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Coordinated national capacity assessment and planning. Meeting on Strengthening INFOSAN and National Food Control Systems in ASIA 10-12 December, 2013, Manila, Philippines . Dr. Ly Sovann Dr. Aing Hok Srun Ministry of Health, Kingdom of Cambodia. Outlines . APSED/IHR in Cambodia
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Coordinated national capacity assessment and planning Meeting on Strengthening INFOSAN and National Food Control Systems in ASIA 10-12 December, 2013, Manila, Philippines Dr. Ly Sovann Dr. Aing Hok Srun Ministry of Health, Kingdom of Cambodia
Outlines • APSED/IHR in Cambodia • Food safety in Cambodia • What we want to achieve • Needs Assessment process • Examples of outputs from 2 of the working groups • The structure of inter-sectoral collaboration • Finalizing the workplan • Conclusions
Cambodian National Workplan for Implementation of IHR Minimum Core Capacities and APSED Priority Areas • Cambodian National Workplanincludes: • Surveillance, Risk Assessment and Response • Laboratory • Zoonotic Diseases • Risk Communication • Infection Prevention and Control • Public Health Emergency • Monitoring and Evaluation • Food safety to be considered as surveillance and public health emergency
Cambodian National Workplan for Implementation of IHR Minimum Core Capacities and APSED Priority Areas • Cambodia requested 2 years extension and submitted a report and a plan to achieve IHR core capacities • The next review for APSED/IHR core capacity in January 2014
Food safety in Cambodia • Very complex • Many ministries involved • History of targeted projects to support trade • No focus on food safety • Creates dual system • Safe exported food • Unsafe domestic food • A food safety system needs assessment is a good opportunity to look at the whole picture • If we want to protect health, promote trade and tourism this is essential
Vision for Cambodia • A modern, integrated, efficient national food safety system that protects the health of individuals and the rights of consumers and supports the development and export capacity of the food sector
Process (1/4) • Working in 4 groups • Food safety Inters-sectoral collaboration, Laws and Regulation • Food monitoring and inspection services • Foodborne disease surveillance and emergency response • Food safety risk communication
Process (2/4) • Each group discussed the current situation • What is going well what are the challenges ? • Carried out an individual assessment of the food safety system using the needs assessment tool • Scored system competencies from 1-4 • 1 nothing exists • 3 exists and works well • An example of a competencies • Laboratory capacity to test human food samples for chemical contamination • Existence of a food safety law
Process (3/4) • Individual scores combined and an average score presented to the group • Each group reviewed its combined score and agreed the final assessment • Based on this assessment priority gaps identified: • E.g No emergency response plan exists that covers Reponses to food safety events
Process (4/4) • Based on the identified gaps each group agreed specific actions to fill these gaps • E.gAgree mechanism to access recourses for detection of foodborne hazards especially chemical hazards. For example MoH agree with MAFF to carry out detection of chemicals in human samples • Where possible, Identified time frames, indicators and responsible agencies
Examples of out put from working group 1 Law, Regulation, inter-sectoralcolaboration
GAPS • No Food Safety Law • Lack of Financial Resources • Limited Inter-sectoral functional Coordination • Public-private (food producers, NGOs, others) • Public-public (health, agriculture, tourism, industry, economy, commerce) • Local authority • Training of human resources
SOLUTIONS TO THE GAPS • Develop one Food Safety Law and Regulation (created by relevant ministries involved) • Established inter-ministerial technicalcouncilforfoodsaftey • Thetaskforcesidentified in thework plan report back tothetechnicalcouncil • Training in food safety including law and regulation. • Education programs for schools and commerce and consumers • Certification system for persons trained (Certify private sector as trainers in food safety in sanitary quality assurance programs (GAP, GHP, GMP, HACCP)).
Example of out put from working group 2 Surveillance Foodborne Diseases (FBD) and emergency response for food safety events
Gaps • Roles and responsibilities for surveillance, outbreak response and emergency response (within MoH) unclear • No information on which are the priority FBD • Limited laboratory capacity to detect FB hazards and no capacity for chemical analysis • Limited capacity to monitor AMR
Gaps • No sharing of data, related to food safety, between Animal, food, environment and disease surveillance • Need to develop technical capacity to investigate FBD outbreaks from all hazards (bacteria, virus, parasite, chemical) • No emergency response plan that covers Food safety events
Solutions • Agree within MOH who is responsible for what areas related to surveillance, outbreak response and emergency response and agree how to coordinated activities • Identify priority FBD hazards • Strengthen capacity to detect FBD hazards • Establish pilot site for laboratory surveillance • Strengthen capacity for outbreak response • Adapt national emergency response plan to cover food safety
The Final Work plan • A final draft work plan was completed during the needs assessment workshop • From the activities identified an organizational structure for inter-sectoral collaboration has emerged • All the working groups identified the need for technical inter-sectoral taskforces to be established • Group 1 identified the need for an intersectoraltechnical council for food safety • The task forces could report to this council to ensure work plans are implemented
Finalizing the process • This Draft Plan is a starting point for discussion with each of the ministries • This DRAFT Plan will need to be reviewed, amended, agreed by each ministry • The aim is to have a final and endorsed plan to encourage donor funding • We hope WHO/FAO will support us in encouraging donor support for our plan
Conclusions • The assessment tool useful to facilitate discussions among concerned Ministries • Encourage the multi-sector working together • Recognize challenge/gap and concrete plan activities • Known focal points and coordinator Sector • Cover all key points • Set up ongoing TWG to work days • Set clear indicators for monitor the progress • Leadership and ownership • Commitment, build truth and share benefits