innovative malaria projects through public private...
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Innovative Malaria Projects through Public Private Partnerships in
Papua New Guinea Islands Region Ross Hutton
Public Health Specialist
Paul Zborowski
Entomologist
Ray Hughs-Odgers
Project Director
Shared Sky Pty Ltd
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The Shrinking Malaria Map
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Prevalence of Malaria in Asia Pacific
(Source: Global Research, November 13, 2015 The Asia-Pacific Journal, Vol. 13, Issue. 44, No. 1 9 November 2015)
Plasmodium Falciparum Malaria Plasmodium Vivax Malaria
Regional Commitment to Malaria Elimination
Asia Pacific Leaders Malaria Alliance
Asia Pacific Malaria Elimination Network
Malaria Elimination by 2030
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New Guinea Islands Regionand Milne Bay
PNG National Incidence
102/1000 popApprox: 900,000 cases
1,200 deaths(Source: WHO World Malaria Report 2016)
New Guinea Islands Region
Inc: 149/1000 pop
Milne Bay Province
Inc: 315 / 1000 pop(Source: PNG Sector Performance Annual Review 2015)
Manus
West New Britain
New Ireland
Autonomous
Region of
Bougainville
Milne Bay
East New Britain
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Proposed New Guinea Islands Malaria Alliance Initiative (NGIMAI)
NGIMAI
MPMA
NIPMA
AMCP
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Manus Province Malaria Alliance – MPMA
ARoB Accelerated Malaria Control Project – AMCP
New Ireland Province Malaria Alliance – NIPMA
Lihir (Group) Malaria Elimination Project - LMEP
LMEP
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New Guinea Islands Malaria Projects: Collaboration agreements
Manus Provincial Malaria Alliance (MPMA)
◦ Shared Sky ◦ Manus Provincial Government ◦ World Vision funded the MPMA Scoping Study phase of work ◦ Transfield Services funded the work completed to date on the MPMA Pre-Feasibility Study
Autonomous Region of Bougainville Malaria Control Project (AMCP)◦ Shared Sky◦ Bougainville Healthy Communities ◦ ARoB Department of Health and their service providers◦ DFAT funded the AMCP Scoping Study phase of work
New Ireland Provincial Malaria Alliance (NIPMA)◦ MoU between the National Department of Health, New Ireland Provincial Government and Shared Sky Pty Ltd◦ Agreement between Shared Sky – (Project Manager), Newcrest Mining, Nautilus Minerals, Simberi Gold Mine,
New Britain Palm Oil , Australian Doctors International, New Ireland Provincial Government◦ Financial and in-kind contributions to funded the NIPMA Concept Note development and toward the NIPMA
Scoping Study phase of work
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Stakeholder EngagementPolitical
Health Minister – Hon. Michael Malabag
New Ireland Governor, Hon. Sir Julius Chan
Member for Kavieng District Hon. Ben Micah
Member for Namatanai District Hon. Byron Chan
Administrative
Deputy Secretary National Department of Health
New Ireland CEO Health
Provincial Executive Council
District Administrators, District Health Managers
Provincial Health Auhority
Provincial Health Staff
New Ireland Provincial Malaria Alliance
Simberi GoldSt Barbara Mining
Lihir Gold MineNewcrest Mining
Poliamba EstatesNew Britain Palm Oil
Nautilus Minerals
Australian Doctors International
New Ireland Provincial Government
• Shared Sky – Project Managers• New Ireland Provincial
Government • Provincial Health Authority• Newcrest Mining• Nautilus Minerals• New Britain Palm Oil• Simberi Gold• Australian Doctors International
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Agreement Challenges
• Diverse range of partners lacking a common framework / platform for engagement
• Fragmented financial support
• Implementation of the new Provincial Health Authorities (Manus, New Ireland)
• New Ireland Declaration of Autonomy
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• National Health Standards Survey
• Drug and Diagnostic Supply Chain Review
• Clinical Case Management Review
• Vector control Assessment
• Health Village Health Wards Programs
Assessment Criteria
Malaria determinant variables
Value Proposition for NIP• Engaging Private Sector to comply with National Guidelines
• Integrated approach to malaria control
• Leverage lessons learned from Manus, ARoB, Lihir Group, PNG Industry Malaria Initiative
• Collaboration with ARoB Health Wards, Healthy Villages Program
• Establish best practice environmental management and vector control
• Improve supply chain management for Diagnostic and Malaria Drugs
• Elimination of poor quality and ‘mono-therapy’ medicines. (to prevent drug resistance)
• Health Sector Human Resources upskilling: Case Management, Control efforts, Data Management
• Meets international donor expectations for PPP engagement and cost sharing
Value Proposition for Industry Participants • Reduced burden on operations – absenteeism, employee effectiveness
• Reduced costs on treatment, transfers, medicines
• Improve effectiveness of company initiated community programs
• Improved ‘social licence’ to o
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Geography
Healthy Village ProgramDemographicPoliticalHealth FacilitiesMalaria Burden - local over timeInfrastructureTransportMalaria species foundMalaria hot spots
Manus Malaria Impact Zones and malaria transmission areas
• Field based ground proofing• Data and ecological assessments
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12
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5
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7 = Islands
Solomon Islands
Malaria Impact and Management Zones
Field based ground truthing and data collation
Plus
eNational Health Information System• Rural Primary Health Services
Delivery Project
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Autonomous Region of Bougainville
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Tablet Malaria Display on Malaria page Real time data analysis with each patient at health centre via mobile phone connection to NDoH server
eNational Health Information System
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Real time query on P falciparum cases for all of Bougainville for past 3 weeks.
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Query identifies 4 communities around Buka town with current P falciparum cases
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Focus in on the community of Hujena then switch to Satellite image
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Hutjena
Kubu
Buka
Each red dot represents a house. Each green dot represents a non house structure
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Hutjena
Patient stated he lives in second row of houses behind the school in Hutjena
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Case investigation, active case detection and targeted vector control able top be carried out in vicinity of surrounding houses
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Tablet data input also records current drug and diagnostic supplies.
Green dot – sufficient stocksOrange dot – nil stock for 1 monthRed dot – nil stock for 2 monthsRed pulsing – nil stock for 3 months
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New Ireland Preliminary Malaria Zones
Lihir Island Group
Manual retrospective data entry from in Health Office from Malaria Register Forms. Data is entered once forms are transported to central office with internet access.
New Ireland Malaria Project
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Lavolai
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Lavolai
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Innovative Malaria Projects through Public Private Partnerships in Papua New Guinea Islands Region
• Private sector willing and able to adapt for mutually beneficial outcomes
• Requires greater dialogue between partners to better understand their individual drivers
• Clear ‘rules of engagement’ and framework required to streamline process
• Recognition of partners competitive advantage• Appropriate cost and resource (in-kind and financial) sharing – not
cost shifting