Health action with informed and engaged societies
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Response to Avian Influenza in Bulgaria

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Launched in June 2006, this initiative was designed to provide a sustainable mechanism for surveillance, crisis management, and increase of public awareness regarding avian influenza in Bulgaria. The programme involved some non-communication-related components, such as procurement of laboratory and non-laboratory equipment (computerised systems, refrigerators, egg incubators, respiratory masks, personal protective equipment kits), but also included interpersonal efforts to strengthen human response capacity and risk management systems to prepare for a potential outbreak. In addition, a public awareness campaign was carried out that drew upon both information and communication technologies (ICTs) and mass media. This project was funded by the US Agency for International Development (USAID), and was implemented by CARE International Bulgaria, the World Health Organization, Development Alternatives Inc., and Community Development Foundation.
Communication Strategies

Both interpersonal strategies and ICTs shaped the project's efforts to bolster the Bulgarian government's capacity to optimise prevention of avian flu in humans and to respond adequately in the event of further cases in birds and/or humans. For example, workshops on surveillance and infection control/case management were held. Other meetings focused on strengthening national preparedness plans and facilitating donor coordination meetings with the Bulgarian government. In addition, an early warning system for human surveillance was developed and tested; it involves an electronic system for rapid exchange of data between 28 districts and national level, new upgraded hardware, and training of local epidemiologists in data entry. Veterinarians also took part in 2-day, hands-on workshops.

Organisers also carried out a public awareness campaign in an effort to provide information about avian influenza to regional veterinarian offices, municipal and private veterinarians, mayors and local community leaders, small- and medium-size backyard farmers, commercial poultry operations, and minority groups in villages. Key tools here to disseminate messages included radio broadcasting (especially in high-risk areas and remote villages) and television channels. In addition, organisers developed an informational, interactive website (in Bulgarian); click here to access it. This website also provides access to the printed materials of various types (depending on the intended audience) that were developed as part of the campaign; click here to access 5 brochures (in Bulgarian).

Development Issues

Health, Natural Resource Management, Risk Management.

Key Points

USAID reports that Bulgaria saw its first cases of avian influenza in 2006. Due to its proximity to Romania and Turkey, the country is reportedly at a high risk of Highly Pathogenic Avian Influenza (HPAI) and - according to organisers - may consequently suffer health-care- and economic-related setbacks.

Partners

CARE International Bulgaria, the World Health Organization, Development Alternatives Inc., and Community Development Foundation - with funding from USAID.

Sources

Email from Jennifer Croft to The Communication Initiative on January 30 2008; and USAID/Bulgaria website.

Teaser Image
http://bulgaria.usaid.gov/cdir/bulgaria.usaid.gov/files/Avian_Flu_2.jpg