Component 1: Enhanced regional CDC Systems
- A range of regional cooperation activities have been identified by the Project and are currently being assessed and considered as a means to improve regional coordination and liaison.
- Cross border collaboration and coordination continues and a number of meetings between CLV provinces have taken place in the current quarter, with a high level meeting conducted immediately prior to the Regional Workshop in November between Luangprabang Province and Son La and Dien Bien Phu provinces in Vietnam.
- NCLE continues to refine the EWARN system and is reviewing the reporting format of outbreaks to clarify timeliness of communication from health facilities to NCLE. The latest outbreak data for the October - December 2014 quarter reflects outbreaks of new disease cases.
- There were 6 outbreaks with 408 people affected, and 3 persons dying in the current quarter. 100% of outbreaks were reported within 24 hours and 66% were investigated within 24 - 48 hours. Main symptoms/diagnoses diagnosed from specimens were Measles, with 15 suspected confirmed cases. Females accounted for around 45% of cases, with unusually, 71% of cases in December. The reasons for this preponderance of females then are unclear. Table 2 sets out summary outbreak data for the current quarter. Detailed data are attached as Appendix 5.
- From 2011 to the present, 328 outbreaks have been identified in Lao PDR, with 83% reported within 24 hours and 68% investigated within 24-48 hours. Appendix 6 sets out summary data on outbreaks to date since 2011.
- The Department of Communicable Disease Control of MOH has been working on an updated national policy on surveillance and with project support, presented the new document at a workshop in December 2014. The policy has now been officially adopted and has been circulated widely to all provinces for implementation. An English version is being developed and will be forwarded to all agencies shortly.
Component 2: Improved Communicable Diseases Control along borders and economic corridors
- In total, around 350 model healthy villages will be added during the course of the Project and priority considerations are: optimal targeting to ensure relevant villages are included in the program; coordination with the existing MHV program to ensure consistency and complementarity and use of agreed and accepted material and approaches.
- To date, 231 MHVs have been established under the Project (66% of overall target).
- The Project completed the Household Survey report in May 2014 and a draft was circulated informally to international agencies. The survey covered nearly 1500 households in 12 provinces, with 32 districts and 132 villages involved. The survey identified a range of useful information on heath behaviours, knowledge and practices and established a comparative baseline to evaluate project impact, outcomes and achievements on completion.
Component 3: Integrated Project Management
- In Lao, a Project Performance Monitoring and Evaluation System (PPMES) format based on the Project Design and Monitoring Framework (DMF) has been developed and is being continually reviewed and refined to facilitate an overall Project monitoring framework.
- Work is continuing on a range of Project system documentation and processes including: continuing development of a Project Performance Monitoring and Evaluation System to assess the performance of the Project by: Monitoring and evaluating delivery of planned activities to ensure timely implementation and steady progress towards milestones, outputs and outcomes; Measuring Project impacts; Measuring health and social benefits with a focus on the poor, women, and ethnic/disadvantaged groups; Monitoring achievement of Millennium Development Goals and other government targets; Enabling the Project to monitor the assumptions and risks in the DMF as an early indicator of action required to ensure that the Project can achieve overall aims; and Monitoring compliance with the terms and obligations in the signed grant documents (Covenants etc).