OH-SMART Map Examples

OH-SMART Map Examples

These are examples of the OH-SMART process in use.

OH-SMART Brucellosis Map

OH-SMART Brucellosis Map

Download the Full Brucellosis Map

Download the Full Brucellosis Map

Description of the Brucellosis Map

Description of the Brucellosis Map

A map description as a result of OH SMART Step 4:

  • The brucellosis cases could be human or animal cases
  • In human cases, some of them went to the physician in hospital or private practice to get treatment. The physician usually took the human specimen and sent to health laboratory for Brucella identification.
  • The result of laboratory examination could be positive or negative. If the result was positive, the treatment would be continued until the patient got well. However, if it was negative then treatment would be stopped.
  • However, many patients went to informal health facilities (traditional or others), resulting in misdiagnosis and mistreated. Or after the case was not cure and getting serious, then the patient would go to formal health services i.e. hospital or physician private practice. So, he or she would be delayed to be treated or in some serious cases could be further treated and passed away
  • In livestock, the initial case was identified through veterinary medical or para veterinary medical services or clinics. Most brucellosis cases in livestock are usually found in livestock with abortions or still births.
  • The veterinary  medical or para veterinary medical services or clinics would treat the cases and take the specimen to the livestock laboratory (different with human health laboratory)
  • Similar to the human cases, the laboratory result could be positive or negative. If the result was positive, the treatment would be continued until the live stock got well. However, if it was negative then stop treatment and the live stock would be culled off.
  • The brucellosis livestock cases found by butchers, shepherds, traders, farmers, FAO, OIC etc mostly were not reported to the veterinary medical facilities.
  • There were 15 stars in the brucellosis map. These showed problems or gaps identified by the trainees related to brucellosis control program. They were as follows:
    • Lack of training and attitude
    • No promotive action
    • Lack of laboratory expertise and facilities
    • No reporting and follow up of brucellosis cases or if any they are irregular (on/off)
    • Laboratory does not report to District Health Office (DHO)
    • No clear communication between human and live stock laboratories
    • No monthly meeting among field staff and DHO
    • Irregular DHO reporting
    • No monthly meeting between DG OH and DHO / AS
    • No meeting among Province and Federal Office
    • Ministries not involve
    • Live stocknot report the human cases to the Health Department
    • No report to AD / Agency Surgeon
    • Lack of awareness to report the brucellosis cases
    • Irregular screening of Government farms
      • Among the above problems/gaps were prioritized to be at least 3 most important problems/gaps to be solved and put them into plan of action in OH SMART step 5 and 6.