Epidemic Control for Volunteer (ECV)-PMI First Aid Lesson Learn Epidemic Control for Volunteer (ECV)-PMI First Aid Adaptation & Roll Out MOCHAMAD ARFAN F. Head Of Health and Social Division Regional Community Safety and Resilience Forum Jakarta, 4-6 August 2015

WHERE are CBHFA & ECV in PMI Strategic Plan 2014 – 2019?

As auxiliary to government, PMI play the role as National Committee for: Member of Health Crisis Center, Indonesia Ministry of Health  In a role Medical Action Team (MAT), Field Hospital (from PMI hospital), Health Cluster Member of National AIDS Commission  In role for Blood Safety, Prevention on youth and high risk group, support for PLHIV, Annual Join Supervision Member of National Zoonotic Commission, which was previously named Indonesia National Commission for Avian Influenza controlled & Pandemic Preparedness)  in a role for Volunteer Mobilization and Community Awareness & surveillance Member of Movement: IFRC support PMI to implement H2P program in 2006. And Roll Out the ECV toolkit funded by Hong Kong RC through IFRC

Some Experiences Responding to the threat of Avian Influenza (H5N1 virus) in 2005, PMI in cooperation with the Ministry of Health and Ministry of Agriculture, conducting various activities to raise public awareness and prevent the spread of avian influenza from animals to humans, and between humans Since 2006 PMI has trained more than 20,000 community volunteers from 33 provinces and 426 districts / cities throughout Indonesia, reaching more than 4 million beneficiaries directly and indirectly through health promotion in Humanitarian Pandemic Preparedness (H2P) support by IFRC, AmCross - USAID In the years 2010-2012, Strategic Against Flu Emergence (SAFE) project subcontract supporting by DAI - USAID, PMI implement the program in 2 provinces (West Java and Banten) with a target of 10 districts / cities. It’s a join implementation with Aisyiah (local NGO) in targeting the beneficiaries (community and public market) PMI has several Community Based Programming and Approaches : Community Based Health & First Aid (ECV Compliment module 5 CBHFA), ICBRR, WASH, CCA, Health School, DP School

Adaptation and Roll Out Epidemic Control for Volunteer/ ECV OUT COME Capacity of Palang Merah Indonesia (PMI) to support communities in epidemic prevention and control is improved Output: PMI leadership and management are sensitized on, and support strengthening of, NS role in epidemic prevention and control. Epidemic prevention and control tools are adapted and pre-positioned in strategic locations. Community volunteers in priority communities are trained on epidemic prevention and control.

How mainstreaming ECV in existing approach/program/document? Community Based Health & First Aid (CBHFA) Community Preparedness Integrated/ Insert in existing Training curriculum and Simulation Integrated Community Based Risk Reduction (ICBRR) Organizational Preparedness Training for staff Technical skill for Volunteer Climate Change Adaptation Water Sanitation & Hygiene (WASH) Contingency Plan Emergency & Disaster Respons Team

Targeted area Intervention The project was carried out in disease outbreak/epidemic prone areas where PMI have existing community based projects using CBHFA, Water Sanitation & Hygiene (WASH), Climate Change Adaptation (CCA) and disaster risk reduction (DRR) approaches The decision to embed this project into these existing programmes was also linked to ensuring future sustainability Four provincial branches were chosen to initiate the project and the ECV toolkit was field tested in the provinces of Banten, Daerah Khusus Ibukota (DKI) Jakarta, Jawa Barat and Papua. The branches were selected based on epidemic risks and their capacity and interest in supporting the introduction of the manual and toolkit. The project was carried out in disease outbreak/epidemic prone areas where PMI have existing community based projects using CBHFA, Water Sanitation & Hygiene (WASH), Climate Change Adaptation (CCA) and disaster risk reduction (DRR) approaches The decision to embed this project into these existing programmes was also linked to ensuring future sustainability Four provincial branches were chosen to initiate the project and the ECV toolkit was field tested in the provinces of Banten, Daerah Khusus Ibukota (DKI) Jakarta, Jawa Barat and Papua. The branches were selected based on epidemic risks and their capacity and interest in supporting the introduction of the manual and toolkit.

Community Based Health Programming Indonesian Red Cross: 33 Province; 452 District JAKARTA Central JKT (Dengue & Climate Change Adaptation Program) PAPUA Keerom (WASH program) BANTEN Pandeglang (ICBRR program) WEST JAVA Cianjur (CBHFA Program) ECV Roll-out in 4 province 4 district

IFRC: ECV Guideline & Toolkit

PMI ECV Adapted guide & toolkit Community Message Tools (25) Action (35) Diseases Tools (17) Training Manual/ Guideline

ECV Adaptation & Roll out Process Sensitization from IFRC Asia Pacific (Jim) & South East Asia (Abhishek) in Jakarta (Oktober 2013) ECV Adaptation & Roll out Process Translation in to Bahasa Indonesia Workshop adaptation 1 (May’14) Workshop adaptation 2 (June’14) Design Lay out ECV training for Facilitator in Province & District (Oct’14) Training for Village Volunteers (Oct 14 – Feb 15) Develop SOP & Simulation Community level (Jan-Feb’15) Final Design, Printing & Distribution to all Province (Feb-Marc ‘15) Finalization & Dissemination the Lesson learn document (may 2015)  Integrated in to existing approach, program, document

Sensitization Adaptation Resources Sensitization to PMI from IFRC Asia Pacific (Jim) & South East Asia (Abhishek) in Jakarta (Oktober 2013) PMI leadership, and heads and key staff of different NHQ divisions to ensure buy-in and support, and to maximise the potential for integration of the tool in PMI community programming PMI also organised sensitization sessions with key external stakeholders including the MoH and the National Zoonotic Commission to ensure that ECV messages and tools are aligned with these organisations. National Zoonotic Commission give brief Picture of Pandemic Control in Indonesia Ministry of Health committed to join cooperate with PMI with the adaptation of materials and ECV adaptation workshops were held in May and June 2014, The workshops adaptation were attended by a cross-section of departments within PMI (DM, Health, Training, Volunteer, Communication) representatives from CBHFA National Trainer, PMI Senior Health Advisor 4 PMI provinces & District for Piloting representatives from 3 departments within the MoH. IFRC Indonesia Delegation An external consultant to oversee the completion of the translation, graphic design and layout of the adapted material

ECV training & Contingency Plan PMI conducted an ECV master training to create a group of ‘master facilitators’, consisting of PMI staff and volunteers from the provinces & district where the initial roll-out was scheduled to take place This group of trainers then led branch and community trainings, and facilitated the ECV toolkit roll out within the communities where they worked The facilitators of ECV master training included members of the PMI NHQ health team, CBHFA national trainers, the IFRC Indonesia Health officer and representatives from MoH. In order to field-test how the ECV tool kit would be used, participants also engaged in a role-play. It is recommended that all participants of the master training should share their learning by conducting the ECV training in their own programme areas Contingency plan an simulation are involving Respective personnel from district health office and Public Health Centre in Village level

Key changes of ECV toolkit Translation: a professional translator was used to ensure the appropriate translation of material to the local language Disease information: information was adjusted to ensure it reflected the national guidelines and in particular, MoH and National Zoonotic Commission references Actions: the actions were adapted to ensure they were aligned with the local context and with PMI’s capacities Illustrations/drawings: the images used in the toolkit were replaced with images from Indonesia.

Example of adaptation

Additional document in Guideline

ECV Roll-out in WEST JAVA (Cianjur) Measles issue through CBHFA Program

ECV Roll-out in BANTEN (Pandeglang) Diarrhea issue through ICBRR Program

ECV Roll-out in PAPUA (Keerom) Malaria Issue throgh WASH Program

ECV Roll-out in JAKARTA (South Jakarta) Dengue issue in Dengue & Climate Change Adaptation Program

Other Initiative PMI First Aid Mobile Application Android Basis Including Pandemic Dengue Diarrhea Influenza Malaria Ebola Leptospiros MERS-CoV

Challanges Internal and external procedures and bureaucracy, such as project agreement and financial mechanisms, also created challenges. Meetings and discussions were held to try and resolve these issues and in 2014, an agreement was made to change the project agreement and finance mechanisms to help avoid these challenges in future Coordination and collaboration with MoH and Zoonotic National Commission were essential but took a significant amount of time due to government processes and procedures Sense of Urgency to Institutionalized of ECV in PMI System and Mechanism need to continuously discussion and harmonization Limited Personnel in PMI Health Division NHQ with various Program and Responsibility

Lesson Learn & Future Plan Intensive support and direction were needed to facilitate PMI provinces and branches to roll out this toolkit properly In PMI this project was a crosscutting issue involving both DM and Health, therefore some additional guidelines on how to integrate these tools, in terms of multi-hazard disaster, would be helpful Zoonotic Commission and National Agency for Disaster Management/ BNPB) and other stakeholders is critical to ensure the implementation is effective and sustainable. Involving in the National & International Meeting. Ex: PHiE by IFRC, PMI Health Meeting Technical training on how to use the ECV module and toolkit and how to roll it out as a standard tool and approach of epidemic response is needed for all PMI staff in all PMI provinces (national level) Considering the limited resources during an outbreak of disease, PMI should conduct ECV technical briefings for volunteers as part of the rapid training before deployment. Contingency plan and simulation, the disease outbreak chosen should reflect the real health issues and more useful for the community ECV toolkit should be integrated with existing PMI community based programmes, Annual Work Plan, and Long Term Strategic Plan.

Other Existing Guideline and Toolkit

Communtiy Based Health & First Aid

Malaria Influenza Pandemic

Dengue & Climate Change Adaptation

Terima kasih Thank You