ACTIVITY

RESPONSIBLE

HOW

TIME FRAME

PLACE

EVALUATION/ OUTCOMES

1. Identify all stakeholders Outbreak response team (O.R.T.)
Military, CPF, SAPS, Dept. Education, Social Development, Correctional Services, Agriculture, Disaster Management (District & Local), Churches, Health Forums, Welfare forums, Traditional Leaders, DWAF,
L.A’s, NGO’s, CBO’s

EHP’s, CDC

By role clarification

17/02/03-17/02/03

Elundini Sub-Health District

Have a list of all stakeholders

2. Organize a meeting with all the stakeholders in Mt. Fletcher and Maclear.

EHP’s, CDC

By sending out invitation to all stakeholders

18/02/03-25/02/03
27/02/03-05/03/03

Elundini Sub- Health District

Meeting with all stakeholders

3. Workshop of stakeholders on cholera awareness.

EHP's, CDC, Health Promoter

Organising a workshop for the ORT

19/03/03-20/03/03

Mt. Fletcher & Queen Noti

ORT members aware of cholera

4. Meeting with stakeholders to clarify issues to be looked at as high-risk problems.

EHP, CDC, Health Promoter

Organising a meeting with all the stakeholders

25/02/03-11/03/03

Mt. Fletcher

ORT members know what to look for.

5. Identify high risk areas

Outbreak response team

• Observation (during visits, water & sanitation)
  Water monitoring
  Situation analysis

12/03/03-30/03/03

Mt. Fletcher & Tsolo

Have all risk areas identified in black and white.

6. Create cholera awareness in the community.

Outbreak response team

• Media
  Workshops
  Community workshops
  Through churches
  Local newspapers
  Imbizo
  Traditional Healers

21/03/03-30/03/03

Rural areas and informal areas of Elundini Sub-Heaalth District

1. Change of behaviour
   Toilet construction
   Home purification methods practised.

7. Strengthening of use of Diarrhoeal forms.

CDC, Clinic supervisors & EHP,s

Inservice training of clinic sisters

27/02/03 & Weekly

All clinics

Regular reporting of diarrhoea cases District Manager & EHP's

8. Identify & organise resources (Human, Material, Finance)

O.R.Team

Through situation analysis

25/02/03-11/03/03

Mt. Fletcher

Have a list of all required resources

9. Role clarification

Team

Delegation of duties

19/03/03-20/03/03

Elundini Sub- Health District

All team members know their role

10. Spring protection, windmill repairs projects & provision of safe drinking water

DWAF, EHP’s, District Municipality, Local Municipality

Intersectoral approach

Ongoing

Rural areas & informal areas

Springs protected, windmill repaired & safe water provided

11. Capturing information

Team

Record keeping

When cases are reported

Elundini Sub- Health District

Information readily available

10. Liaison with other districts (Crossborder)

District Manager, O.R. Team, Disaster Management, District Municipality

Through meetings with other DM & Province

Immediately when there is a case reported

Affected areas

Other District aware of an outbreak & Province

ACTIVITY

RESPONSIBLE

HOW

TIME FRAME

WHERE

EVALUATION

1. Early reporting of cases

By the community

Presenting cases to the clinic

When ill

Clinic

Early reports presented

2. Notification of suspects & confirmed cases

Health personnel

Phoning, Fax of notification forms

Immediately there is a case

Clinics, DM,
District Municipality & Province

Receive notification from health personnel

3. Proper Treatment

Health personnel & Community

Replacement of fluids (ORS)

Immediately

Clinics & Rehydration Centres

No morbidity

4. Identification of source

EHP, O.R. Team & Disaster Management

Testing of water & from mapping of cases

During the outbreak

Risk areas (From areas where the cases came from)

Source identified

5. Identify contacts

EHP’s, O.R.Team, Disaster Management

From the records

During the outbreak

From the treatment places

Less cases

ACTIVITY

WHO

HOW

TIME FRAME

EVALUATION

1. Call a meeting with all the stakeholders together with the people that were involved during the outbreak

District Manager, EHP, CDC, Disaster Management

Sending out invitations

A month after the last case

Have all stakeholders in a meeting

2. Report back of the outbreak

District Manager

From the reports kept during the outbreak

During the meeting

All people in a meeting know what is going on about the outbreak

3. Stakeholders identify their resources they assisted with

All the stakeholders who assisted during outbreak

Pointing out their resources

After the area has been proclaimed as a cholera free area

Resources taken back by owners

4. Recognition of all participants

DM

Awarding of Certificate from a ceremony

Two months after the outbreak

Certificates awarded to all participants

5. Counselling of families that have lost their loved ones.

Department of Social Development

Professional counselling

Ongoing

People accepting the outcomes of the outbreak