Model Development of Table-Top Exercise (TTX) for Pandemic Influenza Preparedness in Thailand: Country Perspective 2006-2010

Abstract

This Participatory Action Research study on model development of table-top exercise (TTX) for pandemic influenza preparedness was aimed to develop further such exercise management model and to study the results of all TTX conducted in Thailand during 2006-2010. Analysis of recorded data from related meetings and findings during and after all TTX revealed that, firstly, a series of activities was conducted before finalizing the working models of TTX. These activities consisted of brain-storming sessions, facilitators training sessions and management transfer sessions. Secondly, in terms of coverage, there were 63 provinces where TTX were conducted during 2006-2007 while during 2008-2009 there were 35 provinces which organized TTX using a standard format set by the Department of Disease Control. Quality-wise, all provinces had increased response capacities while twelve provinces received awards as provinces with outstanding response to pandemic influenza 2009. In addition, a joint assessment with external organization (WHO) on national response actions to pandemic influenza 2009, found that provinces had effective responses to the pandemic. We recommend that supports should be provided to ensure that TTX are conducted continuously. This is to overcome practical problems and improve work systems issues as well as to increase the capacity of concerned staff to perform the multi-sectoral coordination for preparedness and response to severe public health emergency situation effectively.