Senior Leaders SymposiumSenior Leaders Symposium

October 12 - 15, 2009October 12 - 15, 2009

Le Royal Hotel, CambodiaLe Royal Hotel, Cambodia

• Total poultry population = 15.8 million

• Total human population = 13.1 million

• Ratio poultry to people = 1.2

• 90% of poultry in backyard/small-scale production

• 82% of poultry are chickens; 18% are ducks

• No significant export market for poultry

• Poultry and poultry products frequently imported from Vietnam and Thailand (including ducks)

Cambodia Country ContextCambodia Country Context

* sources: Ministry of Agriculture, FAO, Ministry of Health

• 23 poultry outbreaks from January 2004 to December 2008 in provinces mostly border to Vietnam.

• 8 human cases confirmed with H5N1 occurred in 5 provinces (7 case fatal).

• No H5N1 outbreaks in poultry and human in 2009

Sources: MAFF/FAO & MOH/WHO, Cambodia

H5N1 Situation updatedH5N1 Situation updated

Confirmed H5N1 related outbreakConfirmed H5N1 related outbreak -- 13 sites in 2004 13 sites in 2004- 2 sites in 2005 & 2 sites in 2005 & 4 human cases4 human cases - 6 sites in 2006 & 6 sites in 2006 & 2 human cases2 human cases- 1 site in 2007 & 1 site in 2007 & 1 human case1 human case- 1 site in 2008 & 1 site in 2008 & 1 human case1 human case

Confirmed human case with H5N1Confirmed human case with H5N1

USAID API ProgramUSAID API Program

• Strengthen national capacity in animal and humansurveillance systems for early detection

• Improve disease outbreak response capacity

• Strengthen human case management and infection control within selected referral hospitals

• AI public awareness & Behavior Change AI public awareness & Behavior Change Communications (BCC) campaignCommunications (BCC) campaign

JORNA

L

Increase awareness and knowledge among key target audiences (backyard farmers) of

- high-risk behaviors for contracting avian influenza- practical preventive measures- how to recognize avian influenza in animals and

humans- how to respond to cases of avian influenza in

animals and humans

BCC ObjectiveBCC Objective

AudienceAudience

• Small rural backyard poultry raisers

• Semi commercial poultry (mostly duck) farmers

• Commercial farmers and poultry processors

• Consumers of poultry

• Business officials (public-private sector)

• Health and veterinarian workers (village to central level)

• Local authorities

• Other stakeholders

• General population

First KAP survey among

backyard poultry farmers,

December, 2005

Findings

• Farmers know about Avian Influenza and are very worried, but do not have correct information to act on reducing risks.

• Awareness is low that their animals can be infected, so they are not taking preventive actions.

Messages

1. Fence poultry2. Keep new poultry separated from other poultry for two weeks 3. Wash hands with soap after handling poultry 4. Keep yards clean and free from poultry excrement.

ResearchResearch

• Mass media

• Community approach

• Interpersonal communications

• Public relations/advocacy

Integrated ApproachIntegrated Approach

Mass Media (1)Mass Media (1)

Recognizing/Reporting

Mass Media (2)Mass Media (2)

Community MediaCommunity Media

Community- theater- video show

• Village Health Support Group (VHSG) meeting

• Community forum

• Market forum

• Farmer field school

• Monk network (march)

Community Mobilization & ParticipationCommunity Mobilization & Participation

Inter-Personal Communication (IPC)Inter-Personal Communication (IPC)

• IPC trainings for medical staff, animal health and development workers, and village chiefs

• House hold outreach activities by Village Health Support Group

AdvocacyAdvocacy

Public relations

Lessons Learned

• Mass media has proven to be effective in message recall.Mass media has proven to be effective in message recall.• Enter-educate is an effective tool to create awareness.Enter-educate is an effective tool to create awareness.• Trained vets and health workers, village chiefs in the Trained vets and health workers, village chiefs in the

community are found credible sources of information.community are found credible sources of information.

• Financial benefit is key motivator for behavior change.Financial benefit is key motivator for behavior change.• Collaboration between key AI players in Government Collaboration between key AI players in Government

and organizations is key to success.and organizations is key to success.• Local NGOs have the necessary skills to carry out group Local NGOs have the necessary skills to carry out group

and interactive activities, but sustaining their support after and interactive activities, but sustaining their support after project life cannot be established.project life cannot be established.

Thank you!Thank you!