1. Avian Influenza Control Project Department of Health Services Dr. Jeetendra Man Shrestha Deputy Coordinator

5. Avian Influenza Control Project COMPONENTS & SUB-COMPONENTS Animal Health Strengthening Disease Surveillance Strengthening Quarantine Services Human Health Upgrading Laboratory Capacity Field Veterinary Services Compensation Fund Social Mobilization and Behavior Change Communication Project Management Strengthening Disease Surveillance and Laboratory Capacity Prevention and Containment Measures Health Care Delivery System Preparedness and Response Project Management

6. COORDINATION MECHANISMS Nepal Avian Influenza Control Project National Disaster Relief Central Coordination Committee Technical Subcommittee on Avian Influenza Jointly chaired by MOAC+MOHP Secretaries TSCAI secretariat at AHD MOAC Program MOHP Program DOLS Animal Health Component DOHS Human Health Component Communication Working Group Surveillance Working Group AI Coordination Committee Activities to be implemented by MOLD Activities to be implemented by MOHA Compensation Working Group

13. Achievement during FY 2065/66

20. Pandemic Influenza A(H1N1)2009

29. Dos and Don’ts

31. Last 3 Years’ Performance/Indicators During 2006-07, the approved programme was there but no transfer of funds, only remaining balance NRs.799,000 in the special account (ADB) was spent Programme Name FY 2006-07 FY 2007-08 FY 2008-09 Surveillance and Laboratory Strengthening AICP was launched on 5 May 2007, so the FY 2007-08 is regarded as the first year of the programme 50% of sentinel sites submit reports timely >80% of sentinel sites submit reports on time - QC tests couldn’t be done at NPHL. Prevention and Containment 4500 sets of PPE, 1000 antiviral (30% of the targeted high risk) 6000 sets of PPE, 5000 seasonal Flu vaccine, 38,000 course antiviral (>100% of the targeted high risk) - Quarantine check posts (Health Desk) at TIA and 10 land crossing points

32. Last 3 Years’ Performance/Indicators Programme Name FY 2006-07 FY 2007-08 FY 2008-09 Health Care Delivery System Preparedness and Response AICP was launched on 5 May 2007, so the FY 2007-08 is regarded as the first year of the programme 30% of HCWs (RRTs) at public HCF have adequate knowledge on HPAI 50% of HCWs (RRTs) at public HCF have adequate knowledge on HPAI - 1 primary, 5 Regional and 1 National referral hospitals are equipped Program Management Timely Conduct of Planned activities (50%) Timely conduct of planned activities (achieved 50% instead of 70%)

33. Last 3 Years’ Performance/Indicators Programme Name FY 2006-07 FY 2007-08 FY 2008-09 Communication Comprehensive Communication program launched Comprehensive Communication program launched High level (50%) awareness of Program message High level (70%) awareness of Program message

34. This Years’ Performance/Indicators Sub-Components Output Indicators Targeted FY 2065/66 (2008/2009) Annual Output Cumulative Output 1 Surveillance and Laboratory Strengthening Reporting by sentinel surveillance sites (Immediate, Weekly, Monthly) 80% 86% Consistency of laboratory results to WHO Reference laboratory 90% 100% 2 Prevention and Containment Seasonal Influenza vaccine for high risk occupational groups 90% 90% PPE and antiviral for high risk occupational groups 100% 100% Quarantine facilites functional at TIA and border entry points 1/5 1/10 (Temporary)

35. Overall Physical Progress: 84% Overall Financial Progress: 82% Sub-Components Output Indicators Targeted FY 2065/66 (2008/2009) Annual Output Cumulative Output 3 Health Care Delivery System Preparedness and Response Adequate knowledge of HAI among public health care workers 50% 50% District PHOs have Influenza epidemic prepaedness and reponse plan 50% 0% Establishment of a national referral hospital feasibility study at STIDH 0% 4 Program Management Timely implementation of procurement (% not beyond 1 month) 80% 30% Submission of project reports every four month to TSCAI 100% 66% 5 Communication Component (Human Health) Comprehensive Communication Program launched yes yes Target group population showing high level of awareness (survey) 60% 70%

36. Last 3 Years’ Budget and Expenditure Amount in ‘000 Programme Name FY 2006-07 FY 2007-08 FY 2008-09 NRs. NRs. NRs. Surveillance and Laboratory Strengthening Budget AICP was launched on 5 May 2007, so the FY 2007-08 is regarded as the first year of the programme 155,403 84,560 Exp. 50,108 75,476 Exp. % 32% 89% Prevention and Containment Budget 32,696 34,036 Exp. 229 20,410 Exp. % 1% 60% Health Care Delivery System Preparedness and Response Budget 56,764 53,661 Exp. 20,547 49,100 Exp. % 36% 91%

37. Last 3 Years’ Budget and Expenditure Amount in ‘000 Programme Name FY 2006-07 FY 2007-08 FY 2008-09 NRs. NRs. NRs. Program Management Budget AICP was launched on 5 May 2007, so the FY 2007-08 is regarded as the first year of the programme 11,804 25,298 Exp. 7,338 11,884 Exp. % 62% 47% Communication Budget 22,503 13,063 Exp. 17,174 14,802 Exp. % 76% 113% Overall Exp% 35% 82% * Direct Payment to WHO and Custom and duties of the vehicles are included ** Annual Budget was reduced by NRs. 50 M to NRs. 210.618 M by the decision of MoF

40. Problems/Issues/Challenges Issues Reset Target Original Target Surveillance Core Capacities at all levels 2011 IHR-2012 Establishment of BSL-III Laboratory 2011 2010 Establishment of Border Health Check Posts 2009 2009 Regional Referral Hospital Strengthening (Initial facility upgrading has been accomplished) 2009 2009 Additional referral hospital at the Poultry Hub (Bharatpur Hospital, Kanti Children etc.) 2009 2009 Assessment and cost estimation for the strengthening of Central Referral Hospital (Sukraraj Infectious and Tropical Disease Hospital) 2009 2009

41. Thank You