Dengue Epidemic 2010

1. Dengue Epidemic2010 Abad, Timothy Imperial, Anna Javate, Kenneth Palma, Rose Ann Uy, Raymonde Valencia, Regina

2. D.E.N.G.U.E. Home Strategy

3. DENGUE Home Strategy • Daily monitoring of the patient's status • Encouraging intake of oral fluids • Noting any warning signs of Dengue • Giving Paracetamol, instead of aspirin • Using Mosquito Nets • Early consultation with doctors for any warning signs

4. Job Design • Function of specifying the work activities of an individual or group in an organizational setting. • Objective: develop jobs that meet the requirements of the organization and its technology and that satisfy the jobholder’s personal and individual requirements.

7. Six Sigma Analysis • Define • Measure • Analyze • Improve • Control

8. Service Process Selection and Design in Government Hospitals

9. The Service Strategy The Customer The Systems The People

12. Task Treatment Tangibles

13. Managing Customer Introduced Variation • Arrival variability • Request variability • Capability variability • Effort variability • Subjective preference variability

14. Accommodation Strategies • Classic accommodation • Low cost accommodation • Classic reduction • Uncompromised reduction

15. Characteristics of a Well-Designed Service System 1. Each element of the service system is consistent with the operating focusof the firm 2. It is user-friendly 3. It is robust 4. It is structured so that consistent performanceby its people and systems is easily maintained

16. Characteristics of a Well-Designed Service System (Continued) 5. It provides effective linksbetween the back office and the front office so that nothing falls between the cracks 6. It manages the evidence of service quality in such a way that customers see the value of the service provided 7. It is cost-effective

17. SCHOOL-BASED CAMPAIGNS AGAINST DENGUE

18. ACTIVITIES • Partnership of DOH and DepEd • Tie ups with local government and Parents-Teachers-Community Associations (PTCAs) • Free lectures in schools • Preventive Alert System in Schools (PASS) • Promotion of environmental sanitation

19. POSSIBLE IMPROVEMENTS

20. CONTINUOUS IMPROVEMENTS • Evaluation • Continue cleaning • New ideas/ programs

21. Dengue Express Lanes

22. The Basic Nature Of Express Lanes • Epidemics, natural disasters or crisis • To address those who are most in need of medical help • Fast, accurate and reliable medical diagnostics and management.

23. The Dengue “Express Lanes” • Proposed solution to the congestion of public hospitals • Fast processing • Triaged • Faster queuing and services

24. Dengue Express Lanes System and Analysis

25. Suspected Dengue Patients • Population Source: Infinite with very high arrival rate • Exponential / Poisson distribution • Variable and uncontrollable service pattern. • Low incidence of balking and reneging?

26. Queueing • Line length: infinite potential line capability • High patient load + arrival rate  limited • Number of lines: depends on the hospitals • The queue discipline • FCFS? not applicable • Low latency of queue initiation to service. • Single/multi-channel, and multiphase line structure.

27. Standard • Acceptable waiting time • maximum of 2 hours waiting time before service is rendered • Diversions : IEC • Prioritized CBC, UA, and Dengue markers

28. Recommendations • More patient Segmentation / Triage • Mild / moderate vs. severe • Without warning signs vs. with warning signs • Home-based management • Health Worker Training • Countermeasure vs. high patient load, stress, fatigue

29. Recommendations • Patient / Parent Information • waiting time, average time on queues, expectations of line conditions • Diversions of Attention • lectures on and about dengue • home management • segregate high risk and low risk

30. DOST Ovicidal Trap System

31. DOST develops mosquito trap • In response to the marked increase in dengue cases last 2010 DOST launched the Ovicidal Trap System (OTS) • a device that kills mosquitoes and larvae (vectors of the Dengue virus) • Premise: decrease vectors, decrease cases of Dengue

32. Costs about Php 30 each or less. • Composed of • an ordinary tin can painted in black • a strip of plywood board and a • liquid solution • ideal place for the female Aedes mosquito to lay its eggs • Lethal attractant The Ovicidal Trap System

33. The Ovicidal Trap System • Platform product • Device was used 12 years ago to attract and monitor no. of mosquitoes • What is new? • the organic solution that traps and kill mosquitoes and larvae. • The solution’s life span is about two months • Laboratory tests that the solution kills 100% of the larvae • DOH is allocating about P2 million to finance the development and commercialization of the OTS

34. Field-testing of OTS • September 24, 2010, the DOST ran their first field tests of the “ovitraps” • sample kits with 250 negative control kits (OTS with tap water) and 250 positive kits (OTS with liquid solution) were distributed in Tierra Vista, Marikina and BarangayBagbag, Novaliches, Quezon City • two of the areas with the highest number of dengue cases in MM • Samples are collected every fifth day of each week. • On-going field testing

35. What do potential customers want? • OTS was developed out of need • It seems not much thought was put into what the potential customers want and expect from this product • Assumption, Overconfidence? • repeatedly seen in many DOH campaigns • programs are created and money is spent with no willing audience

36. House of Quality • Relationship:  = 9 • = 3 • Correlation: • ++ Strongly positive • + Positive • - Negative • -- Strongly negative

37. Dengue Epidemic2010 Abad, Timothy Imperial, Anna Javate, Kenneth Palma, Rose Ann Uy, Raymonde Valencia, Regina