Development of an Integrated Community Health Program for a Large Oil and Gas Project

Nowosiwsky, Andry; Moore, John D.; Hancock, David Y.; Balge, Marci Z.; Krieger, Gary R.

doi:10.2118/179227-ms

Cited by 7 publications

(2 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nowosiwsky (2016) has detailed many of the critical findings and scientific achievements of the PiHP. In addition, an Independent Science Advisory Board composed of internationally recognized tropical disease and demographic experts validated the results of the PiHP.…”

Section: Presentation Of Data/resultsmentioning

confidence: 99%

Public-Private Partnership: Lessons Learned from a Large Project in a Developing Country Setting

Nowosiwsky

Prest

Moore³

et al. 2016

Day 1 Mon, April 11, 2016

Self Cite

View full text Add to dashboard Cite

OBJECTIVE: Public-Private Partnerships (PPP) are a tool that the international development community, including international financial institutions (IFIs) are increasingly utilizing for developing and / or enhancing critical public infrastructure assets and services. The PNG LNG Project, ExxonMobil PNG Ltd used the PPP approach in multiple instances to support positive development outcomes. In the health sector, a PPP-known as the Partnership in Health Program (PiHP) -was developed to support Project, community and broader national health objectives. This PPP was not based on either physical infrastructure, (e.g., clinics, hospitals) or traditional clinical services, (e.g., out and inpatient care). Instead, ExxonMobil PNG Ltd developed the PiHP as an initiative focused on higher end scientific / medical services that would provide crucial data for overall countrywide public health policy development, planning and program implementation. The lessons learned from this five-year effort will be presented. METHODS:The long-term revenue stream of the PNG LNG Project is potential transformative for PNG's macro-economic position. PNG has an extremely high burden of disease largely dominated by infectious diseases. However, the pattern and distribution of disease is extremely uneven and some areas of the country are likely undergoing an epidemiological transition, i.e., a movement from infectious to non-communicable diseases. As part of the overall impact mitigation and extended benefits planning for the PNG LNG, a novel use of the PPP model was developed. Both impact mitigation and extended countrywide benefits for the health sector were incorporated into a PPP involving the statutory research arm of the PNG Ministry of Health [(PNG Institute of Medical Research (PNGIMR)] and ExxonMobil PNG Ltd. Formal ЉMemorandum of UnderstandingЉ and Sponsorship Agreements with key stakeholders were jointly developed. Scientific, financial and capacity development objectives were specified and included a set of key performance indicators. RESULTS:A five-year program was designed and implemented. Over 50,000 persons were covered and monitored by a comprehensive demographic surveillance system that was accepted into the 20 country international INDEPTH Network. This is the first PPP sponsored site accepted by INDEPTH in its 18-year history. A unique 2ϩ BSL infectious diseases research laboratory was developed under the PiHP and co-located within the PNG School of Medicine. Significant stewardship was provided and included financial accountability training and monitoring of PNGIMR. Important scientific discoveries involving tuberculosis, human papilloma virus, febrile surveillance and non-communicable diseases have been documented with significant public health policy implications. NOVEL / ADDITIONAL INFORMATION:The PPP model can be successfully adapted to meet both impact mitigation and extended benefit needs for a large oil and gas project. There are, significant Љlessons learnedЉ when undertaking a PPP of this size and magnitude. The ...

show abstract

Section: Presentation Of Data/resultsmentioning

confidence: 99%

Public-Private Partnership: Lessons Learned from a Large Project in a Developing Country Setting

Nowosiwsky

Prest

Moore³

et al. 2016

Day 1 Mon, April 11, 2016

Self Cite

View full text Add to dashboard Cite

show abstract

“…Internal collaborations between the operators, supply chain companies, medical units and security, health and environmental organizations are necessary to share reliable information and produce accurate immediate responses to EIDs (Diara et al , 2013). Integration of the local community in public-private partnerships is important to preventing infectious disease spread between operational sites and neighborhood communities (Nowosiwsky et al , 2016). The Infectious Disease Risk Assessment and Management (IDRAM) program, implemented in African mining companies, focused on partnerships with public health systems to better understand, assess and mitigate EID (Viliani et al , 2016).…”

Section: Literature Reviewmentioning

confidence: 99%

A review of the role of digitalization in health risk management in extractive industries – a study motivated by COVID-19

Nguyen

Gosine

Warrian

2021

JEDT

View full text Add to dashboard Cite

Purpose While disruptions as a result of the COVID-19 pandemic resulted in the failure of some companies, others embraced innovative digital technologies to face the challenge posed by COVID-19. The COVID-19 crisis is also an opportunity for the extractive industry (EI) sectors to review their digitalization processes. The purpose of this paper is to conduct a systematic review of infectious disease mitigation in EI and to evaluate the resilience of these industries as they address pandemic prevention and control. Design/methodology/approach Multi-case studies including digital and organizational responses to COVID-19 were analyzed to evaluate the readiness of health risk management (HRM) and resilience of EIs against the pandemic. The evaluation uses Google Scholar and Trends searches to compare the level of relevant activity in EIs with other industries. Findings Although EI sectors have various plans for minimizing pandemic impacts, unexpected disruptions and delays of the COVID-19 responses revealed many limitations of the existing HRM system. Digital technologies (e.g. artificial intelligence-based public health monitoring, digital collaboration, wearable health tracking and 3D printing) demonstrated their remarkable benefits in the pandemic responses and nontechnical elements affecting technology adoption (TA). Originality/value Lessons learned from the deployment of digital technologies against the pandemic help to improve the organizational capacity to deal effectively with future outbreaks and suggest lessons for the future trajectory of TA in these industries.

show abstract

TB or Not TB: Development of an Integrated Occupational and Community Health TB Surveillance Program

Nowosiwsky

Burke

Moore³

et al. 2016

Day 1 Mon, April 11, 2016

View full text Add to dashboard Cite

OBJECTIVE Tuberculosis (TB) is one of the oldest diseases known to mankind. However, in many locations around the world, tuberculosis has now become a "re-emerging infectious disease" that can significantly impact workforce operations. As part of the PNG LNG Project, a comprehensive TB management strategy was developed that included both the workforce and key proximal communities. Pre-placement evaluations, ongoing surveillance and community incidence and prevalence studies were conducted in an integrated fashion. Innovative technology, including use of the GeneXpert platform, was systematically utilized at both key worksite locations and target communities to support pro-active TB mitigation efforts. METHODS Based on the findings of pre-project health risk and impact assessments (i.e. inside and outside the fence evaluations) and building on the corporate approach for TB control in Company workplaces, the Project determined that a comprehensive TB management program was essential. PNG has a significant underlying burden of TB with an increasing burden of multi-drug resistant TB (MDRTB), while local health capacity to accurately diagnose and treat TB is variable. Importantly, there are no current indications that the PNG TB burden is related to HIV co-infection. Given the large workforce used during the Project's construction phase and focus on maximizing local hires, a comprehensive program to rapidly assess potential workforce TB status was needed. Existing assessment methods including questionnaires, TB skin tests, and chest x-rays. As all of these methods had significant limitations a more rapid, sensitive and specific diagnostic system - the GeneXpert platform – was required. Comprehensive pre-employment evaluation was performed utilizing a combination of questionnaires, physical examinations and state of the art interferon-gamma release assays (IGRA) with the GeneXpert platform applied to suspect cases to enable rapid assessment and referral. In the proximal worksite communities, the PNG Institute of Medical Research performed systematic TB incidence and prevalence studies. In addition, TB knowledge, attitudes, practices and belief surveys were conducted along with an assessment of local public health capacity for TB diagnosis and treatment. Enhanced laboratory diagnostics, including GeneXpert and improved microscopy training, were added. RESULTS In line with the Project team's expectation, the underlying burden of TB was extremely high in local proximal worksite communities. TB incidence and prevalence levels were 2–4 times higher than reported government data. In one area, the TB burden recorded is one of the highest ever documented in the world. HIV co-infection was not significant as HIV rates were <2%. Not surprisingly, workforce pre-employment burden of both latent and active TB were significant and reflected the local population burden of disease. Detailed data will be presented regarding workforce IGRA experience, active surveillance results and the benefits of the GeneXpert platform. NOVEL / ADDITIONAL INFORMATION The development of an integrated, (workforce and community) comprehensive TB management and monitoring program represents a new benchmark both for PNG and the oil and gas industry. As noted through multiple engagements with the PNG government and donor community such an approach can be replicated by others in the extractives as well as non-extractives industries using field proven methods pioneered on the PNG LNG Project. In so doing the improvement in coverage and data quality can assist in improving public health policy development and implementation.

show abstract

Development of an Integrated Community Health Program for a Large Oil and Gas Project

Cited by 7 publications

References 1 publication

Public-Private Partnership: Lessons Learned from a Large Project in a Developing Country Setting

Public-Private Partnership: Lessons Learned from a Large Project in a Developing Country Setting

A review of the role of digitalization in health risk management in extractive industries – a study motivated by COVID-19

TB or Not TB: Development of an Integrated Occupational and Community Health TB Surveillance Program

Contact Info

Product

Resources

About