Livesy AbokyiKintampo Health Research Centre

9th INDEPTH AGM 26-29th October,2009 Pune, INDIA

Main stakeholders meeting held 15th July, 2009– Representatives from both public and private

Heath Facilities, District Health Administration and Regional Health Directorate

Community meetings Radio discussions on local radio station in

the local languages. Media briefing with presenters on the local

radio stations

Redemarcation of field worker areas from 14 to 18 to make up for additional workload

More field workers and supervisors have been recruited

Field workers and field supervisors have been trained on: fever form, HH access and costing survey and Assessment of population parasite prevalence

Listings for HH access and costing generated for 2nd half of HDSS round– 25% (4226 HHs).

Listings have also been generated for the assessment of population parasite prevalence

Population monitoring for fever burden– Eleven weeks of data collection– 1384 forms completed– 478 Households with fever

Household Access and Costing survey– Four weeks of data collection

Spontaneous Adverse Event Reporting System (SAERS)

Cohort Event Monitoring (CEM)Situational analysis on SAERS done-Coordinators from the two major hospitals have

received training but not implementing-Some staff in the peripheral health facilities know

about the form but have never reported -There were no forms at the periphery

Challenges from the perspective of health workers

-Inadequate forms-Inadequate knowledge about the system of

reportingResponse to situational analysis INESS safety team meeting held in Oct– discussed findings and the way forward– -discussed terms of reference of the safety team

and frequency( monthly at district level and two safety teams to meet quarterly)

Training for reporters on 21st and 23rd Oct. organized with the FDB

Health workers and chemical sellers-Plan to do radio discussion to increase

community awareness -Supply of forms for by FDB upon request by the

District Health Administration with support from the INESS Safety coordinator

-INESS Safety team will be responsible for monitoring and supervision

Targeting Accuracy & Provider Compliance-Training of staff planned -Assessment of drug stock levels done Patient and Community Acceptability –

Communities selected Adherence yet to start Other measures of contextual

determinants yet to start

Changes to the initial design for blood sample taking-may require protocol amendment and ethical considerations

-Now all members in sampled households are included in the blood sample taking

Sampled households have substantial number of moved outs

Thank You