CONTENT
OVERVIEW SITUATIONAL ANALYSIS
Problem Analysis Objective Analysis Stakeholder Analysis

Linked Hypotheses LOGFRAME INPUT TABLE
Time frame Resources Budget

STAKEHOLDER ANALYSIS TABLE

OVERVIEW
•Cerebrospinal meningitis (csm) is an infection that causes inflammation of the covering of the brain called the meningis and the spinal membrane. It is mainly caused by a bacteria or a virus. • Bacterial meningitis remains an important cause of morbidity and mortality, with the main aetological agents Streptococcus pneumoniae, Haemophilus influenzae and Neisseria meningitidis. N. meningitidis meningitis is of major importance in the meningitis belt of sub-Saharan Africa where it occurs in epidemics every 8–12 years. For example, in the 1996 epidemic in Burkina Faso, there were 42 129 cases with a case fatality rate (CFR) of 10 per cent; in 1997 in Ghana, there were 18 551 cases, of whom 8 per cent died. The World Health Organization (WHO) estimates that globally, there are 500 000 cases of meningococcal meningitis each year with a CFR of 10 per cent. Of the cases, 250 000, and 27 000 of the deaths occur in the African region.

N. Meningococcus bacteria

OVERVIEW Cont..
• • • • Studies on survivors of bacterial meningitis have shown a wide range of neurological and audiological as well as intellectual and behavioral defects. S. pneumoniae has the highest rates of sequelae as well as the highest case fatality. Symptoms are similar to the flu and include neck stiffness, headache, fever and vomiting. Vaccination has not been widespread because the vaccines are expensive and limited, Currently, we have vaccines for types A and C, which are the common strains in Ghana, N. Meningococcus bacteria.

SITUATIONAL ANALYSIS
• Problem Analysis • Objective Analysis • Stakeholder Analysis

Cont..
• Problem analysis • The main causes and effect of cerebrospinal meningitis are illustrated in the Ishikawa diagram below

Problem analysis
CAUSES... [continues]

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