A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

Why do we develop a multi-sector for Pandemic Preparedness and Response Planning? Pandemic an ‘all-of-society’ emergency – will have social, economic and public safety impacts Health will be the key technical sector, but will need support from other sectors in order to function. Over-all pandemic response will be coordinated through existing emergency management structures – the NCDM, PCDM & DCDM

Objectives To integrate the pandemic preparedness and response mechanism into a broader national disaster management system (in NCDM) To provide a quick and appropriate response to a pandemic To reduce the public panic and confusion To reduce a negative impact of pandemic influenza and opportunities of its transmission To reduce the social and economic impacts due to a pandemic and would save millions of dollars To maintain business continuity in all stages of pandemic.

Focal points from health and non health sectors 24 Provincial government departments/entities Including military, police and gendarmeries. Local authorities/community leaders ( provincial, district and commune level) Non governmental organizations, Private companies/Service providers

Key processes of a multi-sector pandemic planning Established the PPPT through reinforcing and modifying roles of existing provincial committee for disaster management (PCDM) Conducted Training of Trainer on a multi-sector PPP and response to the selected provincial trainers from diverse 22 government departments, civil societies and private sectors. Conducted the planning workshops for health and non- health sectors which involved participants from provincial, district and community level. Each sectors workshop, the trained provincial ToT were merged with new participants to lead their planning and discussions.

Before each sector planning session started Participants were introduced overall overviews of the planning Background of the pandemic influenza Cause of pandemic and differentiate between seasonal, avian and pandemic influenza Recognize mild and severe signs and symptoms Prevention, reduction of impacts and transmission such as cover nose and mouth when coughing and sneezing, frequency washing hands with soap and social distancing.

Additional tools supported in process of planning

NCDM-Video Presentation National Geographic Documentary On Super Flu, NCDM

The current WHO phase of pandemic alert is 6 Phase 6 the pandemic phase, is characterized by community level outbreaks in at least one other country in a different WHO region in addition to the criteria defined in Phase 5. Designation of this phase will indicate that a global pandemic is under way.

% of Morbidity and Mortality in 100 days, Svay Rieng Population Normal OPD and IPDIn the outbreak of Pandemic

Normal OPD and IPD In the outbreak of pandemic influenza within 12 weeks

Health sector focuses and key areas identified –Modified roles Provincial Health Department Provincial Hospital District Referral Hospital Community health center Village Health Support Groups/Village Health Volunteers –Health facilities Essential services to be maintained during a pandemic Non-essential services to be suspended during a pandemic Identified external buildings for services expansion –Controlling patients flow and the crowds Setting up a triage system, OPD and IPD Separation of respiratory and non respiratory patients –Managing resources Mapping and redeployment of staffing: MD/MA, Nurses, midwives Medicines: Tamiflu, Antibiotics, Paracetamol, IV fluids, ORS etc Equipments: PPE, Oxygen, Intubation, Ambulances –Internal and external coordination/communications Situation update and reporting Staff motivations/ volunteers like medical students

Non-health sectors focus and key areas identified Information/education –Key health messages –Disseminations –Communities/schools Water and energy system –Maintain services 24 hours to key institutions/facilities Public Security –Reinforce law, public order –Secure key facilities –Secure essential transport Transport –Assist health sector –Other sectors –Food and water –Emergency team and supplies Border Management –Human health screening –Animal health screening –Goods controlling

Non-health sectors focus and key areas identified cont. Food emergency –Vulnerable groups –Patients and hospital staff –Emergency team –Community and individual stock Economic and Finance –Maintain staff salaries –Control/ monitoring food prices and other essential consumptions Command & Control –Ensure the continue of essential services in all stages of pandemic –Mobilizing and monitoring existing resources –Coordinate information flows between health and non health sectors –Assist health and non health sectors on technical inputs, decision making and problems solve –Update on the severity of the crisis

Ex. Organization Chart of Public Security

Each Sector Produced RolesEssential Services PrioritiesKey activitiesSupports & Dependencies

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