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Ethiopia PBM Site

VIEWS: 3 PAGES: 10

									       The WHO/AFRO
Paediatric Bacterial Meningitis
 (PBM) Surveillance Network


      Country Name
        Ethiopia
Country: Site details
• Hospital: Tikur Anbessa Hospital
• Personnel
  – Clinician: Dr. Amha Mekasha
  – Data manager: Alemayehu Nigatu
  – Laboratorian: Hailu Mengiste
  – MoH EPI Manager:
  – WHO EPI Focal Point: Dr. Femi
    Oyewole
• E-mail address:alemnig@ yahoo.com
      Reasons for Success

 Lab. Technician Commitment
 DPCH Commitment
 Supply from The hospital is reliable
     Challenges/Constraints

 Resident rotation
 Lab. Service is not 24hrs.
 Forms not properly filled (incomplete)
  Outcome Indicators (2) 2003
3.5
 3
2.5                                                                           Hib
 2                                                                            Sp
                                                                              Nm TOTAL
1.5
 1
0.5
 0                                                                NOV
                                                            OCT
            FEB
                  MAR
                        APR
                              MAY




                                                                        DEC
                                                AUG
                                                      SEP
                                          JUL
      JAN




                                    JUN
Outcome Indicators (1) 2003

90
80
70
60
50                                                                           Clin Meningitis
40                                                                           Purulent CSF
30
20
10
 0                                                               NOV
                                                           OCT
           FEB
                 MAR
                       APR
                             MAY




                                                                       DEC
                                               AUG
                                                     SEP
                                         JUL
     JAN




                                   JUN
PBM surveillance process
   Indicators 2003
100
 90
 80
 70
 60
                                                                            LP (target 80%)
 50                                                                         Lab (90%)
 40                                                                         Growth (20%)

 30
 20
 10
  0
        N
            FE
              B    A
                       R      R    A
                                       Y     N
                                                 JU
                                                   L     G
                                                             SE
                                                               P       CT
      JA          M        AP     M        JU          AU          O
  Bacterial growth in suspected
meningitis cases with purulent CSF.
           Jan-Oct 2003
         11%




                         40%
   23%


                                 Sp
                                 Hib
                                 Nm
                                 Other

           26%
        Total organisms by age
             Jan-Oct 2003
                       Age
Organism 01-12m 12-24m 24-36m 36-48m 48-59m TOTAL

HIB      6      1      2      0      0      9


SP       4      2      6      1      1      14

NM       3      3      0      1      1      8
           Antibiotic sensitivity
              of S. pneumo
             Jan-Sept 2003
100%
 90%
80%
70%
60%
50%
40%
30%
20%
10%
 0%
       1

           2

               3

                   4

                       5

                           6

                               7




                                        9
                                   14

								
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