Progress in Output-1:
- Focal center established in CDC Department of MOH and its role and responsibilities outlined in the draft strategy\policy documents.
- Five regional steering committee meetings conducted to date. Two regional meetings and one forum are expected to be conducted until June 2017. (List of regional and cross-border meetings in Appendix 5). A cluster cross-border meeting was conducted in Luang Prabang in July 2016. The next cluster cross-border meeting hosted by the EA will be on 16-17 August in Champasak. Lao PDR will host a regional forum on IHR, tentatively set for October 2016.
- Bilateral regional meetings and cross-border provincial information-sharing can be sustained even after the project because of existing MOUs. The cross-border meetings have already been integrated into provincial budgets. However, these budgets are not sufficient. The effectiveness of the regional and provincial cross-border meetings will be validated during the post-project assessment.
- 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. There were 13 outbreaks with 554 people affected and 6 deaths (5 due to food poisoning [mushroom] and 1 due to acute water diarrhea) in the current quarter. 61.5% of outbreaks were reported within 24 hours and 61.6% were also investigated within 24 48 hours. Females accounted for around 46% of all cases. From 2011 to the present, 397 outbreaks have been identified in Lao PDR with around 16,200 persons affected, with 83% reported within 24 hours and 69% investigated within 24 48 hours.
- Training on surveillance and response systems was conducted in the current quarter, including training on malaria and disease surveillance and risk assessment for district surveillance officers/RRT members. Integrated on job training on lab quality services including malaria and other communicable diseases diagnosis for district lab staff and selected health canters including lab quality by provincial lab staff was conducted.
- There were 13 training sessions conducted for nurses at the central and provincial on dengue case management on 2012. PMU provided support for mosquito/larvae surveillance in 10 provinces covering 140 target villages. The PMU provided assistance in survey and communication on the prevention and control of liver fluke in 4 provinces (Attapeu, Champasak, Bolikhamxay and Salavanh) covering 1944 villages; schistosomiasis in 202 villages in Champasak; lymphatic filiasis in 204 villages in Attapeu.
Progress in Output-2:
- In total, around 350 model healthy villages were targeted during the course of the Project and priority considerations including MHVs were: 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. As of 31 December 2015, 304 MHVs have been established under the Project (86.5% of original overall target).
- Monitoring and assessment of the provincial and district training system continues. Overall, following numerous field visits, it has been concluded that steady progress was being made and that the training management teams (TMTs) were being institutionalized within provincial and district organizational and management structures. An estimated 20,000 trainees at various levels have undergone training under the project (some people have had multiple training).
- The project has developed and implemented a teaching methodology, training management manual and guidelines for implementation. A training advisory group provides inputs to training conduct and content.
Progress in Output-3:
- All local experts were recontracted for the AF extension phase.