Guinea Ebola Response Plan I: End of Project Report November 17, 2014–August 16, 2015 Submitted to: United States Agency for International Development under Cooperative Agreement #AID-OAA-A-14-00028 Submitted by: Jhpiego Corporation in cooperation with Save the Children The Maternal and Child Survival Program (MCSP) is a global United States Agency for International Development (USAID) Cooperative Agreement to introduce and support high- impact health interventions with a focus on 24 high-priority countries with the ultimate goal of ending preventable child and maternal deaths within a generation. The Program is focused on ensuring that all women, newborns and children most in need have equitable access to quality health care services to save lives. MCSP supports programming in maternal, newborn and child health, immunization, family planning and reproductive health, nutrition, health systems strengthening, water/sanitation/hygiene, malaria, prevention of mother-to-child transmission of HIV, and pediatric HIV care and treatment. Visit www.mcsprogram.org to learn more. This report is made possible by the generous support of the American people through USAID under the terms of the Cooperative Agreement AID-OAA-A-14-00028. The contents are the responsibility of MCSP and do not necessarily reflect the views of USAID or the United States Government. Guinea Summary Jacqueline Aribot/MCSP Strategic Objectives Prevention at facilities: Support health care workers and facilities to offer safe and high-quality health services by strengthening infection prevention and control (IPC) practices through training, supportive supervision, and complementary monitoring and evaluation. Prevention within communities: Support communities and their local leaders to combat disease transmission through improved contact tracing and intensified social mobilization. Program Dates November 17, 2014 to August 16, 2015 (approved December 15, 2014) PY1 Approved $3,482,000 Budget Geographic 5 communes of Conakry and 3 rural prefectures—Beyla, Kissidougou, and Forekariah Focus Area No. of facilities and/or No. of regions (%) No. of prefectures (%) Geographic communities (%) Presence 4/8 (50%) 8/38 (21%) 55/461 (12) Technical Interventions PRIMARY: Community Health and Civil Society Engagement OTHER: Ebola Response—Infection Prevention and Control Selected Programmatic Data Number/percentage of staff in health facility who 2,985 (100%) receive IPC training Number/proportion of health facilities that have 29/51 (57%) health facilities; appropriate (and sufficient quantity of) personal 41/66 (62%) services at 3 National Hospitals protective equipment for at least 1 month Number/proportion of health facilities that have 32/51 (63%) health facilities; access to disinfecting agents (and sufficient quantity for 15/66 (23%) services at 3 National Hospitals at least 1 month) Note: MCSP was requested to monitor the indicators on availability of supplies for IPC, but was not directly involved in their provision beyond an initial stock provided to focus facilities following training. Guinea Ebola Response Plan I: End of Project Report iii Table of Contents Guinea Summary ..........................................................................................................................iii Table of Contents .......................................................................................................................... iv List of Tables and Figures .............................................................................................................. v Abbreviations ................................................................................................................................. vi Acknowledgments ........................................................................................................................ vii Executive Summary .................................................................................................................... viii Introduction ................................................................................................................................... 1 Goal and Objectives .............................................................................................................. 2 Major Accomplishments ............................................................................................................... 3 Objective 1: Prevention at Facilities .......................................................................................... 3 1.1. Active Participation of MCSP in Coordination Nationale de Lutte contre la Maladie à Virus Ebola ............................................................................................................................................................................. 3 1.2. Train/Update Consultant Trainers ................................................................................................................ 4 1.3. Procure and Supply Necessary Sterilization and Sanitation/Waste Management Equipment for Trainings ................................................................................................................................................................ 6 1.4. Conduct Site Selection, Rapid Assessment of Target Sites and Preparation for the IPC Trainings and Supervision ........................................................................................................................................ 6 1.5. Conduct Trainings for Facility Staff ............................................................................................................... 7 1.6. Conduct Routine Quality Assurance Visits and Provide Additional Follow-Up Support ................ 8 1.7. Monitoring and Evaluation ............................................................................................................................. 11 Objective 2: Ebola Virus Disease (EVD) Prevention within Communities....................................... 19 2.1. Behavior Change Communication and Sensitization .............................................................................. 19 2.2. Sensitization for Civil Society Groups and Community Health Worker (CHW) Associations .............................................................................................................................................................. 20 2.3. Contact Tracing and Surveillance in Affected Sub-Prefectures ............................................................ 20 2.4. Coordination and Technical Support to the Direction Préfectorale de la Santé (DPS) ................ 21 Recommendations and Way Forward ...................................................................................... 22 Appendix 1: Performance Monitoring Plan .............................................................................. 25 Appendix 2: Impact Story .......................................................................................................... 37 Appendix 3: Health Facilities Supported by the Ebola Response Project ............................. 38 Appendix 4: Infection Prevention and Control Materials Provided to Facilities of Focus ... 40 Appendix 5: List of Presentations at International Conferences and Publications .............. 42 Appendix 6: Materials and Tools Developed or Adapted by the Ebola Response Project .. 43 iv Guinea Ebola Response Plan I: End of Project Report List of Tables and Figures Figure 1: Map of Guinea and type of Ebola Virus Disease interventions ......................................................... 2 Table 1. Infection prevention and control (IPC) trainers by location and professional category ................... 5 Table 2. Number of health care providers trained in infection prevention and control (IPC), by profession and geographic location ...................................................................................................................................... 8 Table 3. Trained health care providers categorized by profession and location ............................................ 10 Table 4. Number of health care providers and support staff coached ............................................................ 10 Table 5. Comparison of baseline, midterm, and end-of-project assessments of infection prevention and control (IPC) performance at Donka National Hospital (December 2014 to August 2015) .......................... 11 Figure 2. Comparison of baseline, midterm, and end-of-project assessments of infection prevention and control (IPC) performance at Ignace Deen National Hospital (December 2014 to August 2015) ................ 12 Figure 3. Comparison of baseline, midterm, and end-of-project assessments of infection prevention and control (IPC) performance at Sino-Guinéen National Hospital (December 2014 to August 2015) ............. 13 Figure 4. Comparison of baseline, midterm, and end-of-project assessments of infection prevention and control (IPC) performance at health facilities in Conakry and Kissidougou (December 2014 to August 2015) ................................................................................................................................................................... 14 Figure 5. Comparison of baseline, midterm, and end-of-project assessments of infection prevention and control (IPC) performance at health facilities in Forécariah and Beyla (December 2014 to August 2015) . 15 Figure 6. Evolution of infection prevention and control (IPC) performance in the 66