Workshop Report
Workshop Report
Workshop Report
0
1
5
Workshop Training for using Assessment Toolkit
on"Monitoring for Ensured Communicable Disease
Control on Evacuation Sites by Domestic Nurses"
Report prepared by : Sushila Paudel, Epinurse Center, Nursing Association of Nepal (NAN)
[email protected]
Organizing Committee
Japan Principal investigators
Associate Professor Sakiko Kanbara, University of Kochi
Associate Professor Sachiko Hirono, University of Kochi
Researcher Dr. Archana Shrestha Joshi, Okayama Prefectual University
Associate Professor Shoko Miyagawa, Keio University
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Contents
Page number
Background
Objectives
DAY I
DAY II
6
6
Session I : Introduction
Session II : Inauguration
Session IV : Speech
10
13
DAY III
14
Discussion
14
Closing Ceremony
19
ANNEXES
Annex I
20
Annex II
21
Annex III
21
Annex IV
24
Photo Feature
32
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Background
Disaster nursing is a crucial element of disaster response, and training nurses to obtain human
security information through use of an ordinary technology to provide actionable information
that impact the future practice of disaster response from experiences of daily monitoring. The
population density in the evacuation sites is also extraordinary for the survivors. They have to
pay more attention towards the hygiene control to maintain a minimum health safety. Domestic
nurses can share the responsibility for carrying out the monitoring community.
This project is one of J-RAPID Programmes. The Japan Science and Technology Agency (JST),
in collaboration with three Nepalese governmental institutions, initiated support to 5 projects
related to the magnitude 7.8 earthquake that struck Nepal in April 2015, within the framework of
the J-RAPID Program that supports urgent international collaborative research.
This program was supervised by committee (chair is MOSTE) to research/investigation that
contributes to the collection of scientifically important but short-lived data, speedy restoration
after disasters and improvement of disaster preparedness in the future.
Project Partners from Japan include Disaster Nursing Global Leadership Program, University of
Kochi (DNGL), The Japan Society of Disaster Nursing (JSDN), and World Society of Disaster
Nursing
(WSDN),
Partner
from
Nepal
include
Nursing
Association
Nepal
(NAN), Tribhuvan University, School of Nursing and Global Partner include Ebayanihan,
Ateneo De Manila University, WHO WPRO.
This project aims to visualize and summarize prevention of communicable diseases through
communication in real time with Nepali nurses who will be conducting the monitoring, so
that the information can be delivered to health cluster who can make informed decisions in order
to protect and promote health & safety of people and the community during disasters.
The most critical challenge is data collection to generate reasonable information that can be used
in predicting whether something is likely to occur. Our interest lies in collecting information on
the items to A) ensure adequate water and sanitation facilities, B) availability of food, C) control
vectors, and D) syndromic surveillance focused on the most common health conditions,
encountered after disaster, for preventing communicable disease rather than detecting outbreak
by dispatched nurses. So, the action plan was to establish health coordination mechanism and
development of the toolkit after visiting the model site, and pre-meeting with NAN, as consulted
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by
leading organizations (WHO, MoHP, JICA, MOH) and to conduct Disaster Nursing
To gather details of the shelter/s from the disaster affected areas representative Nurses.
To discuss about survey tool and provide tool kit skill training for monitoring and rapid
assessment.
DAY I
The training workshop was attended by 25 representative Nurses from disaster affected districts
of Nepal. Districts represented were Kathmandu, Lalitpur, Bhaktapur, Nuwakot, Dhading,
Gorkha, Rasuwa, Kavrepalanchok, Sindhupalchok and Dolakha. Day 1st was a warm up session
where participants informally interacted with each other. Registration was done by Epinurse
Sushila Paudel where the participants, one by one, were requested to provide their name, living
address, email, contact number, their working office, working status, past experiences, including
the Shelter/s name, Shelter address and the number of Shelter they covered. The participants list
is attached as Annex II.
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DAY II
SESSION I : INTRODUCTION
The training workshop session was opened at 10:30 am with a warm welcome by Mrs.
Rajkumari Gyawali, Secretary of Nursing Association of Nepal. She asked participants and all
other members present, to introduce themselves. Participants were asked to give a brief
description about the epidemiological conditions of their respective districts/shelters as resulted
by the devastating earthquake and aftershocks.
The inaugural session was postponed for a while due to Chief guest's absence. Till then Sakiko
Kanbara provided the participants with materials like paper handouts, toolkit, diaries, pen and
Disaster Nursing Global leader Degree Program overview Prospectus.
Archana Joshi distributed the form containing shelter characteristics. Participants were divided
into groups representing their district and were required to fill the details of the Shelter they
covered, including Shelter mapping. There were altogether 40 shelters covered. Shelter
Characteristics form is attached as Annexe IV.
SESSION II : INAUGURATION
The Inaugural session was chaired by Associate Professor Tara Pokharel, President of Nursing
Association of Nepal. The chief guest of the session was Dr. Baburam Marasini, Chief of
Epidemiology and Disease Control Division, Nepal. The other diginitaries on the dais were
Associate Professor Sakiko Kanbara, University of Kochiko, Japan and Associate Professor
Chandrakala Sharma, President of Nepal Nursing Council. The session was hosted by Rajkumari
Gyawali, secretary of NAN.
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Kanbara explained about the initial preparations done like getting information from Epinurse
Center and collecting background geopolitical and health data along with review of existing
information, visual inspection of the affected areas, interviews with key informants and ethical
approval. After the workshop training, nurses will be dispatched to their site and with
investigation toolkit, they will be monitoring the living environment, SPEED and EWARS by
WHO, MOH.
Kanbara highlighted that the assigned tasks should be reported by the surveyors i.e. participated
nurses, per week or even soon for any changes within the time frame of three months. After
assessment, all the datas, informations and opinions collected will be aggregated from individual
case report sheet and analysed collaboratively by Epinurse Center, NAN and Japanese team
members. Datas will be analysed into demographic pyramids, priority health interventions and
identification of high risk groups. As an expected outcome, these informations will be shared
with other health sectors, MoHP and WHO, to integrate with their own data, and supply relevant
information into central and actionable form for community leaders so as to prevent unnecessary
deaths, through early detection of cases of diseases, having outbreak potentials. Likewise,
informations will be passed to the PH Centers, Hospitals, Government, donors, NGOs, INGOs,
media and the concerned authorities, so that the encountered problems of the disaster affected
areas can be sort out through new interventions, programmes and launching further projects. She
also mentioned that the budget for this survey is limited upto monitoring living environment and
communicable disease by domestic nurse. Kanbara concluded her presentation showing the next
challenge, i.e.
How To Care Co
u ity People a d
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to be the part of this national level disaster survey. She ended her speech encouraging the
participant nurses to do their best, so as to get the next best project in days to come, that works
for health preservation and promotion of people.
After speech session,Dr. Baburam Marasini displayed the J-rapid t-shirt designed for this survey,
along with diginitaries Sakiko Kanbara, Tara Pokharel and Chandrakala Sharma.
During lunch break, participants and other members enjoyed dance and songs on the auspicious
occasion of women Teej and Panchami.
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For three months, Datas have to be reported per week or even soon for any changes to Sushila
Paudel at Epinurse Center, NAN either through email,facebook, phone or sms.
Associate
Professor
Shoko
Miyagawa,
Keio
University
gave
the
URL
address
surveymonkey.com for the smartphone users. Some participants performed trial to get the tool
containing their shelter address, make entries and report to Epinurse center.
Sushila Paudel read the tool again and described each of the headings, subheadings and every
contents in simple clear nepali language and in comprehensible ways to ensure that all the
participant nurses have understood well. Further, for their convenience, she made the new tool
having questions written in both English and Nepali Language, in simple format, without making
any sense of changes to its meanings.
Participants questions and confusions regarding the tool were highly welcomed and clarified.
Toolkit is attached as Annex III.
Globes
Mask
Weighing machine
Soap
Thermostate
Measuring tape
At the end, Sushila Paudel summed up the session and thanked all the participants for their day.
DAY III
At 8 am, Participants were welcomed by Archana Joshi. She asked them regarding any
confusions and clarified all their queries. Then the participants were requested to be divided into
their district groups and some of the questions regarding living environment assessment added
by Sakiko Kabara were asked to be filled up again. questions added were main source of
drinking water, fuel usually used for cooking and lighting, households with and without toilet
facility and household having facilities like radio, television, computer, motorcycle, refrigerator,
etc. After filling form district wise, they were told to mark on their shelters on district map.
DISCUSSION
The session then continued with the questions:
How to improve?
Where to report?
How to report?
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How to improve?
Where to report ?
What kind of
information
feedback needed?
How to report ?
How to improve?
Where to report ?
--------
What kind of
Health education
information needed?
Counselling
How to report ?
Kathmandu ( Ram kumara Luitel, Jasmaya Jirel, Samjhana Kunwar, Babita Jirel, Sunita Panthi,
Thakchi Sherpa)
Main health issue
How to improve?
Health education
Counselling
Money
Medicines/ Aqua water distribution/ bottle water supply
Where to report ?
Food/masks
Vaccination Programme
Health campaign, committee formation
What kind of
Protocol
information
feedback needed?
How to report ?
How to improve?
Where to report ?
How to report ?
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Dhading (Sarita Dhungana, Sarada Barakoti, Sundari tamang, Urmila chitrakar, Madhu Gomja )
Main health issue
How to improve?
Awareness programme
Mobilize community leader
Treat the water source/ use purification methods
Sanitation improvement Programme
Solid waste disposal, Latrine
Hand washing technique/ personal hygiene
Safe storing and serving food
Assess the nutrition status
Counselling for nutrition
Refer to nutrition rehabilitation
Campaign programme
Where to report ?
Community leader
Local health institution
District health office, NAN
MOH/Epidemiological section
IEC material,
feedback needed?
How to report ?
As necessary (weekly/monthly
Immediately if any outbreak
As government HMIS system
By phone, sms, email
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Fever, ARI, AGE, open wound cuts, skin diseases like allergies,
scabies, eye infections, Acute peptic diseases, smoking, alcoholism
How to improve?
Awareness programme
School health programme
Coordination with VDC chairperson, local leaders
Where to report ?
How to report ?
How to improve?
Where to report ?
How to report ?
Drinking water,
Sanitation,
Latrines
How to improve?
Health education
Co-ordination
Where to report ?
How to report ?
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How to improve?
Health education
School health programme
Water purification
Temporary latrine construction
Immunization Campaign for under 5 children/regular immunization
Immediate report to higher health center
Where to report ?
What kind of
Health History
information
Health checkup
feedback needed?
Environmental sanitation
Water resources
Available health facilities
Logistic support
Financial support
How to report ?
CLOSING CEREMONY
Participants were given the instrument tool and a permission letter to the district. Queries
regarding reporting datas were clarified again by Sushila Paudel. Sakiko Kanbara, Archana
Shrestha Joshi and Sushila Paudel provided their contact and email address. President of NAN
Tara Pokharel wrapped up the session by summing up the two days workshop. She wished all a
good luck and gave thanks to all for their support in delivering 2 days workshop training.
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Annex I
Agendas (September 18th)
10:00- Opening Remark
10:30 Introduction
11:00- Inauguration
12:00- Presentation
13:00- Monitoring tool kit skill training
15:00- Distribution of Monitoring toolbag
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Annex II
Name of
Participants
Age
(yrs)
Living Address
Office
Status
experience year
Sarada Barakoti
30
Salyantar-7, Dhading
Staff Nurse
10
Sundari Tamang
21
Nilkantha-3, Dhading
Staff Nurse
Urmila Chitrakar
20
Staff Nurse
18 months
Sarita Dhungana
45
Nilkantha-3, Dhading
Chhatradeurali-2,
Dhading
ANM
14
Pramila Jirel
24
Jiri, Dolakha
Shreemaya Jirel
50
Kharanitar, Nuwakot
ANM
Senior
ANM,6th Level
Devaki Khatiwada
42
20
Babita Jirel
28
Staff Nurse
Bidur-3, Nuwakot
Bajrayogini-1,
sankhu, Kathmandu
ANM
Lumbini Shakya
49
Sunita Panthi
52
Staff Nurse
Senior
ANM,6th Level
11
37
Staff Nurse
17
12
Roshani Shrestha
Chandramaya
Dangal
ANM
19
13
Indramaya Gurung
42
Maya Shrestha
54
15
45
16
Sharan Khanal
Indramaya
Shrestha
Ram kumari Luitel
45
ANM
Senior ANM,
6th level
18
Samjhana Kunwar
43
ANM
20
19
Thakchi Sherpa
37
Senior ANM
17
20
Sumala Basnet
39
27
17
Haramtari, Gorkha
Kamalbinayak,
Bhaktapur
Saraswotinagar ,
Kathmandu
Budhanilkantha,
Kathmandu
Bouddha-6,
Kathmandu
Panauti-5, kapalkot,
Kavrepalanchok
ANM
Staff Nurse,
6th level
Public Health
Nurse
10
14
25
10
Luboo, Lalitpur
Chalnakhel-2,
Kathmandu
Melamchi,
Sindhupalchok
Mahankal-1,
Sindhupalchok
Melamchi-5,
Sindhupalchok
Chautara,
Sindhupalchok
ANM
13
21
Sanumaya khadka
52
lamabogar, Dolakha
Senior ANM
27
S.N
43
48
20
20
33
22
27
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22
Jasmaya Jirel
48
Balaju-16,
Kathmandu
23
Srijana Khadka
33
Ramche-7, Bahrabise
24
Sarita Dhakal
43
25
Madhu Gomja
21
Dhunche-5, Rasuwa
Damgade-12,
Dhading
S.N
Gordhunga HP,
Kathmandu
Barhabise PHC,
Ramche7Sindhupalchok
Rasuwa District
Hospital
Dhading Damgade
School
Name of
Participants
Sarada Barakoti
Lapa Basti
Sundari Tamang
ANM
18 months
Staff Nurse
21
Teacher
shelter
experience
shelter address
August
Sankosh-12
Sankos-12 Dhading
Apr-25
Urmila Chitrakar
Sankosh-12
Sankosh-12 Dhading
Apr-25
Sarita Dhungana
Ramche
Ramche Dhading
Apr-25
Pramila Jirel
May-13
Shreemaya Jirel
Bangetar-1
Bangetar, Kharane,
Nuwakot
Apr-25
Devaki
Khatiwada
Deurali-8
Deurali-8, Nuwakot
Apr-25
sankhu, Kathmandu
Apr-25
Mahalaxmi,Luboo,
Lalitpur
Apr-25
Dakshinkali, Kathmandu
Apr-25
Melamchi-2,
Sindhupalchok
Apr-25
Mahankal,
Sindhupalchok
Apr-25
Apr-25
Babita Jirel
SankhuBajra-1
Lumbini Shakya
Mahalaxmi-8
Sunita Panthi
Boshan
10
28
lapabasti Dhading
Senior ANM,
6th level
Kharane-6
Sankhu
Bajra-2
Khahare
Sankhu
Bajra-3
Gwalda
11
Roshani Shrestha
Melamchi-2
12
Chandramaya
Dangal
Mahankal-1
13
Indramaya
Gurung
Melamchi 5
Melamchi-5
Sindhupalchok
14
Maya Shrestha
Chautara 3
Chautara,
sindhupalchok
Apr-25
15
Sharan Khanal
Simalgaire
Alegaun
Simalgaire Alegaun,
Gorkha
Apr-25
16
Indramaya
Shrestha
Lamatol -4
Lamatol-4 Nagarkot,
Bhaktapur
Apr-25
17
Ram kumari
Luitel
Dharmasthali-3
Dharmasthali,
Kathmandu
Apr-25
Mahankal-9
Dharmasthal
i-4
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18
Samjhana
Kunwar
Thulogaun-4
19
Thakchi Sherpa
Phulpinkatti
20
Sumala Basnet
Sunthan-10,
Panauti
21
Sanumaya
khadka
Gongar Tol-5
Jagat-9
22
Jasmaya Jirel
Phuyalthok-9
Dhitalthok
Tembathang
Gorkana
Camp
Bihanibast
i-4
Thali
Camp
Padma
Tower
Thulogaun,
Budanilkantha
Apr-25
Jorpati, Gokarna,
Kathmandu
Apr-25
sunthan-10, Panauti,
Kavrepalanchok
Apr-25
Apr-25
Gordhunga, Kathmandu
Apr-25
September
23
Srijana Khadka
Plykarkhana
Ramche-7,Bahrabise,
Sindhupalchok
24
Sarita Dhakal
Dhunche-5
Dhunche-5, Rasuwa
May-14
25
Madhu Gomja
Damgade
Damgade, Chabedada,
Dhading
May-01
Chabedanda
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Annex III
Name :
Form Number :
District :
Bottle
Tap
Yes
No
Yes
No
Specify.........................
..............
Specify........................
.............
Other: ...........................
: .......................
Not Available/ Unknown
/
Not Available/ Unknown
Not Available/ Unknown
Not Available/ Unknown
None
Tap
Yes
No
Specify........................
.............
Other: ...........................
: .......................
Not Available/ Unknown
/
Not Available/ Unknown
/
Yes
No
Yes
No
Yes
No
Yes
No
?
13.Appropriate waste disposal
?
Yes
No
/
Not Available/ Unknown
/
Yes
No
Yes
No
Specify........................
.............
Specify........................
.............
Yes
No
II.Shelter Status ( )
19. Type of shelter
20. Damaged
/
21. Security / Safety Assured
?
22. Adequate Ventilation
Specify........................
.............
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
III.Sleeping Room ( )
31. Acceptable Number of Mats /Beds
/
32. Acceptable spacing
Yes
No
Yes
No
Yes
No
Yes
No
35. Presence
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
B) SPEED
S.
N
12
Fever (FEV)
Fever with rash (MEA)
<12 months : Fever (>38)with bulging fontanel , or
refusal to suckle (MEN)
38C,
Fever with headache , muscle pain and any of the
following: Eye irritation , jaundice , skin rash, scanty
urination (LAP)
,
, ,
, ,
Yellow eyes or skin with or without fever (AJS)
,
Fractures (FRS)
13
1
2
3
4
7
8
10
11
5 years old
Cases
Deaths
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14
15
16
17
18
19
20
21
22
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S.N.
Disease Syndrome
1.
2.
3.
4.
5.
6.
Suspected cholera
7.
8.
9.
5 years old
Total
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Smoke ( )
Drink ( )
Anamnesis ()
DM ( )
Hypertension ( )
Liver Disease ( )
Stroke ( )
Appetite ( )
Sleep ( )
Urination ( )
Defecation( )
Numbness of limbs
Gait disturbance ( )
Conversation Discomfort ( )
Cough ( )
Breath ( )
Inspection ( )
Measurement ()
Face ( )
Trauma ( )
Skin ( )
Measure ( )
Weight ()
Body temperature ( )
BP ( )
Palpation ()
Pain (
)
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Annex IV
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Photo
Feature
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THANKYOU
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