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Ministry of Social Protection Republic of Colombia

Ministry of Social Protection Republic of Colombia. PREP & ATTENTION PLAN FOR THE INFLUENZA PANDEMIA . PANDEMIC FLU PREPARENESS AND ATTENTION PLAN . PANDEMIC FLU PREPARENESS AND ATTENTION PLANS . The Colombia plan includes the recommendations of the WHO/OPS

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Ministry of Social Protection Republic of Colombia

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  1. Ministry of Social Protection Republic of Colombia

  2. PREP & ATTENTION PLAN FOR THE INFLUENZA PANDEMIA PANDEMIC FLU PREPARENESS AND ATTENTION PLAN

  3. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS The Colombia plan includes the recommendations of the WHO/OPS • National preparation and coordination in order to respond against the pandemic • Supervision in public health of acute respiratory illnesses caused by the virus • Attention and reduction of morbility and mortality of acute respiratory illnesses • Prevention and control of illness transmission among the community • Preservation of basic services • Research and evaluation

  4. Responsibilities in the SGSSS • Ministry of Social Protection • Territorial Institutions: • Departments and districts • Municipalities • Insurance companies PANDEMIC FLU PREPARENESS AND ATTENTION PLANS

  5. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Social Protection Ministry Republic of Colombia NATIONAL PREVENTION SYSTEM AND REACTION TO DISASTERS (SNPAD) National team in preparing and reacting to the pandemics (SNPAD)

  6. Prep work Response Public awareness Notification Alert – alarm Health services Support Services Epidemiological Supervision Formation in personal health Creation of supervision teams and response Strengthening the notification system and diagnosis network • Components

  7. Prep work Strengthening capacity of the attention to patients services network Strengthening the capacity of the diagnosis services network Preserving bio security levels PANDEMIC FLU PREPARENESS AND ATTENTION PLANS

  8. PREP & ATTENTION PLAN FOR THE INFLUENZA PANDEMIA Strengthening the capacity of the diagnosis services network • Determining geographical areas of greater risk. • Identifying installed capacity of the diagnosis services network • Handling Samples: guidelines for drawing samples, gathering and transporting respiratory and blood samples • Typifying and sub-typifying system of samples by National reference Laboratory

  9. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Strengthening capacity of the attention to patients networks Administrative Component • Identifying installed capacity of the IPS network per area and per level of complexity. • Determining the requirements: IPS, Human Talent, GIA, supplies and medicaments, technology, coordination and support mechanisms • Organizing the services network: IPS (public and private ones), incorporating insurance companies • Defining the information and statistics system

  10. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Strengthening capacity of the attention to patients services networks • Ambulatory Spheres • Guidelines: early detection, isolation and reporting possible cases, preventive isolation due to suspicion or confirmation of cases; respiratory hygiene and cough handling • Availability of resources and supplies and operation of ERA rooms • Strategies of home attention • Community Information • TH training

  11. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Strengthening capacity of the attention to patients services networks Hospital spheres • Validation and socialization of handling Guidelines • Reference and counter reference System of patients. • Handling Guidelines of Hospital waste, elements and equipments for patient care, handling of corps. • Recommendations for bio-safety: health workers, family and visitors. • Availability of resources and supplies • Training of TH • Emergency Plans and simulation

  12. Notification Alert - Alarm Suspicious Cases 1 2 Confirmed Cases Possible expansion 3 PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Response

  13. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Social Protection Ministry Republic of Colombia COORDINATION SCHEMES EMERGENCY REGULATING CENTERS AND EMERGENCIES

  14. Social Protection Ministry Republic of Colombia COMPONENTS Source: Presentation by Dr. Díaz Cabrera, President of SIEM in Asunción - Paraguay, in the IX CONGRESS OF ALAMI, - ASOCIACION LATINOAMERICANA DE MEDICINA INTEGRAL -

  15. NOTIFICATION SYSTEMS

  16. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS C.R.U.E. OF BOGOTA

  17. Rescue chain Immediate local Response (Community, Local Health System, CLOPAD) E - I Ambulatory Response (Response Teams)) E - II Eventos de aviso corto vs. prolongado Hospital denomination (Medium and high complexity ) E - III PANDEMIC FLU PREPARENESS AND ATTENTION PLANS

  18. PREP & ATTENTION PLAN FOR THE INFLUENZA PANDEMIA Social Protection Ministry Republic of Colombia Obligatory system for quality control (Decree 1011 dated April 3, 2006)

  19. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS TOTAL REGISTERED SERVICE PROVIDERS 58.500 43.639 Free lance Professionals 14.861 IPS Source: registry of special service providers as of November 30, 2005

  20. PREP & ATTENTION PLAN FOR THE INFLUENZA PANDEMIA 14.861IPS 4.552 Points of service of the Public network 10.309 Points of service of the Private network 53.306registered beds * June 30, 2005 Source: registry of special service providers as of November 30, 2005

  21. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Percentage distribution of beds per registered service Source: registry of health service providers 2004 MPS

  22. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Ratio of beds per service per one thousand inhabitants Source: registry of health service providers 2004 MPS

  23. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Percentage distribution of declared services by independent professionals Source: registry of health service providers 2004 MPS

  24. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Distribution of general physicians By municipalities according to the size of the town. Year 2000. Source: ASCOFAME. Human Resource in Medicine: formation, distribution and basis for a political proposal. 2000

  25. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS General Installed Capacity by level Public offer in throughout the territory Source: Information reported by public IPS as of December 31, 2004 - Decree 2193 dated 2004

  26. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Indicators of Hospital Bed’s usage Public Institutions providing health services. 2002 – 2004 Source: Information reported by public IPS - Decree 2193 dated 2004

  27. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Social Protection Ministry Republic of Colombia TRANSPORTING PATIENTS

  28. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS No OF ENABLED AMBULANCE SERVICES IN COLOMBIA (*) 2004 BASIC ASSISTED TRANSPORT 1.172 MEDICALIZED ASSISTED TRANSPORT 91 TOTAL * 1.263 (*) DATOS PARCIALES 2004 Source: Registro Especial de Prestadores de Servicios de Salud

  29. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS Social Protection Ministry Republic of Colombia EMERGENCY SERVICE

  30. PANDEMIC FLU PREPARENESS AND ATTENTION PLANS AVAILABILITY OF EMERGENCY SERVICE IN COLOMBIA (*)2004 TOTAL 1.624 (*) DATOS PARCIALES 2004 Source: Registro Especial de Prestadores de Servicios de Salud

  31. PREP & ATTENTION PLAN FOR THE INFLUENZA PANDEMIA Ministry of Social Protection Republic of Colombia FINANCING THE PREP WORK & ATENTION. 2006 MPS: 6 million dollars ECAT: 20 million dollars (approx.)

  32. PREP & ATTENTION PLAN FOR THE INFLUENZA PANDEMIA THANK YOUWELCOMElchavez@minproteccionsocial.gov.co

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