14th ICID - Poster Abstracts - International Society for Infectious ...

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When citing these abstracts please use the following reference: Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number. Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1 is available electronically on http://www.sciencedirect.com Final Abstract Number: 81.010 Session: Public Health Interventions, Modeling & Training Date: Friday, March 12, 2010 Time: 12:30-13:30 Room: Poster & Exhibition Area/Ground Level Type: Poster Presentation FluZone: A national decision support system for the H1N1 flu pandemic in England C. Kara-Zaïtri 1 , M. Schweiger 2 , R. Hamilton 1 1 inFact UK, Bradford, United Kingdom, 2 Health Protection Agency, Leeds, United Kingdom Background: This work is the continuation of a seven-year development programme of a web based decision support system for health protection in England called HPZone. The recent H1N1 outbreak has provided a real test bed for a new national system facilitating a response in the most effective way by coordinating all the arrangements for the clinical assessment and management of the first few and subsequent cases of Swine Flu. FluZone has been developed using a bottom-up and top down approach in a rapidly changing environment. Methods: FluZone is a web based system linking ten Flu Response Centres throughout England. It includes a triage page commensurate with a continuously changing case definition and provides a variety of prompts for appropriate action in different circumstances, such as arranging nasal and throat swabs, and chemoprophylaxis. The application has enabled 1500 multidisciplinary users enter appropriate data about H1N1 Enquiries, Cases, Contacts and Outbreaks across the entire country. Results: FluZone functions include: 1. Screen calls by non-clinical staff against an agreed protocol, triage (Clinical, Laboratory and Epidemiology) calls by clinical staff commensurate with the latest algorithm re testing and antiviral treatment, and then handover Probable and Confirmed Cases to dedicated Clinical Staff. 2. Facilitate the multidisciplinary management of Enquiries, Cases, Contacts and Situations based on a continuously updated protocol of conditioned actions and enabling direct data entry by the laboratories. 3. Provide a real-time tabular and geographical dashboard of all Possible, Probable, Confirmed and Discarded Cases locally, regionally and nationally. The combination of an advanced query facility on the rich data set captured and time and spatial visualisation methods in FluZone, has provided a powerful tool for improved case management, quick contact tracing and advanced epidemiological analyses. Conclusion: The system has performed well at peak times with over 350 concurrent users with minimal training. FluZone has demonstrably contributed to the containment phase of the pandemic supporting the delivery of the nationally agreed approach to management of cases and contacts and the capture of high quality local, regional and national epidemiological data in real time to inform future planning of the national response.
When citing these abstracts please use the following reference: Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number. Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1 is available electronically on http://www.sciencedirect.com Final Abstract Number: 81.011 Session: Public Health Interventions, Modeling & Training Date: Friday, March 12, 2010 Time: 12:30-13:30 Room: Poster & Exhibition Area/Ground Level Type: Poster Presentation Economic burden of health care at household level: Examination of out-of-pocket expenditure on sexual and reproductive health care T. Akalu Tulane University Techinical Assistance Program Ethiopia, Addis Ababa, Ethiopia Background: In Ethiopia although public health care is provided at normally low prices and for free to those that do not afford to pay, the health care consumers are still required to make considerable amount of out-of-pocket expenditures (OOPE) for various reasons. NHA 2004 has showed that 33.9% accounts for households as financing agents on reproductive health care. However, out-of-pocket expenditure remains poorly visible in resource tracking efforts. Methods: Study area: Butajira Demographic Surveillance site Study time: From October 2007 to March 2008 Study was done by collecting household level expenditures made for financing sexual and reproductive health care. Study design: cross-sectional study Sampling technique: simple random sampling using single population mean formula Sample size: 370 Households Data entry and analysis: by statistical package software, using central tendency measurement tools, regration analysis Results: Total annual gross out-of-pocket expenditure showed ETB 85,900.90 ($9357.40) with ETB 282.57 ($ 30.78) per each household. 72.4% of the expenditure spent on pregnancy related services; where as 27.6% spent for FP and other sexual and reproductive health care services. 6.5% of the total OOPE as percentage of the annual household expenditure is spent for sexual and reproductive health care. The net health service expenditure has a 64.08% gap from the gross OOPE. The study assessed the difference on the direct and indirect costs incurred on different intervention components. Out-of-pocket expenditure has a regressive distributional impact and poor and very poor people are expected to pay more. These expenses were covered from regular income which can lead to catastrophic household economic crises. Conclusion: Out-of-pocket expenditure has a regressive distributional impact and poor and very poor people are expected to pay more. These expenses were covered from regular income which can lead to catastrophic household economic crises. Recommendation: Other alternative health care financing mechanisms like community based health insurance, social insurance; and other community based organizations should be part of the process.
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