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ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA. Objective To establish sites for monitoring antimalarial drug efficacy in the country in order to provide appropriate and effective guidelines for malaria treatment. DEVELOPMENT OF CHLOROQUINE RESISTANCE IN SOMALIA 1986-1997 . * 9 cases
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1. ESTABLISHING SENTINEL SITES FOR MONITORING ANTIMALARIAL DRUG RESISTANCE IN SOMALIA
Dr Marian Warsame, MD, PhD
Division of International Health
Karolinksa Institutet
Sweden
2. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Objective
To establish sites for monitoring antimalarial drug efficacy in the country in order to provide appropriate and effective guidelines for malaria treatment
3. DEVELOPMENT OF CHLOROQUINE RESISTANCE IN SOMALIA 1986-1997
4. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA
Updated information on AMDR
Representative: geographical patterns
Standard - interpretation comparable
WHO protocols
5. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Process for establishing SS-AMDR
Selection of the sentinel sites
Identification of study health facilities
Identification of the site teams
Training of sentinel teams
Adapting of the WHO protocolsa
Implementation
6. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Malaria transmission
Hypo-endemic
Mesoendemic
Hyperendemic
Collapse of the public health services
(With exception of Northwest)
NGOs
Private sector
7. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Selection of the sites
Densely Populated
Endemic for malaria
Accessible and feasible to supervise
Less prone to population mobility and migration
9. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA
10. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Identification of Health facilities
Burao site: MoH
Galkayo site: MSF Holland - hospital
Jowhar site: INTERSOS Jowhar - hospital
Merca-Jannaale site: COSV - OPD
Jamame site: Muslin Aid UK- underfive clinic
Baidoa site: Politically unstable
11. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Selection of the site teams
available of trained/motivated health personnel
a clinician
a microscopist with a laboratory for BS
a nurse.
12. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Training of the sentinel teams
Lectures
Practical training
Group work
Site specific implementation plan
Identification of material support needed.
13. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Training Participants
The selected local teams for
Jamame, Jowhar and Jannale sites
WHO malaria zonal focal persons
National malaria focal person
WHO lab technicians
the country RBM co-ordinator
14. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA
18. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Assuring the quality of the study
Test drugs were obtained from WHO.
Laboratory work
Equipments/materials were provided by WHO.
WHO lab technician will read separately the slides
Competence of the study team
The teams were properly trained on the WHO protocol
WHO focal malaria persons and WHO laboratory technician were assigned to the three sites
Temperature measurement
The teams were trained in temperature-taking technique
Data management
At the end study completion the data will be validated
19. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA
20. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Status of Implementation
Jamame site: operational
Jowhar site: operational
Jannale site: Not started
Galcayo site: Study discontinued
Burao site: Not started
Baidoa site: Not established
21. PRELIMINARY FINDINGS
22. PRELIMINARY FINDINGS