Systeme dalerte Presentation title Surveillence Cholera Prevention ataglance

Systeme d’alerte Presentation title – Surveillence Cholera Prevention at-a-glance info Epidemiologique through Community (in slide master) a Base engagement in Communautaire Surveillance and WASH Interventions Since 2010, IFRC members respond in coalition with PAHO/WHO, UNICEF to Haiti government’s Call for Action against Cholera supporting millions of men, women and children at risk of WASH-related disease transmission, especially cholera www. ifrc. org Sauver des vies, changer les mentalités.

Systeme d’alerte Cholera Prevention – Surveillence through Community Epidemiologique engagement in a Baseand Surveillance Communautaire WASH Interventions A Solidarity to vulnerable communities severely affected by disasters in series leading to the massive spread of the cholera epidemic The 2010 earthquake has exacerbated the WASH vulnerabilities in the population (64 % of the population got their water supplies from rivers, unprotected source); 29% of Sanitation coverage In the urban areas and 12% in rural areas) ▪ If urban water systems were defective, older than 50 years, there was no collective sanitation system. Individuals resorted to many risky practices: open defecation, manual emptying of latrines, septic tanks etc… ▪ WASH infrastructures in Hospitals and Health Centers were Severely damaged and put at risk patients, accompanying persons and medical staff ▪ Only a few months after its creation in 2009, DINEPA whose mission is reforming the system of water supply Sanitation in Haiti, experienced its worst trials through the earthquake and cholera epidemic ▪ www. ifrc. org Sauver des vies, changer les mentalités.

Systeme d’alerte Cholera Prevention – Surveillence through Community Epidemiologique engagement in a Baseand Surveillance Communautaire WASH Interventions More than 13 millions CHF raised and invested to respond to WASH urgent needs and build capacities of people and communities In 2011, IFRC joined the Regional Coalition for Water and Sanitation to Eliminate Cholera in Haiti composed by PAHO, UNICEF and CDC, the Spanish Agency for International Development Cooperation (AECID), and the Inter-American Association of Sanitary Engineering and Environmental Sciences (AIDIS) ▪ In 2012, IFRC launched the cholera appeal supported and funded mostly by the partners National Societies and their government allowed increased investments to the Cholera National Elimination Plan, institutional support, community capacity building. ▪ IFRC, PNS supported The HRC to position in the National Coordination for cholera Elimination, developing an EPo. A centered on WASH investments against cholera in both rural and urban settings to respond to the epidemic ▪ Haitian Red Cross and its partners were seated as a member of the WASH Cluster. Actually, the end of the WASH Cluster, HRC is a member of the CREPAU, Restricted Committee for Water and Sanitation Emergency ▪ www. ifrc. org Sauver des vies, changer les mentalités.

Systeme d’alerte Cholera Prevention – Surveillence through Community Epidemiologique engagement in a Baseand Surveillance Communautaire WASH Interventions A Nationwide Movement Geographical Coverage www. ifrc. org Sauver des vies, changer les mentalités.

Systeme d’alerte Cholera Prevention – Surveillence through Community Epidemiologique engagement in a Baseand Surveillance Communautaire WASH Interventions Movement EPo. A and Programming for cholera Elimination Red Cross Actions supporting the Cholera elimination plan consisted in : ▪ investment in water and sanitation infrastructure in communities and Health Facilities ▪ water-quality monitoring systems and water and sanitation management, ▪ www. ifrc. org Sauver des vies, changer les mentalités.

Systeme d’alerte Cholera Prevention – Surveillence through Community Epidemiologique engagement in a Baseand Surveillance Communautaire WASH Interventions Investment in Water Infrastructure ▪ Targeted and sustainable WASH actions were implemented in rural and urban settings marked by cholera persistent areas not fully covered by government and other private sector actions www. ifrc. org Sauver des vies, changer les mentalités.

Systeme d’alerte Cholera Prevention – Surveillence through Community Epidemiologique engagement in a Baseand Surveillance Communautaire WASH Interventions Movement EPo. A and Programming for cholera Elimination Work in coordination with the branches of the Haitian Red Cross, the health directorates for the establishment of a community-based surveillance network (SEBAC); ▪ Strengthening Participation and Community Engagement in the fight against cholera ▪ Establishment of surveillance committees for cases of acute diarrheal and community deaths composed of volunteers, MSPP health workers, nurses, auxiliaries or others responsible for community health centers, matrons, traditional healers, community leaders ▪ ▪ ; www. ifrc. org Sauver des vies, changer les mentalités.

Systeme d’alerte Cholera Prevention – Surveillence through Community Epidemiologique engagement in a Baseand Surveillance Communautaire WASH Interventions Creation of Community Committees for community based surveillance (CBS) www. ifrc. org Sauver des vies, changer les mentalités.

Systeme d’alerte Cholera Prevention – Surveillence through Community Epidemiologique engagement in a Baseand Surveillance Communautaire WASH Interventions Framework for community based surveillance aligned on the IFRC Global CBS Protocol Response, via mobile team & Feedback (New Case detection, provide ORS, referral of patients to cholera treatment center, communication) Data checking (Triage & Verification) Dissemination (Sharing data) Data Managment & Analysis (Detecting trends) www. ifrc. org Sauver des vies, changer les mentalités.

Systeme d’alerte Cholera Prevention – Surveillence through Community Epidemiologique engagement in a Baseand Surveillance Communautaire WASH Interventions Community Based Surveillance CBS Support Local branches interventions for community engagement and community-based behaviour change; support vaccination campaigns through Social mobilisation ▪ Training of SEBAC volunteers in community surveillance, in cholera response and social animation ▪ Community Empowerment: Training of CBS volunteers in community surveillance, in cholera control and social animation ▪ Community Empowerment: Stock prepositioning for first aid and response by community volunteers ▪ Empowerment women in community on residual chlorine testing ▪ www. ifrc. org Sauver des vies, changer les mentalités.

Systeme d’alerte Cholera Prevention – Surveillence through Community Epidemiologique engagement in a Baseand Surveillance Communautaire WASH Interventions Alert Investigation –Sanitary belt and targeted interventions, water quality monitoring at community level • Sanitary belt and community meeting • Sanitary belt by volunteers /Decontamination in latrines and household areas where patients have defecated and vomited • Sanitary belt and targeted interventions (distribution of cholera kit to strengthen Hygiene in household closed of the patients • Sensitization on the Contamination chain • Community Group discussion to understand contamination dynamic, identification Contact and Index cases • Special in country deployment for hard to reach areas affected by outbreaks • Post sanitary belt monitoring to strengthen messages and practices on household water treatment • Sensitization-Handwashing Campaign in public market and large public event • Handwashing Station during a large public religious ceremony www. ifrc. org Sauver des vies, changer les mentalités.

Systeme d’alerte Cholera Prevention – Surveillence through Community Epidemiologique engagement in a Baseand Surveillance Communautaire WASH Interventions Targeting children at School www. ifrc. org Sauver des vies, changer les mentalités.

POURd’alerte DE PLUS AMPLES Systeme – Surveillence REPONSE Epidemiologique a Base Communautaire INFORMATIONS SUR LA SURVEILLANCE EPIDEMIOLOGIQUE ET LA A BASE COMMUNAUTAIRE, VEUILLEZ CONTACTER : DÉPARTEMENT SANTE ANGELINE BRUTUS TÉL. : +509 48956411 CETTE PRÉSENTATION EST PUBLIÉE PAR LA FÉDÉRATION INTERNATIONALE DES SOCIÉTES DE LA CROIX-ROUGE ET DU CROISSANT-ROUGE www. ifrc. org Sauver des vies, changer les mentalités.