3.
5 Practical Exercises
Exercise 1: Coordination and Collaboration
In this exercise, you will share your experiences by answering the questions given below. First
document your individual experiences. Second share your experiences with smaller group.
Third each small group selects the best experience and present to the larger group.
1. What is your experience in public health emergency?
2. What structures do exist with regard to collaboration and coordination?
3. Who should be included as members of the emergency management committee?
What will be their roles?
4. Who should the Woreda health Office send to the field to investigate? What was
the role of RRT?
5. What do you want to improve?
Exercise 2: Vulnerability assessment and risk mapping and planning
In this exercise, you will share your experiences by answering the questions given below.
1. Document your individual experiences by listing risks in your woreda
2. Analyze the risks and prioritize using impact and likelihood table 3.
Conduct risk evaluation using the risk matrix and develop EPRP plan.
4. Each small group selects the best exampled woreda and present to larger group
Exercise 3: Capacity Building
Your woreda has 8 kebeles, with a population as follow: -Kebele Aa= 45000, Bb= 35000, Cc=
45000, Dd=50000, Ee= 30000, Ff=10000, Gg=80000, &Hh = 55000
The tables below provide a national assumption and can give you a general approach on how
to estimate of a mount of supplies needed according to the number of people in area at risk.
Construct a simple excel spread sheet to calculate the logistic, human resource, operational
budget and supplies that are required for your planning exercise.
AWD – General Assumption
At risk woredas = woredas affected at least once
Attack Rate = 0.2% (National attack rate) Depends on the region (you can calculate the exact figure if you
have previous data)
Severe cases= 20% (you can calculate the exact figure if you have previous data)
Adult = 85%
Children U5 = 15%
Pregnancy = 2%
RL = 120 bag per 20 severe cases
ORS sachet (for 1 liter each) = 650 sachets for 100 cases
Doxycycline = 3 capsules per one severely ill case
Amoxicillin, 250 mg/5ml susp, 100ml/bottle= one bottle for one severely ill CHILD case
Erythromycin, 250 mg= 12 capsuls for 1 severely ill Pregnant case
Tetracycline (TTc), 250 mg= 24 capsules for 1 severely ill case
IV cannuala = one cannula for sever case
Scalp vein sets = one cannual for one sever case and 50% require it.
Adult Nasogastric Tube ( NGT) = one for one sever case, & 15% require it.
Pediatric Nasogastric Tube ( NGT) = One tube for one severe case, & 15% requir it
Large water dispensers with tap ( marked at 5 & 10 liter level) for making ORS soluation in Bulk= 2 for
every 100 patients
Bottles ( 1 liter) for ORS e.g empty IV bottles) = 20 for sever 100 patients
Bottles ( 0.5 liter) for ORS = 20 for sever 100 patients
Tumblers, 200 ml = 40 for every 100 patients
Wastage factor = 15%
CTC = 1 CTC with 10 beds. Bed occupancy rate 3 days
Table 1 Sample 'excel' worksheet to estimate required supplies for management of cholera
AWD supply
plan
Zinc RL/NS Doxacyclin Amoxicillin Tetracyclin Tetracyclin
Total seve ORS 20mg bag of e 100 m, tab 250mg e 20mg, tab e 20mg, tab IV
PNG ANG Scalp
S. Expect r [satchets tablets 1000m (Adults) [Link]/PAC (PW) (PW) Cannul CTC
T T Vein
N Kebel ed case ] (children l -100 a
o e Pop cases s ) (children)
A B C D E F G H I J K L M N O
B=0.2 C = D = 6.5 E = B x F= C x G = 3 x C x H= C x 15% I = C x 2% J = C x 2% K = L= M= N= O=
% XA 20% x B 15% x 10 6 x1.15 85% x1.15 x 12 x x 12 x x 24 x 15% x 85% x 1.15% 0.5 x C/10
X B x1.15 x 1.15 1.15 1.15 1.15 Cx Cx x C 0
1.15 1.15 C x1.1
1 5