WHO COLLABORATION | September 13, 2015 1 | WHO Indonesia Collaboration with Animal Health.

WHO COLLABORATION | April 19, 20231 |

WHO Indonesia Collaboration with Animal Health

WHO Indonesia Collaboration with Animal Health


Current Projects in ZoonosisCurrent Projects in Zoonosis

Strengthening the health system for acute respiratory infections– USAID funding, focus on zoonotic influenza, primarily H5N1

Strengthening the Human Health Surveillance System for Emerging Infectious Diseases Detection and Response

– AusAID funding, focus on EIDs Response including zoonoses

Implementing the National Strategic Plan for Avian Influenza – EU funding, activities closed in Dec 2011

IDENTIFY– USAID funding via SEARO

HPED– EU via SEARO


Strengthening the health system for acute respiratory infections

Strengthening the health system for acute respiratory infections

Four components

Case Management including oxygen therapy

Pandemic preparedness

Hospital infection prevention and control

Strengthening surveillance– Support for district surveillance officers– Support for EWARS (Early Warning Alert and Response System)– Support for labs including ILI and SARI


Strengthening Surveillance ActivitiesStrengthening Surveillance Activities

Operational support for DSOs in ten high risk provinces (all of Java, N Sumatra, Lampung, Bali and S Sulawesi

Refresher training for DSOs

Human – animal interface linking, including “Four Way Linking” project

Lab network refresher training and procurement

Severe Acute Respiratory Infection (SARI) surveillance at three hospitals in Western Java

EWARS technical support, and training and procurement in Central Java




Five Components

Support for EWARS in three provinces (Maluku, N Maluku, NTT)

Strengthening Event Based surveillance through Outbreak Command Post at MoH

Support for FETP

Support for Outbreak Response

Zoonosis control (new component)


Zoonosis ControlZoonosis Control

Builds on previous grant to respond to rabies in Bali, with expected outputs:

Trained Human Resources including rapid response team members on integrated zoonotic diseases surveillance available

Field investigation reports available on priority zoonotic diseases, especially avian influenza

Advocacy and Agreement for Healthy Food Markets program continued in selected provinces

Advocacy and Agreement for integrated rabies prevention campaign in high risk provinces


Zoonosis ControlZoonosis Control

Expert recommendations for improved management of priority zoonotic infections

Trained human resources at district level in cost effective animal bite case management in selected provinces

Trained human resources at district level in effective lepto case management in selected provinces

Trained human resources at district level in avian influenza case management in selected provinces


What are WHO collaborating centres?What are WHO collaborating centres?

"…an institution designated by the Director-General to form part of an international collaborative network carrying out

activities in support of the Organization's programme at all levels.“

Example: Miscellaneous Bacteriology Section, National Institute of Health, MoPH, Thailand as WHO CC for Antimicrobial Resistance Surveillance and Training


Strategic rationale and functionsStrategic rationale and functions

WHO CCs assist the Organization in implementing its mandated work, all activities must be clearly linked to the WHO strategic plans and reflected in the workplans of the technical programmes to which they contribute.

Granting WHO CC status to an institution is not a mechanism for recognizing the institution as a centre of excellence.

28 September 2010: Indonesia and WHO agreed to establish a WHO Collaboration Centre on Influenza at the human-animal interface in Indonesia


Focusing on 5 topics

1. Integrated risk assessment for influenza at the human animal interface

2. Avian influenza dynamics at the human-animal interface

3. Virology of A(H5N1) viruses isolated from human and animal populations

4. Risks associated with environmental contamination by avian influenza viruses, including risks from Live Animal Markets.

5. Clinical management of human cases of avian influenza virus H5N1 infection

WHO Collaboration Centre on Influenza at the human-animal interface in Indonesia


Four-way linking frameworkFour-way linking framework

Bringing public health and animal health togetherBringing public health and animal health together


Four-way linking conceptFour-way linking concept

EpidemiologicHuman

Animal Virologic


Four-way linking project setupFour-way linking project setup

• Aim: National ability to conduct effective risk assessment Objective: link epidemiological/ virological information from AH/PH

sectors in time & space

• Assessment missions: look at complete national AH & PH systems from field influenza investigations through analysis of epi and

virological data Identify linkages and technical and policy gaps

• Follow-up: joint training workshop to address gaps identified

• Leading to Action Plan


Example of a joint AH-PH briefing reportExample of a joint AH-PH briefing report

Graphs and map of human & veterinary cases by region (incl. clade distribution)

Human cases by risk factors & poultry source

Chicken outbreaks

Analytic study summaries(Epidemiological curves, ...)

Interpretation of sequence information


Topics1. Risk Assessment principles2. Sectoral needs and discrepancies3. Gaps and solution identification

through scenario-based training4. Development of an action plan

National level workshops National level workshops


Expected outcome for action plansExpected outcome for action plans

Convene national task forceEstablish mechanism for joint RASolve data sharing issues


Terima kasih

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WHO COLLABORATION | September 13, 2015 1 | WHO Indonesia Collaboration with Animal Health.

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