"Looking Ahead" Post-Ebola Strategy in West Africa is the first in a series of planned webinars, where we invite knowledgeable individuals and participants to join the post-Ebola strategy in West Africa discussion.
During the webinars, experts from different backgrounds, will outline their view on the Ebola Crisis and most importantly, share their vision on what needs to be done now, and post-Ebola, to ensure aversion of further political and economic disturbances.
The fast spread of the Ebola virus has major consequences on the African countries it has hit the hardest: Guinea, Liberia, and Sierra Leone.
Besides the death tolls and associate losses, the countries are also facing great danger because of the economic consequences the virus carries.
Sierra Leone and Liberia, two of the most hit countries, have both recently come out of more than a decade of gruesome civil wars and the set back of the disease does not help with the stabilization of the economies. Their democracies are fragile and the deprivation from the Ebola crisis could be a trigger for political disruption.
The youth played a major role in those conflicts as a result of economic and social marginalization. Without a post-Ebola strategy to ensure the youth a future of economic and social stability, there may be unforeseeable instabilities.
ABOUT THE ORGANIZER:
Twenty-First Century African Youth Movement, (AYM) empowers and mobilizes Africa’s youth through employment. The AYM is dedicated to developing new and exciting enterprise opportunities for young people in Sierra Leone, to help provide young people with the confidence, power and skills they need to get themselves into employment and out of poverty.
Mobilizing Africa’s unemployed and underemployed youth is the key to the continent’s economic growth and stability. AYM works to mobilize marginalized youth through education, training, and employment, creating entrepreneurial opportunities to help move communities away from poverty, disease, and hunger. AYM aims to establish personal empowerment and community resilience by energizing the continent’s youth population, its most critical resource in the reversal of social and economic stagnation.
For more information, visit:
http://www.aym-inc.org/ebola-looking-ahead/.
AYM’s call for action:
Dr David J Baumler’s AYM Pepper Challenge: http://youtu.be/iU1Ot60mT7I
This document summarizes the presentation "Managing Social transitions for Health: The Experience from South Africa" by Charles Hongoro. It discusses how social changes globally and in South Africa have impacted health outcomes. It outlines the resulting demographic and epidemiological transitions in developing and developed countries. It then describes South Africa's experience in transforming its health system towards universal healthcare coverage, including establishing ward-based primary healthcare teams, integrated school health programs, and district clinical specialist support teams. The goals of universal health coverage in South Africa are also summarized.
The purpose of this presentation is to equip audiences with the ability to:
Define universal health coverage (UHC) and understand the basic tenets of UHC
Identify how UHC fits in USAID’s health and poverty reduction strategies
Effectively communicate to country stakeholders how USAID can support a country’s progress towards UHC
Identify relevant UHC resources within the Office of Health Systems and USAID
The presentation is part of the “UHC Toolkit” and accompanies Universal Health Coverage: An Annotated Bibliography, and Universal Health Coverage: Frequently Asked Questions.
Each year, the OHE sponsors a lecture that explores a timely issue in medicine or health economics. At the 22nd Annual Lecture, the issues and challenges of universal health care coverage in low- and middle-income countries were presented by Professor Anne Mills of the London School of Hygiene and Tropical Medicine.
The audio of this lecture now is available at http://news.ohe.org/2014/08/19/annual-lecture-2014-universal-health-coverage/
The CORE Group Polio Project works in South Sudan to strengthen the weak health system and reach hard-to-reach populations through community volunteers. Over 950 volunteers, including vaccinators, cold chain assistants, mobilizers and monitors, are selected from local communities. They help plan services centered around community needs, deliver vaccination outreach in remote areas lacking facilities, maintain the vaccine supply chain, and conduct disease surveillance and campaign monitoring. This community-based approach helps address South Sudan's lack of health infrastructure and workers in order to improve access to immunization and other basic health services.
Decentralization of health services in Nigeria by Dr Daniel Gobgab, CHANachapkenya
Nigeria has a population of 173 million people governed across 36 states and 774 local government areas. Health services are decentralized across three levels of government - federal, state, and local. The new National Health Act aims to improve healthcare access and quality through a basic healthcare provision fund and universal health coverage. Key challenges to decentralization include a lack of political will, limited local capacity and resources, and inequities in service distribution across areas.
Understanding the concept of Universal Health CoverageHFG Project
Presented during Day One of the 2016 Nigeria Health Care Financing Training Workshop. Presented by Dr. Elaine Baruwa. More: https://www.hfgproject.org/hcf-training-nigeria
This document discusses universal health coverage (UHC), which aims to provide access to good quality health services for all members of a society while protecting people from financial hardship due to health costs. UHC can be defined by who and what services are covered and how much of the cost is covered. The WHO defines UHC as access to effective health services without financial hardship. Achieving UHC requires an efficient health system providing services, workers, and medicines to the population as well as a financing system to protect people from health costs. Various funding models like compulsory insurance, tax-based financing, and social health insurance can be used. Egypt has both public and private healthcare sectors working towards UHC.
Essential Package of Health Services Country Snapshot: LiberiaHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
As the burden of NCDs increases, various countries have introduced new and innovative modes of managing them in primary healthcare setting. APO, in conjunction with Duke Kunshan University, China, conducted a 4-country study (Bangladesh, China, Nepal and Viet Nam) to understand the different approaches used in involving CHWs in preventing and managing NCDs. Access full publication here http://bit.ly/2XnWwcd
Healthcare in India-Current State, Key ImperativesDr. Manav Dagar
The document discusses the current state of healthcare in India and provides an overview of the key issues and challenges. It notes that India ranks low on human development indices due to below par growth in health, education, and income. While some progress was made initially, India is likely to miss most Millennium Development Goals targets for health due to slow improvement across key indicators like child and maternal mortality rates. It highlights the need for the new National Health Policy to address gaps in accessibility, affordability and quality of healthcare services."
The document discusses the role of the private sector in achieving universal health coverage and promoting healthy lives as part of the post-2015 development agenda. It notes that public-private partnerships during the MDG era helped increase access to medicines and vaccinations. Looking ahead, the private sector can help leverage its core competencies like innovation, management flexibility, and access to infrastructure. Examples highlighted include social enterprises that expand family planning access, mobile technologies that help train healthcare workers, and public-private collaborations on issues like non-communicable diseases. However, supportive policies are still needed to ensure the private sector's efforts also promote equity and public health priorities as part of achieving the Sustainable Development Goals.
Health Care Reform and Harm Reduction: Laura Hanen, Rachel McLean - HRC 2010Harm Reduction Coalition
A presentation by Laura Hanen (NASTAD) and Rachel McLean (California Department of Public Health) on what health care reform means for harm reduction and drug user health. Presented at the Harm Reduction Coalition's 8th National Conference, November 18-21, 2010 in Austin, Texas.
INDIA : TOWARDS UNIVERSAL HEALTH COVERAGEDevesh Shukla
Challenges of Universal Health provision
Urban – Rural Divide Statistics
Current state of Healthcare in India
Change in consumer mindset
Milestones in Independent India
Way Forward in Health care
Principle, Scope, Nature and Administration of Health Services in Nigeria
(block posting lecture presented to final year medical class of University of Port Harcourt on thursday 31/05/18)
Medical Governance and Health Policy in the PhilippinesAlbert Domingo
An overview of key concepts and present trends in medical governance, health policy, and health sector reform in the Philippines, presented by Dr. Albert Domingo at the De La Salle Health Sciences Institute - College of Medicine on Sep. 26, 2013 for the subject "Perspectives in Medicine".
Includes the broad concept of medical governance as applied to various settings, from the point of care between provider and client/patient, to national and global health systems. Also touches on the practice of evidence-based healthcare as applied to the scale-up of innovations necessary to accelerate reform implementation, with grounding in the operational realities of implementation arrangements faced by sector managers on a day-to-day basis.
Suggested Citation:
Domingo, Albert Francis E. "Medical Governance, Health Policy, and Health Sector Reform in the Philippines: An Overview of Key Concepts and Present Trends." De La Salle Health Sciences Institute (DLSHSI). DLSHSI College of Medicine, Dasmarinas, Cavite. 26 Sep. 2013. Lecture.
Olamide Okulaja_Creating synergy for PPP_PPP Conference2019Atinuke Akande
At the health policy dialogue organised by PharmAccess Foundation and Nigeria Health Watch on the 11th April 2019, Olamide Okulaja discussed Creating Synergy for public-private partnership in Nigeria.
A brief on Indian Healthcare and the challenges faced by healthcare in India. Expected growth trend of Indian healthcare till 2020. Challenges faced in the growth of Indian healthcare.
With this webinar, we invite you to join in the discussion on the post-Ebola strategy in West Africa. During the webinar four experts from different backgrounds will outline their view of the Ebola Crisis and most importantly share their vision on what needs to be done now, and post-Ebola, to ensure aversion of further food insecurity and social marginalization.
The spread of the Ebola virus disease has major consequences on the African countries it has hit the hardest: Guinea, Liberia, and Sierra Leone. The death toll from the disease and associated losses pose great economic consequences.
More than 2,600 people have died in West Africa. Transportation companies suspended their operations to the countries for fear of contamination even though the World Health Organisation advised against it. So far, the economies are experiencing adverse effects with escalating food insecurities.
Sierra Leone and Liberia, two of the most hit countries, recently came out of more than a decade of gruesome civil wars. Their institutions are still fragile and the deprivation from the Ebola crisis could trigger ever bigger problems.
The youth played a major role in both the Sierra Leone and Liberia conflicts as a result of economic and social marginalization. Without an effective strategy to assure young people a brighter future of economic and social stability, impact of the 2014 Ebola crisis on food insecurity and social livelihoods could trigger an even greater post-Ebola crises.
Agenda points:
Short term strategy: containment strategy & humanitarian aid
Long term strategy: improvement of (social) health care & international assistance
The importance of microprogrammes: Engagement, voicing the right people, AYM’s call for action**
This document discusses financing health programs for AIDS, tuberculosis, and malaria in Africa. It outlines the large disease burden from these illnesses, especially in southern and central Africa. While international funding has helped control epidemics, resources are uncertain and domestic financing must increase. The document recommends that countries invest at least 15% of budgets in health as pledged. It also suggests innovative domestic funding strategies and emphasizing health's economic benefits to policymakers. Overall, more data and political will are needed to establish sustainable, long-term health financing plans tailored to each country's resources and priorities.
This document discusses financing health programs for AIDS, tuberculosis, and malaria in Africa. It outlines the large disease burden from these illnesses, especially in southern and central Africa. While international funding has helped control epidemics, resources are uncertain and domestic financing must increase. The document recommends that countries invest at least 15% of budgets in health as pledged. It also suggests innovative domestic financing strategies and emphasizing health's economic benefits to policymakers. Overall, more data and political will are needed to establish sustainable, long-term health funding mixes of domestic and international support tailored to each country.
Presented on July 19th, 2016 at the Cracking the Nut Health Conference.
In 2014-2015, the Ebola epidemic underscored an urgent need for greater attention to the needs of local frontline health workers in West Africa and worldwide. Although not oriented as an emergency response advocacy alliance, the FHWC membership mobilized to simultaneously spotlight local frontline health workers needs in West Africa and call for greater attention to the centrality of well trained and supported frontline health workers to building resilient health systems from the community level.
The session, reviewed lessons learned in adjusting the planned activities of an existing advocacy partnership—the FHWC —to raise attention to the needs and impact of frontline heath workers in building resilient health systems.
This document proposes a plan to universalize access to quality primary healthcare in India. It discusses some of the key problems in healthcare access such as poor rural facilities, malnutrition, and high infant mortality. It then outlines a proposed biennial door-to-door health inspection program led by teams consisting of doctors, nurses, and municipal representatives. The program would check sanitation, nutrition, and provide basic medical aid and awareness. Implementing such inspections through a dedicated body in each block could help ensure even underprivileged communities receive quality primary care. Challenges to the plan include funding, staffing, and ensuring standards are uniformly applied.
A health system, also sometimes referred to as health care system, is the organization of people, institutions, and resources that deliver health care services to meet the health needs of target populations.
Health systems are responsible for delivering services that improve, maintain or restore the health of individuals and their communities.
Common elements in virtually all health systems are primary healthcare and public health measures.
Maximizing the Impact Of Global Fund Investments by Improving the Health of W...theglobalfight
Dr. Viviana Mangiaterra, Senior Technical Coordinator for Maternal, Newborn and Child Health and Health Systems Strengthening at the Global Fund to Fight AIDS, Tuberculosis and Malaria, discusses service delivery integration for the three diseases, Global Fund partnerships and strengthened training and representation of women in Country Coordinating Mechanisms.
Paul Mikov, MA, Vice President of Institutional Partnerships with Catholic Medical Mission Board shares how CMMB partners with a variety of organizations to deliver care and strengthen health systems, including a program involving care by Catholic nuns.
Solution to unlock financial opportunities in sierra leone ida pswPeter Kamunyo
The government of Sierra Leone aims to achieve universal healthcare coverage through scaling up community health workers and increasing funding. However, the national health system remains underfunded after being devastated by Ebola. This proposal suggests leveraging private sector funding through IDA's Private Sector Window to close the $11 million annual funding gap for community health workers. Specifically, it proposes using blended financing from IDA and other donors to fund start-up costs and initial insurance premiums. The government would also increase domestic funding for health and promote national health insurance and community-based insurance schemes. This would crowd in private sector funding to develop healthcare providers and insurance programs.
James Sengwe completed an industrial attachment at Population Service International Zimbabwe (PSI/ZIM) to fulfill requirements for his BSc in Statistics. PSI/ZIM is a global health organization in Zimbabwe focused on improving health through family planning, HIV/AIDS prevention, and addressing other issues. It uses marketing strategies and partnerships with local organizations to develop sustainable health solutions. PSI/ZIM's core business areas include HIV prevention and treatment, tuberculosis screening and treatment, contraception provision, non-communicable diseases like diabetes, and malaria prevention through insecticide-treated nets and rapid testing.
The Solomon Islands HiT determines that the country’s health system has significant weaknesses but also considerable strengths. Despite the range and difficulty of issues facing policy-makers in the Solomon Islands, there have been significant achievements in health, including considerable progress in advancing population health status. The performance of the health system is positive, achieving high coverage, high satisfaction levels, and steady progress on health outcomes. Nonetheless, the country faces important health challenges that could undermine development gains made to date
The document outlines India's national health policy. It notes that while India has made progress on health outcomes, gaps remain between states and communities. It analyzes India's disease burden, health system challenges, and the growth of private healthcare. The policy aims to improve health systems, promote universal access to quality care without financial hardship, and leverage partnerships across sectors to achieve health equity and inclusion. It establishes principles of equity, universality, patient-centered care, inclusive partnerships, pluralism, and subsidiarity to guide the health system transition.
The document discusses health financing issues in post-conflict settings based on a research program called ReBuild. It finds that most post-conflict countries rely more on informal payments and donor funding for health care. A Sierra Leone study found the Free Health Care Initiative increased some maternal health services, especially in rural areas, but the impact was disappointing due to continued costs and medicine shortages. A Uganda study found no significant changes in self-reported health or health care use after displaced people returned home, but saw increased food expenditures. Overall the literature on post-conflict health financing is limited due to varied contexts and data availability.
Community based COVID preparedness (CBCP) 25082021Sudhanshu39
The coronavirus pandemic has shown us a new world where the status quo no longer exists.
•‘The world has seen many crises over the past 30 years, including the Global Financial Crisis of 2007-09. Each has hit human development hard but, overall, development gains accrued globally year-on-year. COVID-19, with its triple hit to health, education, and income, may change this trend.’ UNDP Administrator Achim Steiner
• But the pandemic also shows us the wisdom of what is already inherent in the SDGs; the challenges we face cannot be dealt with in isolation or by a piecemeal approach.
• WHO COVID-19 Strategic Response and Preparedness Plan 2021 also highlights the need for coordinated response to plot a course out of the pandemic.
Increasing acceptability, accessibility and affordability of health care among the elderly in Africa using models developed, implemented and evaluated in the Nigerian setting
1. The document discusses different approaches to healthcare systems and describes how a diagonal approach can effectively launch RHD control programs.
2. A diagonal approach focuses on specific diseases like RHD within the primary healthcare system by using existing infrastructure, resources, and personnel but upgrading them.
3. Integrating RHD control into primary care in this way strengthens the overall system while still allowing for disease-specific priorities and funding. This makes RHD programs more sustainable and effective compared to vertical or solely horizontal approaches.
This document provides an overview of primary health care (PHC), including its definition, historical development, principles, strategies, and implementation in Ethiopia. The key points are:
- PHC aims to provide essential health care universally and affordably through community participation. It forms the first level of contact with the health system and emphasizes prevention.
- Approaches to PHC evolved from disease-focused vertical programs in the 1950s-70s to the comprehensive PHC model endorsed at Alma-Ata in 1978, focusing on health promotion, prevention and inter-sectoral collaboration.
- Ethiopia adopted PHC in the 1980s but faced challenges with implementation including lack of infrastructure, resources and inter-
Summer 2024 Issue of Newtown News of InterestJohnMackNewtown
A monthly collection of township meeting summaries and curated content focused on topics of interest to local Newtown area residents. This issue focuses on Ditches, Crosswalks, Apt Complexes, more…
Abridged V22 CHK Ron edited - Solving the US Water Crisis.pptxRonald C Tocci
We're lucky to live in a nation that can rocket people into space, land them on the moon, and reel them safely back to earth. Surely, we can find a way to mitigate the ravages of national disasters and human misery.
Our nation stands at a crossroads, where raging floods meet scorched earth. This is not just a challenge—it's our clarion call to greatness. We must unleash American ingenuity to create a revolutionary water redistribution system that defies nature's extremes. Imagine floodwaters instantly quenching wildfires, parched farmlands blooming anew, and no community ever thirsting again. This isn't a pipe dream—it's our imperative.
We can save countless lives, revitalize our economy, and propel America to unrivaled global leadership in environmental stewardship by making… …water work for America
Day care centers for poor children kurnoolSERUDS INDIA
Seruds started its first child welfare program in 2003 with 10 children living in slums. Today we support 80 children, between the age of 1 year to 6 years, from slums and villages around Kurnool district in three creche or day care centers. These children come from poor families where both parents work as construction or farm laborers. During work day, they are unable to take care of their children
Donate Us
https://serudsindia.org/sponsor-a-child/daycare-centers/
#daycare #daycarecenter #childeducation, #sponsorachild, #ngochildeducation, #donateforchildren, #sponsorforpoorchild, #seruds, #kurnool, #middaymealsforchildren, #donateforchildeducation
To help navigate current and future uncertainty and disruptive change, while effectively delivering on its mandate, UNEP has been implementing an institutionalized approach to strategic foresight and horizon scanning with the view to developing an anticipatory and future-oriented culture. This mirrors the growing interest and demand for foresight that is also reinforced by the United Nations reform agenda and the Secretary-General’s report on ‘Our Common Agenda’, which calls for all UN agencies, as well as all UN member states, to engage foresight practices more deeply and apply the derived insights to address global systemic risks. This process has culminated in the development of the present report “Navigating New Horizons – A Global Foresight Report on Planetary Health and Human Wellbeing”, produced by UNEP in collaboration with the International Science Council. The report calls for the world to pay heed and respond to a range of emerging challenges that could disrupt planetary health and wellbeing. It presents insights on eight critical global shifts that are accelerating the triple planetary crisis of climate change, biodiversity and nature loss and pollution and waste. Eighteen signals of change – identified by hundreds of global experts and distilled through regional and stakeholder consultations that included youth – offer a glimpse into potential disruptions, both positive and negative, that the world needs to keep a watching brief on. The report outlines how to create an enabling environment for better decision-making by creating a new social contract, embracing agile and adaptive governance, and increasing integrated accessible data and knowledge. The report offers a stark reminder of the interconnectedness and fragility of our systems in the 21st Century and warns that prioritizing short-term gains over anticipatory action and preparedness jeopardizes long-term prosperity and planetary health. However, it also points to the tremendous potential and human ingenuity that can be leveraged in the spirit of discovery and cooperation to deliver solutions across the triple crisis. The outcomes of the report will be integrated into UNEP’s strategic planning, potentially influencing the next UNEP Medium-Term Strategy, presenting an opportunity to consider expanding programmes in areas like artificial intelligence, new technology, and robotics in agriculture, prompting discussions on the level of engagement in these issues. This will ultimately serve UNEP in adopting a proactive posture and modernize tools for efficiency and cost savings. Furthermore, the report will serve as UNEPs contribution to the Summit of the Future. While it is not expected to substantively influence the Summit of the Future as such, it will serve to provide inputs into the preparatory discussions and events, including the High-level Political Forum, in the lead-up to the Summit of the Future as they relate to environmental dimensions.
Its the TOT report of Qatar Charity Staff with the assistance of Unicef on PATS+ in Balochistan to improve the WASH and control diarrea and other water born diseases besides to end open defecation as in Pakistan still a huge number of peoples are defecating in open, that why Polio become endemic .
The crux of the workshop was that we need to work on behviours rather then providing a huge subsidy with no results as the pioneer of CLTS Dr Kamal Kar also advocating for the same and accepted around the Globe, now it is needed to work on behaviours from Top to bottom that includes Govt, Politician, INGOs, NGOs,Communities each and every single stakeholders have to realize that it is needed to work on behaviors,.
WASH need SSS approach that hardwares should be simple, Scalable & sustainable
- The importance of biodiversity and its role in combating climate change.
- What is required of Councils & meeting our duty
- Practical steps and strategies for Councils to get started
Building Stronger Relationships with BLG Mobile.pptxBloomerang
Establish a personal connection and build strong, long-lasting relationships with your donors using the Bloomerang iOS app. Download it on the app store for free!
2. Agenda Points
• Short term strategy: containment strategy &
humanitarian aid - Speaker
• Long term strategy: improvement of (social)
health care & international assistance - Speaker
Rachel Glennerster, Executive Director of the
Abdul Latif Jameel Poverty Action Lab (J-PAL) and
Researcher at International Growth Center
• The importance of micro programmes:
Engagement, voicing the right people, AYM’s call
for action - Speaker: Zeinab Camara, Global Lead
on Ebola at Africa2.0 and Tutu Fellow
3. Planning for Post Ebola in West Africa
Rachel Glennerster
Executive Director, Abdul Latif Jameel Poverty Action Lab, MIT
Lead Academic for Sierra Leone, International Growth Center
October 22, 2014
4. Planning under uncertainty
• Planning is challenging given enormous uncertainty
about:
– The final extent of the outbreak and timing of its conclusion
– The economic damage caused by the knock on effects of Ebola
– The status the health care system will be in by end of outbreak
• Reliable information has been a casualty of the
outbreak
– Health facilities are overwhelmed and travel is restricted
– Incentives are skewed for individuals, journalists, and agencies
5. Overview
• Some evidence on economic impacts and importance of
restoring confidence
• Challenges in rebuilding the post Ebola health care system
including coping with weaknesses in the pre Ebola system
• Caveat: I have worked on Sierra Leone for 10 years but I
don’t have data or experience in Liberia or Guinea
6. The economic cost of fear
• Most economic costs will be indirect: people putting off
purchases, investment, activity that involves meeting others
Number of Traders of Domestic Rice in 2012 and 2014
Source: Glennerster and Suri, 2014 www.theigc/country/sierra-leone
7. Restoring economic confidence is key
• Govt can support this by improving reliability and
transparency in government pronouncement and actions
• Macroeconomic stability, esp exchange rate stability,
essential to restoring confidence
• Government expenditures can help prime the pump
– Reduce payment delays for govt purchases relieves credit shortages
– Big announcements followed by delays undermines confidence
• Ebola has exposed the costs of low trust in government
– Medium term objective needs to be more transparent and
accountable government
9. Challenges in rebuilding the health care system
• Immediate: restoring confidence in/utilization of health
system
– Getting children immunized, mothers delivering in clinics etc
• Short run: recruiting and training new health workers
• Medium: Limited budget means making difficult choices
– Investments that have most impact on health might not be those
that would have prevented Ebola
– There may be a short run influx of donor money for “rebuilding”
health systems but need to plan for a realistic medium term
• Medium to long run: Improving accountability
10. Immediate: Judicious use of nudge incentives
• Substantial evidence that small nudges (incentives) can have
big impact on behavior, including preventative health
• Small incentives linked to immunization in other contexts to
increase immunization rates dramatically
• More cost effective to have nurse at clinic with incentive
than have the nurse do outreach to remote communities
– Mothers willing to walk to get child immunized for small incentive
• This is particularly true when health workers are in short
supply, as is tragically the case in West Africa post Ebola
11. Recruiting and training health workers
• Need to experiment with new ways to recruit, train and
utilize health workers to fill a large gap rapidly
– What roles don’t need a fully qualified nurse?
– What can be done by someone carefully trained on a narrow set
of protocols?
• Recruitment is key
– Zambia experiment with different ways to recruit health workers
– Those attracted by potential for a career were better educated
and worked much harder
– Recruiting the right people had big impacts on the quality of
service delivered. (Ashraf, Bandiera and Lee, 2014)
12. Difficult tradeoffs
• In 2013 SL government spent $40million on health i.e $7 per capita per year. (WB
estimates $20 public, $80 private)
• Local public clinics are focused almost entirely on maternal and child health and
preventative health
– Most cost effective investments in health esp for a poor country
– But clinics not seen as place for men or nonchild bearing women
• Investments that would have helped reduce severity of outbreak (more diagnostic labs
and inpatient facilities) not the most cost effective in a nonEbola world
• Important not to fight the last war
• Only one RCT in South Asia not Africa
• Program conducted by NGO not government
13. Accountability
• Health care workers are experiencing the largest toll from
Ebola. They are working under enormous stress in difficult
conditions and are the heroes of this crisis
• However, part of the medium term challenge is improving
accountability in the health care system
– Although malaria treatment is meant to be free, 60% of people
who received malaria treatment at public clinic reported paying
– In 2008 survey, 18% of clinics were closed despite prior warning
– 44% of health workers on roster were absent
• Improved accountability is essential to improve trust and
ensure investment in rebuilding is used effectively
14. ZeroEbola-Ntondi
Africa 2.0 Global Response on EBOLA
Micro Level programs in Post-Ebola Strategy
African Youth Movement
Webinar
22 October 2014
15. OVERVIEW
• The 2014 outbreak of Ebola is the largest in history. As of today, more than 9000 cases with more than
4000 deaths ( half are women and the youth).
• The Center for Disease Control predicts s as many as 1.4 million case by January 2015, with 10 000
cases a week in the affected countries.
• Countries will lose 13 billions USD in revenue and feel the impact of Ebola for the next 10 years (UNDP)
• Multinational companies are reducing their footprint in affected countries, farmers are leaving their
farms to go to unaffected areas , creating more unemployment, and a revenue gap in the countries
GDPs, predicted food shortages and many more.
• The social-economic and political impact have been enormous. The notion of African unity has been
damaged by several African states closing their borders to the affected countries, isolation a large
number of the African Youth, women.
• The crisis, as we know, will last long after Ebola is contained, because the affected countries social and
economic fabric will be decimated. The Communities have been the most hit by the crisis
• All efforts are made to contain the disease, few reflection are been done to look ahead and define the
post-Ebola Strategy.
• Post-Ebola Healthcare Strategy- Community Based-approach- Strategic plan for more resilient
communities?
16. Guinea Country Response Strategy
• Inter-ministerial Committee to oversee all the crisis committee activities.
• Crisis Committee established by the Government of Guinea, with the UN agencies under the leadership of the
World Health Organisation, the EU, Embassies, Doctors without Borders, the Red Cross and other partners. A
country Strategy was developed with key components:
• In order to oversee all the partners efforts, a Presidential decree was published which established a National
Coordination Unit to oversee actions on the ground.
Communication
Sensibilisation
Media
Engagement
Follow
contacts
Monitoring &
Evaluation
Prevention Community
Involvement
Healthcare
Mgts
National
Coordination
Early prevention
Management of
corpses
Treatment centres
Logistic
mobilisation
Nutritional
assistance
Traditional leaders
Community healthcare
professionals
Inter-ministerial
Crisis
Committee
National
Coordination
Unit
CDC
GoG
Unicef
International
NGOs
MSF
Red Cross
CDC
UNFPA
WFP
Red Cross
Religious Leaders
Local authorities
Committee
National
Coordination
Unit
WHO
CDC
GoG
• Sierra Leone- Liberia: decisive measures taken cases are still increasing
• All the management structures in place- increase number of cases- Containment not prevention
• All agree that we should adopt Community- based approach to contain and prevent more cases
• Social mobilisation helped to contain cases in some areas: Success story Telimele
17. Guinea Healthcare System
1. State Led healthcare System (9% National Budget), health structure every 5 km (objective)
2. Decentralised system: University Hospital, Regional Hospitals, Community Hospitals, District Health centres,
local health clinics
3. Well distributed healthcare infrastructures in the country
Why not functional:
1. Failure of Communication channel
2. Resources (financial, human, equipment)
3. Governance
Ministry of Health
University Hospitals
Regional Hospitals
Community Hospitals
District Health centres
Local health centres
Doctors/ Professors
Regional Hospital Director
Community Hospital
Director
District Healthcare
Workers
Community Healthcare
Agents
Local
Health and
hygiene
Committee
18. Post-Ebola Strategy
• Country Brand restructuration
• Improve and Re-enforcement of existing Health Systems
• Education
• Decentralisation (more revenues to Local Structures)
• Increase investment in R&D
• Information Management System
• Re-enforce Healthcare system
• Capacity building of local structures
• More investment in Infrastructures in rural areas
• Decentralized healthcare system
• Good Governance
• Increase revenues for better healthcare services (minimise traditional healers)
M
A
C
R
O
M
I
C
R
O
Community Based
Approach
Regional
Govt
Capacity Building
Increase revenue
Good Governance
Improved Communication channel
Training and Education
Specialisation
Regulation
R&D
Increase % in National Budget
19. Conclusion- Resilient Communities
• Ebola could have been controlled by a more resilient Community
• Capacity Building needed for a resilient Community to be able to absorb shocks and pandemic
• Community based Approach for a better and improved Healthcare System
• More Investment in local healthcare structures
• Social structures empowered in the decision-making of their health and communities
Improved
Resources
More
confidence
in the
system
More
revenues to
reinvest in
the system
Better
health of
population
Better
healthcare
service
20. ZeroEbola N’TODI Campaign
• Africa2.0 positioning:
Local Civil Society Partner of Choice for the execution of the Social Mobilisation Strategy working with the
Government and Key Partners. Our approach will be based on 4 axes:
1. Prevention: distribution of preventive kits and equipment
2. Communication: Sensibilisation and awareness campaign
3. Logistics: facilitation and coordination of donations from the Diaspora
• The campaign will be conducted in: GUINEA, SIERRA LEONE, LIBERIA, CONGO DRC, ANGOLA, MOROCCO AND BENIN.
• Community Based Approach
Government
United Nations Agencies-
UNICEF/UNFPA/WFP
Orange
Diaspora
International NGOs
Communication &
Sensibilisation
Distribution & Logistics
Regional Awareness
Youth
Women
Community Healthcare
Professionals
Civil Society
Local Media
Youth
Women
Community healthcare
Professionals
Local healthcare centres
Media
Execution-Community
based NGOs
Beneficiaries
Local Partner-
ZeroEbola Ntondi-
Af2.0
Partners
Schools
Orphanages
21. Contact
Zeinab Camara- AF2.0 Global Lead on Ebola
camarazeinab@hotmail.com
www.africa2point0.org
www.wimguinee.org
Facebook: https://www.facebook.com/#!/pages/ZeroEbola-Ntodi/1566419193586979
Twitter: @zero_ebola
WE ARE THE ONES WE HAVE BEEN WAITING FOR!
22. African Youth Movement
AYM empowers and
mobilizes Africa’s youth
through employment in
technology, agriculture,
education, ecotourism,
entrepreneurship, and the
arts.
23. Q&A
Thank you for your time.
Hands at Work, Minds in Motion
Editor's Notes
So what have we learned from the explosion of REs?