Despite a challenging year, the CAPTURA project has managed to maintain momentum and progress with our activities across the region. At the beginning of the year, we finished our comprehensive stakeholder engagements across the Fleming Fund priority countries in Asia. Based on relevance and preferred assistance by country stakeholders, the scope of work for each country and further activities were defined.
How does the scope of work vary by country? In some countries we are doing comprehensive mapping and data collection whereas in others we are mainly working to support and build capacity in data management and analysis in close collaboration with Fleming Fund country grantees.
Since the spring of 2020, our local teams on the ground have been actively working to digitize, collect, and assess data in Timor-Leste, Papua New Guinea, Laos, Bhutan, Nepal and Bangladesh. The data collection activities are scheduled to finish this spring and concurrently, directed by the information gathered on the data (type, quality, availability), analytical models will be developed to inform the actual analysis, visualization, and dissemination.
Entering the final year of the project we are excited to also start planning for our regional workshops bringing together stakeholders to discuss and share experiences and visions for how the collected data can help inform prospective efforts in local and regional AMR surveillance.Captura data flow
In December, IVI co-hosted a Webinar with the International Centre for Antimicrobial Resistance Solutions (ICARS) and the Royal Danish Embassy in Seoul.
In this webinar, we presented emerging lessons from our Fleming Fund projects and the CAPTURA project activities in Bangladesh to give an insight into our current efforts to continuously move forward the agenda of combatting AMR amidst the COVID-19 pandemic.
Key experts and opinion leaders—including Ministers of Health, the UK’s Special Envoy on AMR, and the WHO’s Assistant Director-General for AMR—also shared their strategic reflections and insights focusing on what evidence and data are currently available and how best to leverage them into action to tackle AMR, especially in low- and middle-income countries.
You can watch the webinar here.AMR(1201_webinar)
For this year’s WAAW campaign, we joined IVI to highlight the need for quality data and effective policies to make meaningful progress on AMR control. The campaign featured CAPTURA’s project aims with a spotlight on current efforts in Nepal and Papua New Guinea, as well as IVI’s two other Fleming Fund-supported projects, RADAAR and EQASIA. You can read more about the campaign here on the IVI website, and here, published on the Fleming Fund’s blog.WAAW2020_Facebook
Since the stakeholder workshop held in Kathmandu in mid June, the Bhutanese stakeholders and CAPTURA consortium have been in discussions to define the scope of the work in context of Bhutan and explore ways to best implement the project.
Following the discussions and approval processes within the government, a collaboration agreement was signed on January 8th, 2020 with the Ministry of Health, Royal Government of Bhutan. This agreement between the International Vaccine Institute, on behalf of the CAPTURA consortium, and the Department of Medical Services, Ministry of Health, allows the project to officially start its activities, including data collection and digitization of paper-based data.
As the agreement was a result of collaborative efforts of many individuals, the consortium would like to thank those who worked hard to achieve the agreement and look forward to continuing the partnership with the Royal Government of Bhutan.
The consortium travelled to Hanoi, Vietnam, in the last week of November to better understand the AMR context in the country, discuss opportunities for collaboration, and provide a WHONET training to microbiologists and laboratory technicians in the country. In collaboration with Medical Services Administration and FHI360, a WHONET training was carried out from 27-28 of November. Participants currently working in hospitals, universities and government divisions, attended the training to strengthen their knowledge and skills in data management. During this visit, the consortium members also met with representatives from WHO country office, National Hospital of Tropical Diseases, Bach Mai Hospital, and military hospitals. These meetings and WHONET training session provided the consortium valuable opportunities to hear more about the current AMR network and laboratory information management systems in place.Medical Services Administration, Ha Noi
An exploratory visit to Islamabad, Pakistan, was organised to meet with AMR stakeholders to discuss the country’s interest for the CAPTURA project. Meetings were arranged between November 18-22, with officials from the National Institute of Health (NIH), WHO’s regional coordinator and country office representatives, and the Fleming Fund’s country grantee team. During the visit, Dr John Stelling also provided a WHONET training in collaboration with the NIH at the WHO country office. The consortium members had the opportunity to meet with those working at the AMR surveillance sites who displayed keen interest for advanced training on data analysis and interpretation. As capacity building is an important aspect of the project, the consortium looks forward to continuing the discussions with collaborators in the country on areas for CAPTURA to provide technical support in this area.National Institute of Health, Islamabad
The CAPTURA consortium visited Dhaka, Bangladesh between November 11- 17, to meet with Bangladeshi stakeholders and explore collaborative opportunities. Meetings were held at the Directorate General of Health Services office with representatives from the Institute of Epidemiology, Disease Control and Research (IEDCR), Communicable Disease Control (CDC), Directorate General of Drug Administration (DGDA) and others. Additionally, engagement with the WHO country office and visits to several medical and research institutions active in the AMR efforts in the country were carried out. Through theses visits the consortium members were able to learn about the AMR surveillance activities in the country, challenges experienced and potential areas that could be supported by the project.
Moreover, a WHONET training led by Dr John Stelling, was organised in joint efforts with the IEDCR on November 11th. A group of participants currently working in the AMR surveillance sentinel sites came together for a day of training focusing on the use of the software and AMR data management.
Since the country visit, the consortium has shared a project implementation plan to the stakeholders to receive their feedback and is also in conversations with the Fleming Fund’s country grantee to align project activities with our regional grant work.
In October 2019 the CAPTURA consortium conducted the first visits to Timor-Leste and Papua New Guinea to meet with stakeholders to discuss collaborations and how the project can best be implemented in these countries.
In Timor-Leste the CAPTURA team met with representatives from the Ministry of Health, the local WHO country office as well as Menzies School of Health Research (The Fleming Fund Country Grantee). The team visited the National Health Laboratory and Hospital Nacional Guido Valadares and learned about the current work in building capacity for AMR surveillance. The team also met with SAMES (Serviço Autónomo de Medicamentos e Equipamentos de Saúde) to discuss their work in collecting data on use of antibiotics in Timor-Leste.National Health Laboratory, Dili
In Papua New Guinea the CAPTURA team met with local stakeholders including the AMRCC (AMR coordination committee) and the PSSB (Pharmaceutical Services and Standards Branch) and Medical Supplies and Procurement Branch representatives from the National Department of Health and the WHO country office. The team visited the Central Public Health Laboratory at Port Moresby General Hospital and the PNG Institute for Medical Research at Goroka Province.
The CAPTURA consortium is currently preparing implementation plans and documents to be submitted to the countries in hope to result in a successful agreement for collaboration. Since the visits, local project coordinators have been identified who will be working closely with the local authorities and stakeholders to design and implement the CAPTURA project activities in the coming year.Port Moresby General Hospital, Port Moresby
On October 11, 2019 The International Vaccine Institute (IVI) hosted the annual State Forum at their headquarters in Seoul, showcasing the impact of IVI’s international cooperation in low- and middle-income countries.
The high-level meeting was attended by 30 distinguished guests, including 8th UN Secretary-General Ban Ki-moon as well as ambassadors and top diplomats in Seoul, and senior Korean government officials.
H.E. Ban Ki-moon who attended the forum in person congratulated IVI on its 22nd anniversary, noting the organization’s strides in advancing global health, particularly for the world’s most vulnerable people.
As part of the forum’s session on IVI’s various collaboration project models, IVI Scientist Dr. Marianne Holm gave an overview of the CAPTURA project to the invited guests. Several of the attendees were representing countries that the CAPTURA project is already working with and this occasion proved an excellent opportunity for further elaborations and discussions on the purpose and value of the CAPTURA project as well as the wider Fleming Fund supported activities across the region.More on the IVI state forum
On June 17-18, another CAPTURA workshop was organized in Kathmandu, Nepal, to engage with stakeholders from Nepal and Bhutan.
The Nepalese attendees included officials and affiliates from the Ministry of Health and Population, and representatives from the Fleming Fund’s Country Grantee (FHI 360) and WHO Country Office. For Bhutan, officials and affiliates from the Ministry of Health and Drug Regulatory Authority flew to Kathmandu to join the workshop.
At each country workshop a general and technical overview of the CAPTURA project were given followed by presentations on the countries’ current AMR surveillance systems including efforts to collect AMU and AMC data. Discussed in depth were collaborative opportunities such as capacity building activities, and the importance of aligning the project with current efforts to avoid duplication of work and strengthen HR capacities. Post-workshop meetings were also organized with Nepalese stakeholders, enabling the consortium to further understand how collaboration can be planned. A separate delegation from the CAPTURA consortium also visited Thimphu, Bhutan to hold a WHONET workshop with laboratory and IT teams of the National Referral Hospital. As recommended by the Nepalese and Bhutanese stakeholders from the workshops, the consortium is currently preparing documents to be submitted to the countries in hope to result in a successful agreement for collaboration.Second workshop in Nepal with stakeholders from Nepal
CAPTURA consortium members visited Sri Lanka in mid-June, 2019 to meet with stakeholders involved in AMR efforts in the country. Meetings were arranged with representatives from the Laboratory Services at the Director General of Health Services and Medical Supplies Division within the Ministry of Health, WHO Country Office, Sri Lanka’s Medical Research Institute (MRI), and the National Hospital of Sri Lanka. Through this opportunity, the CAPTURA project was introduced to AMR stakeholders, and collaborative opportunities were discussed. Additionally, WHONET trainings on data entry and analysis were provided to microbiologists at MRI and the Sri Jayawardenepura General Hospital.Meeting with stakeholders involved in AMR efforts in the country
On May 27th and 28th, partners of the CAPTURA Consortium and supporters of the project gathered at the International Vaccine Institute (IVI) in Seoul, South Korea to have the project kick off meeting.
In addition to gathering all consortium partners, the meeting was attended by members of the CAPTURA Scientific Advisory Group (SAG), and the Mott MacDonald regional Fleming Fund coordinators. The kick off meeting was essential in establishing a collective understanding of the project, from administrative details to overview of the work plan, and in organizing the upcoming country work. Other topics such as strengthening communication between partners and ways to effectively engage with stakeholders were also discussed.
As a result of the meeting the consortium partners gained valuable scientific recommendations and information for planning the work ahead.
Read more about the kick off meeting at hereCAPTURA kick off meeting at the International Vaccine Institute, Seoul, South Korea
The first CAPTURA workshop held in Vientiane Lao PDR on May 14-15.
At the workshop, which included a large group of stakeholders involved in AMR efforts in the country, the CAPTURA consortium partners introduced the CAPTURA project and also learned more about the country’s current efforts to strengthen antimicrobial resistance (AMR) surveillance.
Some of the key discussions were on the importance of capacity strengthening in laboratories and human resources, and of coordination with multi-sectoral stakeholders, to effectively tackle AMR and improve the understanding of antimicrobial resistance and stewardship in the country.
The workshop also included a WHONET software training session at the National Centre for Laboratory and Epidemiology (NCLE) with representatives from NCLE, Setthathirath and Mahosot Hospitals.
Following up with the discussions at the workshop, some of our consortium partners were able to meet with individuals from the Lao-Oxford-Mahosot Hospital Wellcome Trust Research Unit (LOMWRU), Lao-Korea Children’s Hospital, Mittaphab Hospital, WHO country office, and Food and Drug Department (FDD) to understand how CAPTURA can best collect and assist in analyzing retrospective AMR data in Laos. This trip to Vientiane marked the start of the country visits for the consortium partners, and conversations regarding partnership with stakeholders are currently in progress.AMR stakeholder workshop at Crowne Plaza, Vientiane, Lao PDR