Ebola and Health Systems Strengthening in Rural Liberia
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Ebola and Health Systems Strengthening in Rural Liberia
Ebola and Health Systems Strengthening in Rural Liberia
Subarna Mukherjee, RN, MSNCommunity Health Systems Technical Adviser
…by giving community health workers the training, supervision, equipment and incentives they need to perform.
Last Mile Health saves lives in the world’s most remote villages
WHAT WE DO?
MATERNAL DEATH- Hemorrhage, Sepsis
UNDER 5 DEATHNeonatal sepsis, Pneumonia,
Malaria, Diarrhea, Malnutrition
ADULT DEATH- HIV/AIDS, TB, HTN
• Scale our FHW model • Prioritize Ebola response activities• No touch diagnosis and treatment
• Link FHWs with ETUs
INTEGRATING EBOLA RESPONSE
Recommendations to keep FHWs safe from Ebola and Ebola-related violence
1. Education and training
2. No- touch servicesi.e. Maintain distance of 2 arms length, outdoor visits
3. Weekly supervision
Recommendation to support FHWs-
• Budget for routine supervision • Supervision structures• Financial Incentives • Community Engagement• Linkages to overall public health system-http://www.nytimes.com/2014/10/21/opinion/fighting-ebola-and-the-mud-.html?_r=0
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