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Tanzania – Facilitate After Action Review

In August 2017, P&R provided support to a multisectoral team comprising of the Tanzania One Health Coordination Unit, Prime Minister’s Office, the Tanzania Wildlife Research Institute (TAWIRI) and the Arusha regional health management team, to collect data on anthrax outbreak after action review.

The investigation team is working on a report to be presented to stakeholders for discussion during a preparedness and response technical working group meeting scheduled for October 9-10, 2017. The outcome of the discussions will include areas for improvement to strengthen anthrax and other priority zoonotic diseases preparedness and response. Tools and protocols developed with technical assistance from P&R were used during the data collection.
The team visited the Ministry of Health, Ministry of Agriculture, Livestock and Fisheries, the Ministry of Natural Resources and Tourism, the Arusha Regional Medical Office, the Regional Veterinary Office, the District Medical Office, the District Veterinary Office and the Selela village including the dispensary, the village councilor and the ward wildlife and veterinary extension officers.

During the visits, interviews were conducted on different aspects of response, challenges experienced, and gaps during the response to anthrax and opinions of the interviewees on the best way forward in preparing and responding to future outbreaks.


Tanzania – Review, Update or Develop National Preparedness and Response Plans

During August and September 2017, P&R provided technical assistance to the Tanzania One Health Platform in reviewing available Preparedness and Response plans (PRPs) to determine their multisectoral inclusivity and applicability. Five PRPs in all have been reviewed between August and September 2017, namely: the Tanzania Emergency Preparedness and Response Plan (TEPRP), 2012; the National Avian and Pandemic Influenza Emergency Preparedness and Response Plan (NAPIP) 2011; the National Avian Influenza: Emergency Preparedness and Response Strategic Plan (2006-2009) (NAI EPRP); the National Ebola and Marburg Preparedness and Response Contingency Plan, 2015 (NEM PRP); and Emergency Measures for Control Rift Valley Fever in Tanzania (RVF CP), 2007.

The review concludes that Tanzania has several PRPs varying in degrees of multisectoral inclusivity, ranging from those that involve a broad variety of sectors to those that only involve one or two sectors. The TEPRP is an over-arching country PRP, designed to address emergencies that acquire disaster magnitude, too broad to suitably address preparedness and response to specific public health events. The PRPs for influenza provides the most suitable template for multisectoral inclusivity. All the plans reviewed in this study would need to be updated to make them more inclusive, more operational and current to new knowledge and changes in institutional framework.
The key recommendations drawn from the review are that:

1.The national One Health Platform should consider updating existing PRPs to make them sufficiently inclusive, more operational and aligned to new knowledge and institutional developments.
2. New PRPs for public health events that require multisectoral involvement should use the One Health approach exemplified in the two influenza PRPs (NAI EPRP and NAPIP) and should include more operational details while remaining concise, focused and user-friendly.


Uganda – Engage Private Sector Stakeholders

Following the meeting held with the One Health platform on May 16, 2017, P&R identified and visited with key private sector entities in Uganda. The project compiled a list of private sector organizations categorized by the nature of business, location, and relevance to disease prevention and control: 19 ecological/ environmental bodies; nine poultry companies; eight beef production companies; seven tourism organizations; and four associations representing targeted sectors. In the One Health platform held on May 16, the government of Uganda has identified collaboration with the private sector as essential in prevention and control of disease outbreaks. When outbreaks occur, businesses are interrupted by drastic measures like quarantines, bans on exports and loss of workers.

P&R conducting briefings with management of the respective ecotourism, poultry, and beef production firms, identifying areas of collaboration, roles and responsibilities, and expected contributions to the One Health Platform of the targeted sectors.


Uganda-Review, Update, or Develop One Health Strategic Plans

On May 30 – June 1, 2017, P&R in collaboration with ZDCO, organized and facilitated a successful One Health Strategic Planning Workshop hosted by the Uganda One Health platform. As an outcome of the workshop, key elements of a first draft of the strategic plan were developed. These include: a) a background situation analysis of the country One Health environment and status; b) a mission and vision statement based on the existing policies and legal frameworks that define what Uganda wants to achieve; c) strategic plan objectives; d) initiatives or key interventions to achieve the set objectives; and e), an action plan to finalize the strategic plan document and launch, scheduled in September 2017. The strategy development workshop was attended by One Health stakeholders, including representatives of Ministry of Health, Ministry of Agriculture, Animal Industry and Fisheries, Ministry of Water and Environment, Uganda Wildlife Authority, CDC, FAO and EPT-2 Projects (PREDICT, OHW).

Next steps will include: a) sharing the draft strategic plan among the One Health Stakeholders, b) holding a workshop for final review of comments/inputs and refining the draft strategic plan, c) developing a detailed activity budget; and d) facilitating endorsement of the strategic plan by representative sector ministries.


Vietnam – Facilitate Multistakeholder Coordination Meetings

From May 29 – 31, 2017, P&R supported the Indonesia-Vietnam ZDAP Coordination meeting, which convened around 30 key officials from these ZDAP lead countries in Jakarta, to plan in advance of the 3rd International ZDAP Conference, to be held in Vietnam in August 2017. Participants reviewed draft Terms of Reference for the ZDAP Coordination Mechanism, which will be presented at the conference for endorsement. Participants also refined the draft Conference Agenda and determined key logistical needs and follow up actions.

Vietnam representatives that attended the meeting were from General Department of Preventive Medicine (GDPM), Department of Animal Health (DAH), and One Health Partnership of Vietnam (OHP). In addition, the delegation from Vietnam was able to observe Indonesia’s coordination mechanism for non-natural disasters during a site visit to Indonesia’s Emergency Operations Center at the national disaster management agency and the ASEAN Coordinating Center for Humanitarian Assistance (AHA). P&R will continue to support coordination between Indonesia and Vietnam in organizing the 3rd International ZDAP Conference in August.

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