LF ELIMINATION IN DOMINICAN REPUBLIC History, Progress and Achievements

50th WHO Asambly Resolution  (May 1997) :

Lymphatic Filariasis in the Americas Region

CHRONOLOGICAL SUMMARY DATEEVENT May 1998CENCET creation Aug-Sept 1998Pilot test LQAS National Filariasis Mapping Survey Feb-Jun 2001Methodology Development for Social Mobilization in SouthWest Focus May 2001International Course of Hydrocele Oct 2001Emory-Gates Support Feb-Sept 2002SouthWest Community-Morbidity Census Jun-Dec 2002Evaluation of Sentinels Sites Jun 2002KAP Survey Nov 14, 2002SouthWest Program Launch Dec 13-15, 2002First MDA in South-West Focus Dec 21-22, 2002SouthWest Coverage/KAP Survey

CHRONOLOGICAL SUMMARY DATEEVENT Feb 2003Filariosis Epidemiology Study of San Juan May 2003First and unique MDA of San Juan April 2003First Contact with Leaders of La Ciénaga Jun-Jul 2003Cienagas Community-Morbidity Census Dic 2003Second MDA in SouthWest Focus Dic 2003Second SouthWest Coverage/KAP Survey May-Jun 2004First MDA in “La Ciénaga” Focus June 2004“La Ciénaga” Focus Coverage/KAP Survey Sep 2004First SouthWest Integration Workshop Nov 2004Second Evaluation SouthWest Sentinels Sites Dic 2004Third MDA in SouthWest Focus Jul 2005Second MDA in “La Ciénaga” Focus

CHRONOLOGICAL SUMMARY DATEEVENT Aug 2005Second SouthWest Integration Workshop Nov 2005Third Evaluation SouthWest Sentinels Sites March 2006First Contact with Leaders of La Ciénaga Nov 2006Second Evaluation “La Ciénaga” Sentinel Site Dic 2006Third MDA in “La Ciénaga” Focus Jul 2007Third SouthWest Integration Workshop Sept 2007Fourth SouthWest Integration Workshop Nov 2007Focalizated 5th MDA in SouthWest Focus

Dos Focos Importantes : 1) Región Suroeste 2) La Ciénaga, Sto. Dgo. Situación Encuesta Nacional de Filariosis TOTAL: 164 municipios -Encuestados: 164 (100.0%) - Por encuestar: 0 (0.0%) Leyenda: Negativo Positivo Sin Encuestar

MDA 2003MDA 2004MDA 2002 MDA 2006 LEYENDA : No Medicada 70-79% 80-85% > 85% Lago Enriquillo Estrategia en el Suroeste:  Integración con Primer Nivel Atención (UNAP’s)  Cambio de Jornadas Intensivas a Extensivas

Foco La Ciénaga. MDA Foco La Ciénaga. MDA Fuente: Censo PELF Foco Ciénaga Registros MDA Ciénaga 2004, 2005 y 2006 BarrioPoblación MedicadosCoberturaMedicadosCoberturaMedicadosCobertura Guandules21,05611, , , Guachupita11,254 9, , , La Ciénaga16,25411, , , Total48,56432, , , Estrategia Operativa: Trabajo con Voluntarios Comunitarios en Jornadas Anuales Casa a Casa

Mecanismos De Evaluación Monitoreo: Sitios Centinelas Monitoreo: Sitios Centinelas –ICT, MF, Coprológico –Encuestas CAP –Xenomonitoreo Coberturas de las MDA: Coberturas de las MDA: –Reportes de Jornada –Encuestas Post-Jornada Morbilidad: Morbilidad: –Censo Foco del Suroeste: en 2002 y 2004 –Foco de “La Ciénaga” en el 2003.

Monitoreo de Impacto:Sitios Centinelas 2006 ICT % MF % SITIOS CENTINELAS ICT % MF % ICT % MF % Bo. Pueblo Nuevo (Barahona) Batey No. 7 (Cristobal) Bo. La Sombra (Tamayo) La Ciénaga (Distrito Nacional)

1.- Intra- and Inter-institutional Coordination a) Completed: b) Underway: Cooperation Other Partnerships: - Visión Mundial - Plan Internacional 3 Partnerships INTEC

2002 COMMUNITY MOH CENCET (Malaria, filariasis, dengue) LF PROGRAM REGIONAL DEPARTMENT PROVINCIAL DEPARTMENT PHC Goal

Impact of LF Elimination Program on other MOH program & activities Has increased the public`s confidence in the MOH`s responsiveness to public health problems Has reduce prevalence of intestinal parasite in the general population Has provided a census database of the population permitting better organization of other public health initiatives Has enhanced the availability of proven expertise at the local level for combating other diseases Has provided an opening for increased collaboration and cooperation between the countries of Haiti and DR. Has strengthened the international involvement of the MOH within the Region and elsewhere

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