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ESTABLISHING SENTINEL SITES FOR MONITORING ANTIMALARIAL DRUG RESISTANCE IN SOMALIA

ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA. Objective To establish sites for monitoring antimalarial drug efficacy in the country in order to provide appropriate and effective guidelines for malaria treatment. DEVELOPMENT OF CHLOROQUINE RESISTANCE IN SOMALIA 1986-1997 . * 9 cases

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ESTABLISHING SENTINEL SITES FOR MONITORING ANTIMALARIAL DRUG RESISTANCE IN SOMALIA

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    1. ESTABLISHING SENTINEL SITES FOR MONITORING ANTIMALARIAL DRUG RESISTANCE IN SOMALIA Dr Marian Warsame, MD, PhD Division of International Health Karolinksa Institutet Sweden

    2. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Objective To establish sites for monitoring antimalarial drug efficacy in the country in order to provide appropriate and effective guidelines for malaria treatment

    3. DEVELOPMENT OF CHLOROQUINE RESISTANCE IN SOMALIA 1986-1997

    4. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Updated information on AMDR Representative: geographical patterns Standard - interpretation comparable WHO protocols

    5. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Process for establishing SS-AMDR Selection of the sentinel sites Identification of study health facilities Identification of the site teams Training of sentinel teams Adapting of the WHO protocolsa Implementation

    6. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Malaria transmission Hypo-endemic Mesoendemic Hyperendemic Collapse of the public health services (With exception of Northwest) NGOs Private sector

    7. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Selection of the sites Densely Populated Endemic for malaria Accessible and feasible to supervise Less prone to population mobility and migration

    9. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA

    10. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Identification of Health facilities Burao site: MoH Galkayo site: MSF Holland - hospital Jowhar site: INTERSOS Jowhar - hospital Merca-Jannaale site: COSV - OPD Jamame site: Muslin Aid UK- underfive clinic Baidoa site: Politically unstable

    11. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Selection of the site teams available of trained/motivated health personnel a clinician a microscopist with a laboratory for BS a nurse.

    12. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Training of the sentinel teams Lectures Practical training Group work Site specific implementation plan Identification of material support needed.

    13. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Training Participants The selected local teams for Jamame, Jowhar and Jannale sites WHO malaria zonal focal persons National malaria focal person WHO lab technicians the country RBM co-ordinator

    14. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA

    18. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Assuring the quality of the study Test drugs were obtained from WHO. Laboratory work Equipments/materials were provided by WHO. WHO lab technician will read separately the slides Competence of the study team The teams were properly trained on the WHO protocol WHO focal malaria persons and WHO laboratory technician were assigned to the three sites Temperature measurement The teams were trained in temperature-taking technique Data management At the end study completion the data will be validated

    19. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA

    20. ESTABLISHING SENTINEL SITES FOR MONITORING AMDR IN SOMALIA Status of Implementation Jamame site: operational Jowhar site: operational Jannale site: Not started Galcayo site: Study discontinued Burao site: Not started Baidoa site: Not established

    21. PRELIMINARY FINDINGS

    22. PRELIMINARY FINDINGS

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