Presentation Files and Meeting Report of GHSA Action Package Coordination Meeting, 23-25 August 2016, Ritz Carlton Hotel | Global Health Security Agenda – Indonesia

ZOONOTIC DISEASES
ACTION PACKAGE
Leading countries
Contributing countries
Contributing international organizations

: Indonesia, Vietnam
: Georgia, Finland, Kenya, Sweden, United Kingdom,
United States, Yemen, the Netherlands, South Africa
: FAO, OIE, WHO

TOPICS
How do Action Package leading countries engage
other participating countries?
What are the challenges and opportunities in
implementing the GHSA Action Packages roadmap?
What are the Action Packages activities for 2016?
What are the coordination mechanism and efforts to
be taken to strengthen the Action Packages?
What are best practices to be shared?


Is there external assistance required for
strengthening the Action Packages implementation?

1. How do Action Package leading countries engage
other participating countries?
• To explore the participation of other countries and
organizations in ZDAP and possible solicitation to
join and / or play a ZDAP leadership role
• All GHSA participating countries must strengthen
their use of PVS in harmony with IHR 2005 within
JEE and other tools in line with the targets stated in
their ZDAP Road Map taking into account lessons
learnt and best practices adopted in other countries

2. What are the challenges and opportunities in
implementing the GHSA Action Packages roadmap?
• Challenges and opportunities identified in the use
of PVS and IHR 2005 within JEE tools, particularly in
the areas of coordination, collaboration and an
appropriate balance in sector representation shall

be rectified.

3. Current Activities (2014 - 2016)
1. Building Global Commitment to Multi sector Approach to Manage
Emerging Zoonotic Diseases in Support of the GSHA within the
framework of Public Health
2. ASEAN Strategy on Rabies Elimination and the Action Plan
3. Update activities with GHSA steering group
4. OIE conference in Paris in June 2015
5. International Conference on ZDAP in Viet Nam ZDAP Action Plan
6. The Asia – Pacific Workshop on Multisectoral Collaboration for
Prevention and Control of Zoonoses in Saporo Jepang in 2015
7. Global elimination of dog-mediated human rabies – The Time is Now,
and the technical pre-meeting with the WHO Collaborating Centers in
Geneva in 2015
8. Send assessors to JEE
9. 2nd ZDAP meeting at Ritz Carlton Mega Kuningan Jakarta 22 August
2016

4. What are the coordination mechanism and efforts

to be taken to strengthen the Action Packages?
• Effort will be made to
improve (non-technical)
communication about the
importance and relevance
of Zoonoses and One
Health to the public and
policy/decision-makers,
including with ministries of
finance, home affairs,
planning, interior, etc.

• All GHSA participating
countries must strengthen
their use of PVS in harmony
with JEE and other tools in
line with the targets stated
in their ZDAP Road Map
taking into account lessons
learnt and best practices

adopted in other countries

5. What are best practices to be shared?
• Integrated zoonoses prevention and control program
• Enhance of knowledge and skill among health workers
and education sectors
• Integrated communities empowerment through IEC
• Integrated Surveillance System, outbreak investigation
and reporting from Districts/Cities, Province, Central
level (Avian Influenza, Rabies, Anthrax, etc.)
• Sentinel surveillance of zoonoses
• Zoonoses Epidemiology and Laboratory Network (Four
Way Linking)
• Expert meeting of zoonoses integrated human and
animal health

Tools, Guidelines and Best Practices Partnerships
Collaborations and Outreach for 2016

Integrated Epidemiological Investigation of

Anthrax Cases

Intersector Coordination, Cooperation and Partnership
Collaboration for Zoonoses Control in Indonesia, 1972- Now
MOU 1972

DG CDC MoH, DG
ANIMAL HEALTH
,MoAg
Organization

OBJECTIVE

PLANNING
DOCUMENT

2 DIRECTORATE
GENERAL
-


STRENGTHEN
ZOONOSIS CONTROL

.

3 MiINISTER DECREE
1978

MINISTER of: HEALTH ,
AGRICULTURE, HOME
AFFAIR,
3 MINISTRY

STRENGTHEN RABIES
CONTROL

GUIDE LINE of RABIES
CONTROL

NATIONAL COMSION AI

CONTROL , PANDEMIC
PREPAREDNESS 2006

NATIONAL COMISSION of
ZOONOSIS CONTROL 2011-

PRESIDENTIAL DECREE
No.7 , year 2006

PRESIDENTIAL DECREE
No.30 th YEAR 2011

NATIONAL COMMISISON,
PROV and District
COMiSSION

NATIONAL COMMISISION,
PROV and DISTRICT
COMMSION


2 COORD MINISTER, 17
MINISTER, 2 (NATIONAL
ARMY and POLICE) ,
INDONESIA RED CROSS

COORD MINISTER of PEOPLE
WELFARE, 14
MINISTER,NATIONAL
ARMY,NATIONAL POLICE,
INDONESIA RED CROSS

AI CONTROL and
PANDEMIC INFLUENZA
PREPAREDNESS. S

STRENGTHEN of ZOONOSIS
CONTROL

NATIONAL STRATEGIC
PLAN of AI CONTROL and

PANDEMIC INFLUENZA
PREPAREDNESS,2006

NATIONAL STRATEGIC PLAN
of INTEGRATED ZOONOSIS
CONTROL,2012

ZDAP LOGIC MODEL

6. Is there external assistance required for
strengthening the Action Packages Implementation?
• Enhance capacity and number of human resource
• Technical assisstance support (WHO and FAO) for
zoonoses experties: Rabies, Pes, Leptospirosis and
Antraks, etc
• Strengten laboratorium capacity for zoonoses
• Research development support on zoonoses;

Key Milestones & Activities for 2016
1. Collaboration on International Health Regulation (IHR)

and Performance Veterinary Services (PVS) Training for
human and animal health services
2. Enhance and strengthen surveillance and diagnose (early
detection) of human and animal health using the existing
system
3. Advocacy of policy and regulation on trade and production
of poultry and other farm animal for national multisectoral
stakeholder
4. Strengthen real-time bio-surveillance on animal and
human implementation
5. Join zoonoses socialization for human and animal health
workers

Five-Year Action Items
1. Emphasize One Health approaches across all relevant sectors of
government
2. Implement joint IHR and PVS training programs for human and animal
health services
3. Increase the compatibility of existing animal and human diagnostics and
surveillance data fields

4. Introduce and develop national multi-sector policies and regulatory
guidelines promoting poultry and livestock production and marketing
practices
5. Support the implementation of national architecture for real-time biosurveillance, spanning animal and human populations to support disease
monitoring and reporting
6. Actively address the proposal of core competencies and systems
requirements for implementation of the surveillance system
7. Enhance, link, and increase analytic capability within disease reporting
systems, to ensure that WHO, FAO, and OIE receive pertinent information
8. Introduce an operational framework that supports multi-sector notification
for outbreaks of suspected zoonotic origin in the early stage of emergence
9. Introduce systems that promote complementary research for public health
purposes

Closing Remarks
• One Health-driven Risk Mapping should be
continued and/or expanded to help inform
program direction, synergies and identify
possible gaps.

Thank You