Activities

Exhibiting Leadership, Management and Coordination: Providing technical leadership on the IHR monitoring and evaluation and the National Action Plan for Health Security (NAPHS) related activities. Coordinating with technical units, regional offices, and partners to develop strategic documents and tools, conduct evaluation missions, and resource mobilization.

Development of strategic documents, guidelines/plans and implementation

1. Developed and finalized “NAPHS for All”- A Country Implementation Guide for National Action Plan for Health Security
2. Developed and finalized the WHO Benchmarks for IHR capacities
3. Finalized the National Action Plan for Health Security Framework (NAPHS)
4. Finalized and published IHR monitoring and evaluation framework
5. Revised and finalized Joint External Evaluation Tool (2nd Edition).
6. Developed and finalized the Joint External Evaluation Tool (1st Edition)
7. Developed and published the Joint External Evaluation process (implementation) documents
   1. Country implementation guide.
   2. JEE tool and process overview
   3. Standard presentation templates & opening presentation for JEE mission), JEE self-evaluation toolkit,
   4. JEE roster of experts process and overview
8. Developed M&E training modules and conducting global and regional training
9. Contributed to the development of the annual reporting tool and after-action review tool.
10. Developed and finalized training materials for the country orientation on JEE (this is used for country orientation on JEE and facilitated JEE team lead training
11. Developing performance evaluations methods for JEE missions

Routine Technical Support and implementation

1. Coordinating & collaborating with various technical units for the NAPHS documents tools, NAPHS mission and various training
2. Facilitated & led various JEE missions and team lead training

Resource Mobilization

1. Coordinating and collaborating with various donors and partners for resources for NAPHS
2. Maintained the roster of experts for JEE Missions

Exhibiting Leadership, Management and Coordination: Providing technical leadership on IHR monitoring and evaluation related activities. Coordinating with technical units, regional offices, and partners as a team member of MAC to develop strategic documents and tools, conduct evaluation missions, and resource mobilization.

Development of strategic documents, guidelines/plans and implementation

1. Drafted the IHR monitoring and evaluation framework in consultation with technical units, regional offices and based on consultative meetings’ outcomes.
2. Major technical contribution on development and finalization of the Joint External Evaluation Tool, Joint External Evaluation guidance documents and coordinated the entire process with partners and WHO technical units
3. Development of the planning template for the implementation of IHR capacities based on the evaluation recommendations
4. Drafted the annual reporting tool for the IHR implementation
5. Various other strategic documents for the implementation of the IHR Monitoring and Evaluation Framework
6. Developed the concept of conducting returns of investment study for the IHR capacities
7. Developed the concept of building monitoring and evaluation capacity (developed M & E training modules)

Routine Technical Support and implementation

1. Technical support to regions and countries on monitoring and evaluation of IHR implementation
2. Supported regions on training, workshops, and meetings
3. Supporting countries and regions on Joint External Evaluation Missions, training, and development of various documents.

Resource Mobilization

1. Coordinating and collaborating with various donors like USAID; World Bank, CDC, Japan, Finland, for possible funding opportunities.
2. Development of various activity proposals for the MAC team and submitted to various donors and partners.

Exhibiting Leadership, Management and Coordination: Managing EHA team and managed DSE team, coordination and collaboration with government and non-government stakeholders, UN agencies and various donors like USAID, Australian AID and European Union. Represent WHO EHA as a co-cluster lead of national cluster system on Indonesia.

Development of strategic documents, guidelines/plans and implementation

1. Epidemic intelligence Training Module for Event-Based Surveillance – Helped on revitalizing of National Incident Room (Command Post – POSKO) – now >85% events are detected and verified
2. Action plans for Indonesia’s International Health Regulations (2005) extension Plan 2012-2014 – Indonesia didn’t request for additional extension
3. Contributed on development of the IHR costing tools to implement IHR core capacities, supporting the development of post-2016 the IHR monitoring framework.
4. Assessment tools for the EWARS assessment in 2012 and facilitated on development of laboratory mapping tools and algorithm – EWARS training module revised and laboratory support to EWARS is being piloted.
5. Revision of the National Guidelines of Leptospirosis surveillance and Control – Case fatality decreased in high endemic provinces (Yogyakarta, Central Java and others)
6. Training modules for scientific writing and conducted several scientific writing workshops (50 abstracts were selected for oral (29) and poster (21) presentations in TEPHINET conference, Vietnam 2013; 8 abstracts in Global Conference, Amman, Jordan 2012 and 48 abstracts in TEPHINET Conference in Bali, 2011 (Before 2011 only 2-3 maximum abstracts were selected)
7. A joint outbreak Investigation Protocol for multi-countries of ASEAN – FETN facilitated joint outbreak investigation in Bandung (Protocol adopted by ASEAN FETN)
8. Tabletop and Simulation Exercises for Ebola Virus Diseases – Simulation is done in National Health Day of Indonesia, November 2014
9. Revised the Business Continuity Planning – Developed BCP for WHO Indonesia and advocating BCP in the wake of Ebola outbreak (developed the advocacy paper and published in index journal)
10. Risk assessment tool for Ebola was developed and used immediately during the investigation of suspected cases of Ebola.
11. UN Contingency Plan for Pandemic Preparedness and facilitated UN workshops on a contingency plan.
12. A protocol of Burden of Disease Study – Pneumonia
13. Anthropological tools for Epidemiologist and concept of application of social media for disease surveillance.
14. Supported Center for Health Crisis on development of Safe Health Facility guidelines and presidential regulations.

Routine Technical Support and implementation

1. Establishment of the Disease Surveillance Information system (the intranet-based web application for event base surveillance)
2. Establishment and operation of EWARS in 31 provinces and developed assessment tool in 2012
3. Carried out major outbreak investigation and response: a) Leptospirosis in Yogyakarta and Central Java; b) Diphtheria in East Java and c) Avian Influenza.
4. Supported MoH on preparedness on Influenza, MERS-CoV, H7N9 and Ebola
5. Laboratory capacity building and strengthening in Indonesia
6. Implementation of four-way linking framework in Indonesia – Standard operating procedures and a ministerial decree is being developed.
7. Supporting FETP students on revising and reviewing their abstracts every year since 2011
8. Supported in response to Mt Sinabung eruption on disease surveillance, nutrition, reproductive health, coordination and mental health.

Facilitation of Training and Workshops

1. Facilitated Joint outbreak of ASEAN Plus three countries in Bandung and developed joint investigation protocol for multi countries for ASEAN FETN;
2. Facilitated international training like GOARN (2012) and as a Master of Trainer for ITC DRR (Bali, 2014 and Medan 2015)
3. Conducted training on scientific writing, FETP supervisors’ training, leptospirosis training, EWARS training, zoonosis control
4. Facilitated/supported on the organization of international (Bali Tephinet) and national conferences (2 National Scientific Conferences in Bandung and Yogyakarta), meetings (NIC meeting, Field Testing workshop of IHR costing tool, Global Health Security Agenda meeting, Case Management Training of ARI)
5. Represented WHO in regional meetings and conferences

Resource Mobilization

1. Australian AID – mobilized 4.7 million USD for 2011-2015 – implementation of activities, regular reporting, monitoring and evaluation)
2. Negotiated DFAT funding of 3 million for 2015-2018 (formal concurrence received on 2014)
3. Mobilization and Implementation of USAID funding of 4.6 million USD
4. Finalization and reporting to EU grant of 20 million USD for AI preparedness (2007-2011)
5. Mobilization and implementation of Pandemic Influenza Preparedness Framework Funding (PIPF) for influenza activities and Burden of Disease Study >1 million USD.
6. Mobilized funding and implemented response activities in response to Mt Sinabung Eruption

Exhibiting Leadership, Management and Coordination Led and managed DSE unit for more than one year with a program budget from World Bank and USAID and UNSIC. Coordinated outbreak investigation and response of Cholera outbreak 2009, pandemic influenza, acute febrile illnesses in 2009 and 2010 with the Ministry of Health, other government agencies, UN agencies and I/NGOs. Coordinated various activities and training/workshops of the SEARO and WHO-HQ and organized the first National Conference on Epidemiology in 2010.

Development of strategic documents and program implementation

1. Developed AI and influenza surveillance and response modules and system for Nepal and facilitated training in its implementation.
2. Developed Pandemic Preparedness Plan for the Ministry of Health and finalized the UN Pandemic contingency Plan of Country Team of Nepal
3. Supported MoH on the implementation of Core Capacities for International Health Regulations (2005) in Nepal
4. Conducted outbreak investigation and the response of cholera outbreak and pandemic influenza, poultry outbreaks of AI, Acute Febrile Illnesses and others.
5. Establishment of National Influenza Center and BSL 2+ laboratory in National Public Health Laboratory and establishment of ILI sentinel surveillance system in the country
6. Developed and applied IHR Monitoring tools for assessment and developed 2 years action plan for Nepal.
7. Developed Business Continuity Planning tool-kit and organized workshops and training for developing BCP (1 ToT and 5 regional workshops) and facilitated in Sri Lanka in 2010
8. Establishment of 5 Isolation wards in 5 referral Hospital of Nepal and conducted and facilitated training on case management and Infection prevention and control
9. Developed outbreak investigation training modules of 5-6 days and conducted training
10. Facilitated the field testing of the IHR Monitoring Framework
11. Developed and finalized the epidemiological roadmap for the country.

Communication Officer

1. Represented WHO Nepal in press conferences, media (TV, Radio and Print). Participated in  various interviews especially on various outbreaks, pandemic influenza, World Health Day, Blood Donors day, immunization etc
2. Conducted and facilitated risk communication workshops at national and regional levels.

Innovation

1. Developed and introduced the concept and strategy for Integrated Disease Surveillance system (IDSS) for Nepal and started Event-Based Surveillance (EBS) of Nepal
2. Establishment of Isolation facility in less than a day in Sukraraj Hospital when the first suspected case of Pandemic H1N1 detected in the airport (TUTH was designated referral hospital)
3. Used social media (FACEBOOK) to contact trace during pandemic H1N1 2009.
4. Established a community transmission with sampling few respiratory cases of the selected hospitals to stop airport screening (which was expensive and not yielding good results) – published in index journal
5. Established presence of Leptospirosis using preserved JE negative samples – Published in Index-Journal.
6. Used Army and Police Radio system to transmit data from Cholera outbreak affected districts of Nepal and used army helicopters for the transportation of laboratory specimens
7. Developed a composite index to measure health system performance and applied that in Nepal – published in index journal.

Resource Mobilization

1. More than 2 million USD of World Bank support on Avian Influenza preparedness. The funding was also used for pandemic preparedness; 400000 USD in 2009 and 350000 USD in 2010 from USAID and <100000 USD for Pandemic Preparedness for Whole of Society Approach and Business Continuity Planning Workshop.
2. Mobilized additional funding from SEARO for the cholera outbreak
3. Mobilized private and medical societies in response to cholera outbreak (coordinated private and army helicopters for laboratory and logistics transportation)
4. Supported and facilitated the mobilization of US-CDC agreement of USD 300000 with Patan Academy of Health Sciences (PAHS) for influenza surveillance.

Coordination

1. Coordinated with various technical units of SEARO and country offices for implementation of strategic Plan of Health Information System
2. Organization of international workshops/training/meetings on Mortality Statistics (New Delhi), ICD 10 (Noida, India) and Health Statistics Reporting (Kathmandu, Nepal); MDGs monitoring (Colombo, Sri Lanka) and Global Meeting on Family of International Classification (FIC) (Gurgaon, India)
3. Coordinated with technical units and country offices on reviewing a book on “Health in Asia & Pacific” and regional Health situation

Exhibiting Technical Expertise and Innovation

1. Developed “11 health questions about the 11 SEAR Countries” and Regional Health Situation 2006-2008 – available in the SEARO website
2. Supported on reviewing and finalizing of “Health in Asia & Pacific” a SEAR-WPR publication;
3. Developed and updated health system profiles of SEAR Countries – available on the website.
4. Developed and prepared background documents for consultation and workshops and made presentations.
5. Assisted on the operationalisation of MDG monitoring tools and SIDAS (SEARO Integrated Data Analyzing System)
6. Assisted Director of Health Systems Development in Primary Health Care (PHC) during meetings and event of the revitalization of PHC.
7. Developed the concept of generating mortality statistics following census: a low-cost method. Published in an indexed journal

Monitoring and Evaluation

1. Verified all SEARO major reports and documents and prepared background documents for consultation and workshops and technical presentations.
2. Regularly updated higher management on the progress of MDGs and health statistics reporting.

Exhibiting Leadership, Management and Coordination

1. Led and Manage the field office of Surveillance Medical Office of Nepalgunj, MWDR.
2. Coordination with State parties and non-state parties (during conflict period) for surveillance of vaccine-preventable diseases and the implementation of routine immunization and immunization campaign
3. Coordinated with UN agencies and I/NGOs for SNID, NIDs, Routine Immunization and Japanese Encephalitis Immunization Campaign)
4. Coordinated with Nepalgung Hospital for AES sample collection, which was remained a huge problem in the past (the Nepalgunj Hospital sent the highest number of the quality sample)

Exhibiting Technical Expertise and Innovation

1. Conducted VPD surveillance for Poliomyelitis, Measles, Neonatal Tetanus, Acute Encephalitis Syndrome (AES) for Japanese Encephalitis and Haemophilus Influenza B (Hib) (all the criteria of VPD surveillance regularly met)
2. Facilitated and conducted training and advocacy workshops on VPD surveillance, routine immunization, Sub-national Immunization Days (SNID), NIDs and Japanese Encephalitis
3. Developed NID strategies for Municipalities and supported on the revision of strategies for NID and routine immunization
4. Successful Campaigns of NID, SNIDs and JE vaccination (JE vaccination is first in this type and the districts, I was covering were the highest endemic district of Nepal)
5. Conducted a field study of Medical Ecology of Japanese Encephalitis (outside of duty) for Master’s thesis of Anthropology (Tribhuvan University)
6. Developed a concept of Environmental Surveillance for AFP and the efficacy of polio vaccine in the presence of helminthiasis
7. Facilitated Rapid Response Team training in Nepalgunj in 2005 on “Influenza-Like Illnesses”.

 Resource Mobilization and Monitoring and Evaluation

1. Successful coordination between UN organizations and other I/NGOs (one of the example: For SNID (polio campaign) UN staff with their vehicles were mobilized as monitors and provisioning of quick replenishment of vaccine logistics in vaccination booth)
2. Monitored and Evaluated VPD surveillance and Immunization campaigns and provided recommendations to Districts, Region and Center.

Exhibiting Leadership, Management and Coordination

1. Lead the team for micro-planning for National Measles Campaign for regional and districts planning
2. Coordination with state and non-state parties (during conflict period) during planning and implementation of the campaign.
3. Coordinated with other UN Agencies and I/NGOs for the successful implementation of the campaign (one of the example: coordinated with human rights agencies to negotiate vaccine logistic movement during Maoist called to shut down of districts 2 days before the campaign – they allowed to move vehicles with vaccine logistics with Measles’s Campaign Flag)

 Exhibiting Technical Expertise and Innovation

1. Developed micro-planning tool kit and applied in 8 districts for micro-planning (these 8 districts had best estimates for the campaign)
2. Conducted and facilitated the training of vaccinators, monitoring and evaluation
3. Facilitated advocacy meetings and workshop for the operation of the national campaign
4. Conducted a quick survey to convince Chief of District Health Office, Banke that Nepalgunj Municipality should have coverage of more than 100%
5. Successful completion of the campaign.

Resource Mobilization and Monitoring and Evaluation

1. Mobilized local leaders, school teachers and volunteers for management of vaccination booths in various districts.
2. Monitored entire implementation and operation of the campaign and ensured appropriate waste disposals.

Exhibiting Leadership, Management and Coordination: Worked during Conflict in remotest villages of Surkhet and coordinated with non-state parties. Managed Medical Team of mobile clinics – doctors, nurses, laboratory technicians, midwives, health educators and pharmacists

Technical Expertise, Innovation and Resource Mobilization

1. More than >240 /day benefited from Medical Camps.
2. Performed minor surgeries in the camp set up strictly following infection prevention and control (no cases of wound infection reported)
3. Introduced minor surgical procedures in camp and developed a proposal for conducting surgical camp in district and referral hospital and apparently approved by the European Commission of Humanitarian Organization (ECHO) for the next project.

1. Performed emergency and routine surgeries and monitoring cases
2. Running outpatient department and inpatient wards.
3. Established shaving of surgical sites 1-2 hours before surgery to reduce wound infection
4. Conducted surgical camps in the rural part of Nepal
5. Mentored interns and clinical students of the medical colleges in surgery wards, Operation Theater and emergency department.