Private-Pubic Partnership Development of an integrated Health/Social Demographic Surveillance System for the PNG LNG Project

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1 Private-Pubic Partnership Development of an integrated Health/Social Demographic Surveillance System for the PNG LNG Project Gary R. Krieger MD, MPH, DABT, DTM&H Marci Balge RN, MS COHN

2 Background Numbers Can Move the World.but only if you have them and they are accurate! Project- need for evidence-based decision making Host country- need for evidence-based policy making Health MDG #4-6 Considerations Childhood mortality (U5M) Maternal Mortality AIDS, TB and malaria

3 PNG LNG Overall Health Strategy Timeline 2008 PNG LNG Health Impact Assessment (HIA) - Identify key issues, data gaps, potential impacts, positive opportunities (extended benefits) - Identification of potential host country scientific partner(s) PNGIMR, PNG School of Medicine, MOH/NDOH Key PNG LNG issues - Baseline data availability and quality - What needs to be measured Can it be measured? How? Timeliness Is it accurate? Acceptable to local communities? Beneficial to host government?

4 Timeline 2008/9 ExxonMobil PNG (EMPNG) initiated held workshops and consultations with key PNG health stakeholders in both the public and private sectors Existing scientific models were presented, discussed and debated - Key PNG institutional stakeholders - Private sector oil/gas & mining experience in PNG Management structure options were considered Alignment with core ExxonMobil principles» Safety performance» Technical excellence» Sustainability» Ability to execute within a defined budget and schedule» Financial stewardship Alignment with PNG National Health Plans & Strategies Private-public partnership was considered the best fit 2009 Multi-location ihdss coupled with key disease-specific programmes considered the best overall scientific strategy 2009 Development and issuance of technical Terms of Reference (ToR) 2009/10 PNGIMR Response to ToR 2010 Development of a Memorandum of Understanding (MOU) with PNGIMR 2010 Investment Agreement between EMPNG and PNGIMR

5 Timeline February Formal MOU with PNGIMR as lead scientific partner Partnership in Health Programme (PiHP) Vision Statement - EHL and the PNGIMR will work together to develop a long-term collaborative relationship that facilitates innovation, new knowledge generation, education, training and sustainable capacity building for positively affecting health, social, and economic development for Papua New Guinea. Mission Statement - The purpose of the collaboration is to facilitate training, development and national capacity building of core scientific capabilities covering (i) demographic surveillance systems including monitoring and evaluation (ii) emerging infectious viral diseases, (iii) communicable and other vector-borne diseases (e.g., tuberculosis, malaria, sexually transmitted infections including HIV/AIDS), (iv) operations research for health care delivery and performance in rural settings, and (v) project management and financial stewardship.

6 Timeline PiHP Key Objectives National Capacity Building ihdss development for longitudinal monitoring & evaluation Emerging Infectious Diseases - Research laboratory development in conjunction with PNG School of Medicine Communicable and vector-borne infectious diseases - HIV/AIDS, STIs, TB, malaria, febrile surveillance Operations Research for health care delivery in rural settings - Community and household KAPB surveys on key topics Project Management and Financial Stewardship

7 PiHP programme extensions Maternal & Child Health (MCH) Sexually transmitted infections in the antenatal clinic setting Pregnancy outcome and service delivery KABP Vaccination delivery assessment Community rates/performance for WHO Extended Programme on Immunizations (EPI) Non-Communicable Diseases (NCDs) Hypertension, diabetes, lipids, obesity, cardiovascular, etc. Morbidity & Mortality Demography Socio-Economic Status, in/out migration, etc. Tuberculosis Incidence, prevalence, emergence of drug resistance (MDR-TB) Febrile surveillance including diarrheal diseases Laboratory assay development for epidemic response

8 Achievements to Date 2011 Programme ramp-up and execution Development of International Scientific Advisory Board ihdss at two control and two comparison sites Over 50,000 covered lives under surveillance Initiated biannual detailed scientific progress reports issued by IMR Infectious Disease Research Laboratory Design, development, construction, commissioning Biological Safety Level(BSL) 2+ so able to do many TB analyses Febrile and diarrheal disease assays Landmark STI studies including first ever (in PNG) Human Papilloma & Herpes Virus prevalence studies Critical TB studies in Hiri, Hides and Karkar Epidemic levels at Kikori including rise in MDR-TB Critical NCD findings at ihdss locations Silent epidemic of hypertension, diabetes, and abnormal lipids identified Morbidity & Mortality patterns Decline in malaria Rise in NCDs TB, TB, TB! Human Capacity Development Scientific recognition through conferences and publications Post-graduate training PNG LNG Sponsored Scientific Workshop Translating Science into Action PNGIMR, MOH, NDOH, Development Agencies

9 Summary What isn t measured (accurately) isn t managed (appropriately)! Large resource projects do have an opportunity to further MDGs Understand and align with the host country health plans and goals - Evaluate baseline situation and its data limitations Choose partners carefully - Capacity building is essential - Transition planning begins on Day 1 Translating Science into Action - Planning should begin on Day1 - Diverse partners and stakeholders are essential Numbers can help move a country!

Evidence-Based Practice for Public Health Identified Knowledge Domains of Public Health

1 Biostatistics Statistical Methods & Theory Evidence-Based Practice for Public Health Identified Knowledge Domains of Public Health General Public Health Epidemiology Risk Assessment Population-Based