1. Senior Leaders Symposium October 12 - 15, 2009 Le Royal Hotel, Cambodia

2. Total poultry population = 15.8 million Total human population = 13.1 million Ratio poultry to people = 1.2 90% of poultry in backyard/small-scale production 82% of poultry are chickens; 18% are ducks No significant export market for poultry Poultry and poultry products frequently imported from Vietnam and Thailand (including ducks) Cambodia Country Context * sources: Ministry of Agriculture, FAO, Ministry of Health

3. 23 poultry outbreaks from January 2004 to December 2008 in provinces mostly border to Vietnam. 8 human cases confirmed with H5N1 occurred in 5 provinces (7 case fatal). No H5N1 outbreaks in poultry and human in 2009 Sources: MAFF/FAO & MOH/WHO, Cambodia H5N1 Situation updated Confirmed H5N1 related outbreak - 13 sites in 2004 - 2 sites in 2005 & 4 human cases - 6 sites in 2006 & 2 human cases - 1 site in 2007 & 1 human case - 1 site in 2008 & 1 human case Confirmed human case with H5N1

4. USAID API Program USAID API Program Strengthen national capacity in animal and human surveillance systems for early detection Improve disease outbreak response capacity Strengthen human case management and infection control within selected referral hospitals AI public awareness & Behavior ChangeAI public awareness & Behavior Change Communications (BCC) campaign Communications (BCC) campaign JORN AL

5. Increase awareness and knowledge among key target audiences (backyard farmers) of -high-risk behaviors for contracting avian influenza -practical preventive measures -how to recognize avian influenza in animals and humans -how to respond to cases of avian influenza in animals and humans BCC Objective

6. Audience Small rural backyard poultry raisers Semi commercial poultry (mostly duck) farmers Commercial farmers and poultry processors Consumers of poultry Business officials (public-private sector) Health and veterinarian workers (village to central level) Local authorities Other stakeholders General population

7. First KAP survey among backyard poultry farmers, December, 2005 Findings Farmers know about Avian Influenza and are very worried, but do not have correct information to act on reducing risks. Awareness is low that their animals can be infected, so they are not taking preventive actions. Messages 1. Fence poultry 2. Keep new poultry separated from other poultry for two weeks 3. Wash hands with soap after handling poultry 4. Keep yards clean and free from poultry excrement. Research

8. Mass media Community approach Interpersonal communications Public relations/advocacy Integrated Approach

9. Mass Media (1) Recognizing/Reporting

10. Mass Media (2)

11. Community Media Community -theater -video show

12. Village Health Support Group (VHSG) meeting Community forum Market forum Farmer field school Monk network (march) Community Mobilization & Participation

13. Inter-Personal Communication (IPC) IPC trainings for medical staff, animal health and development workers, and village chiefs House hold outreach activities by Village Health Support Group

14. Advocacy

15. Public relations

16. Lessons Learned Mass media has proven to be effective in message recall.Mass media has proven to be effective in message recall. Enter-educate is an effective tool to create awareness.Enter-educate is an effective tool to create awareness. Trained vets and health workers, village chiefs in the community are found credible sources of information.Trained vets and health workers, village chiefs in the community are found credible sources of information. Financial benefit is key motivator for behavior change.Financial benefit is key motivator for behavior change. Collaboration between key AI players in Government and organizations is key to success.Collaboration between key AI players in Government and organizations is key to success. Local NGOs have the necessary skills to carry out group and interactive activities, but sustaining their support after project life cannot be established.Local NGOs have the necessary skills to carry out group and interactive activities, but sustaining their support after project life cannot be established.

17. Thank you!