avian influenza preparedness: observations from world bank project development in south asia s....
Post on 20-Dec-2015
218 views
TRANSCRIPT
Avian Influenza Preparedness:Observations from World Bank Project Development in South
Asia
S. Ostroff
Aug 2006
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)
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
GPAI Framework
• Government endorsed national AI plan
• Single, unified proposal from government
• High level involvement/coordination
• Focus– Animal health– Human health– Public information/education
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
Observations II
• Surveillance infrastructures weak– Anecdotal rather than systematic
• Communications challenges
• Response teams variable
• Lab capacity poses challenges
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