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Avian Influenza Preparedness: Observations from World Bank Project Development in South Asia

This article discusses the World Bank's involvement in avian influenza (AI) preparedness in South Asia, highlighting the challenges and observations from the project. It focuses on national plans, surveillance, response teams, personal protective equipment, and compensation.

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Avian Influenza Preparedness: Observations from World Bank Project Development in South Asia

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  1. Avian Influenza Preparedness:Observations from World Bank Project Development in South Asia S. Ostroff Aug 2006

  2. Context • WB involvement stems from Jan 06 Beijing AI donors conference • $500m loan fund • Manage ~$250m multi-donor trust fund • Program known as Global Program on Avian Influenza (GPAI)

  3. Bank Process • Very structured • Assessment, pre-appraisal, appraisal, approval • Multi-person teams of technical experts • Current involvement • Bangladesh, Nepal, Afghanistan, Pakistan, Sri Lanka, Bhutan • Two with AI, four without

  4. GPAI Framework • Government endorsed national AI plan • Single, unified proposal from government • High level involvement/coordination • Focus • Animal health • Human health • Public information/education

  5. Observations I • National plans highly variable • Content • Quality • Process & result largely driven by international agencies (WHO, FAO) • Sub-optimal interaction between animal & human health at all levels • Minimal coordination with other parts of government, private sector, NGOs, etc

  6. Observations II • Surveillance infrastructures weak • Anecdotal rather than systematic • Communications challenges • Response teams variable • Lab capacity poses challenges

  7. www.whopak.org

  8. Observations III • Personal protective equipment for culling activities • Designation of culling workers • Training of culling workers • Ability to monitor culling workers • Antiviral & seasonal vaccine • Communications strategy

  9. Observations IV • COMPENSATION • Quarantine zones • Disposal • Decontamination

  10. Kapisa “Provincial Hospital”

  11. Questions?

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