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Cette fiche technique explique comment le Programme National de Lutte contre les Maladies Tropicales Négligées de la Sierra Leone a adopté une approche collaborative d'Amélioration de la Qualité dans 10 unités de santé périphériques.

This technical brief discusses how the Sierra Leone Ministry of Health adopted a collaborative quality improvement (QI) approach to enhance community engagement and improve MDA coverage in 10 peripheral health units within the four districts that failed pre-TAS.

West African neglected tropical diseases (NTD) programs have made great progress toward the elimination/control of NTDs amenable to preventive chemotherapy. However, some districts have failed impact surveys—notably for lymphatic filariasis and trachoma—due to implementation inadequacies, despite reporting good mass treatment coverage. A quality improvement framework has been initiated to strengthen country program interventions and address issues that hinder their ability to achieve the World Health Organization NTD road map elimination/control goals.  The workshop aims to present an innovative model for improving implementation and discuss ideas, strategies, and plans for initiating quality improvement (QI) activities. Experiences from Ghana and Sierra Leone in the design and implementation of the QI model will be shared. 

This paper reports for the first time factors associated with pre-transmission assessment survey (pre-TAS) results from a multi-country analysis. This information can help countries more effectively forecast program activities, such as the potential need for more rounds of mass drug administration, and prioritize resources to ensure adequate coverage of all persons in areas at highest risk of failing pre-TAS.

Tara Brandt of the US Centers for Disease Control and Prevention provided guidance on using diagnostic tests—particularly filariasis test strips—for diagnosing LF on January 14, 2020.

Le Dr Ernest Mensah de FHI 360 a fait une présentation sur l'implication communautaire dans la mise en œuvre de l'enquête lors de l'atelier de l'USAID sur l'évaluation de la transmission de la filariose lymphatique, organisé par les programmes Act to End NTDs | West et Act to End NTDs | East à Abidjan, Côte d'Ivoire, le 15 janvier 2020.

FHI 360's Dr. Ernest Mensah delivered a presentation on community engagement in survey implementation at USAID's lymphatic filariasis transmission assessment survey workshop, hosted by the Act to End NTDs | West and Act to End NTDs | East programs in Abidjan, Cote d'Ivoire on January 15, 2020.

Dr. Didier Bakajika of the World Health Organization's Global Programme to Eliminate Lymphatic Filariasis presented WHO's guidance for transmission assessment surveys at the USAID lymphatic filariasis transmission assessment survey workshop, hosted by the Act to End NTDs | West and Act to End NTDs | East programs in Abidjan, Cote d'Ivoire on January 15, 2020.

Le Dr Didier Bakajika du Programme mondial d'élimination de la filariose lymphatique de l'Organisation mondiale de la santé a présenté les orientations de l’OMS sur le pre-TAS lors de l'atelier de l'USAID sur les enquêtes d'évaluation de la transmission de la filariose lymphatique, organisé par les programmes Act to End NTDs | West et Act to End NTDs | East à Abidjan, Côte d'Ivoire, le 14 janvier 2020.

Dr. Didier Bakajika of the World Health Organization's Global Programme to Eliminate Lymphatic Filariasis presented WHO's guidance for pre-transmission assessment surveys at the USAID lymphatic filariasis transmission assessment survey workshop, hosted by the Act to End NTDs | West and Act to End NTDs | East programs in Abidjan, Cote d'Ivoire on January 14, 2020.