Project type | Examples | Comments | Public health action |
Performance monitoring | National Key Performance Indicators Project | Developed collaboratively across all four FSM. Supported commitment to reach SDGs and other national priorities. | Used as basis for annual strategic planning and budgeting at state and national levels |
Disease surveillance | Development of standardised NCD surveillance plans and annual NCD status dashboards | Developed collaboratively across all four FSM states. | Harmonised approach to use of surveys and vital stats to track NCD epidemic. Used as a basis to annual strategic planning for NCD programmes and advocacy. |
Development of standardised communicable disease surveillance plans, action thresholds, and weekly report templates | Developed collaboratively across all four FSM states. Lab-based surveillance introduced. Projects supported FSM commitments for improved surveillance and control of communicable disease under IHR. | Early detection through weekly state-level surveillance of influenza and hepatitis A outbreaks; this resulted in the early response by state outbreak control teams | |
Health surveys | Rapid secondary school risk factor survey | Identified high and rising prevalence of betel nut use in youth. | Results used in successful campaign to regulate sales of betel nut. |
Identification of disease ‘hot spots’ | Geographical distribution of leprosy in Pohnpei State, FSM | Identified that most infections in FSM are limited to a few locations. | Intensive leprosy case-finding and treatment activities initiated in three villages. |
Chlamydia infections in Yap State, FSM | Identified high and rising incidence of chlamydia infections among youth and in outer islands. | Initiated outreach and universal screening of target populations. | |
Hospital admissions for alcohol-related injuries in Pohnpei | High frequency of admissions, especially among youth. | Results successfully used for advocacy of stricter law regulating alcohol sales. | |
Analysis of FSM Cancer Registry Data | Identification of cervicacancer as the no 1 cause of cancer death in the FSM | Programme changes to increase the frequency of cervical cancer screening and to increase levels of HPV vaccination in schools from 85% to 95% | |
Service delivery | Lost to follow-up of severely mentally ill patients in Pohnpei State | Patients residing in outlying rural areas lost to follow-up at high rates. | Enhanced outreach; purchase of vehicle for use by mental health programme. |
Clinical quality improvement | Preventive services coverage in Kosrae State, FSM | Documented low levels of coverage. Defined indicators and processes for data collection, monitoring of indicators and improvement of delivery of preventive services | Established baseline measures and initiated ongoing QI programme for primary care in Kosrae. |
FSM, Federated States of Micronesia; HPV, Human Papilloma virus; IHR, International health regulations; NCD, non-communicable diseases; QI, quality improvement; SDG, sustainable development goals.