of Health web site. FURTHER INFORMATION http://www.dh.gov.uk/en/ Publicationsandstatistics/Publications/ PublicationsPolicyAndGuidance/DH_101332

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Health Protection Agency Exercise shared goal and winter willow influenza exercise for government departments RESPONSIBLE INSTITUTION(S) Health Protection Agency (on behalf of UK Department of Health) FOCAL PERSON n Hilary Moulsdale E-mail: hilary.moulsdale@hpa.org.uk Telephone: +441980 612988 OVERALL GOALS Aim To enhance the UK’s ability to manage the effects of an influenza pandemic by practising and validating response policies and the decisionmaking processes at national, regional and local levels. Objectives n To familiarize ministers and officials involved in the central response with the policy and response issues (including public information) that would arise at UK alert levels 2–4 of a pandemic at WHO Phase 6. n To familiarize key players throughout the UK with the level of interaction between different tiers of government in such circumstances, at national, regional and local levels. n To simulate and analyse the impact upon the Critical National Infrastructure and other relevant sectors such as medicine distribution, and their influence on the delivery of the UK national response. n To test information flows, real-time modelling and access to timely expert advice during a pandemic. n To identify gaps in our response arrangements and preparedness in order to inform the future development of policy, plans and procedures. n To inform the development of future exercise activity, both within the UK Government and more widely. 10 CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

TARGET AUDIENCE All government departments. MAIN TOPICS n Crisis management and co-ordination n Public information/media handling/ communications n Further policy development n Business continuity/resilience FORMAT Command post exercises. LANGUAGE(S) English. LENGTH 2 days. COUNTRIES WHERE IMPLEMENTED All government departments 2006 and 2007. SUMMARY OF EVALUATION RESULTS Detailed in report. SUCCESSES Detailed in report. CHALLENGES Detailed in report. FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.hpa.org.uk/

Health Protection Agency European Union (EU) response to Pandemic A(H1N1) 2009 RESPONSIBLE INSTITUTION(S) Health Protection Agency (on behalf of Directorate General for Health and Consumer Affairs (DG SANCO)) FOCAL PERSON n Anita Blake E-mail: Anita.Blake@hpa.org.uk Telephone: +441980 612956 OVERALL GOALS Aim To examine the response at the Member State and Commission level to the first four months of the Pandemic A(H1N1) 2009 crisis. Objectives n Review pandemic preparedness plans and interoperability between national plans n Examine the effectiveness of business continuity plans (where implemented) n Evaluate the robustness and efficiency of communications systems utilised during the response n Assess the effectiveness of communications within and between national, EU and international participants n Examine the coordination of public health and control measures across the EU n Evaluate the coordination of public and media messages across the EU n Analyse the availability and use of vaccines and anti-viral medicines. Purpose n To identify lessons from the first four months of the crisis, including the containment phase and early weeks of mitigation n To inform the ongoing response to the current pandemic and future public health crises within the EU. CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA 11

TARGET AUDIENCE All Member States healthcare professionals, government departments. MAIN TOPICS n Pandemic preparedness and interoperability n Business continuity n EU-wide communication systems n Liaison between national and international organisations n Coordination of public health and control measures n Coordination of public and media messages n Vaccines and anti-viral medicines FORMAT Report. LANGUAGE(S) English. COUNTRIES WHERE IMPLEMENTED May 2009–August 2009. All Member States. FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.hpa.org.uk/

Health Protection Agency European Union (EU) pandemic vaccine strategy self-evaluation support tool for Member States RESPONSIBLE INSTITUTION(S) Health Protection Agency (on behalf of Directorate General for Health and Consumer Affairs (DG SANCO)) FOCAL PERSON n Anita Blake E-mail: Anita.Blake@hpa.org.uk Telephone: +441980 612956 OVERALL GOALS The purpose of this tool is to provide a framework and items that EU/EEA Member States (MS) could use for evaluating their pandemic influenza vaccination programmes during the 2009 pandemic. The intention is that this will: n save Member States time n reduce the chances of their missing important items n increase the chances of such specific evaluations being undertaken in a standardised way so that lessons identified can be learned and innovative ideas highlighted and shared. TARGET AUDIENCE All Member States healthcare professionals, government departments. MAIN TOPICS Manufacturing & procurement n Pre-pandemic vaccines n Making vaccine strains available n Procurement and acquisition Targeting & monitoring n Surveillance n Vaccination strategy n Target and priority groups n Communications n Research programmes. Implementation n Programme for vaccine delivery n Administration of vaccines (immunization) n Resource management n Co-operation within the EU. Authorisation of vaccines Exit strategy n Post-peak period n Surplus stockpiles n Transition from pandemic to seasonal vaccine. FORMAT Self-evaluation toolkit. LANGUAGE(S) English. CERTIFICATION None. COUNTRIES WHERE IMPLEMENTED All Member States from April 2010. FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.hpa.org.uk/

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International Federation of Red Cross and Red Crescent Societies H2P/IFRC Training for pandemic preparedness & response TARGET AUDIENCE National societies, civil society, staff, volunteers and communities. TARGETED COMPETENCIES Coordination, leadership, technical knowledge, awareness raising. MAIN TOPICS n Humanitarian Pandemic Preparedness (H2P) n Building capacity for Pandemic A(H1N1) 2009 and a severe pandemic wave. FORMAT Face-to-face, online and distance. LANGUAGE(S) English. LENGTH Ongoing. RESPONSIBLE INSTITUTION(S) International Federation of Red Cross and Red Crescent Societies FOCAL PERSON n Robert Kaufman E-mail: Robert.kaufman@ifrc.org Telephone: +41 79 247 2356 OVERALL GOALS To minimize preventable mortality and morbidity during a pandemic. EVALUATION MODALITIES Questionnaire. COUNTRIES WHERE IMPLEMENTED Communities in 96 countries. FURTHER INFORMATION Organization web site or URL where the materials can be found: www.pandemicpreparedness.org http://www.ifrc.org/what/health/relief/influenza. asp

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

International Organization for Migration Introduction to basic counselling and communication skills: IOM training manual for migrant community leaders and community workers RESPONSIBLE INSTITUTION(S) International Organization for Migration FOCAL PERSON n Anita Alero Davies E-mail: adavies@iom.int Telephone: +41227179502 OVERALL GOALS To strengthen counselling and communication skills as a coping mechanism during a pandemic or any other crisis. TARGET AUDIENCE n Community leaders, community workers (health and non-health) n Training content and presentation adapted to educational and linguistic level of participants. TARGETED COMPETENCIES Counselling and communication skills. MAIN TOPICS n Pandemic influenza preparedness for non-medical public health interventions n Counselling n Communication FORMAT n Face-to-face n Participatory n Group work n Role play LANGUAGE(S) n English (manual published) n Spanish (manual being published) n French (manual being published) IOM/GENEVA IOM/CAIRO

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LENGTH Manual written for 4 days. The training can be done in 3 days. CERTIFICATION Attendance certificates only. EVALUATION MODALITIES n At the end of each session post-it stick papers on flip chart are used to evaluate the session. This allows trainers to make changes to methods used and areas that need more emphasis in subsequent sessions. n Evaluation form found in the manual used at the end of the training. COUNTRIES WHERE IMPLEMENTED n 2008 Cairo. In English with Arabic interpreters, 3 trainers. n 2009 Costa Rica. In Spanish, 3 trainers. n 2009 Tanzania. In English with French interpreters, 3 trainers. SUMMARY OF EVALUATION RESULTS n Participatory methodologies liked by all participants. Change of different facilitation methods such as presentations, flip charts, group work, role play, sharing of experiences, kept participants focused. n Flexibility to go over areas not understood the first time were also appreciated. n Pandemic preparedness non medical interventions presentation sessions were difficult to relate by participants. n Participants found pandemic preparedness multisector presentation session a bit dry as it was not participatory.

SUCCESSES n As a result of requests the manual is being printed in Spanish and French. n At the training in Tanzania, participants from Sudan were able to convince the Ministry of Health of Sudan to host the training. n IOM has been contacted to facilitate the training in Khartoum this year. n Training will also be held in Abuja, Nigeria and Kiev, Ukraine in 2010. CHALLENGES n Time is a challenge as most participants can not be absent for more than 2 days. n Multi-sector approach as pandemic is seen only from a health perspective. n To ensure that participants are of similar educational level and are the professionals who can put what they have learnt into practice and can influence activities in their places of work. COMMENTS n Counselling and communication skills are generic ones that can be used in any crisis situation. n The non-medical pandemic preparedness sessions will now have a role play component not just a presentation session. n IOM Cairo is developing a series of modules in English and Arabic on health promotion and pandemic preparedness, in a format that can be used for a wide range of educational levels, to be used as a package or stand alone modules. n IOM Cambodia is developing a manual for multisector disaster management to address multisectored approach to pandemic preparedness.

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Mekong Basin Disease Surveillance (MBDS) and Innovative Support to Emergencies Diseases and Disasters (InSTEDD) GeoChat, SMS-based communication network tool for disease surveillance RESPONSIBLE INSTITUTION(S) Mekong Basin Disease Surveillance (MBDS) and Innovative Support to Emergencies Diseases and Disasters (InSTEDD) FOCAL PERSON n Ms. Hnin Pwint Phyu MBDS ICT collaborator E-mail: mdmsnow@gmail.com Mobile: +668 5070 2132 OVERALL GOALS Early warnings for disease surveillance among Rapid Response teams and health communication networks. TARGET AUDIENCE Provincial health officers and staff. TARGETED COMPETENCIES To improve: n Rapid response team communication around a possible outbreak n Disease reporting from a remote site via SMS to a central database or team leader n Sharing of vital information from the web to people with only mobile phone access. MAIN TOPICS SMS-based and web-based communication networking among public health staff. FORMAT Face-to-face and lectures. LANGUAGE(S) English and local languages.

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LENGTH Training n 2–3 April 2009 (Mukdahan, Thailand) 2 days n 25–26 September 2009 (Thailand, Lao People’s Democratic Republic Border) 2 days n 26–27 November 2009 (Thailand, Lao People’s Democratic Republic Border) 2 days n 3–4 March 2010 (Chiang Rai, Thailand) 2 days CERTIFICATION Yes. EVALUATION MODALITIES Evaluation done at the end of the training. COUNTRIES WHERE IMPLEMENTED Cambodia, Lao People’s Democratic Republic and Thailand. SUMMARY OF EVALUATION RESULTS Satisfactory. SUCCESSES At certain level. CHALLENGES n Lack or poor knowledge of mobile phone use or sending SMS in some areas. n Language barrier in some sites although translator is available. n Technical and mobile communication errors occurred sometimes. COMMENTS After six months, participants should be asked to re-evaluate the training and a standard reporting method should be developed for the whole MBDS region. FURTHER INFORMATION GeoChat training guide will be available on MBDS web site www.mbdsoffice.com

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

Mekong Basin Disease Surveillance, University of Washington and Mahidol University, Thailand Public Health Informatics: “Improving health outcomes through interoperability” MAIN TOPICS Interoperability issues in the health system. FORMAT Face-to-face discussions and lectures. LANGUAGE(S) English. LENGTH 10 days. RESPONSIBLE INSTITUTION(S) University of Washington and Mahidol University, Thailand FOCAL PERSON n Dr. Sherrilynne Fuller, PhD Professor, Biomedical and Health Informatics University of Washington Seattle, Washington USA OVERALL GOALS To establish close collaboration among the countries in the region to fight emerging and reemerging disease together. TARGET AUDIENCE Public health officers, laboratory technicians and IT technicians from GOs, NGOs, universities and health-related companies. TARGETED COMPETENCIES To improve health outcomes through interoperability between related fields, public health, laboratories and IT. CERTIFICATION MBDS certificate. EVALUATION MODALITIES Evaluation performed on each training day. COUNTRIES WHERE IMPLEMENTED 1–12 Feb 2010 – Bangladesh, Cambodia, China, Indonesia, Lao People’s Democratic Republic, Malaysia, Philippines, Thailand, Viet Nam. SUMMARY OF EVALUATION RESULTS Satisfactory. SUCCESSES Introduce interoperability IT communication tools. CHALLENGES Integrated and interoperability challenges within countries and region. COMMENTS Should perform a follow-up evaluation after six months.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

Pandemic Influenza Coordination team, UN Office for the Coordination of Humanitarian Affairs Pandemic influenza table top exercise and functional simulation RESPONSIBLE INSTITUTION(S) Pandemic Influenza Coordination team, UN Office for the Coordination of Humanitarian Affairs FOCAL PERSON n Iain Bald Telephone: +41 229102932 E-mail: bald2@un.org n Ian Clarke Telephone: +41 229103866 E-mail: clarkei@un.org OVERALL GOALS Table top exercise to raise awareness of the need to plan for a pandemic and of areas of planning that require further work. Functional simulation to test current plan and identify areas that need improvement. TARGET AUDIENCE UN country teams, humanitarian organizations at country level, government ministries, including providers of essential services and disaster management organisations. TARGETED COMPETENCIES Pandemic business continuity planning and pandemic contingency planning. MAIN TOPICS Pandemic planning. FORMAT Table-top exercise, round-table discussion or functional simulation involving email, telephone and face-to-face participation from workstations. LANGUAGE(S) English, French, Spanish. LENGTH ½ day–1 day (variable according to audience). CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

EVALUATION MODALITIES Evaluation form handed to participants to fill in at end of the event. COUNTRIES WHERE IMPLEMENTED Argentina, Armenia, Belarus, Benin, the Plurinational State of Bolivia, Burundi, Cyprus, Dominican Republic, Egypt, Ethiopia (MPRI event), France, Ghana (AFRICOM event), Guinea-Bissau, Hungary, Iran, Kyrgyzstan, Lao People’s Democratic Republic, the Former Yugoslav Republic of Macedonia, Malawi, Mozambique, Myanmar, Namibia, Nepal (PACOM event), Nigeria, Philippines (PACOM event), Senegal (IFRC/IOM event), Seychelles, Tajikistan, Tunisia, Turkmenistan, Uganda (AFRICOM event), United Kingdom (HPA event), Viet Nam (InterAction event), Thailand, Togo, Zambia (WFP event). SUMMARY OF EVALUATION RESULTS Large majority of interlocutors positive about the experience. CHALLENGES Reducing level of engagement/urgency/demand amongst interlocutors around pandemic agenda given mildness of current pandemic. FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.un.pic.org/ 19

Pandemic Influenza Coordination team, UN Office for the Coordination of Humanitarian Affairs Whole-of-society pandemic readiness RESPONSIBLE INSTITUTION(S) Pandemic Influenza Coordination team, UN Office for the Coordination of Humanitarian Affairs FOCAL PERSON n Iain Bald Telephone: +41 229102932 E-mail: bald2@un.org n Ian Clarke Telephone: +41 229103866 E-mail: clarkei@un.org OVERALL GOALS n To raise awareness and understanding of the need for beyond health, multi-sectoral, whole of society pandemic readiness and how to achieve it. n To disseminate the messages in the Whole Of Society readiness chapter of the WHO pandemic preparedness guidance. TARGET AUDIENCE Central government, sectoral line ministries, organi zations responsible for key sectors, disaster management organizations, humanitarian organizations. TARGETED COMPETENCIES Business continuity planning, contingency planning. MAIN TOPICS Whole of society pandemic readiness, business continuity planning. FORMAT Face-to-face presentations at workshops and regional meetings. LANGUAGE(S) English, French, Spanish. LENGTH 30 minutes presentation and 30 minutes Q and A (variable according to audience). COUNTRIES WHERE IMPLEMENTED Barbados, Belgium, Brunei Darussalam, Cameroon (ICDO event), Costa Rica, Egypt, Ethiopia (InterAction event), Ghana, Italy (PACOM/ WFP event), Jordan (IOM event), Lao People’s Democratic Republic, Kenya, Madagascar, Malaysia (ASEF event), Mali, Moldova, Mozambique, Nepal (PACOM event), Panama (IOM, SouthCom and Voice of America events), Peru (ICAO event), Senegal (Red Cross event), Seychelles, Singapore, South Africa (InterAction and RIACSO events), Switzerland (ASEAN and ICDO events), Thailand (UNSIC event), Tunisia (ICDO event), Viet Nam (InterAction event), Zambia (WFP event). CHALLENGES Reducing level of engagement/urgency/demand amongst interlocutors around pandemic agenda given mildness of current pandemic. FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.un.pic.org

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

National Institute for Public Health and the Environment (RIVM) Laboratory sampling skills for influenza OVERALL GOALS Information on influenza, sample taking and personal protection, prevention during containment and mitigation period. TARGET AUDIENCE Professionals: GPs and specialists, public health professionals. TARGETED COMPETENCIES n Correct sample taking n Correct personal protection, use of gowns, masks, gloves etc. MAIN TOPICS n Personal protection n Right material, virus transport medium, box in a box in a box principle, transport n Administration FORMAT Training by experienced sample takers. LANGUAGE(S) RESPONSIBLE INSTITUTION(S) National Institute for Public Health and the Environment (RIVM) FOCAL PERSON n André Jacobi Preparedness and Response Unit Centre for Infectious Disease Control Office box 1, internal office box 13 3720 BA Bilthoven The Netherlands Telephone: +3130-2747000 Fax: +3130-2744455 E-mail: andre.jacobi@rivm.nl Dutch. EVALUATION MODALITIES Ongoing. COUNTRIES WHERE IMPLEMENTED The Netherlands and Kingdom relations. SUMMARY OF EVALUATION RESULTS Not known yet. FURTHER NFORMATION Organization web site or URL where the materials can be found: http://www.rivm.nl/cib/binaries/ Afnametechniek%20influenza_tcm92-35734.pdf © M. VD POUW KRAAN © M. VD POUW KRAAN

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

National Institute for Public Health and the Environment (RIVM) Surveillance updates RESPONSIBLE INSTITUTION(S) National Institute for Public Health and the Environment (RIVM) FOCAL PERSON n Wim van der Hoek Preparedness and Response Unit Centre for Infectious Disease Control Office box 1, internal office box 13 3720 BA Bilthoven The Netherlands Telephone: +3130-2747000 Fax: +3130-2744455 E-mail: wim.van.der.hoek@rivm.nl OVERALL GOALS Up-to-date information for GPs, specialists, public health professionals, policy makers. TARGET AUDIENCE National, regional and local level. TARGETED COMPETENCIES Based on sentinel surveillance using different sources to present an up-to-date figure and dataset on the development of the pandemic in the Netherlands. MAIN TOPICS Surveillance of influenza H1N1v in comparison with seasonal influenza, weekly updated. FORMAT Publication on web site: http://www.rivm.nl/cib/binaries/H1N1overzicht_ tcm92-61018.pdf LANGUAGE(S) Dutch. SUMMARY OF EVALUATION RESULTS Ongoing. FURTHER NFORMATION Organization web site or URL where the materials can be found: http://www.rivm.nl/cib/binaries/H1N1overzicht_ tcm92-61018.pdf

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

National Institute for Public Health and the Environment (RIVM) Influenza and common cold toolkit RESPONSIBLE INSTITUTION(S) National Institute for Public Health and the Environment (RIVM) FOCAL PERSON n Wilbert Ransz Preparedness and Response Unit Centre for Infectious Disease Control Office box 1, internal office box 13 3720 BA Bilthoven The Netherlands Telephone: +3130-2747000 Fax: +3130-2744455 E-mail: wilbert.ransz@rivm.nl OVERALL GOALS Providing materials on influenza for educating the general public on the prevention of influenza. RIVM toolkits are available on different subjects: ticks, pregnancy and infectious diseases, antibiotics, food safety, head lice, scabies, Q-fever, etc. TARGET AUDIENCE Intermediate level, to facilitate making use of the same mostly evidence-based information. TARGETED COMPETENCIES Describing goal of the toolkit, starting point, audience and basics messages, a slogan or catchword. MAIN TOPICS Explanation of flu and common cold, prevention and how to cope with flu or common cold. FORMAT Leaflets, posters, text, slogans, photographs and drawings. LANGUAGE(S) Dutch. CERTIFICATION Audit-based quality management. EVALUATION MODALITIES On regular basis. COUNTRIES WHERE IMPLEMENTED Netherlands. SUMMARY OF EVALUATION RESULTS A review board of public health professionals is created for each toolkit, and they review the products each year. SUCCESSES The process of making a toolkit was as successful as the product itself. The purchase of this product is very good. FURTHER NFORMATION Organization web site or URL where the materials can be found: http://infectieziekten.rivmvoorlichtingscentrum.nl/

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

United Nations High Commissioner for Refugees

RESPONSIBLE INSTITUTION(S) United Nations High Commissioner for Refugees FOCAL PERSON n UNHCR HIS and outbreak Coordinators E-mail: outbreak@unhcr.org Telephone: +41 22 739 8907 / +41 22 739 8315 OVERALL GOALS n Enhance knowledge of pandemic influenza A (H1N1) n Improve preparedness and control measures for pandemic influenza A (H1N1) in refugee and IDP settings. TARGET AUDIENCE Level in the country central, intermediate, peripheral. The 52 participants included: staff health educators and CHPs, representatives of MINALOC, and presidents of refugee camp committees. All participants either work or reside in the Gihembe, Nabyhike and Kizipa Camps of Rwanda. MAIN TOPICS Causative agent, mode of transmission, ways of prevention and control, key awareness messages, case management, surveillance, community mobilization and development of contingency plans. FORMAT Face-to-face. LANGUAGE(S) French and Kenny Rwanda. LENGTH One-day workshops. CERTIFICATION Certificate of completion provided to all participants. 24

EVALUATION MODALITIES Although no formal pre- and post-tests were applied verbal feedback was obtained on ways of improving the workshop. COUNTRIES WHERE IMPLEMENTED 11–12 December 2009, Gihembe, Nabyhike and Kizipa Refugee Camps, Rwanda. 27 trainees. SUMMARY OF EVALUATION RESULTS The level of awareness among CHPs was lower than expected given that some health professionals from the same site received TOT training in July 2009. Most participants agreed that: the sessions were clear; trainers used simple and understandable language; and the workshop was very useful and the handouts with their color illustrations are valuable. However, a number of participants highlighted the need to allow more time for the training and considered the venue to be a bit too small to accommodate that large numbers of participants. SUCCESSES Participants managed to draft key lines for their camp contingency plans. Full participation of all trainees. CHALLENGES Trainers who received TOT on the subject were not always allowed by the agencies to conduct training in other camps. COMMENTS Cascaded training proved to be an effective strategy to cover different levels of health worker categories at the camp sites. Follow-up of training activities is very important. This could be in the form of refresher training or dissemination of additional materials periodically among trainees.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

United Nations High Commissioner for Refugees Outbreak early warning and surveillance, reporting and data analysis RESPONSIBLE INSTITUTION(S) United Nations High Commissioner for Refugees FOCAL PERSON n UNHCR HIS and outbreak Coordinators E-mail: outbreak@unhcr.org Telephone: +41 22 739 8907 / +41 22 739 8315 OVERALL GOALS To improve the use of UNHCR Health Information System (HIS) for epidemic surveillance. TARGET AUDIENCE Clinicians, data clerks, surveillance focal persons in refugee health facilities TARGETED COMPETENCIES n Improve data collection for epidemic-prone diseases. n Understand the role of case definitions and alert thresholds. n Improve the use of HIS to monitor and early detect epidemics. n Build capacity of field staff on actions to be taken when an epidemic is declared. n Understand basics of epidemic data analysis. MAIN TOPICS n The role of disease surveillance and early warning in outbreak alert & response n The importance of data collection for epidemicprone diseases n The role of case definitions and alert thresholds n Use of the HIS to monitor and detect outbreaks n Actions that follow when an outbreak has been declared n Basics of epidemic data analysis FORMAT Face-to-face. CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

LANGUAGE(S) English. LENGTH One day. CERTIFICATION None. EVALUATION MODALITIES Pre- and post-test. COUNTRIES WHERE IMPLEMENTED Ethiopia, eastern Sudan, Uganda. SUMMARY OF EVALUATION RESULTS Significant difference between pre- and posttest results indicating learning had occurred. Participants were interested in the training, in particular in the case study that depicted all the steps in outbreak management in a scenario closely related to the participants’ places of work. SUCCESSES Improved the use of the HIS for epidemic monitoring and reporting in those camps where implemented. Epidemics are detected early and reported on time, including weekly updates and end of outbreak reports. CHALLENGES Frequent staff turnover in most countries means these trainings have to be repeated; occasional delay in reporting due to poor internet connections in the field. COMMENTS Use of case study, exercise on interpreting and doing calculations using actual line list from one camp, and screenshots from the database facilitated participants learning and participation in the training. 25

United Nations High Commissioner for Refugees

MAIN TOPICS 1. Pandemic influenza: Avian influenza, pandemic influenza A (H1N1), pandemic influenza and seasonal influenza; 2. Etiology, ways the disease spreads, methods of prevention and control; 3. Surveillance; 4. BCC on pandemic influenza; 5. Case management; and 6. Camp contingency planning. FORMAT RESPONSIBLE INSTITUTION(S) United Nations High Commissioner for Refugees FOCAL PERSON n UNHCR HIS and outbreak Coordinators E-mail: outbreak@unhcr.org Telephone: +41 22 739 8907 / +41 22 739 8315 OVERALL GOALS n Enhance knowledge of pandemic influenza A (H1N1) n Improve preparedness and control measures for pandemic influenza A (H1N1) in refugee and IDP settings. TARGET AUDIENCE A total of 8 trainers from MOH, UNHCR, UNICEF, WHO, IMC, CAM and IRC fully participated in the workshop. Participant categories included doctors and health coordinators who work in a wide geographical area of Eastern Chad. TARGETED COMPETENCIES Build trainer capacity for influenza A (H1N1). Face-to-face. LANGUAGE(S) French. LENGTH One day. CERTIFICATION Certificate of completion provided to all participants. EVALUATION MODALITIES Verbal feedback from trainees. COUNTRIES WHERE IMPLEMENTED 05 October 2009, Abeche, Chad, 8 participants. SUMMARY OF EVALUATION RESULTS Participants provided verbal feedback indicating that the workshop was useful particularly because it was their first exposure to the topics. They all showed an interest in working with UNHCR-Senior PH Officer of Chad to conduct further levels of training that target health professionals and health animators.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

SUCCESSES Conduct TOT courses of longer duration in the future. CHALLENGES Trainers usually occupy key positions in their agencies and not always available for being trained or conducting training for others. COMMENTS Cascaded training proved to be an effective strategy to cover different levels of health worker categories at the camp sites. Follow of training activities is very important. This could be in the form of refresher training or disseminated additional materials periodically among trainees. Linking training to BCC activities is desirable.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Regional outbreak/pandemic influenza response training RESPONSIBLE INSTITUTION(S) World Health Organization Regional Office for the Eastern Mediterranean FOCAL PERSON n Dr Johan Jabbour Acting Regional Adviser, CSR/IHR Communicable Disease Surveillance, Forecasting and Response Unit Regional Office for the Eastern Mediterranean World Health Organization E-mail: jabbourj@emro.who.int Telephone: +202 22765276 n Dr. L. Martin Opoka Technical Officer Disease Surveillance, Forecasting and Response Regional Office for the Eastern Mediterranean World Health Organization E-mail: opokal@emro.who.int Telephone: +202 22765517 OVERALL GOALS The overall goal of this training was to train the field experts from the Regional Outbreak Alert and Response Network of the Eastern Mediterranean Region on rapid response to pandemic influenza. TARGET AUDIENCE Experts in field epidemiology, infection control, case management, logistics operation, risk communication, laboratory diagnosis. TARGETED COMPETENCIES Administration, security and logistics n To explain GOARN rationale, structure, procedures and nature of partnership n To be familiar with WHO contract and insurance system n To apply UN security rules and requirements, including the use of vehicles n To use VHF and HF radios, and GPS devices. 28

Health on mission n To be prepared (medically and psychologically) to work within an unusual and difficult context n To preserve decent working and living conditions once in the field n To recognize symptoms of advanced, cumulative and traumatic stress and to take necessary actions to protect oneself or other persons affected n To help organize medical evacuation from the field when necessary. Epidemiology n To help carrying out initial field assessments and outbreak investigations n To organize case detection and contact tracing n To identify FIMS (Field Information Management System) software. Team management n To prevent the development of conflicts among individuals composing the team n To solve pre-existing/already installed conflicts within the team n To built and maintain harmonious relationship and team spirit within the team. Case management and infection control n Taking into account the local context of the response, to apply the most appropriate (best available, safe and humane) therapeutic methods to treat patients n To apply appropriate, effective and safe methods and criteria for patients isolation n To apply safe and appropriate personal protective equipment for oneself and to advice others if necessary n To take samples using safe and proper techniques and to carry out sample shipment fulfilling IATA requirements. CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

Social mobilization and anthropology n To understand the role of social mobilization in the control of outbreaks n To identify appropriate techniques of social mobilization for the control of outbreaks. Risk communication n To explain the rationale, role and objectives of outbreak/risk communication n To communicate with the media in a clear, confident and credible manner. MAIN TOPICS n Administrative procedures of WHO in the field mission n Personal and operational security and logistics arrangement for field mission n Health on mission n Field epidemiology and outbreak investigation n Case management and infection control practices n Social mobilization and anthropology n Team coordination and team management n Risk communication. FORMAT Face-to-face, hands-on practice, role play, tabletop exercise. LANGUAGE(S) English. LENGTH 5 days. CERTIFICATION The successful participants were given certificate of course completion. EVALUATION MODALITIES n Pre-test and post-test n Training evaluation forms n Debriefing at the end of the training session COUNTRIES WHERE IMPLEMENTED EMRO, Cairo, Egypt from 15 to 18 June 2009. SUMMARY OF EVALUATION RESULTS Similar national level courses were organized in Afghanistan, Iran, Iraq, Jordan, Pakistan, Sudan, Yemen on rapid response to pandemic influenza with some modifications to the course curriculum.

SUCCESSES The Eastern Mediterranean Regional Office of WHO has developed a core groups of field experts for rapid deployment to manage/contain outbreaks from infectious diseases including for pandemic influenza. Some of the trained participants were deployed upon request from the Member States during the pandemic. CHALLENGES Sustaining the activities and functions of Regional Outbreak Alert and Response Network for the Region on a longer run (perpetual basis) remains the greatest challenge. FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.emro.who.int/csr/hini

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Workshop on pandemic (H1N1) 2009 influenza virus communication strategies: lessons learnt and the way forward RESPONSIBLE INSTITUTION(S) World Health Organization Regional Office for the Eastern Mediterranean FOCAL PERSON n Omid Mohit Technical Officer Media and Communication Eastern Mediterranean Regional Office World Health Organization E-mail: mohito@emro.who.int Telephone: (202) 227-65355 OVERALL GOALS The overall goal of this workshop was provide strategic guidelines for developing national communication strategy for pandemic influenza. TARGET AUDIENCE Media and Communication Officers of all the 22 Member States of the Eastern Mediterranean Region. TARGETED COMPETENCIES The specific objectives of the workshop are to: n Update the communication focal points on the latest communication and technical developments with regard to the H1N1 pandemic; n Orient the participants with the Regional (Global) Communication strategy for influenza A(H1N1); n Identify priority pandemic communication goals at the local levels; n Provide technical support and advice on the preparation of country specific communication strategies; n Experience sharing and establishing a regional communication network for influenza A(H1N1) pandemic; n Develop recommendations for WHO and MOH senior management. 30

MAIN TOPICS n Overview of pandemic (H1N1) 2009 n Global and regional response to pandemic influenza n What is meant by risk communication strategy during pandemic influenza; objectives, goals, process, delivery of messages, etc n Regional communication strategy for pandemic influenza n How to develop a national communication startegy FORMAT Face-to-face. LANGUAGE(S) English. LENGTH 2 days. EVALUATION MODALITIES Debriefing at the end of each day’s session. COUNTRIES WHERE IMPLEMENTED EMRO, Cairo, Egypt from 29 to 30 July 2009. SUCCESSES National risk communication strategies for pandemic influenza were developed by a number of EMR Member States following this workshop. CHALLENGES Maintaining the momentum gained during the pandemic influenza for risk communication and applying similar communication strategies for other outbreaks in the region remains the greatest challenge. FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.emro.who.int/csr/hini http://www.emro.who.int/mac CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Case management and infection control in avian influenza settings TARGET AUDIENCE n Health-care workers (doctors, nurses, laboratory technicians); n Epidemiologists; n MoH national counterparts on communicable diseases/infection control; n WHO country staff. TARGETED COMPETENCIES This training course is designed to improve the job performance of doctors, nurses and laboratory technicians by updating and standardizing essential information, knowledge and skills to prevent the spread of infections to health-care workers, client/ patients and communities. MAIN TOPICS n Avian Influenza (overview and country specific) n Infection control (movie – SARS) RESPONSIBLE INSTITUTION(S) WHO Regional Office For Europe Communicable Diseases Unit, Alert and Response Team FOCAL PERSON n Dr. Caroline Brown E-mail: cbr@euro.who.int Telephone: +45 39171273 OVERALL GOALS To improve the knowledge and skills of health care workers on infection control measures with a focus on Avian Influenza. n Case management of Avian Influenza suspected case (theory) n Case management (case study) n Precaution measures (standard, contact, droplet, aerosol) n Preventing spread of disease in health-care settings n Personal protective equipment (theory and practical exercise) n Disinfection (hands, environment) n Antiviral overview n Contract tracing and health-care worker screening n Management of clinical samples (theory and practical exercise) n Laboratory results n Seasonal influenza and vaccination CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA 31

n Patient safety, good practice and safe injection practices n Other pathogens FORMAT Training of trainers. LANGUAGE(S) English, Russian. LENGTH 3 days or 5 days. CERTIFICATION No. COUNTRIES WHERE IMPLEMENTED Azerbaijan, Armenia, Bulgaria, Kazakhstan, Kyrgyzstan, Russian Federation and Uzbekistan. SUMMARY OF EVALUATION RESULTS The training was well-received by participants, who welcomed the opportunity to share and increase their knowledge for planning for an outbreak of avian influenza. The training proved to be a useful and practical forum for practicing the local, sub-national and national health responses and highlighting gaps in current planning and any issues requiring further work at all levels.

SUCCESSES On-site development of standard operational procedures based on local conditions. Establishment of multidisciplinary rapid response teams and related terms of references. CHALLENGES Follow-up activity to roll out the training within the regions. COMMENTS The training also raised awareness of the coordination arrangements needed at the regional and local level during the response to an avian outbreak and laid the basis for further cascade trainings.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Training of trainers on infection prevention and control of epidemic and pandemic prone acute respiratory diseases in health care RESPONSIBLE INSTITUTION(S) WHO Regional Office For Europe Communicable Diseases Unit, Alert and Response Team FOCAL PERSON n Ms Ana Paula Coutinho E-mail: apc@euro.who.int Telephone: +45 39171369 OVERALL GOALS On completion of this training, staff will be able to: n understand how ARDs are spread and relevant principles to reduce their transmission, including early identification; n undertake appropriate risk assessment during the care of an ARD patient and adopt appropriate preventatives measures in relation to: n personal protective equipment (PPE) selection, use and disposal n isolation systems and precautions n patient placement, movement and ventilation n specific clinical procedures. TARGET AUDIENCE n Health care worker (doctors and nurses) n Epidemiologists n MoH national counterparts on communicable diseases/infection control n WHO country staff. TARGETED COMPETENCIES This training course is designed to improve the job performance of physicians and nurses by updating and standardizing essential information, knowledge, and skills to prevent the spread of infections to healthcare workers, client/patients, and communities.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

MAIN TOPICS n Scope of the guidelines & main infection control strategies n Infection prevention and control recommendations n Environmental controls: cleaning & disinfection of respiratory equipment, cleaning and disinfecting the environment, linen & laundry and waste management n Preparedness planning for ARD epidemics. FORMAT Training of trainers Each group was allocated an experienced facilitator for the training. The facilitators were given a thorough one day briefing prior to the training on their role and also on the training contents and objectives. Facilitators observed training progress within their group and recorded both positive and negative observations which they reported at the close of the training. Feedback and hot debrief sessions were carried out immediately after each block of time during the training and at the training conclusion. A representative of each group presented in plenary on key issues and learning points for their group for each part of the training and then gave an overall evaluation of the training. LANGUAGE(S) English, Russian. LENGTH 2 days. CERTIFICATION No. EVALUATION MODALITIES Pre- and post-test.

COUNTRIES WHERE IMPLEMENTED Azerbaijan, Bulgaria, Kyrgyzstan, Russian Federation and Tajikistan. SUMMARY OF EVALUATION RESULTS The level of HCWs knowledge was average, with sub optimal understanding of the pathogen transmission dynamics, of the concept of colonization and of the infection risk. Interestingly, according to the baseline perception surveys, the awareness level of the epidemiologic importance of HCAI and of its impact was higher among senior managers than among HCWs. SUCCESSES Further development of regulations and guidelines on triage and infection control practices in health care settings. CHALLENGES Planning of infection prevention and control resources and logistics at healthcare facility level to be strengthened and mechanisms reviewed to ensure interventions happen quickly. COMMENTS Reference Infection prevention and control of epidemic- and pandemic-prone acute respiratory diseases in health care, June 2007 http://www.who.int/entity/csr/resources/ publications/WHO_CDS_EPR_2007_6c.pdf FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.who.int/bioriskreduction/infection_ control/en/index.htm

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Risk communication during the pandemic RESPONSIBLE INSTITUTION(S) Pan American Health Organization FOCAL PERSON n Bryna Brennan E-mail: brennanb@paho.org OVERALL GOALS Create risk communication skills that are replicable. TARGET AUDIENCE Communicators (MOH) and epidemiologists. TARGETED COMPETENCIES Communication, both external and internal. MAIN TOPICS Risk and outbreak communication, media training. FORMAT Workshops, Training of trainers. LANGUAGE(S) Spanish, English, Portuguese. LENGTH 2½ days. EVALUATION MODALITIES Form. COUNTRIES WHERE IMPLEMENTED Most countries in region. SUMMARY OF EVALUATION RESULTS Need for more training. SUCCESSES First announcements. CHALLENGES Politics. COMMENTS Risk communication is a key public health tool for all public health emergencies.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Hands-on regional training for PCR-based diagnosis of influenza RESPONSIBLE INSTITUTION(S) World Health Organization Regional Office for South-East Asia FOCAL PERSON n Rajesh Bhatia Tel: +911123370804 Email: bhatiaraj@who.int OVERALL GOALS To build regional capacity in influenza diagnosis. TARGET AUDIENCE Laboratory personnel from national influenza centres and influenza labs. MAIN TOPICS n PCR technology. FORMAT Face-to-face (hands-on). LANGUAGE(S) English. LENGTH 6 days. CERTIFICATION None. EVALUATION MODALITIES Participation in EQAS. COUNTRIES WHERE IMPLEMENTED NIC Thailand at Nonthaburi organized and 15 participants from nine SEAR countries participated.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization On-site training in PCR diagnosis of influenza RESPONSIBLE INSTITUTION(S) World Health Organization Regional Office for South-East Asia FOCAL PERSON n Rajesh Bhatia Tel: +911123370804 Email: bhatiaraj@who.int OVERALL GOALS To build national capacity in influenza diagnosis. TARGET AUDIENCE Laboratory staff from IG Memorial Hospital, Male. MAIN TOPICS n PCR technology. FORMAT Face-to-face. LANGUAGE(S) English. LENGTH 10 days. CERTIFICATION None. EVALUATION MODALITIES Participation in EQAS. COUNTRIES WHERE IMPLEMENTED Maldives, Oct–Nov 2009, 7 laboratory staff.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Early warning system training module MAIN TOPICS Prioritization, case definition, indicators, data collection, data flows and task, principle of surveillance, IHR 2005, component of a national surveillance system, data analysis interpretation, GIS in EWAR, outbreak investigation, evaluation, capture/re-capture methods. FORMAT n Comprehensive module in CD and downloading from the web. n Case study as the backbone of training. RESPONSIBLE INSTITUTION(S) World Health Organization Regional Office for South-East Asia FOCAL PERSON n Augusto Pinto Tel: +66819215497 Email: pintoa@searo.who.int n Yolanda Bayugo Tel: +41793227568 Email: bayugo@who.int OVERALL GOALS Strengthening capabilities on setting up, implementing and evaluating an early warning (EWAR) system at country level. TARGET AUDIENCE Health professionals involved in surveillance and response activities at central, intermediate and peripheral level. TARGETED COMPETENCIES Assessing EWAR, define priority health events, setting up event management system and indicators based system, implementing a EWAR, reporting, data analysis, triggering a response, evaluating the system. LANGUAGE(S) English. LENGTH 16 hours. CERTIFICATION Certificate of participation. EVALUATION MODALITIES Peer review and participant evaluation for each topic. COUNTRIES WHERE IMPLEMENTED Indonesia (only the table top exercise). SUMMARY OF EVALUATION RESULTS Extremely interesting and interactive exercise, simulating the real whole EWAR system. CHALLENGES Needs to identify trainers at country level able to carry out the whole package.

WHO SEARO/DR. FLAVIA RICCARDO

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

COMMENTS After completing the materials for this module, we performed a table top exercise to test the effectiveness of this material. The technical material should be used as support material by the local trainers upon request of participants or according to the needs of the audience. The training materials were developed with the involvement of colleagues from Epiconcept and the United Nations Relief and Works Agency for Palestine Refugees (UNRWA). FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.searo.who.int/EN/Section10/ Section369/Section2454.htm

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Outbreak investigation training package RESPONSIBLE INSTITUTION(S) World Health Organization Regional Office for South-East Asia FOCAL PERSON n Augusto Pinto Tel: +66819215497 Email: pintoa@searo.who.int n Yolanda Bayugo Tel: +41793227568 Email: bayugo@who.int OVERALL GOALS To provide trainers with the tools and technical contents for teaching outbreak investigation in an interactive manner, how to conduct the training, options to adapt training based on needs, using materials applicable in field settings. TARGET AUDIENCE Heath professionals involved in outbreak investigation (rapid response teams) at peripheral, intermediate and central levels. TARGETED COMPETENCIES n How to conduct an outbreak investigation in the field, how to interpret the findings and how to organize the appropriate response. n Laboratory support and specimen collection n Infection control n Outbreak communication. MAIN TOPICS n Outbreak investigation principles and best practices n Analytical studies n Specimen collection, safe transport and biosafety n Infection control during outbreak investigation n Outbreak communication. 40 CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

WHO SEARO/A.PINTO/Y.BAYUGO/J.BALLACILLO

FORMAT CD and face to face with several tools for interactive learning activities e.g., outbreak investigation card game, skills stations, case studies, interactive presentations. LANGUAGE(S) English. LENGTH 3 days. CERTIFICATION Certificate of participation. EVALUATION MODALITIES Daily topic peer review and participant final evaluation. COUNTRIES WHERE IMPLEMENTED Indonesia, Thailand, countries along the Mekong River (through regional trainings), Maldives, Myanmar border camps. SUMMARY OF EVALUATION RESULTS Extremely interactive, full participation of trainees, great enthusiasm for use of innovative learning methods.

SUCCESSES Fully accepted by FETP Indonesia and the Ministry of Health in Thailand for the innovative methodologies. CHALLENGES Allow national trainers to become fully aware and confident of new teaching/learning methods to apply at all levels in their country. COMMENTS The teaching and learning processes in the field of outbreak investigation need continued research and innovation in simplifying concepts and technical contents. This will allow front line health staff to become fully capable in conducting an outbreak investigation. The case studies were developed by front-line health workers supported by technical experts from WHO and CDC. FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.searo.who.int/EN/Section10/ Section369/Section2454.htm

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Respiratory Infection Prevention and Control MAIN TOPICS Advocates a ‘generic’ approach to infection control for infectious respiratory diseases, but materials focus on influenza and TB. FORMAT Reference manual, trainers manual, trainees manual, quick reference card, powerpoint presentations, exercises, skill stations. LANGUAGE(S) RESPONSIBLE INSTITUTION(S) World Health Organization, Regional Office for South-East Asia US Center for Disease Control and Prevention Regional Emerging Diseases Intervention (REDI) Centre Jhpiego, an affiliate of Johns Hopkins University FOCAL PERSON n Dr. Richard Brown Tel: +6625901515 Email: brownr@searo.who.int OVERALL GOALS A standardized learning resource package based on WHO guidelines, available and accessible for use by national and local infection prevention and control teams TARGET AUDIENCE Health-care professionals (especially trainers) hospital managers. TARGETED COMPETENCIES Improved technical knowledge of infection control, practical skills in use of PPE, handwashing: adult training methodologies (for TOT). Source document English, but translated into Vietnamese, Chinese. LENGTH Direct delivery of RIPC curriculum 3 days, but TOT 4–5 days. CERTIFICATION Approved by World Health Organization, South-East Asia Regional Office. EVALUATION MODALITIES Questionnaire and verbal feedback on completion of TOT. COUNTRIES WHERE IMPLEMENTED Multi country TOTs held in Bangkok and Delhi with participants from Bangladesh, Bhutan, Cambodia, China, India, Indonesia, Lao People’s Democratic Republic, Maldives, Myanmar, Nepal, Philippines, Sri Lanka, Thailand, Viet Nam. National training held in China, Myanmar, Nepal and Viet Nam. SUMMARY OF EVALUATION RESULTS Strongly supported technical content and training approach. Skill stations (‘hands on’ training) were considered to be extremely useful.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

SUCCESSES Successful roll-out of training; very positive feedback from trainees. CHALLENGES Implementation of the organizational changes required to practice IC in a safe environment. FURTHER INFORMATION Organization web site or URL where the materials can be found: A link will be provided from the WHO SEARO web site. Materials also available at ftp://203.146.168.140/ Username: ripc Password: ripc

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Infection-control measures for health care of patients with acute respiratory diseases in community settings RESPONSIBLE INSTITUTION(S) World Health Organization Department of Human Resources for Health (HRH) Biorisk Reduction for Dangerous Pathogens (BDP) FOCAL PERSONS n Mwansa Nkowane E-mail: nkowanemwansa@who.int Telephone: + 41 22 7914314 n Carmem Pessoa Da Silva E-mail: pessoasilvacl@who.int Telephone: + 41 22 79 12844 WHO/MARIE-HÉLÈNE VANNSON WHO/MARIE-HÉLÈNE VANNSON

OVERALL GOALS To prevent or reduce the spread of epidemicand pandemic-prone acute respiratory disease associated with health care in the community. TARGET AUDIENCE n Trainers in WHO Collaborating Centers for Nursing and Midwifery Development in EMRO, SEARO and WPRO n Various communities in Bahrain, China, Egypt, China, Hong Kong SAR, Jordan, Republic of Korea, Thailand. TARGETED COMPETENCIES n Identify patients with symptoms of Acute respiratory diseases (ARDs) n Increase community awareness of ARDs of potential concern n Demonstrate safe techniques of for caring for patients at home and community clinics n Identify and describe measures for safe health care in a clinic setting n Describe measures to enhance the safety of Community Health Workers (CHWs) and other Health-care Workers (HCWs).

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

MAIN TOPICS n Understanding ARDS and ARDS of potential concern n ARDs and Home Care n Keeping CHWs and HCWs Safe n ARDS and the Clinic FORMAT Face-to-face, blended. LANGUAGE(S) English and other main languages of each of the countries indicated above. LENGTH Varied, depends on audience (3–5 days). EVALUATION MODALITIES n Repeat demonstrations n Questions and answers COUNTRIES WHERE IMPLEMENTED n Geneva, September 2008: Training of Trainers (10 participants) n Shandong, Jinan, China, October 2008. Training of health workers (180 participants) n Various trainings in the implementing countries above in varied contexts (table will be presented during meeting). SUCCESSES n WHO ARD training package translated and adapted n Training of a broad range of health workers and community members n Future plans developed n Dissemination of training package and other accompanying materials through web sites etc n A Network of Collaborating Centres (EMRO; SEARO; WPRO) built around a common issue.

CHALLENGES n Training may emphasize acquisition of learning objective neglecting the teaching skills which are critical especially, interactive learning methods including adult learning teaching methods n Prevention programmes presented to the community may not be perceived as a need. n Translation of messages has a risk of distorting the messages if not closely monitored and appropriately adapted n Some areas of training needs were identified e.g. droplet versus airborne infections, intervention versus no intervention at preclinical stage, duration of hand washing, alcohol versus non alcohol based solutions n Improving “working across WHO departments and units” on the subject area of infection control and prevention. COMMENTS Yonsei University, Faculty of Nursing, Republic of Korea, has been appointed to coordinate the activities. Ongoing technical support will be provided to regions and countries as required. FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.who.int/csr/bioriskreduction/ infection_control/publications/en/index.html http://flucommunitycare.org http://www.chinesenursing.org/ards/

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Regional workshop on infection control RESPONSIBLE INSTITUTION(S) WHO Regional Office for the Eastern Mediterranean(EMRO), Nursing and Allied Health Personnel FOCAL PERSON n Fariba Al-Darazi E-mail: aldarazif@emro.who.int n Selma Khamassi E-mail: khamassis@who.int n Mwansa Nkowane E-mail: nkowanemwansa@who.int n Marie Hélène Vannson E-mail: vannsonm@who.int OVERALL GOALS The goal of the workshop was to build capacity of front-line workers, especially nurses and midwives and health/programme managers on infection control of acute respiratory diseases as well as injection safety in the Eastern Mediterranean Region. TARGET AUDIENCE The participants were drawn from different levels of the health system, including managers at national and programme levels as well as front-line workers from Djibouti, Egypt, Jordan, Lebanon, Libyan Arab Jamahiriya, Morocco, occupied Palestinian territory, Sudan, Syrian Arab Republic and Tunisia. TARGETED COMPETENCIES n Application of infection control measures for health care of patients with acute respiratory diseases in community settings. n Delivery of safe injections and waste management. n Understanding on reducing excess mortality during influenza pandemic. MAIN TOPICS n Infection control and prevention of acute respiratory diseases in community settings n Safe injections and waste management n Reducing excess mortality during influenza pandemic FORMAT Face-to-face. LANGUAGE(S) English with Arabic interpretation during the workshop. LENGTH 3 days. CERTIFICATION None. EVALUATION MODALITIES n Micro-teaching observations n Peer evaluation n Questions and answers COUNTRIES WHERE IMPLEMENTED Workshop took place in Beirut, Lebanon 27–30 July 2009 SUMMARY OF EVALUATION RESULTS Twenty three (23) participants oriented in the above subjects. The majority of participants were nurses and midwives (20) and three physicians. Participants’ evaluation was positive.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

SUCCESSES n Each country developed draft action plans on infection control including acute respiratory diseases and injection safety. n Network of partners established. n Recommendations on follow up developed. CHALLENGES Workshop mainly given in English. A few participants were not fluent in English. Limited financial support to support all planned activities. COMMENTS As a result of this meeting a follow-up meeting to develop a regional action framework on infection control is planned for October 2010. FURTHER INFORMATION Organization web site or URL where the materials can be found: http://www.who.int/crs/bioriskreduction/infection control/publications/en/index.html http://www.who.int/injection_safety/en/

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization IMAI (Integrated Management of Adolescent and Adult Illness) Quick check and emergency treatment and management of severe respiratory distress and shock training course RESPONSIBLE INSTITUTION(S) World Health Organization FOCAL PERSON n Sandy Gove MD E-mail: goves@who.int n Hillary Cohen MD n Janet Diaz MD E-mail: diazj@who.int OVERALL GOALS Build capacity in clinical skills and implementation of emergency triage and emergency treatments of medical patients, with focus on management of severe respiratory illness and shock. TARGET AUDIENCE Nurses, doctors, clinical officers, clinical technicians, auxiliary staff and administrators at the District Hospital Level in limited resource setting without mechanical ventilation for medical patients. TARGETED COMPETENCIES Clinical triage skills to identify and treat patients with emergency signs. Clinical reasoning and management skills to treat patients with severe respiratory illness and shock, as can be seen with severe pandemic H1N1 influenza. The later competencies include: clinical reasoning, close patient monitoring, responding to changes in clinical status, and specifically adjusting oxygen and fluid treatments. MAIN TOPICS Quick Check and Emergency Treatments for medical emergencies associated with airway, breathing, circulation, and coma/convulsions. Followed by urgent management and specific ongoing management for the severely ill patient with acute respiratory distress associated with pneumonia and shock. Short infection control session will also be covered. FORMAT 16 modules compromised of short, interactive lectures, skill stations, role play, simulations, EPT and hospital visits. Parallel training with separate tracks for nurses, clinicians, administrators and auxiliary staff. Small group facilitation. Materials include an oxygen video, oxygen poster, Quick Check Wall Poster and manuals for participants, facilitators and course director. LANGUAGE(S) English. LENGTH 4 days. CERTIFICATION Attendance. EVALUATION MODALITIES Daily feedback, standardized end-of-week feedback, pre- and post–test and 3, 6 and 12 month follow-up surveys. COUNTRIES WHERE IMPLEMENTED Malawi, Uganda, Ethiopia, Rwanda. SUMMARY OF EVALUATION RESULTS Overall well received. Significant improvement between pre- and post-test results.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

SUCCESSES Increased local capacity and enthusiasm to implement locally. CHALLENGES Time to deliver entire course content. COMMENTS None. FURTHER INFORMATION Organization web site or URL where the materials can be found: Clinical management of adult patients with complications of H1N1 influenza: Emergency guidelines for the management of patients with severe respiratory distress and shock in district hospitals in limited-resource settings will be available shortly in the GIP publications section. Request access to IMAI EZ Collab by sending email to: imaimail.who.int

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Pandemic communications: principles, lessons learned and way forward RESPONSIBLE INSTITUTION(S) Regional Office for the Eastern Mediterranean, World Health Organization FOCAL PERSON n Omid Mohit E-mail: monitor@who.int Telephone: +2027953756 OVERALL GOALS To facilitate improved communications with regard to media relations and health promotion within the context of Pandemic (H1N1) 2009 Influenza TARGET AUDIENCE Countries within the Eastern Mediterranean Region. TARGETED COMPETENCIES Advocate for an integrated approach towards communications for Pandemic (H1N1) 2009 Influenza. MAIN TOPICS n Pandemic (H1N1) 2009 Influenza communication issues n WHO Pandemic (H1N1) 2009 Influenza communication of experiences and lessons learned during the acute phase n Country experiences in communicating during the pandemic n WHO risk communication principles n Pandemic communications strategy development n Communication challenges and issues on Pandemic (H1N1) 2009 Influenza vaccine delivery and uptake n Importance of multisectoral collaboration n Health promotion and social mobilization n Communication for behavioural impact (COMBI) FORMAT Face-to-face The module included structured lectures on theories of risk communications, presentations on experiences and lessons learned at the global, regional and country levels and simulation exercises as a means to stimulate discussion and enabled participants to practice application of theories in different challenging scenarios. LANGUAGE(S) English, Arabic. LENGTH 5 days. CERTIFICATION Provided by WHO EMRO for participation in the workshop. EVALUATION MODALITIES Satisfaction evaluation carried out at the end of the workshop together with several sessions of discussion on implementation at different country settings. COUNTRIES WHERE IMPLEMENTED 15–19 February 2010, Lebanon, for all EMRO countries. SUMMARY OF EVALUATION RESULTS Participants were stimulated and found the theories and scenarios very interesting. They suggested more time be allocated to sessions on sharing of experiences from individual countries. SUCCESSES The training was well received by the participants. CHALLENGES Aspects of different kinds of communications – media relations, risk communications, health promotion, social mobilization, communication for behavioural impact, coordination and partnership – were addressed within a limited time frame. CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Workshop on communicating effectively in support of pandemic A(H1N1) 2009 vaccines distribution and uptake RESPONSIBLE INSTITUTION(S) World Health Organization, Headquarters and Regional Office For Africa FOCAL PERSON n Gregory Hartl E-mail: Hartlg@who.int Telephone: +41 22 7914458 OVERALL GOALS Integrated communications training, stretching from mass media to community-level communications. TARGET AUDIENCE Ministries of Health, Country officers. TARGETED COMPETENCIES Media communications, social mobilization, message development, organizing communications responses. MAIN TOPICS n Communications during acute public health events n Communicating public health risks n Communications in support of pandemic vaccine distribution and uptake n Media Communications n Social Mobilization. FORMAT Face-to-face The modules included risk communication theories with scenarios/ exercises ranging from dealing with issues related to acute public health events like an outbreak of an infectious disease like cholera to managing rumours like a situation with adverse event related to immunization. A module also included exercises to assist with output of communications strategy to support Influenza (H1N1) 2009 vaccine uptake with priority groups. LANGUAGE(S) English. LENGTH 3 days. COUNTRIES WHERE IMPLEMENTED 3–5 May 2010, Zimbabwe, for Anglophone AFRO countries. SUMMARY OF EVALUATION RESULTS Workshop evaluations indicate overall agreement to work on next steps for WHO HQ and WHO AFRO to assist countries with the completion of their communications strategies for vaccination to priority groups, and begin a larger macro discussion to look at the willingness of the group to consider inter-country support to one another during public health crises. Several group members requested additional training opportunities and are eager to engage in “training the trainers” to build country and regional capacity for outbreak communications.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

SUCCESSES Overall evaluation indicated that the following three sections of the workshop were the most beneficial: n Communications strategy formulating n Practicing risk communications n Practicing media communications. COMMENTS Recommendations for completion of Communications Planning for H1N1 vaccine deployment 1. Need access to resource materials from workshop to enable participants to brief their own teams (this is being sorted out with Andy). 2. Submit next steps and work through the communications plan that took shape during Days 2 and 3 (defining objectives, identifying priority groups and working on messages and channels of communications for various groups). 3. Review of next steps and communications plans by AFRO and HQ with feedback, questions and ongoing support during H1N1 vaccination programmes. 4. Any additional technical information to help attendees deal with media questions pre, during and post vaccine programmes.

Recommendations and considerations for regional crisis communications support 1. Contact list to be circulated (done). 2. General consensus that direct contact with MoH and WHO colleagues in AFRO countries that have embarked on vaccination program would be beneficial. 3. General consensus that emergency communications capacity within the region needs to be formalized, with next steps established, particularly with those countries who have had more experience with disease outbreaks. 4. Related to above item, clear requirement of increased and regular capacity building for risk communications. This should include: • Risk and general communications training for senior level Ministry of Health staff • Training the trainers at a regional level so that the learning is cross-cutting. 5. Assistance with general outbreak materials to help educate the media and consider educational workshops for media as well. 6. Create a network capable of providing mutual support in acute public health events, whereby Communications staff from Country A would be in a position to support Country B when a large event occurs.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Meeting of health promotion, risk and social communications staff towards an integrated approach to pandemic A(H1N1) 2009 influenza communications RESPONSIBLE INSTITUTION(S) World Health Organization FOCAL PERSON n Gregory Hartl E-mail: Hartlg@who.int Telephone: +41 22 7914458 OVERALL GOALS Share experiences, identify common concerns, challenges and needs for cross-cutting issues such as communication, media, social mobilization and health education and promotion. It also provided an opportunity to discuss how to address the social and behavioural dimensions for prevention and control of Pandemic (H1N1) 2009 Influenza and how to better support member states in this work. TARGET AUDIENCE WHO communication officers working on pandemic Pandemic (H1N1) 2009 Influenza at Headquarters and regional offices. TARGETED COMPETENCIES The discussions focused on good practices, sharing of experiences and lessons for improving support to WHO country offices and member states in pandemic Pandemic (H1N1) 2009 Influenza communications. MAIN TOPICS n Identification and improvement of key areas of support for WHO country offices and member states. n Organization of communication response for pandemic Pandemic (H1N1) 2009 Influenza at WHO HQ, and regional offices. n Development of a communications strategy for vaccine distribution. n Collaboration with partner organizations n Use of mainstream media and alternative media n Health promotion and social mobilization n Funding situation. FORMAT Face-to-face. LANGUAGE(S) English. CERTIFICATION Not applicable. EVALUATION MODALITIES Evaluation was done in the form of discussion. COUNTRIES WHERE IMPLEMENTED 30 November 2009, France. SUMMARY OF EVALUATION RESULTS Continued discussion is needed to map out support for WHO country offices and member states. SUCCESSES The first face-to-face meeting of WHO communications officers working on media relations and health promotion with regard to pandemic Pandemic (H1N1) 2009 Influenza following the announcement of the pandemic was very useful and helped put into perspective the importance of looking into different aspects of communication – media relations, health promotion and social mobilization. CHALLENGES Most participants felt that one day was too short to discuss in-depth and clearly map out details of the support WHO could provide to Member States.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

COMMENTS The following points were raised as recommen dations and next steps: n Map current communication and training needs at country level. n Identify the core elements of risk communication training – the IHR core competencies can be used as an entry point. n Mentor champions: it is important to continue to support the work and training of those who are outside of the WHO, but are also working towards the same public health goals. n Develop a combination training package, including modules and material on risk communication, health promotion and education, social mobilization. n Develop Training of Trainers modules. n Find complementary/alternative training solutions using online training and e-learning models. n Expand training modules, adding one on epidemiology as risk communicators would benefit from a better understanding of the science of outbreaks.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Community case management during an influenza pandemic RESPONSIBLE INSTITUTION(S) World Health Organization FOCAL PERSONS n Yolanda Bayugo, Training Officer E-mail: bayugo@who.int Telephone: +412279 13081 n Marie Hélène Vannson, Training Officer E-mail: vannsonm@who.int Telephone: +412279 15517 OVERALL GOALS The training package has been developed to insure that community-based health workers are prepared to continue to provide health care during an influenza outbreak and to provide health services to communities in conjunction with home-based care and other levels of care. TARGET AUDIENCE Community-based health workers. TARGETED COMPETENCIES n Explain pandemic influenza and its impact at the community level n Discuss the roles of CHWs during a pandemic influenza outbreak n Define signs and symptoms of influenza-like illness (ILI) n Assess and identify patients with ILI signs and symptoms and groups at increased risk for severe illness and acquiring influenza n Recognize the danger signs of ILI, and describe when and how to refer severely ill patients n Provide information and services for the homebased care of ILI at the community level

WHO/HEATHER PAPOWITZ WHO/MARIE-HÉLÈNE VANNSON

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

n Provide further assessment, treatment and follow-up for patients with ILI, including treatment of common diseases which may co-occur with or be part of the differential diagnosis of influenza (fever, malaria, pneumonia and diarrhoeal diseases) n Conduct community education activities and deliver appropriate messages specific to the prevention and control of pandemic influenza n Demonstrate understanding of how CHWs can protect themselves while providing care to others n Develop a draft reporting plan to guide the recording and monitoring of CHW activities related to pandemic influenza preparedness and outbreak response in their communities. MAIN TOPICS Six modules: n Pandemic influenza and its impact on the communities n Key interventions and messages for the prevention and control of pandemic influenza in the community and the home n Assessment and treatment of diseases in the community n Community health education and social mobilization n Protection of the community health worker n A framework for monitoring and reporting pandemic influenza preparedness and response activities. FORMAT n Face-to-face n Trainers’ guide + Participants’ handouts + Flipbook

LANGUAGE(S) English French (June 2010) LENGTH 3-day training course. EVALUATION MODALITIES n Pre- and post-test n Training evaluation forms n Daily and end of training course debriefing sessions n (Assessment table for implementation at national level). COUNTRIES WHERE IMPLEMENTED Field test and TOT in Juba, southern Sudan, December 2009. 16 facilitators trained and 20 trainees from the 10 states. SUMMARY OF EVALUATION RESULTS n Need to simplify some of the content and review the flow of the document. n Flow charts, flipbook and exercises appreciated. SUCCESSES Package and curriculum well received. Interest from MoH and the participants. Very good involvement from facilitators and participants, providing suggestions and corrections for the training package. FURTHER INFORMATION bayugo@who.int or vannsonm@who.int

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Key messages for home-based care during an influenza pandemic FORMAT Community level approach LANGUAGE(S) Depends on the context LENGTH The project can take anywhere from 4 weeks to 3 months to implement. EVALUATION MODALITIES Development of an evaluation protocol utilizing focus group discussions, structured interviews (questionnaire), unstructured observation and semi-structured interviews. COUNTRIES WHERE IMPLEMENTED Sierra Leone, December 2009, Ecuador, November 2009 and Tajikistan, December 2009. SUMMARY OF EVALUATION RESULTS To be completed. COMMENTS This project is not a training course; instead it involves adapting home-based care messages to specific cultural contexts.

n Cultural sensitivity.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

WHO/METTE BOATMAN

WHO/JULIENNE AMOKO

RESPONSIBLE INSTITUTION(S) World Health Organization FOCAL PERSON n Anna Bowman E-mail: bowmana@who.int Telephone: +41 (22) 791 26 41 OVERALL GOALS The project focuses on translating the bestavailable technically-sound messages on home care for pandemic influenza into feasible, user-friendly, culturally acceptable messages for people living in remote, under-resourced communities. TARGET AUDIENCE People involved in the production of health-care messages for pandemic influenza. MAIN TOPICS n Home-based care messages n Community communications

World Health Organization Training package on influenza including pandemic A(H1N1) 2009 influenza TARGETED COMPETENCIES n Provide an overview of influenza and the virus n Explain epidemiology of influenza/pandemic influenza n Explain the fundamentals of infection prevention strategies n Treat pandemic influenza patients at home and in health facilities n Explain immunization recommendations and strategies for the seasonal and pandemic (H1N1) influenza 2009 vaccines n Explain the goals and methods of surveillance during a pandemic n Explain individual and public health measures to mitigate the impact of influenza pandemic n Explain the key messages for communities to protect about how communities can take care of household members who are ill at home and when to seek health care n Identify key operational principles in preparedness planning. MAIN TOPICS Overview of Pandemic (H1N1) 2009; seasonal and pandemic influenza; infection prevention and control; case and clinical management; seasonal and pandemic influenza vaccines; surveillance; public health and individuals measures to mitigate the impact of influenza pandemic; informing the community; pandemic operations and preparedness planning. FORMAT Web-based. LANGUAGE(S) English. LENGTH Self-paced. 58 CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

RESPONSIBLE INSTITUTION(S) World Health Organization FOCAL PERSON n Marie Hélène Vannson, Training Officer E-mail: vannsonm@who.int Telephone: +412279 15517 n Yolanda Bayugo, Training Officer, E-mail: bayugo@who.int Telephone: +41227913081 OVERALL GOALS The e-learning tool will contain the basic and crucial technical and operation guidance on influenza and Pandemic A(H1N1) 2009 response and health systems management. The aim of this is to provide updated information to technical officers and program managers on influenza and pandemic response. TARGET AUDIENCE n Technical officers/programme managers running health programmes n Health staff involved in pandemic and outbreak response.

World Health Organization Influenza training digital library RESPONSIBLE INSTITUTION(S) World Health Organization FOCAL PERSON n Yolanda Bayugo, Training Officer, E-mail: bayugo@who.int Telephone: +41227913081 n Marie Hélène Vannson, Training Officer E-mail: vannsonm@who.int Telephone: +412279 15517 OVERALL GOALS To provide a common repository of standardized material from multiple and diverse international partners involved in the delivery of training on influenza and relevant topics. TARGET AUDIENCE Trainers, public health staff, health workers. TARGETED COMPETENCIES Inform users on the different aspects of influenza. MAIN TOPICS n Animal issues n Case investigation n Clinical and case management n Communications n Ethics n General information on influenza n Pandemic A(H1N1) 2009 n Infection control n International Health Regulations (IHR) n Laboratory issues n Pandemic preparedness n Pharmaceutical interventions

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n Public health measures n Rapid containment n Surveillance n Trainer’s corner n Vaccines FORMAT Online collection of training materials and relevant documents. LANGUAGE(S) English (French, Russian and Spanish interface will follow soon). LENGTH N/A CERTIFICATION N/A EVALUATION MODALITIES Influenzatraining.org dashboard – web hits. COUNTRIES WHERE IMPLEMENTED Worldwide – web platform, online since 2009 May.

SUMMARY OF EVALUATION RESULTS During February 2010 (monthly evaluation): n Visits: 195 (Previous: 234) n Page views: 775 (Previous: 843) n Pages/visit: 3.97 (Previous: 3.60) n Bounce rate: 45.13% (Previous: 50.43%) n Avg. time on Site 00:04:36 (Previous: 00:02:50) n New visits: 63.08% SUCCESSES Continuous upload of training materials and documents. CHALLENGES Review of new training materials. Uploading of materials by partners. FURTHER INFORMATION Organization web site or URL where the materials can be found: www.influenzatraining.org

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization Pandemic preparedness exercise training project TARGET AUDIENCE n WHO staff at regional and sub-regional level responsible for pandemic influenza preparedness and/or training on influenza related topics n WHO staff who provide technical assistance to member states in the development of pandemic preparedness plans n Partners (other agencies) at national and international level who provide support to ministries of health and other government agency staff who are charged with the preparation and operability of emergency and pandemic plans RESPONSIBLE INSTITUTION(S) World Health Organization FOCAL PERSON n Yolanda Bayugo, Training Officer, E-mail: bayugo@who.int Telephone: +41227913081 n Marie Hélène Vannson, Training Officer E-mail: vannsonm@who.int Telephone: +412279 15517 OVERALL GOALS To assist Member States build capacity on developing and facilitating exercise to improve pandemic preparedness. n Staff from Member State governments responsible for pandemic influenza preparedness and response related topics. TARGETED COMPETENCIES n Differentiate the types of exercises with respect to ease of application, costs, planning requirements and outputs n Determine the best type of exercise for a given objective n Analyse the national preparedness and response plans to prioritize areas needing validation n Conduct a needs and capacity assessment prior to planning a pandemic preparedness exercise programme n Plan a pandemic preparedness exercise program n Provide relevant facilitation skills necessary for exercise management n Create the capacity to capture the result of pandemic preparedness exercises (After Action Reports, other forms of evaluation) with concrete actions for improvement.

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MAIN TOPICS n Exercise management n Pandemic preparedness exercise n Health-facility preparedness FORMAT Distance learning (online and CD version) and faceto-face formats. LANGUAGE(S) English. LENGTH Distance learning – self-paced. Face-to-face – three to four days. CERTIFICATION The distance learning component has a certificate of completion to move to face-to-face format. EVALUATION MODALITIES The distance learning has a built-in test. The faceto-face format has facilitator-assisted evaluation modality.

COUNTRIES WHERE IMPLEMENTED N/A SUMMARY OF EVALUATION RESULTS N/A CHALLENGES To deliver a training package on pandemic preparedness exercise management technically in line with the industry standard, that is both learner- and user-friendly. FURTHER INFORMATION Organization web site or URL where the materials can be found: Under construction

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World Health Organization Second WHO IATA licensing workshop for countries in the Americas (AMRO) RESPONSIBLE INSTITUTION(S) World Health Organization Regional Office for the Americas FOCAL PERSON n Christian Fuster E-mail: fusterc@who.int Telephone: +410227912869 OVERALL GOALS Objective of the workshop is to strengthen Global Influenza Surveillance Network (GISN) shipping capacity by improving the understanding of the IATA international regulations for Dangerous Goods. TARGET AUDIENCE Heads of National Influenza Centres, Heads of laboratories nominated by MoH. MAIN TOPICS Shipping of Dangerous Goods, GISN, Shipment Fund Project. FORMAT Face-to-face, distance, blended. LANGUAGE(S) English. LENGTH 5 working days (2 days, 1 day plenary session, 2 days). CERTIFICATION Yes. EVALUATION MODALITIES 3 hour examination to evaluate their knowledge and for capacity testing. COUNTRIES WHERE IMPLEMENTED 19–23 October, Costa Rica, 26 participants. SUMMARY OF EVALUATION RESULTS 3 out of 26 participants did not obtain the IATA certification.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

Biosafety-level 3 Training

RESPONSIBLE INSTITUTION(S) WHO Lyon Office – International Health Regulations Coordination WHO Global Influenza Programme Emory University – Center for Public Health Preparedness and Research – Rollins School of Public Health FOCAL PERSONS For WHO: n Dr Sébastien Cognat E-mail: cognats@who.int Tel: +33472715163 n Dr Wenqing Zhang, E-mail: zhangw@who.int Tel: +41227914282 For Emory University: n Prof Sean Kaufman E-mail: sgkaufm@sph.emory.edu Tel: +1 4047272729 OVERALL GOALS The goal of the programme is to provide participants with the skills needed to modify behavioral practices in high-containment environments. TARGET AUDIENCE Laboratory staff working on a daily basis in high-containment laboratories (scientists, microbiologists, senior technologists, biosafety officers). BSL3 facility director or scientist from each of the NICs who have access to work in a BSL3 facility in their respective country.

TARGETED COMPETENCIES Understand and apply standard biosafety practices in biosafety-level 3 laboratories. MAIN TOPICS n Engineering controls n Administrative controls n Personal protective equipment controls n Workplace practice controls FORMAT Face-to-face, Laboratory practice training. LANGUAGE(S) English. LENGTH 5 days. CERTIFICATION Upon successful completion of the course, participants received a certificate stating the completion of 25 hours of biosafety training. EVALUATION MODALITIES n Participants from both sessions were asked to complete daily and final evaluations on the overall course. This allowed instructors to learn what participants liked and did not like throughout the training experience. n Two written assessments (pre and final), three quizzes (mid-course assessment), and a final observational assessment. n Following completion of the course, each participant is asked to agree or disagree with the following statement: “Upon completion of this course, I plan on changing a laboratory behavior.”

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

COUNTRIES WHERE IMPLEMENTED In November of 2009, two biosafety training sessions were facilitated and evaluated at the “Agence française de sécurité sanitaire des aliments” (AFSSA) BSL3 laboratory, Lyon, France, targeting 17 professionals working in the National Influenza Centers of the following countries: Brazil, Cambodia, Chile, China, Cuba, Czech Republic, Egypt, French Guiana, India, Republic of Korea, Morocco, Peru, Senegal, Sri Lanka, Thailand, Uganda, Viet Nam. SUMMARY OF EVALUATION RESULTS n Satisfaction: Overall, participants rated the courses highly. All agreed thattheir awareness, knowledge and skills were increased as a result of the course, and were satisfied with the instructors and the course, and would recommend the course to other professionals looking for biosafety training. n Knowledge acquisition: the results of the written assessment showed progression in knowledge acquisition (from 18% of good answers in the pre-test to 95% for the post-test). n Behaviour change: Overall, most participants responding agreed they would change a laboratory behavior as a result of this course. SUCCESSES The course was very well received by participants. CHALLENGES Monitoring and evaluation of impact at field level.

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World Health Organization International health regulations implementation course (IHR i-course) TARGET AUDIENCE Key IHR players: n Professionals from National IHR Focal Points n Public health professionals n Professionals from related public or private sectors: quarantine, agriculture, transport and trade, tourism, education, and from national or international organizations. Each cohort of participants will also include WHO staff from Country Offices and Regional Offices. TARGETED COMPETENCIES RESPONSIBLE INSTITUTION(S) WHO Lyon Office International Health Regulations Coordination FOCAL PERSON n Mrs Paula Gomez E-mail: gomezp@who.int Telephone: +33 26 99 27 60 n More information and applications: http://www.who.int/ihr/training/ihrcourse/ OVERALL GOALS n Strengthen critical human resources engaged in the set-up and management of systems for securing global public health under the International Health Regulation (IHR) implementation framework. n Develop communication capacities for efficient international collaboration. n Inform relevant stakeholders on the scope of the IHR n Communicate with WHO as set out in the IHR n Collect, analyze and disseminate critical public health information n Lead or interact with staff responsible for carrying out risk assessment n Lead or interact with sectors/staff engaged in the strengthening/acquisition of core public health capacities n Trigger appropriate legislative, regulatory, and organizational reforms n Plan, coordinate, monitor and assess IHR implementation n Manage an emergency situation effectively n Assess national vulnerability in health systems for effective IHR implementation n Assess all actions in light of other areas of international law n Train relevant professionals in IHR implementation.

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MAIN TOPICS n International health regulations n National legislation n IHR core capacities n National IHR focal point n Human rights n Management of emergencies n Information management n Health risk assessment n Communication n Health systems, planning n Monitoring n Evaluating n Training design FORMAT 210 hours of content delivered through blended learning over a 4-month period, including: n 10 weeks distance learning with tutoring – 100 hours n 6 weeks break for individual projects – 30 hours n 2 weeks face-to-face regrouping session – 70 hours n 1 week distance-learning with tutoring – 10 hours Depending on the delivery mode, different instructional techniques will be combined, such as: n online interactive conferences n research projects n discussion forum facilitated by tutors n case studies with presentation of findings n simulations, exercises, etc.

LANGUAGE(S) English. LENGTH See format section above. CERTIFICATION A joint WHO and universities certificate will be delivered to successful trainees. EVALUATION MODALITIES n Evaluation of satisfaction carried out on a weekly basis. n Evaluation of skills and knowledge gained from the course will be carried out on a continuous basis. n Evaluation of the trainee’s portfolio provided at the end of the course. n Evaluation of behaviour changes at the workplace. COUNTRIES WHERE IMPLEMENTED First course organized 22 March–30 July 2010, with 37 participants from 32 countries in the 6 WHO Regions. Second course organized 13 September 2010– 21 January 2011: Apply now!

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World Health Organization IHR training site RESPONSIBLE INSTITUTION(S) World Health Organization FOCAL PERSON n Mr Sylvio Menna E-mail: mennas@who.int Telephone: +33 472 71 64 88 n Access now! https://extranet.who.int/ihr/training OVERALL GOALS The main goal of this site is to provide access to short educational materials on several topics related to the International Health Regulations (IHR). TARGET AUDIENCE The site targets professionals involved in the implementation of the IHR from Member States, WHO and relevant partners. TARGETED COMPETENCIES Topic-based. MAIN TOPICS International Health Regulations (generalities), IHR Annex 2, Risk communication (to be published in May 2010). FORMAT E-learning (online briefings). LANGUAGE(S) n Introduction to the IHR: Arabic, Chinese, English, French, Portuguese, Russian, Spanish n Introduction to the Decision Instrument – Annex 2: English, French, Spanish n IHR Briefing for WHO country offices and other WHO staff: English, French, Spanish n IHR Express Quiz: English

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LENGTH n Introduction to the IHR: 1 hour 30 minutes n Introduction to the Decision Instrument – Annex 2: 30 minutes n IHR Briefing for WHO country offices and other WHO staff: 1 hour n IHR Express Quiz: 10 minutes CERTIFICATION IHR Briefing for WHO country offices and other WHO staff: Certificate of completion for WHO staff (requirement for Heads of Country Offices). EVALUATION MODALITIES Expectations and satisfaction surveys. COUNTRIES WHERE IMPLEMENTED More than a thousand professionals have registered on the site since 2007. By the end of 2009, 70 national professionals from 65 countries had completed the briefing “Introduction to the IHR” and 447 WHO staff from 133 country offices or areas had completed the “IHR Briefing for WHO country offices and other WHO staff”.

SUMMARY OF EVALUATION RESULTS Qualitative evaluation results presently being analysed. SUCCESSES n The majority of WHO Country Offices have been targeted by the briefing. n The online training platform that was chosen for this project (Moodle) allowed the development of online briefings on tight deadlines (i.e. “IHR Briefing for WHO country offices and other WHO staff”) and managing several languages. This platform is seen as a potential WHO corporate tool for the development of online training. CHALLENGES n Information about the availability of Chinese, Arabic and Russian versions of the briefing should be widely disseminated to increase the uptake in these languages. n Have the site evolve on a continuous basis, using available e-learning methods and technologies to best meet the needs of the targeted audiences.

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World Health Organization Risk communication for public health emergencies TARGET AUDIENCE Participants should have: n some level of responsibility for public communication within their organization n a role in either supporting or taking public communication decisions n a role in developing emergency communication or an emergency management response system within their organization. TARGETED COMPETENCIES Advocate the development of a risk communi cation plan, more specifically in being able to: n define risk communication for public health emergencies, its required core capacities, and the assessment criteria to measure and track progress in this area of work n describe how effective risk communication supports other public health emergency functions n appreciate the risk communication complexity and challenge of the public health emergency environment. n develop a practical action plan for their organi zation to improve capacity for risk communication during public health emergencies. MAIN TOPICS n Transparency and information release n Communication coordination n Risk communication for public meetings and press conferences n Developing messages n Developing difficult questions n Listening to those affected or involved n Building risk communication capacity – national action plan 70 CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

RESPONSIBLE INSTITUTION(S) WHO Lyon Office International Health Regulations Coordination FOCAL PERSON n Mr John Rainford E-mail: rainfordj@who.int Telephone: +33 472 71 64 80 OVERALL GOALS To encourage and facilitate improved risk communication for public health emergencies among public health authorities and other partner organizations, through the building of risk communication core capacities as part of the surveillance and response requirements of the International Health Regulations.

FORMAT n Face-to-face n The module integrates a simulation exercise as a means of engaging participants, stimulating discussion and confront the real difficulties in this challenging area of work. LANGUAGE(S) English, French, Spanish (April 2010) LENGTH 3 days CERTIFICATION None EVALUATION MODALITIES Evaluation of satisfaction carried out at the end of the workshop, together with a discussion on concrete activities that will be implemented by the participants after the workshop. COUNTRIES WHERE IMPLEMENTED n The training was field tested in Nepal, Benin, Viet Nam and Peru. n The project objective is to develop a training toolkit to be used by the members of the Global Health Security Communication Network and other partner networks.

SUMMARY OF EVALUATION RESULTS Participant response and expert evaluation has strongly supported the active participation simulation-driven model used in the training. Additionally, it has been recommended that each regional version include local case studies as part of the presentations. SUCCESSES The training approach to introduce real-life risk communication decision-making challenges has been well received by participants and organizers. CHALLENGES The training package currently has scenarios for a water-borne infectious disease and a SARS outbreak, however, this should be expanded to reflect the scope of the IHR.

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World Health Organization Laboratory quality management system training toolkit RESPONSIBLE INSTITUTION(S) WHO Lyon Office International Health Regulations Coordination ihr@lyon.who.int CDC – National Center for Preparedness, Detection, and Control of Infectious Diseases QMS_toolkit@CDC.gov Clinical and Laboratory Standards Institute customerservice@clsi.org FOCAL PERSON For WHO: n Dr Florence Fuchs E-mail: fuchsf@who.int Telephone: +33 4 72 71 51 61 n Toolkit material available online: http://www.who.int/ihr/training/laboratory_ quality/en/index.html OVERALL GOALS This training toolkit is intended to provide comprehensive materials that will allow the design and organization of training workshops for all stakeholders in health laboratory processes, from management, to administration, to bench-work laboratorians. TARGET AUDIENCE Three generic types of audiences are targeted at all levels of the system (depending on the country): n laboratory directors n quality managers n laboratorians More audiences can be considered, depending on specific context.

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TARGETED COMPETENCIES Topic-based. MAIN TOPICS Facilities and safety, equipment, purchasing and inventory, sample management, introduction to quality control, quality control for quantitative tests, quality control for qualitative tests, audits. External quality assessment (EQA), norms and accreditation, personnel, customer service, occurrence management, process improvement, documents and records, information management, organization. FORMAT Face-to-face. LANGUAGE(S) English. French and Russian being developed. LENGTH Material provided for a 5-day workshop (maximum). CERTIFICATION None.

EVALUATION MODALITIES Suggestions for the development of an evaluation framework (satisfaction, knowledge and competencies acquisition, transfer at workplace) provided, together with examples of evaluation tools and questions for pre/post-tests. COUNTRIES WHERE IMPLEMENTED The toolkit is based on training sessions developed by CDC and WHO between 2003 and 2008 and targeting professionals from more that 30 countries, for example: Benin, Burkina Faso, China, Jordan, Iran, Iraq, Lebanon, Mauritania, South Africa, Sudan, the Syrian Arab Republic. SUMMARY OF EVALUATION RESULTS The toolkit in its present shape was released in 2009 and an evaluation framework will be developed to assess its future use in the field. SUCCESSES Positive feedback from participants and trainers. CHALLENGES Monitoring the use of toolkit once disseminated worldwide and evaluation of impact at field level.

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World Health Organization Biorisk management awareness training RESPONSIBLE INSTITUTION(S) World Health Organization International Health Regulations Coordination Laboratory Alliances and Biosafety FOCAL PERSON n Dr Nicoletta Previsani E-mail: previsanin@who.int Telephone: +41 79 500 65 46 OVERALL GOALS Raising awareness on biorisk management, more specifically on the CWA 15793 Laboratory Biorisk Management standard. TARGET AUDIENCE Laboratory managers, starting with central public health laboratories. TARGETED COMPETENCIES Understanding of the requirements set out in CWA 15793. MAIN TOPICS n Biorisk management system n Risk assessment n Pathogen and toxin inventory and information n General safety n Personnel and competency n GMT n Clothing and PPE n Human factors n Health care n Emergency response and contingency plans n Accident/incident investigation n Facility physical requirements n Equipment maintenance n Calibration and certification n Disinfection and decontamination n Transport procedures n Security FORMAT Face-to-face. LANGUAGE(S) English. LENGTH 2 days. CERTIFICATION None. However, participants take self-evaluating pre- and post-tests that are then discussed in plenary session. EVALUATION MODALITIES Satisfaction of participants. COUNTRIES WHERE IMPLEMENTED n In 2009, about 30 professionals were trained in WHO Western Pacific and South-East Asian Regions. n In 2010, it is planned to train professionals from Eastern Mediterranean Region and other regions. SUCCESSES This course allows participants to better understand the scope of CWA 15793 and encourages its implementation. The success of the course should be measured in terms of how many laboratory managers start implementing CWA 15793, which occurs after completion of the course itself. CHALLENGES Education of laboratory managers, creation of a pool of local experts to share opinions and advice. Commitment of laboratory managers to implement CWA 15793 is based on a cultural shift. Such an effort will not be easily achieved, and will take time to complete. COMMENTS The course contributes to raising awareness on CWA 15793 and its implementation. 74 CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

World Health Organization WHO Biorisk Management – advanced trainer programme RESPONSIBLE INSTITUTION(S) World Health Organization International Health Regulations Coordination Laboratory Alliances and Biosafety FOCAL PERSON n Dr Nicoletta Previsani E-mail: previsanin@who.int Telephone: +41 79 500 65 46 OVERALL GOALS To increase the number of qualified trainers able to support biorisk management globally. Participants will gain the skills, tools and confidence to advise and provide guidance on sustainable biorisk management that will ultimately reduce the threat of infectious diseases in local laboratory environments. TARGET AUDIENCE Professionals in biosafety and biosecurity training and education. Participants should have some teaching experience in various aspects of biosafety in laboratory environments, and support from their governments to carry out at least two trainings per year in their regions or country. TARGETED COMPETENCIES The purpose of the workshop is for participants to: n Understand the key principles of biorisk management – risk assessment, risk mitigation, and performance systems – that contribute to effective biorisk management n Practice using a systematic method of biorisk assessment n Apply adult learning principles and theory to the design and delivery of biorisk management related training. MAIN TOPICS n Biorisk assessment, and biorisk assessment methodology n Biorisk mitigation n Biorisk management performance n Adult learning principles and theories n Video recorded practice and feedback FORMAT Face-to-face Group work, case studies and scenarios, short presentations, demonstrations, hands on activities, Questions & Answers LANGUAGE(S) English, but translation envisaged. LENGTH 10 full days. CERTIFICATION A certificate of participation will be delivered to participants completing the full course. EVALUATION MODALITIES Participants are required to carry out two training sessions in their countries or Region within a year after completing the Biorisk Management– Advanced Trainer Programme (BRM ATP) course. The successful implementation of this plan will be monitored through survey. COUNTRIES WHERE IMPLEMENTED To be released in all regions in 2010, starting in April 2010: 10 trainers per region will be trained in 2010.

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SUMMARY OF EVALUATION RESULTS Will be available in due course. SUCCESSES Measured number of follow-up training courses provided by the trainers, and number of people trained. CHALLENGES Identification of funds to support further training sessions organized by course participants in countries or Regions. Organization of BRM ATP in all UN languages. COMMENTS Initially, only 10 countries per Region are given the opportunity to participate. Unless the course can be repeated in all countries, this remains a restrictive approach.

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World Health Organization Shippers’ course on transport of infectious substances RESPONSIBLE INSTITUTION(S) World Health Organization International Health Regulations Coordination Laboratory Alliances and Biosafety FOCAL PERSON n Dr Nicoletta Previsani E-mail: previsanin@who.int Telephone: +41 79 500 65 46 OVERALL GOALS To train and certify shippers of infectious substances against applicable international transport regulations. TARGET AUDIENCE Shippers of infectious substances. TARGETED COMPETENCIES Learn to identify, classify, package, mark, label, refrigerate, document and ship infectious substances according to applicable international regulations. MAIN TOPICS n Introduction to transport of infectious substances n Shipping terms n Categorization n Packaging n Marking and labelling n Documentation n Refrigeration FORMAT Face-to-face. LANGUAGE(S) English, French and Spanish. LENGTH 2 days. CERTIFICATION Certificate provided at the end of the course and valid for 2 years. An electronic refresher course is being developed. It will be offered to people having successfully completed the face-to-face course. EVALUATION MODALITIES Acquisition of knowledge assessed through posttest and practicum. COUNTRIES WHERE IMPLEMENTED Since 2008, about 250 persons have been trained from 5 regions (except EUR). SUMMARY OF EVALUATION RESULTS Evaluation surveys available upon request. SUCCESSES The course is recognized by the air transport authority ICAO and the airline association IATA, as shown on the certificates. CHALLENGES Only participants scoring ≥ 80% in the final test receive the certificate.

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World Health Organization Laboratory issues for epidemiologists training toolkit TARGETED COMPETENCIES n Engage in key positive interactions with laboratory specialists n Identify which sample is adapted to a specific syndrome and situation n Collect, label, package and transport samples appropriately and safely n Identify key laboratory investigations relevant to selected syndromes and/or suspected pathogens n Identify situations where specific typing methods should be used n Identify the need and use for antimicrobial susceptibility testing n Interpret antimicrobial resistance results n Identify the role of the laboratory in public health surveillance n Work with the laboratory to improve quality assurance n Interpret laboratory test results taking into account sensitivity, specificity test and causality criteria. MAIN TOPICS n Communication n Sampling n Transport n Microbiological methods n Typing n Antimicrobial resistance (drug resistance) n Role of the laboratory in surveillance n Quality control n Interpretation of results

RESPONSIBLE INSTITUTION(S) WHO Lyon Office International Health Regulations Coordination FOCAL PERSON n Mrs Maina L’Azou E-mail: lazoum@who.int Telephone: +33 426 99 01 53 OVERALL GOALS n To facilitate communication and understanding between epidemiologists and laboratory specialists. n To give to the field epidemiologists a better understanding of basic microbiology techniques and analysis of results. n Convey a laboratory perspective of public health investigations to field epidemiologists in order to improve collaboration between these two disciplines and to enhance the quality of field investigations. TARGET AUDIENCE Field epidemiologists.

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FORMAT Face-to-face. Toolkit CD available upon request. LANGUAGE(S) English. LENGTH Material provided for a 5-day workshop (maximum). CERTIFICATION None. EVALUATION MODALITIES Suggestions for the development of an evaluation framework (satisfaction, knowledge and competencies acquisition, transfer at workplace) provided, together with examples of evaluation tools. COUNTRIES WHERE IMPLEMENTED n The toolkit was disseminated widely within the network of Field Epidemiology (and laboratory) Training Programme. Several programmes implemented it, including Canada and India. n A survey targeting all FE(L)TP directors will be launched in March 2010 to evaluate the use of the toolkit as well as identify the needs and contents of a second version of the toolkit.

SUMMARY OF EVALUATION RESULTS n The full one-week course was appreciated but has limitations. It was too long and was heavy on facts, light on skills and attitudes. It was also difficult to meet the needs of diverse participants, different backgrounds. n Suggestions of improvement include the development of a shorter version of the toolkit with a stronger focus on making sense of the evidence and interpretation, together with job aids to be used in the field. SUCCESSES In India, for example, mainstreaming key elements increased the proportion of outbreaks confirmed by laboratory investigations. The course contributed to increase motivation of key players. Moreover, getting the job done created precedents, and helped building the network. CHALLENGES n Document how the laboratory-related topics are integrated into Field Epidemiology Training Programmes. n Assess the outcomes of this integration at field level.

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World Health Organization Short courses in field epidemiology TARGET AUDIENCE Such courses usually target professionals from the Ministry of Health: n working at central and intermediate levels; and n with responsibilities in terms of surveillance, investigation, response and/or managers from public health laboratories. Depending on the countries, the course can also include some veterinarians from other ministries (i.e. Ministry of Agriculture). TARGETED COMPETENCIES RESPONSIBLE INSTITUTION(S) WHO Lyon Office International Health Regulations Coordination FOCAL PERSON n Anouk Berger E-mail: bergera@who.int Telephone: +33 472 71 64 79 OVERALL GOALS To support those contributing to surveillance, early warning and response to public health events, in: n allowing the development of a critical mass of professionals with basic competencies in epidemiology n building a pool of trainers who will be responsible for training staff at lower levels of the public health system. Generic competencies for such courses often include the following: n set up a surveillance system n evaluate a surveillance system and provide recommendations for improvement n organize and carry out a field investigation n analyze and interpret surveillance and investigation data n organize the response to an outbreak, in providing short-term and long-term interventions that are practically tailored to the results of the investigation. n communicate epidemiological information in an appropriate way (written and oral communication) n train public health professionnals.

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MAIN TOPICS n Surveillance n Epidemiologic methods n Epidemiology of priority diseases (tailored to countries) n Biostatistics n Laboratory (sampling strategies, biosafety, transport of specimen) n Communication n Information and communication technology n Training design and skills FORMAT Face-to-face LANGUAGE(S) French LENGTH Format depending on the countries and project. Examples include: n one 3-week session n one 2-week session, followed by 4 weeks of field work, followed by a 1-week session. CERTIFICATION Certificate of attendance only. EVALUATION MODALITIES Evaluation of satisfaction carried out on a daily or weekly basis as well as at the end of the course. Evaluation of skills and knowledge gained from the course carried out either through pre-/post-test or through qualitative evaluation by facilitators. Post-training evaluation carried out after six months through a survey by participants and facilitators, assessing behavior change at the workplace as well as potential improvement of the participant’s work environment. COUNTRIES WHERE IMPLEMENTED The WHO Lyon Office contributes to the implementation of short epidemiology courses in the framework of surveillance and response capacity-building projects. More specifically a 3-week field epidemiology course was co-organized

by WHO and a sub-regional surveillance project coordinated by the Indian Ocean Commission (RSIECOI), in March 2009 at the Mauritius Institute of Health (MIH), Mauritius. Twenty-four public health and animal professionals from 5 countries of South West Indian Ocean attended the course (Comoros, Madagascar, Mauritius, La Réunion-France, Seychelles). Similar courses will be implemented in spring 2010 at a national level in three countries engaged in a demonstration project funded by the Bill and Melinda Gates Foundation: Strengthening Surveillance in Central Africa (SURVAC): Cameroon, Central African Republic, Democratic Republic of Congo. SUMMARY OF EVALUATION RESULTS The post-training evaluation of the short course carried out in March 2009 reported that: n the expectations of the participants had been met; and n the majority of participants could apply their new knowledge and competencies and did modify their practice at work. The evaluation study only took into account the views of the participants and is therefore very subjective. The views of supervisors and colleagues, together with field visits would have allowed more objective results. SUCCESSES The course organized in Mauritius in March 2009 was very well received by trainees and trainers and allowed, among others, building a network of professionals engaged in the implementation of a sub-regional surveillance and response project. The value of such short courses has been demonstrated through many initiatives implemented by several capacity building players around the world. One can mention among others The International Course on Applied Epidemiology (IDEA) or the “Cours International d’Epidémiologie et d’Informatique Appliquée en Afrique” (IEIAA). CHALLENGES High turnover of staff in some countries often jeopardizes the long-term impact of such initiatives.

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World Health Organization Training for inspection and issuance of Ship Sanitation Certificates under the International Health Regulations TARGETED COMPETENCIES n Communicate on the context, goals and procedures related to the issuance of SSCs n Contribute to pre-inspection planning and administrative arrangements for issuing SSCs n Application of personal protective techniques and related equipment n Obtain and assess traveler information from the master of the ship n Assess public health risk by observation and measurement, using testing and sampling equipment RESPONSIBLE INSTITUTION(S) WHO Lyon Office International Health Regulations Coordination FOCAL PERSON n Dr Daniel Menucci E-mail: menuccid@who.int Telephone: +33 472 71 51 67 OVERALL GOALS Ensuring consistency in the quality of ship inspections around the world TARGET AUDIENCE n Health inspectors. n Other potential targets: — managers also represent a secondary target audience, more specifically for the overall organization of the service and administrative arrangements related to the issuance of Ship Sanitation Certificates (SSCs) — inspectors from the ship industry — WHO country officers. n Identify and prescribe control measures necessary to prevent disease spread n Issue of SSCs and attachments n Liaise with appropriate counterparts for communication/notification of events. MAIN TOPICS n Introduction to IHR concepts n Use and provisions for implementation and use of SSCs n Core Capacities requirements for designated airports, ports and ground crossings n Technical advice on inspection and issuance of SSCs n Examples of common public health risks on ships n Planning of field inspections n Field inspection and issuance of SSCs.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

FORMAT n Face-to-face: plenary and group work sessions combined with a field inspection of a ship. n E-learning: an e-learning tool is being developed in collaboration with France and will be integrated in this training programme. LANGUAGE(S) English. LENGTH 3 days. CERTIFICATION Certificate of completion. EVALUATION MODALITIES Evaluation of satisfaction, for the 2008–2009 workshops. A comprehensive evaluation framework will be implemented for the future training programme. COUNTRIES WHERE IMPLEMENTED Face to face workshops were co-organized in 2008 and 2009 with WHO Regional Offices and technical partners, in the European and American Regions, targeting professionals from: 12 Caribbean countries, 14 Eastern Europe and Balkans countries, 20 countries from the European Union, as well as 7 Portuguese-speaking countries. Even if the workshops combined elements of technical and training workshops, they allowed better assessment of the needs for a standard course and development of training materials.

SUMMARY OF EVALUATION RESULTS The workshops were very well received by participants. The organization of field inspections during these workshops, although perceived as crucial for the impact of such events, is demanding in terms of logistics. This could restrict the amount of potential venues that will be able to host the course in the future. SUCCESSES A snowball approach consisting of inviting few professionals from another region to take part in a workshop allowed creating a network of skilled professionals able to contribute to subsequent technical and training activities. CHALLENGES The workshops implemented in 2008 and 2009 actually targeted the managers of competent port authorities, as a first implementation step. Reaching the real target audiences, inspectors, will require a network of training institutions that will run the same WHO standard curriculum, in order to ensure the same level of quality of inspections around the world. The programme will be developed in 2010 and 2011.

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

ANNEX 1

ITN Members 2010/2009/2006 2010 Iain Bald Pandemic Influenza Coordination 37–39, rue de Vermont 1211 Geneva 10 Tel: +41 229102778 Fax: +41 229102779 Mobile: +41 794446176 Email: bald2@un.org Khamis Khamis UNHCR Regional Support Hub Waiyaki Way, Westlands 438001-00100 Nairobi Kenya Tel: +254715733351 Email: khamisk@unhcr.org Anita Alero Davies Migration Health Department International Organization for Migration 17, route des Morillons CH-1211 Geneva 19, Switzerland Tel: +41 22 717 95 02 Fax: +41 22 798 61 50 Mobile: +41 79 833 64 05 Email: adavies@iom.int Sharon Daves Centers for Disease Control & Prevention Cairo, Egypt Tel: +20223480456 Mobile: +20129004222 E-mail: dsharon@cdc.gov Moe Ko Oo Mekong Basin Disease Surveillance Department of Disease Control Rajprachasamasai Building(No8) 4th Flr, Tiwanon Road, Nonthaburi 11000, Thailand Tel: +6625903343 Fax: +6625903324 Mobile: +66897708332 Email: moe@mbdsoffice.net moekooo2003@yahoo.com Carmen Varela Santos Preparedness and Response Unit European Centre for Disease Control Tomtebodavagen 11A 171 83 Solna, Sweden Tel: +46858601313 Fax: +468300057 Mobile: +46761251565 Email: Carmen.varela@ecdc.europa.eu André Jacobi Preparedness and Response Unit Centre for Infectious Disease Control Office box 1, internal office box 13 3720 BA Bilthoven, The Netherlands Tel: +3130-2747000 Fax: +3130-2744455 Email: andre.jacobi@rivm.nl Eric Starbuck Humanitarian Pandemic Preparedness (H2P) Initiative Tel: +12032214151 Mobile: +12024925348 Email: estarbuck@savechildren.org www.coregroup.org/h2p/ & www.pandemicpreparedness.org/ www.savethechildren.org/publications/technicalresources/avian-flu/ Nicholas Phin Pandemic Influenza Office Health Protection Agency HPA Centre for Infections Colindale Avenue, Colindale London Tel: +442083276661 Email: nick.phin@hpa.org.uk WHO REGIONAL OFFICES Celia Woodfill Epidemic and Pandemic Alert and Response WHO Regional Office for Africa Brazzaville Congo Tel: +4724139999 Email: woodfillc@afro.who.int

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

Bryna Brennan Senior Advisor, Risk and Outbreak Communication Pan American Health Organization/WHO Tel: +1 2029743457 Email: brennanb@paho.org Malik Mamunur WHO Regional Office for Eastern Mediterranean Abdul Razzak Al-Sanhouri Street 11371 Cairo, Egypt Tel: +2 1010107423 Email: malikm@emro.who.int Ana Paula Coutinho Infection Prevention Control WHO Regional Office for Europe Scherfigsvej Copenhagen, Denmark 8 DK2100 Tel: +45 391 713 69 Fax: +45 391 718 69 Mobile: +45 237 290 72 Email: apc@euro.who.int Email(2): ap.coutinho@gmail.com WHO HEADQUARTERS Anouk Berger WHO-Lyon – HSE/EPR/IHR 58 avenue Debourg 69007 Lyon France Tel: +41227979079 Email: bergera@who.int Hande Harmanci WHO/HQ/HSE/EPR/GIP 20, Avenue Appia, CH-1211, Geneva 27, Switzerland Tel: +41 22 79 13407 Email: harmancih@who.int Marie Helene Vannson WHO/HQ/HSE/EPR/GIP 20, Avenue Appia, CH-1211, Geneva 27, Switzerland Tel: +41 22 79 15517 Email: vannsonm@who.int Yolanda Bayugo WHO/HQ/HSE/EPR/GIP 20, Avenue Appia, CH-1211, Geneva 27, Switzerland Tel: +41 22 79 13081 Email: bayugo@who.int

Annette Mwansa Nkowane WHO/HQ/HSS/HRH/HPN 20, Avenue Appia, CH-1211, Geneva 27, Switzerland Tel: +41 22 79 14314 Email: nkowanemwansa@who.int Janet Diaz WHO/HQ/HSS/HWA 20, Avenue Appia, CH-1211, Geneva 27, Switzerland Tel: +41 22 79 11620 Email: diazj@who.int Umit Kartoglu WHO/HQ/FCH/IVB/QSS 20, Avenue Appia, CH-1211, Geneva 27, Switzerland Tel: +41 22 79 14972 Email: kartogluu@who.int Philippe Gasquet HQ/WMC WHO Mediterranean Centre for Vulnerability Reduction WHO/HQ/HAC/WMC Tel: +41 22 79 11309 Email: gasquetp@who.int Selma Khamassi WHO/HQ/HSS/EHT/DIM 20, Avenue Appia, CH-1211, Geneva 27, Switzerland Tel: +41 227913431 Email: khamassis@who.int 2009 PARTNERS Alan Bell Pandemic Influenza Contingency (PIC) OCHA and UNSIC United Nations Palais des Nations 37–39,rue de Vermont 1211 Genève 10 Email: bell1@un.org André Jacobi Preparedness and Response Unit Centre for Infectious Disease Control Office Box 1, Internal Office Box 13 3720 BA Bilthoven Email: andre.jacobi@rivm.nl Ann Moen (CDC) 1600 Clifton Road, NE, Mailstop A20 30333, Atlanta, GA, USA Email: alc3@cdc.gov

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

Nicholas Phin Pandemic Influenza Office Health Protection Agency HPA Centre for Infections Colindale London Email: nick.phin@hpa.org.uk Sibel Kalaça Marmara University Medical Faculty Department of Public Health Tibbiyei Caddesi Haydarpasa Istanbul Email: sibelkal@superonline.com Frederick John Abo Public Health in Emergencies (PHE) 979/69, 24th floor, SM Tower, Paholyotin Road, Samsen Nai, Phayathai, Bangkok Email: fjbabo@adpc.net Soonyoung Choi International Federation of the Red Cross and Red Crescent Societies 17, ch. Des Crêts, Petit-Saconnex CP372 1211 Geneva 19 Email: soonyoung.choi@ifrc.org Carmen Varela Preparedness and Response Unit, European Centre for Disease Prevention and control Tomtebodavagen 11A 117183 Tel: + 46858601313, Mobile: +46761251565 Fax: + 468300057 Email: carmen.varela@ecdc.europa.eu WHO REGIONAL OFFICES Adama Berthe WHO Regional Office for Africa Avenue d’Oubritenga N1487 03BP7019 Ouagdougou Email: berthea@bf.afro.who.int berthea@hotmail.com Reynaldo Holder Hospital and Integrated Health Care Delivery System Pan American Health Organization/WHO Tel: +1 202 974 3821 Email: holderre@paho.org Malik Mamunur WHO Regional Office for Eastern-Meditteranean Abdul Razzak Al-Sanhouri Street 11371 Cairo Egypt Email: malikm@emro.who.int

WHO HEADQUARTERS Anouk Berger WHO-Lyon – HSE/EPR/IHR 58 avenue Debourg 69007 Lyon France Tel: +41227979079 Email: bergera@who.int Rajesh Sreedharan WHO/HQ/HSE/IHR/NCM 20, Avenue Appia, CH-1211, Geneva 27, Switzerland Tel: +41 22 791 2556 Email: sreedharanr@who.int Hande Harmanci WHO/HQ/HSE/EPR/GIP/ITP 20, Avenue Appia, CH-1211, Geneva 27, Switzerland Tel: +41 22 79 13407 Email: harmancih@who.int Claudia Vivas Torrealba WHO/HQ/HSE/GIP/ITP 20, Avenue Appia, CH-1211, Geneva 27, Switzerland Tel +41 22 79 11815 Email: vivasc@who.int Elisabeth Pluut WHO/HQ/DGO/DGD/IOS 20, Avenue Appia, CH-1211, Geneva 27, Switzerland Tel : +41 22 79 13793 Email: pluute@who.int Heather Papowitz WHO/HQ/HAC/EPC 20, Avenue Appia, CH-1211, Geneva 27, Switzerland Tel: +41 22 79 11490 Email: papowitzh@who.int 2006 PARTNERS Aileen Plant Curtin University of Technology Mahomed Patel National Centre for Epidemiology and Population Health The Australian National University

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

Yvan Hutin Indian Field Epidemiology Training Programme National Institute of Epidemiology (NIE) – Indian Council of Medical research (ICMR) Mayor VR Ramanathan Road Marja Esveld National Institute for Public Health (RIVM) Chin-kei Lee Communicable Disease Surveillance & Response China Office, World Health Organization Joseph S. Bresee, MD Chief, Epidemiology and Prevention Branch Influenza Division Centers for Disease Control and Prevention Carmen Varela European Centre for Disease Prevention and Control (ECDC) De Martin Sarah European Centre for Disease Prevention and Control (ECDC) WHO REGIONAL AND COUNTRY OFFICES Otavio P de Oliva, M.D., M.P.H Communicable Diseases Unit Pan American Health Organization Roberta Andraghetti WHO/EURO, Copenhagen Marc Simmermann WHO/ Vietnam Graham Tallis WHO/Indonesia Maureen Birmingham WHO/Thailand

WHO HEADQUARTERS Annette Mwansa Nkowane EIP/HRH CDS/EPR/ARO Thomas Grein Dominique Legros Peter Ben Embarek SDE/FOS CDS/EPR/EDP Margaret Lamunu Cathy Roth May Chu Anouk Berger CDS/EPR/LYO Philippe Dubois CDS/EPR/LYO Jorge Castillo CDS/NTD/DCE CDS/EPR/GIP Frederik Hayden Niki Shindo Keiji Fukuda Mike Perdue Wenqing Zhang Stephen Martin Tamara Curtin Christoph Stephen Kidong Park

CAPACITY BUILDING ACTIVITIES DURING PANDEMIC INFLUENZA

Основные сведения

Организация Всемирная организация здравоохранения (ВОЗ / WHO)

Тип документа Technical Documents

Дата принятия 31 декабря 2010 г.

Источник Всемирная организация здравоохранения