Ebola Innovation Challenge Priyanka Venkannagari, Del-Francis Wreh, Nicole Forlan, Caroline Keefe, & Faith Begay Strengthening Health Care Capacities

Ideas for creating an Ebola-Free World! The need for bottom up approach to creating safe working environment: 1.Constant supplies of quality PPEs and periodic training for all healthcare workers and other hospital staff through countries' health systems. 2.Enlist survivors into the health workforce to minimize social stigma against victims and their families. Currently around 1,000 survivors in West Africa who are less at risk of being re-infected.Healthcare workers would work in community units lead by survivors of local communities 3.Local healthcare workers including survivors turned workers would received financial incentive adequate to care their family members. Healthcare workers in Liberia and Sierra Leone reportedly abandoned Ebola Treatment Units in demands for improved financial benefits. 4.Campaigns (radio, newspaper, phone-in programs, pyramid approach) would destigmatize the disease and elevate the status of health care workers Global fundraising through social media campaign : ●Establish pooled funds to raise donations from individuals and international organizations to specifically address: 1.Maintain supply and distribution of quality Personal Protective Equipment (PPEs) to local healthcare workers in poor countries 1.Timeliness of enhance of improved financial incentive for local healthcare workers in poor countries ●A lot has been donated currently, but none of the methods have utilized a popular social movement to create donations eg. Ice Bucket Challenge ●Only a fifth of what is required has currently been donated

How Will Our Idea Work? “Adopt a bottom-up approach for health workers' safety.” ●Will ensure the continuous supply of personal protective equipment (PPEs) to local health centers and training for health workers on usages and disposal of PPE. ●Will build partnership and cooperation between healthcare workers, victims and survivors of communities. This partnership is important to ensure the safety of healthcare workers in local and hostiled communities as they work to stop the virus. ●Pyramid outreach approach: Ebola survivors will be encouraged to do outreach in their community to recruit other ebola survivors utilizing the fact that they are familiar with that community’s local dialect and culture. For example, one survivor will reach out to three survivors in their community. Those three survivors will then be asked to each reach out to three other survivors. This will also be tied into how people donate money, by creating a Kiva type database for all community teams, people will be able to form personal connections while donating money. ●Media campaign: Through use of radio, information brochures, newspapers, and phone in talk shows, the campaign will aim to reduce the social stigma against health workers and survivors, convey the message that those who have survived the disease are now immune, and elevate the position of the healthcare worker in society as one of great prestige. Show that healthcare workers are helping their families and countries. Idea was derived from Uncle Sam campaigns that elevated position of military service. ●Will ensure coordination between infected countries and international health organisations including donors for efficient allocation of resources to fight ebola.

Why Will This Idea Succeed? -This is both a demand driven and community driven approach -There is a high need for a larger healthcare worker force to combat Ebola -This campaign will be shaped and lead by the community so that it is molded and developed in a way that caters to each community’s specific needs -Scalable -This idea relies on a pyramid outreach approach that will allow an expansion in manpower and force to provide support as the campaign grows and spreads. -Destigmatize and provides incentive for becoming a healthcare worker or a survivor turned health worker -A large issue at hand is the mistrust and lack of support for local healthcare workers and survivors, but this campaign will work to rid that barrier and create mutual safety benefit for healthcare workers, survivors and communities. -Creating a stronger foundation through effective incentive scheme for healthcare workers (local & foreign) would draw more into the field to provide continuous support. -Survivor Campaigns: Promoting and calling survivors to become involved in the fight against Ebola. -Based on the idea that once you have had the infection one is now immune to Ebola and therefore less likely to contract the virus -Having survivors assist in treating patients could potentially lower the number of infections contracted in hospitals and other Ebola Treatment Units (ETU) -Coordination and collaboration with Countries’ Political system: Works will be done through each affected country’s health system and team. Support will be about building capacity through human development and construction of more Ebola treatment centers

What Questions Do We Have for the Community? ●What are the factors preventing the community from supporting healthcare workers? ●What are the communities specific fears in regards to healthcare workers (local and international)? ●What would current health care workers in affected African countries like to have provided for their family members?

Financial Management and Accountability (Aid Coordination and Management) ●Leverage on countries' political and administrative structure to coordinate aid flow and management. o Aids generated should support countries health programs against Ebola to ensure a coordinated fight against Ebola. This will help strengthen countries poor health systems and infrastructure o International health workers and organizations should be held accountable for fund receipt and usage through periodic financial reports, impact evaluation and assessment report of donor interventions through.

Reflection: Duke Ebola Innovation Challenge Experience With perspectives from so many different areas, we were able to form our opinions and ideas with inspiration: -Nicole provided information on how nursing procedures work and the efficiency of hospitals, nurses, and doctors -Priyanka had already done a SEAD project before, and she also is majoring in Global Health, which allowed her to give us input on policy, international affairs, and business innovations. -Faith has more information about public policy, which helped us narrow down ideas that would be feasible or not -Del-Francis gave us a picture of what the healthcare and governmental system works in Liberia, as well as policy and economic measures to take into account -Caroline had background information through articles she had read about Ebola, and she also came up with more specific care and tool-based solutions that later became out-takes

Out-Takes ●A well-equipped mobile Ebola truck, as opposed to temporary tents, that can drive around, responding to cases throughout Africa or Liberia ●An automatic cleaning-fluid sprayer made out of PVC piping, because that is cheaper to use. ●To increase awareness and finances to the Ebola cause, we thought there could be a challenge similar to the ALS Ice Bucket Challenge, but for Ebola ●PPE improvement ○Microphones within suits to communicate with colleagues, and/or to take notes ○Cooling systems or clothing made out of material that helps workers cool down easier