Bangladesh

Activities

Strengthening Visceral Leishmaniasis (VL) surveillance
  • Improving surveillance
Outputs

New surveillance forms for VL have been developed and approved, and the web-based system has been updated based on the new surveillance forms. A training plan has been developed and approved and guidelines for the VL web based surveillance system have been developed and printed.

 

Training in using the newly developed guidelines is ongoing. Six central level NKEP team members have been trained and a "Training of Trainers" session with 23 participants (district level statistical assistants/statisticians) has been completed. In total, 91 surveillance staff from 23 upazila health centres (UHC) have been trained. Recent observations  showed that the trained UHC are using the new surveillance forms and entering data into the web based system.

Sensitizing the community and local health workers
  • Health education
  • Training health workers
Outputs

371 frontline health care professionals from 9 upazilas have been trained on screening for VL and PKDL.

131 NGO health workers, 903 informal health care providers and 9 private practitioners from 9 upazilas have been trained in identification of VL and PKDL and referral to UHC. They have also been trained in IEC / BCC techniques.

IEC/BCC tools (flipcharts, posters, stickers) have been developed and distributed. A docudrama on VL reached about 3,500 community members through 35 sessions in 9 Upazilas.    

Development of VL outbreak management strategy
  • Case management
  • Improving surveillance
Outputs

A guideline for Kala-azar outbreak management in Bangladesh has been developed following a collaborative process of workshops and formation of a sub-committee. An Outbreak Management Team (OMT) has been formed as per this guideline, at two levels: i) Central level team and ii) Upazila level team. Training of the OMT has started, with 41 team members from 10 upazila health centres trained to date.

Supporting training of tertiary level health facilities
  • Training health workers
Outputs

During 2016 KalaCORE has arranged 2 workshops at tertiary level hospitals to train 80 senior clinicians and hospital managers from 8 medical colleges on Kala-azar and PKDL management, and to orient them to the national programme for Kala-azar elimination.

A further 2 training workshops were held at tertiary level hospitals to train front line clinicians from medical colleges and district hospitals in VL and PKDL management. In total 47 Junior clinicians from 5 district hospitals and 8 medical colleges were trained on Kala-azar management and NKEP.

Support National Kala-azar Elimination Programme (NKEP) in better staffing and capacity building
  • Case management
  • Improving surveillance
Outputs

Five Kala-azar Coordinators have been seconded at the upazila health centre level. They are working to improve the Kala-azar surveillance system through the improvement of patients reporting and outbreak investigation. A Logistic and Supply Chain Management Officer has been seconded to the NKEP and maintains a central database of drugs, diagnostic kits and associated logistics at UHCs. Support is also provided to data management and monitoring and evaluation.

To increase treatment compliance, KalaCORE has seconded clinical and laboratory staff to the Surya Kanta Kala-azar Research Centre (SKKRC) hospital.