Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

STRATEGIC MANAGEMENT OF CHRONIC HEPATITIS B RESEARCH PROJECT IN THE EVENT OF MAJOR INUNDATION IN THAILAND: CHULABHORN HOSPITAL’S EXPERIENCE

Author

Lueangarun Saoraya

Institution

Chulabhorn Hospital

Abstract

Objectives: During October-December 2011, it is marked as the worst Thailand’s flooding crisis with innumerable damages to many areas in Bangkok and several others nearby. Not exceptional, the randomized control trials of Chronic Hepatitis B (CHB) treatment with Tenofovir and Entecavir at Chulabhorn Hospital has also been significantly affected by this major inundation, with well- planned strategic management to successfully run and continue the project in the incidence.

Methods: We report the processes of continuing the research project in 442 CHB infected participants with adequate antiviral treatment and follow up protocol to avoid their lack of medications and research protocol failure during the crucial deluge in Thailand as a model example for future handling of such disasters.

Results: Strategic methods to provide drugs have been competently organized and coordinated. The modulating of patient’s appointment was managed to come in contact before the summit (64 cases) together with postponing the schedule until crisis subsided (27 cases). Besides, drug delivery procedure to patients was employed by their relatives (22 cases), research project staffs to nearby available sites (11 cases), post-delivery (10 cases), drug leaving with another participant (1 case) and bus delivery (1 case). Furthermore, the patients were suggested to purchase drugs from local hospitals (3 cases), or borrow them from friends and relatives (2 cases). Despite all efforts, there were only 5 cases unreachable (1.1%) and 3 cases (0.7%) lack of medications.

Conclusion: A competent teamwork and good relationships between the patients and medical personnel with update contact information is the key for successful strategic management of our HCC research project during the disaster under well-planned organization and coordination, creativity, spontaneity and flexibility, patient advocacy and assertiveness, camaraderie, and full support from all functioning staffs to achieve the least lack of medications among the CHB patients.