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