Reproductive Health in the time of Ebola: the story of Kenema district Laura Miller International Rescue Committee (IRC) – Sierra Leone IAWG Meeting –

Slides:

Advertisements

Similar presentations

How Gender Impacts Safe Motherhood

Advertisements

A COMMUNITY-BASED MATERNITY CARE PROGRAM IMPROVES UTILIZATION OF ANTENATAL CARE AND REFERRAL OBSTETRIC SERVICES IN KONO DISTRICT, SIERRA LEONE: 12-MONTH.

EFFORTS TO PREVENT MATERNAL AND NEWBORN MORBIDITY AND MORTALITY IN KISARAWE DR. M.O. KISANGA KISARAWE INTRODUCTION Kisarawe District is among the seven.

Defeating Ebola in Sierra Leone The Ebola epidemic in West Africa is an unprecedented humanitarian emergency, which risks becoming a global catastrophe.

Towards National Impact of PPH Prevention: Bangladesh Experience Prof. Dr. Shah Monir Hossain Director General Directorate General of Health Services Ministry.

Improving the performance of primary providers in family planning and other reproductive health care around the world Prevention of Mother-to-Child Transmission.

Scaling up Prevention of Mother to Child Transmission of HIV (PMTCT): What Will it Take to Eliminate MTCT? Jessica Rodrigues Presentation for UNICEF Written.

INTEGRIS Preparedness Plan: Ebola Virus Disease (EVD) With the spread of Ebola to the U.S., ensuring our employees and communities are safe is the utmost.

Safeguard the Family Project Lilongwe Medical Relief Fund Trust Safe water kits as an effective incentive for ANC visits, reduced diarrhea, improved ART.

Rosie Davis – Assistant County Director Ebola Emergency Field realities and first priorities in responding to Ebola and related HIV issues.

Responding to Ebola: Tracking Travelers Jessica L. Silvaggio, MPH CDC/ CSTE Applied Epidemiology Fellow.

Training Local Health Professionals and Capacity Building James A. Litch MD, DTMH Centers for Disease Control and Prevention; WA Department of Health,

The Background to Free Health Care Sierra Leone is evolving from the status of one of the least developed countries with the worst set of health indicators,

©2012 International Medical Corps Community Engagement for the Ebola Response: Sierra Leone IAWG Annual Meeting Amman, Jordan February 2015.

Overview of Status of Women’s Health in Afghanistan Dr. S. M. Amin Fatimie Minister of Health Islamic Republic of Afghanistan Washington D.C. 14 July 2009.

WATER FILTERS GLOBAL AID NETWORK® (GAIN®). WHO IS GAIN? As the relief and development ministry of Cru Global Aid Network® (GAiN®) expresses the love of.

Ministry of Health Syed Anwar Mahmood Federal Secretary (Health) Government of Pakistan Saving Children’s lives through Community based Interventions.

Purpose Provide concepts and latest research findings related to prevention of mother-to-child transmission of HIV (PMTCT) for application in the workplace.

Impacts of Ebola on Protection Miata Tubee Johnson, Public Health Unit UNHCR RO Dakar.

Did you know?. About 9.5 million people die each year due to global infectious diseases. Most of them are in third world countries.

Strengthening Health Services and Communities to Improve Lives of Women and Children in Afghanistan Koki Agarwal Director, USAID’s Maternal and Child Health.

Notes on Integrated Approaches to Improving Maternal, Newborn and Child Health Women's Policy, Inc., PATH, and Congressional Women’s Caucus Members September.

Prevention of Mother-to-Child Transmission of HIV infection in Sri Lanka Dr Sujatha Samarakoon Consultant Venereologist / Focal Point ECS & PMTCT – National.

Mobile phones to improve quality at the point of care Lucy Silas & Erica Layer D-tree International

Agenda  Motivation and Overview (using Education as an example)  Discussion by Selected Intervention Area  Energy Services.

Models of Care for Paediatric HIV Miriam Chipimo MD MPH Reproductive Health & HIV&AIDS Manager, UNICEF, Malawi.

Strengthening Rural Health Centers to Deliver Quality Reproductive Health Services Tambudzai Rashidi Eneud Gumbo Aleisha Rozario Fannie Kachale Chisale.

Ebola Epidemic in Coastal West Africa – Overall Situation Report given at Caritas Internationalis Briefing Meeting 05 November 2014 Dr and Deacon Timothy.

Latest WHO Update (22 Sept. 2014) Estimates 20k cases by 2 Nov. CDC says 1.4 M by Jan. 20 Up to 70% fatality rate Ages 14 – 44, older are most fatal Most.

Washington D.C., USA, July 2012www.aids2012.org Preventing Mother to Child HIV Transmission through Community Based Approach in Nepal Nafisa Binte.

Mother and child health in Kosovo MOH/Office for MCRH Prishtina, Republika e Kosovës Kosova-Republic of Kosovo Qeveria –Vlada-Government Ministria.

Title: Strengthening Infection Prevention and Control (IPC) in Community Settings, Successes and Challenges in Igembe North, Kenya Authors: Claryce Auma,

Health services: Recommendations to better promote & support breastfeeding Breastfeeding Consultative Meeting 23 August 2011.

EBOLA GRANT WORK PLAN. Overview Region received: $258,238 Project Period: May 18, 2015-May 17, 2020 MN will call this EBP for Ebola Budget Period Requirements:

STUDY ON PUBLIC KNOWLEDGE, ATTITUDES, AND PRACTICES RELATED TO EVD PREVENTION AND MEDICAL CARE IN SIERRA LEONE Conducted: August 20 th – 25 th 2014.

1 The Role of Civil Society Mothers: Invest in future of Tanzania.

SIERRA LEONE’S EXPERIENCE ON THE EBOLA OUTBREAK AND LESSONS LEARNT BY: SIERRA LEONE.

1 Implementing the Community strategy for primary health care: key lessons for Africa Prof. Anthony K. Mbonye Director Health Services, Ministry of Health.

05_HB_Dakar_DEC1 Framework for Planning, Implementing, and Evaluating an mHealth Project for Family Planning or Maternal and Newborn Health Dr Heli Bathija.

PBF CONFERENCE 14 TH -17 TH FEBRUARY 2011 BUJUMBURA, BURUNDI DESIGNING OF Sierra Leone simple performance based financing Scheme (PBF) Presented by Michael.

WASH in Health Facilities Project – Overview NATIONAL WASH COORDINATION MEETING 9 th Oct 2015 Implemented by ERC, MoHS & MoWR.

Training and Capacity Building. IMC Worldwide IMC builds capacity and delivers services in weak, failed and collapsed states. Excluding India and China,

Introduction to the IAWG Dead Sea, Jordan February 25-27, 2015.

R EPRODUCTIVE HEALTH RELATED DATA FROM ICAP- SUPPORTED PROGRAMS Annual survey of HIV care and treatment facilities Pilot of a family planning screening.

Informational Webinar Today’s Webinar Objectives:  Describe the Role of the National Ebola Training and Education Center (NETEC)  Explore netec.org.

Improving the Impact of Malaria SBCC through Effective Coordination Presented by WANI KUMBA LAHAI SIERRA LEONE 9 th FEBRUARY 2016 ADDIS ABABA, EHTIOPIA.

Lutte contre l’infection : leçons à retenir dans le contexte de l’épidémie Ebola 26 Novembre eme Journée Romande d’Hygiène Hospitalière Dr Constanza.

International SBCC Summit

The developing world is short about 1 million health care workers.

Country Program Update.  Lusaka CTC Program  Eastern Province CTC Program  Decentralized In-Patient Care Program  Integrated Paediatric ART Programs.

Objectives “To improve maternal and child health in Zimbabwe”. “by improving the availability, accessibility and quality of key reproductive and child.

How Can We Improve Quality of Care? Dr Bounthanh Family Medicine CME Conference, Champasack Provincial Hospital, Pakse October 2012.

2014 Ebola outbreak in West Africa 2014 Ebola Virus Disease (EVD) Outbreak in West Africa: Status report Sarah L Barber Representative World Health Organization,

Maintaining rights based service delivery during the Ebola epidemic in Liberia (March 2014-September, 2015) Presented by Mrs. Ernree Bee-Neeplo Program.

©2012 International Medical Corps Janet Meyers for Megan Vitek IAWG Annual Meeting March, 2016 Dakar, Senegal Reintroduction of Emergency Obstetric and.

©2012 International Medical Corps A community health system intervention to maintain prenatal care and safe deliveries during the Ebola outbreak An integrated.

EBOLA OUTBREAK – LIBERIA, Current Status Scale and evolution of outbreak outpacing strategy and plans – 14 of 15 counties now affected – Major urban.

Maternal and Neonatal Tetanus Elimination (MNTE) in Kenya Dr Collins Tabu, National Vaccines and Immunization Program Ministry of Health, Kenya.

16th Annual Meeting of the Inter-Agency Working Group (IAWG) on Reproductive Health in Crises New partnerships and approaches to the changing humanitarian.

Community Strategy – The Kenya Essential Package for Health (KEPHS)

Reducing global mortality of children and newborns

The contribution of CHWs on maternal, neonatal and child health indicators in Uganda. By Mr. Thembo Joshua Data Manager, FHI360/APC.

Health Care Worker preparedness for Ebola Virus Disease

But too many mothers and children die every year, Yes, more than half a million women die from pregnancy-related causes (that is 1 woman dying every minute).

Content Public Health Emergencies Ebola Virus Disease: DRC

Number of Ebola Virus cases in Sierra Leone, number of antenatal visits (ANC), postnatal care (PNC) visits and births at health facility level (institutional.

Mother & Child Survival

Ebola Facts October 15, 2014.

Saving Children’s lives through Community based Interventions

Results Based Financing Zimbabwe

Presentation transcript:

Reproductive Health in the time of Ebola: the story of Kenema district Laura Miller International Rescue Committee (IRC) – Sierra Leone IAWG Meeting – Amman Jordan February 26, 2016

-32,380 child deaths annually estimated in Sierra Leone -1,781 maternal deaths annually estimated in Sierra Leone In September 2014, CDC estimated that between 550,000 to 1.4 million people would get Ebola Virus Disease (EVD) in Liberia and Sierra Leone without additional interventions. FOCUS WAS TO STOP THE CHAIN OF TRANSMISSION.

Three main modes of transmission of EVD: 1.Unsafe burial practices 2.Community/ household level care 3.Transmission in the health facility

Kenema

Kenema – August health care workers had died from Kenema Government Hospital (KeGH) 404 of the 698 (58%) EVD patients were treated at KeGH by September 1, 2014

Health system was not prepared for EVD patients along the entire patient pathway

Training package developed by IRC, WHO and MoHS. Training curriculum based on six IPC principles: -Social distancing -Hand washing -Screening -Isolation -Waste management -Clinic management -SIDA funding to support trainings in 120 PHUs in Kenema in two weeks - IRC and MoHS joint facilitation of trainings at the health facility -IPC materials supplied to all facilities Infection Prevention and Control (IPC) and Screening for suspected EVD at the primary health care level

Maternal Health in Kenema (July to September) -Facility Based Delivery – vaginal (-14.5% decline) -Facility Based Delivery - cesarean (-81.0% decline) Nationally, 23% decline in institutional deliveries Antenatal Care in Kenema (July to September): Attended 4 th ANC (-14.8% decline) Nationally, 27% decline Postnatal Care in Kenema (July to September): % decline for Kenema

Family Planning in Kenema Contraceptive pills (-20.6%) Injections (-30.2%) Implants (-22.6%)

Challenges with reproductive health during Ebola: Lack of access to RH services under quarantine Insufficient quantities of FP commodities EVD + pregnant women

Sierra Leonean health care system DID NOT collapse In October 2014, only 4.1% of primary health care facilities were closed Health care workers continued working Women continued seeking health services

IPC partnership to support Sierra Leonean health workers Partnership between seven INGOs of the Ebola Response Consortium (ERC), the Ministry of Health and Sanitation (MoHS), UNICEF and Centers for Disease Control (CDC) accomplished the following: Nationally approved IPC training package for primary health care Trained over 4,500 health care workers from 1,180 primary health care facilities in 6 weeks Provided IPC supplies to all facilities Ongoing supportive supervision from INGOs and MoHS

Health care workers continued to care for women and children on the front lines 444 health care workers have been infected (over 50% have died) Most health care worker infections happened outside Ebola care facilities