Clinical Management of Dengue: Training for Clinicians

1
Clinical Management of Dengue Training for
Clinicians

• May 9-10, 2011
• Mercure Hotel, Vientiane, Lao PDR

2
Background

• From 2005 to 2010 dengue cases had been reported
  in the entire Lao PDR.
• Under the new MOU with the government, MID-BCC
  added dengue as an health topic for technical
  assistance to priority provinces.
• In April this year, with the leadership of
  Vientiane Capital, the government launched a
  massive campaign to proactively identify, survey,
  and destroy breeding sites of mosquitoes in 9
  districts.
• To support the campaign, MID-BCC provided
  assistance in the production of IEC materials for
  schools, teachers, health service providers and
  the general public.

3
Background

• MID-BCC provided support in the conduct of this
  training on clinical management for medical staff
  in key hospitals in Vientiane Capital to
  strengthen their capacity in case management of
  dengue in hospital settings.
• The training included a session on
  Interpersonal Communication (IPC) in Clinical
  Management of Dengue

4
Objectives

• To build and improve the capacity of health
  personnel in case management of DHF/DSS in main
  hospitals in Vientiane
• To come up with a training agenda for dengue case
  management suited to provincial and district
  health personnel
• To develop among the participants a core group of
  people who can serve as trainers for the
  provinces in the future.

5
Participants

6
Participants

• 15 participants were clinicians/attending
  physicians from the following
• Mahosot Hospital
• 103 Hospital
• 109 Hospital
• Mittaphab Hospital
• Setthathirath Hospital
• 14 participants were key staff of NEIDCO, CIEH,
  and MOH

7
Opening and welcome
Dr Bounpheng Philavong, MoPH
Dr Sibounhom Archkhawongs, Dept of Hygiene and
Prevention
Mr John Rogosch, USAID
Key official from USAID Laos and the Ministry of
Public Health delivered inspirational messages.
8
Trainers and Experts

• Dr Pratab Singhasivanon
• Faculty of Tropical Medicine
• Mahidol University
• Bangkok, Thailand

Dr Suchitra Nimmanitaya Queen Sirikit National
Institute of Child Health Bangkok, Thailand
9
Trainers and Experts
Dr Chusack Prasittisuk Faculty of Tropical
Medicine Mahidol University Bangkok, Thailand
Dr Cecile Lantican AED Country Coordinator Lao
PDR
10
Epidemiology of dengue infection
11
Laboratory diagnosis
12
Dengue Hemorrhagic Fever
13
Global Strategy
14
Control of Dengue Vector

• Vector surveillance
• Integrated Vector control
• Vector control with community participation
• Source reduction
• Larviciding
• Personal protection
• Space spraying
• Effective communication-COMBI
• Monitoring and Evaluation

15
ASIA PACIFIC STRATEGIC PLAN 2008-2015
The Plan urges member states (1) to ensure
high-level political commitment so that adequate
human and financial resources are made available
for dengue prevention and outbreak response (2)
to strengthen health systems so as to improve
diagnosis and case management (3) to continue
strengthening primary health care and health
promotion in the prevention and control of dengue
fever
16
Interpersonal Communication

• Effective interpersonal communication (IPC)
  between health care provider and patient is one
  of the most important elements for improving
  client satisfaction, compliance, and health
  outcomes. Patients who understand the nature of
  their illness and its treatment and who believe
  the provider is concerned about their well being,
  show greater satisfaction with the care received
  and are more likely to comply with treatment
  regimes.

17
Government needs

• We need to continuously build the capacity of
  clinicians and health professionals. At the short
  term , we can initially work with and
  prioritize provinces with the highest case
  fatality and morbidity rates, for example .
  Salavan province, southern part of Laos.

Dr Bounlay Phommasack Director, NEIDCO
18
Overall Recommendations

• To ensure that provision of trainings to
  clinician will be sustainable, medical schools in
  Laos should be tapped. These medical institutions
  and their professors can assist and sustain the
  development or update of training curriculum and
  training materials.
• The government should pursue a clear capacity
  building strategy for clinicians attending to
  dengue cases to ensure a more sustainable effort.
• The government should develop Champion in
  dengue field (clinician) in Lao PDR in order to
  advocate the dengue case management activities
• The government should pursue the development of
  Case Management Guidelines that is globally
  recognized and acceptable.
• The government should identify and develop a
  hospital-based model for prevention and control.
  This hospital, being a model can also provide
  training to other clinicians.

19
Certificate of Completion
End of Report