Social Protection Ministry Republic of Colombia Ministry of Social Protection Republic of Colombia.

Social Protection Ministry Republic of Colombia

Ministry of Social Protection Republic of Colombia


PANDEMIC FLU PANDEMIC FLU PREPARENESS AND PREPARENESS AND ATTENTION PLAN ATTENTION PLAN

PREP & ATTENTION PLAN FOR THE INFLUENZA PREP & ATTENTION PLAN FOR THE INFLUENZA PANDEMIA PANDEMIA


The Colombia plan includes the recommendations of the WHO/OPS

1. National preparation and coordination in order to respond against the pandemic

2. Supervision in public health of acute respiratory illnesses caused by the virus

3. Attention and reduction of morbility and mortality of acute respiratory illnesses

4. Prevention and control of illness transmission among the community

5. Preservation of basic services

6. Research and evaluation

PANDEMIC FLU PREPARENESS AND ATTENTION PANDEMIC FLU PREPARENESS AND ATTENTION PLANS PLANS


Ministry of Social Protection Territorial Institutions:

• Departments and districts • Municipalities

Insurance companies

Responsibilities in the SGSSS

PANDEMIC FLU PREPARENESS AND ATTENTION PANDEMIC FLU PREPARENESS AND ATTENTION PLANSPLANS

Social Protection Ministry Republic of ColombiaSocial Protection Ministry Republic of Colombia

NATIONAL PREVENTION SYSTEM AND REACTION TO DISASTERS (SNPAD)

National team in preparing and reacting to the pandemics (SNPAD)


Social Protection Ministry Republic of Colombia • Components

Prep work

Notification

Alert – alarm

Health services

Support Services

Epidemiological Supervision

Response

Formation in personal health

Creation of supervision teams and response

Strengthening the notification system and diagnosis network

Public awareness


Strengthening the capacity of the diagnosis diagnosis

services services network network

Strengthening capacity of the

attention to attention to patients services patients services

networknetwork

Preserving bio security levels Preserving bio security levels

Prep work



Strengthening the capacity of the diagnosis services diagnosis services network

• Determining geographical areas of greater risk.

• Identifying installed capacity of the diagnosis services network

• Handling Samples: guidelines for drawing samples, gathering

and transporting respiratory and blood samples

• Typifying and sub-typifying system of samples by National

reference Laboratory



Strengthening capacity of the attention to patients attention to patients networks

• Identifying installed capacity of the IPS network per area and

per level of complexity.

• Determining the requirements: IPS, Human Talent, GIA,

supplies and medicaments, technology, coordination and

support mechanisms

• Organizing the services network: IPS (public and private ones),

incorporating insurance companies

• Defining the information and statistics system

Administrative ComponentAdministrative Component



Ambulatory SpheresAmbulatory Spheres

Guidelines: early detection, isolation and reporting possible

cases, preventive isolation due to suspicion or confirmation of

cases; respiratory hygiene and cough handling Availability of resources and supplies and operation of ERA

rooms Strategies of home attention Community Information TH training


Strengthening capacity of the attention to patients attention to patients services networks


Hospital spheres Hospital spheres

Validation and socialization of handling Guidelines Reference and counter reference System of patients.

Handling Guidelines of Hospital waste, elements and equipments for

patient care, handling of corps.

Recommendations for bio-safety: health workers, family and visitors.

Availability of resources and supplies

Training of TH

Emergency Plans and simulation


Strengthening capacity of the attention to patients attention to patients services networks


Response

• Notification Alert - Alarm

11

22

33

Suspicious CasesSuspicious CasesSuspicious CasesSuspicious Cases

Confirmed CasesConfirmed CasesConfirmed CasesConfirmed Cases

Possible expansionPossible expansionPossible expansionPossible expansion



EMERGENCY REGULATING CENTERS AND EMERGENCIES

COORDINATION SCHEMES



Source: Presentation by Dr. Díaz Cabrera, President of SIEM in Asunción - Paraguay, in the IX CONGRESS OF ALAMI, - ASOCIACION LATINOAMERICANA DE MEDICINA INTEGRAL -

COMPONENTS

Social Protection Ministry Republic of Colombia NOTIFICATION SYSTEMS


C.R.U.E. OF BOGOTA



• Rescue chain

Eventos de aviso corto vs. prolongado

E - IE - I

E - IIE - II

E - IIIE - III

Immediate local Response Immediate local Response (Community, Local Health System, CLOPAD)(Community, Local Health System, CLOPAD)

Ambulatory Response Ambulatory Response (Response (Response Teams))Teams))

Hospital denomination Hospital denomination (Medium and high complexity )(Medium and high complexity )


Social Protection Ministry Republic of ColombiaSocial Protection Ministry

Republic of Colombia

Obligatory system for quality control

(Decree 1011 dated April 3, 2006)



TOTAL REGISTERED SERVICE PROVIDERS

58.500

43.639

Free lance Professionals

14.861 IPS

Source: registry of special service providers as of November 30, 2005



14.861 IPS

53.306 registered beds * June 30, 2005

4.552 Points of service

of the Public network

10.309 Points of service

of the Private network

Source: registry of special service providers as of November 30, 2005




SERVICE DECLARED BY THE SERVICE PROVIDER

No. OF DECLARED BEDS% DIVED BY THE TOTAL

General adult Service 25.406 48,42%

Pediatrics 9.318 17,76%

Obstetrics 7.652 14,58%

Psychiatry 3.696 7,04%

Neonatal Intermediate Care 1.514 2,89%

Drug Dependency 1.418 2,70%

Adult Intensive Care 1.180 2,25%

Newborn (neonatal) Intensive Care 811 1,55%

Adult Intermediate Care 696 1,33%

Pediatric Intensive Care 379 0,72%

Burn Unit 251 0,48%

Pediatric Intermediate Care 154 0,29%

Total registered beds 52.475 100.00 %

Source: registry of health service providers 2004 MPS

Percentage distribution of beds per registered service Percentage distribution of beds per registered service




DECLARED SERVICE BED TOTALSBEDS ÉR EACH 1000

HAB.

General Adult Service 25.406 0,55

Pediatrics 9.318 0.20

Obstetrics 7.652 0,17

Psychiatry 3.696 0,08

Neonatal (newborn) Intermediate Care 1.514 0,03

Drug dependency 1.418 0,03

Adult Intensive Care 1.180 0,03

Neonatal Intensive Care 811 0,02

Adult Intermediate Care 696 0,02

Pediatric Intensive Care 379 0,01

Burn Unit 251 0,01

Pediatric Intermediate Care 154 0,003

Ratio of beds per service per one thousand inhabitants Ratio of beds per service per one thousand inhabitants




DECLARED SERVICE NUMBER OF SERVICE PERCENTAGE DISTRIBUTION

Odontology 12.934 54,87

General Medicine 5.106 21,66

Physiotherapy 1.657 7,03

Psychology 1.528 6,48

Respiratory Therapy 1.056 4,48

Phono-audiology 600 2,55

Speech Therapy 291 1,23

Occupational Therapy 280 1,19

Infirmary 119 0,50

Percentage distribution of declared services by Percentage distribution of declared services by independent professionals independent professionals



Source: ASCOFAME. Human Resource in Medicine: formation, distribution and basis for a political proposal. 2000

Size of the municipalityTotal

inhabitants

% inhab over the

national total Totalphysicians

% Physicians over the

national total Ratex 10

thousand inhab

Less than 20.000 6.712.282 16,1 292 1,3 0,44

Between 20.001 and 50.000 8.245.903 19,8 945 4,2 1,15

Between 50.001 and 100.000 4.455.680 10,7 1.381 6,2 3,10

Between 100.001 and 250.000 3.632.345 8,7 1.922 8,6 5,29

Between 250.001 and 500.000 5.018.696 12,0 3.642 16,3 7,26

Over 500.001 13.593.546 32,6 14.168 63,4 10,42

Distribution of general physicians Distribution of general physicians By municipalities according to the size of the town. Year 2000.By municipalities according to the size of the town. Year 2000.


General Installed Capacity by level Public offer in throughout the territory

Source: Information reported by public IPS as of December 31, 2004 - Decree 2193 dated 2004

NIVELCAMAS

OBSERVACION Y HOSPITALIZACION

CONSULTORIOS CONSULTA EXTERNA Y

URGENCIAS

PRIMER 13,172 5,774 SEGUNDO 10,794 1,773 TERCER 6,416 694 TOTAL 30,382 8,241




Source: Information reported by public IPS - Decree 2193 dated 2004

LEVEL CONCEPT 2002 2003 2004

First level

Occupational percentage 34,50% 33,80% 37,80%

Average Stay in days 1,97 1,87 1,85

Bed turnaround 53,49 57,27 63,23

Second level




Third level




NATIONAL TOTAL

Occupational percentage 58,60% 59,00% 63.0%



Indicators of Hospital Bed’s usage Indicators of Hospital Bed’s usage Public Institutions providing health services. 2002 – 2004Public Institutions providing health services. 2002 – 2004


TRANSPORTING PATIENTS



No OF ENABLED AMBULANCE SERVICES IN COLOMBIA (*)

2004

BASIC ASSISTED TRANSPORT 1.172MEDICALIZED ASSISTED

TRANSPORT 91

TOTAL * 1.263(*) DATOS PARCIALES 2004

Source: Registro Especial de Prestadores de Servicios de Salud



EMERGENCY SERVICE



TOTAL 1.624

(*) DATOS PARCIALES 2004

Source: Registro Especial de Prestadores de Servicios de Salud

AVAILABILITY OF EMERGENCY SERVICE IN COLOMBIA (*)

2004


Social Protection Ministry Republic of ColombiaMinistry of Social Protection Republic of Colombia

FINANCING THE PREP WORK & ATENTION. 2006


MPS: 6 million dollarsECAT: 20 million dollars (approx.)


THANK YOUTHANK YOUWELCOMEWELCOME

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Social Protection Ministry Republic of Colombia Ministry of Social Protection Republic of Colombia.

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Transcript of Social Protection Ministry Republic of Colombia Ministry of Social Protection Republic of Colombia.