Identify and train community-based health workers in detection, community-based surveillance, case management, hygiene and health promotion and reporting % of patients presenting at the health facility Disseminate guidelines and standards to community-based health workers within 24h of developing symptoms Provide materials such as ORS, zinc, aquatabs, IEC materials to # and % of community-based health works community-based health workers trained Establish ORP at community level and the associated supply chain. Cases in the community # trained community-based health workers/500 Especially in high risk distribute ORS at household level and are detected early and population Chapter 9 disseminate information on how to access them at community level. adequately managed and % stockouts of health worker Identify suitable home-made rehydration fluids and define with the – referred supplies responsible health authorities for their use. –endorsement/support % of caregivers recognising/indicating why and Undertake communication and community mobilization activities for early how to access/use ORS, breastfeeding, proper detection of dehydration, rehydration at household level (using ORS or feeding, care seeking, through FGD or household another government- supported rehydration fluid) and early care seeking interviews. for treatment. Set up case referral systems and train/provide information to community health workers on location of cholera treatment centres. Undertake risk assessment to inform on areas and population at risk and targeted for vaccination Prepare a strategy for OCV use for target populations with all stakeholders Population at risk is Procure OCVs from UNICEF supply division Chapter 4 % coverage of target population with 2 doses of effectively vaccinated oral cholera vaccine (OCV) Conduct a communications campaign for OCV with other key messages 4A against cholera such as health, hygiene and sanitation. Develop and carry out a vaccination campaign Evaluate and document campaign results including coverage, acceptance and impact
Cases in the community are detected early and adequately managed and referred % of patients presenting at the health facility within 24h of developing symptoms # and % of community-based health works trained # trained community-based health workers/500 population % stockouts of health worker supplies % of caregivers recognising/indicating why and how to access/use ORS, breastfeeding, proper feeding, care seeking, through FGD or household interviews. Identify and train community-based health workers in detection, community-based surveillance, case management, hygiene and health promotion and reporting Disseminate guidelines and standards to community-based health workers Provide materials such as ORS, zinc, aquatabs, IEC materials to community-based health workers Establish ORP at community level and the associated supply chain. Especially in high risk distribute ORS at household level and disseminate information on how to access them at community level. Identify suitable home-made rehydration fluids and define – with the responsible health authorities –endorsement/support for their use. Undertake communication and community mobilization activities for early detection of dehydration, rehydration at household level (using ORS or another government- supported rehydration fluid) and early care seeking for treatment. Set up case referral systems and train/provide information to community health workers on location of cholera treatment centres. Chapter 9 Population at risk is effectively vaccinated against cholera % coverage of target population with 2 doses of oral cholera vaccine (OCV) Undertake risk assessment to inform on areas and population at risk and targeted for vaccination Prepare a strategy for OCV use for target populations with all stakeholders Procure OCVs from UNICEF supply division Conduct a communications campaign for OCV with other key messages such as health, hygiene and sanitation. Develop and carry out a vaccination campaign Evaluate and document campaign results including coverage, acceptance and impact Chapter 4 4A
Annex_6E-Suggested_logical_framework_for_cholera_preparedness_and_response.docx