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Dokabu will also the project director, with a team consist of staff of Dokabu office performing the administrative part of the project, district hospital, Puskesmas and IDI branch. There will also a fascilitator in each district.

 

There will be a regular coordination meeting and peer review meeting to formulate and implemented the project. Every health institution in the district should submitt their POA on how will they implement and evaluate the succes of this project, and the POA will be discussed by the working group committee in the district. Puskesmas will the thc primary core for producing this POA which will cover the whole activities of CDC programme in their covered area. The committe will also formulate a kind of standard recording and reporting form to be able to analyzed during implementation of the project and the evaluation part.
The following are several of the actions that may be selected by the district team :
(* see revious document, page 3 4 & 5 *)

 

Action to be taken for alliances with other health institution

 

I. With governmental health institution and private hospital
First action to be taken is at the national working group committee which every DG who coordinate all of this health institution and national executive board of professional/hospital organisation are already making a commnitment to implement this project in their respective organisation. With this commitment, each institution will plan their role together with CDC managers in this project. This commitment and guidance of role of each unit then be transmitted to province and district level.

 

At provincial level, the coordination meeting could be establish to clarify each unit's role in the project. While in district, the Dokabu with his district working group committee will have a regular meeting to discuss alliances with non CDC governmental health institution. In this regular meeting every aspect of the project will be discuss and every participant of the committee could share their experience and suggestion to enrich the content of the project.

 

For making alliances with the hospital -government as well as private- , contact should be made not only to the hospital director but also to medical committee. This commnittee has a responsibility to produce various standard case management in the hospital , which should be in line with CDC standardizes case management. Hospital should set up how will the handle CDC cases in the hospital and how the effective referral system could be build. Hospital nowadays has a referral team which visit health center in regular basis to discuss case management. This activities could be expanded so this team can also discuss the implementation of this ADB-CDC project, monitor and making correction action if needed, and evaluate the result based on standardized guideline. Hospital will not only passively waiting for referral cases from health center, but actively will go beyond their wall to go and discuss the project and case management with Puskesmas doctor.

 

II. With private practitioners
At the national level, the collaboration between CDC programme manager and IDI as well as other national board professional association will set up a guideline of the role of private practitioner in CDC project.

 

The CDC programme manager could provide medicine, vaccine and or other material to the private practitioner. A simplifled -easy to filled up- recording and reporting forms should be set up to. Case management protocol could be dis-cussed, based on standardized guideline. Various meeting should be set up to dis-cuss various aspect of the project.

 

III. With Faculty of medicine

At the national level the Consortium Health Sciences (CHS) and CDC could discuss and formulate the general role of Faculty of Medicine in this Project. In provincial level this collaboration will be strengthening directly between CDC programme manager and University in the respective province. At the district level, based on peer review and POA produced at District / Subdistrict, the role of Faculty of Medicine will be realy implemented in the field.

 

Faculty of Medicine at least has two important role in this project. First one is a source of expertise which can discuss a latest knowledge in case management of the CDC problem covered by this project. This expertise could be invited as a guest lecture during seminar/symposium, or could be ask as a resource person while the district steering committee discuss the planning and how to implement the project. Secondly, operational research could be set up in a collab-

 

 

 

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