Implementing ETP and SS: The Liberia Experience
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The document outlines the implementation of the Ebola Treatment Program and Survivor Support (ETP&SS) in Liberia, following the Ebola virus disease outbreak. It highlights key objectives such as improving health service access for survivors, reducing stigma, and building public health capacity, alongside selected outcomes like the establishment of reliable water supply and facility renovations. Despite successes, challenges included limited government support and misaligned survivor expectations.
Implementing ETP and SS: The Liberia Experience
- 1. Implementing ETP&SS: The Liberia Experience Dr. Rose Macauley Chief of Party
- 2. Outline of Presentation • Background • Program objectives • Key interventions • Selected key outcomes • Summary
- 3. Background • Following the major EVD outbreak in 2014-2015, there have been a number of small-scale outbreaks in the 3 countries (Liberia, Guinea, Sierra Leone) all linked to survivors. • To help minimize the risk of transmission, USAID provided funds to JSI through the APC project to support MOH in its efforts. 3
- 4. Program Objectives • Improve access to health services for Ebola survivors and combat stigma among providers • Build public health sector capacity to provide specialized health services needed for common complications of Ebola survivors • Strengthen coordination and management of activities for Ebola survivors ETP&SS 11 Facilities in 4 counties HS & HSS 6 Facilities in 4 counties
- 5. Improve access to health services and reduce stigma among providers • APC/ETP&SS awarded grants to: – Two faith-based hospitals to provide comprehensive care to survivors (at no cost to the survivors) – Liberia College of Physicians and Surgeons to recruit specialists to treat survivors (and general population) and to transfer skills to counterparts – Phebe School of Nursing to train 60 additional mental health clinicians • APC/ETP&SS trained health care workers to reduce stigmatization
- 6. • Renovated Eye Unit, and established dedicated operating room • Recruited ophthalmologist to provide services and transfer skills to counterparts • Supported the training of an ophthalmic nurse to sustain eye care services • Coordinated an exceptional team to screen and perform cataract surgery for EVD survivors and non-survivors Improve access to health services: Eye Care Services
- 7. Building Public Health Capacity • Procured critically needed medical and lab equipment for the target health facilities • Provided infrastructure support to enhance specialty care, IPC and lab services • Supported training of 60 mental health clinicians to increase the capacity of secondary facilities to provide specialty care
- 8. Coordination and Management • National Ebola Secretariat – Established the national secretariat in line with the National Survivor Care and Support policy – Built capacity of the secretariat through technical assistance and direct support • Ebola Survivor Network – Supported establishment of the Ebola Survivor Network – Strengthened network capacity for mobilizing resources and advocating for their members
- 10. Selected Outcome: Establishment of reliable water supply at Kolahun Hospital Water source before Water source after
- 11. SelectedOutcome:RenovationofInfectiousDisease OutpatientClinic,JFKMedicalCenter Right Side View with Water Tower _Before Right Side View with Water Tower _After
- 13. Selected Outcome:PerimeterWallatDoloTownHealthCenter • Dolo Town was one of the hardest hit communities during the Ebola crisis • The facility was exposed with no wall • Renovated perimeter wall provides security and enhances IPC / triage
- 14. Patient Visits (5243) LCPS: 3476 Rheumatology: 818 Ophthalmology: 1587 Psychiatry: 1071 Catholic Hospital: 571 ELWA Hospital: 1196 FBOs: 1767 Selected Outcome: Patient Visits through FBOs and LCPS Specialists
- 15. Summary: Implementing ETP&SS -- The Liberia Experience • ETP&SS addressed critical needs of Liberia’s Ebola survivors at a time when it was most important • ETP&SS interventions in the three countries varied and were informed by the local context • Overall, ETP&SS was largely successful in meeting its objectives. However, implementing the program also had challenges: – Limited government support created gaps – Expectations from the survivors were often not aligned with the mandates of the program 15
Editor's Notes
- #10: 1. Training statistic (640) 2. Clinical visits by survivors (1,767) 3. Number of reported experiencing stigma reduced from 33% to 5% at the end of the program (baseline to endline)