Guinea Ebola Response Plan II: End of Project Report June 02, 2015–May 30, 2016
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
Strategic Objectives Support health care workers and facilities to continue to offer high-quality health services in safe environment by strengthening infection prevention and control (IPC) practices through training, supportive supervision, and complementary monitoring and evaluation.
June 02, 2015 to November 15, 2015 (approved July 9, 2015; extension approved through Program Dates XXX) PY1 Approved $2,400,000 Budget Geographic 5 prefectures of Boke, Dabola, Dinguiraye, Faranah, and Mandiana Focus Area No. of facilities and/or No. of regions (%) No. of prefectures (%) Geographic communities (%) Presence 3/8 (38%) 5/38 (13%) 59/461 (13%) Technical Interventions OTHER: Ebola Response—Infection Prevention and Control
Selected Programmatic Data Number/percentage of staff in health facility who 1345 (99%) receive IPC training Number/proportion of health facilities that have appropriate (and sufficient quantity of) personal 7/8 (78%) health facilities; protective equipment (PPE) for at least 1 month 9% (1/11 at second assessment); none of the facilities met this indicator at baseline Percentage of health facilities achieving / compliant with at least 75% of IPC performance standards Among services at the regional hospital in Boke, 18% (2/11 met the indicator at second assessment, and non at baseline) Percentage of trained staff who receive post-training 56% follow-up supervision
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Contents
Introduction ...... 10
Goal and Objectives ...... 10
Major Accomplishments ...... 11 XXX.. some kind of intro here ...... 11 I. Formation basée sur les compétences en PCI des prestataires de santé et des agents de soutien : ...... 11 II. Encadrement des prestataires formés en PCI ...... 11 III. Dotation des structures sanitaires en matériels et consommables PCI : ...... 13 IV. Conduire des évaluations de la performance PCI dans les sites ciblés ...... 14
Recommandations :...... 18
Annexe ...... 20
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List of Tables and Figures
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Abbreviations and Acronyms
AC Agents communautaire (community health workers) CMC Centres Médical Communal (Communal Medical Center) DCS Direction Communautaire de la Santé (Community Health Directorate) DPS Direction Préfectoral de la Santé (Prefecural Health Directorate) DRS Direction Regionale de la Santé (Regional Health Direcotrate) DSVco Direction Sanitaire de la ville de Conakry EPI Expanded Program on Immunization EPMCD Ending Preventable Maternal and Child Deaths EVD Ebola Viral Disease IP Infection Prevention IPC Infection Prevention and Control MCHIP Maternal and Child Health Integrated Program MCSP Maternal and Child Survival Program MNH Maternal and Newborn Health MOH Ministry of Health MSF-B Medecins sans Frontiers- Belge NGO Nongovernmental Organization PPE Personal Protective Equipment SBM-R Standards-based Management and Recognition
CHW community health worker CMC centre médical communal (communal medical center) CMS centre médicosocial (sociomedical health center) Coordination Nationale de Lutte contre la Maladie à Virus Ebola (National CNLEB Coordination for the Fight against the Ebola Virus) CS centre de santé (health center) CSR centre de santé rurale (rural health center) CSR centre de santé urbain (urban health center) CVV comité de veille villageois (community surveillance committees) DART Disaster Assistance Response Team DCS Direction Communautaire de la Santé (Community Health Directorate) DPS Direction Préfectorale de la Santé (Prefectural Health Directorate) DRS Direction Regionale de la Santé (Regional Health Directorate) DSC Direction de la Santé Communautaire (Community Health Directorate) Direction Sanitaire de la ville de Conakry (Health Directorate of the City of DSVCo Conakry) EVD Ebola Viral Disease HP hôpital préfectorale (prefectural hospital) HR hôpital regionale (regional hospital)
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IP Infection Prevention IPC infection prevention and control MCHIP Maternal and Child Health Integrated Program MCSP Maternal and Child Survival Program MOH Ministry of Health OFDA Office of U.S. Foreign Disaster Assistance NGO Nongovernmental Organization PPE personal protective equipment SBM-R Standards-Based Management and Recognition WHO World Health Organization
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Acknowledgments
Key Partners
• Maternal and Child Survival Program (MCSP) partners, Jhpiego, and Save the Children thank our collaborators and partners. • Ministry of Public Health and specifically, the Secretary General, the Coordination Nationale de Lutte contre la Maladie à virus Ebola, National Directorate of Family Health and Nutrition, National Directorate of Prevention and Community Health, National Malaria Control Program, and the National Program on Integrated Management of Childhood Illness • Regional health offices of Conakry, Kankan, Kindia, Faranah, and N’zérékoré, and the prefectural and communal health offices in these regions • Health care workers in MCSP-supported facilities and community health workers engaged in bringing health information and services to their communities • World Health Organization, United Nations Fund for Population Activities, and UNICEF • Implementing partners of United States Agency for International Development, Office of U.S. Foreign Disaster Assistance, and the Centers for Disease Control and Prevention • Médecins Sans Frontières—Belgium, Action Contre la Faim, Alliance for International Medical Action, Women and Health Alliance International, and other nongovernmental organizations (NGOs) engaged in the Ebola response and in particular, infection prevention and control • Local NGOs and civil society organizations that collaborated with MCSP
The MCSP Team
• In-country technical team: Professor Yolande Hyjazi, Dr. Mamadou Malal Diallo, Dr. Gassim Cissé, Dr. Bokar Dem, Dr. Havanatou Camara, Dr. Suzanne Austin, Bamba Mamady Camara, Jacqueline Aribot, Dr. Abdoulaye Diallo, Dr. Ibrahim Pita Bah, and Bakary Berete • In-country Save the Children team: Fatoumata Diakite, Adama Diop, and the many community organizers • Finance, administration, and operations team: Antoine Lamah, Sougoulé Ténin, Thierno Saidou Diallo, El Hadj Mamadou Saliou Bah, and Abbas Kourouma • Headquarters’ technical support team: Dr. Tsigue Pleah, Professor Blami Dao, Ruparelia Chandrakant, Willy Shasha • Headquarters’ program team: Rachel Waxman, Lauren Skolnik, Karine Nankam, Caroline Tran, Joan Peto, and Linda Benamor (for translation support)
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Executive Summary
XXX…
The focus areas for this project are the capital city of Conakry and three prefectures: Beyla, Forécariah, and Kissidougou, which were prioritized by the CNLEB based on the presence of active Ebola viral disease (EVD) cases in these areas. MCSP is supporting 55 targeted facilities in these areas: three national hospitals (Donka, Ignace Deen, and Sino-Guinéen), three prefectural hospitals (Beyla, Forécariah, and Kissidougou), six centres médical communal ([CMCs], communal medical centers—five in Conakry and one in Beyla prefecture), one sociomedical center (Jean Paul II/ Conakry), and 42 health centers in the three prefectures.
The goal of the MCSP Ebola Response Project in Guinea was to scale up efforts to prevent and control the spread of EVD to protect and maintain quality reproductive, maternal, newborn, and child health services.
The key achievements for this nine-month project are presented by the two project objectives: 1) prevention at facilities and 2) prevention within communities.
Objective 1: Prevention at Facilities Objective 1
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Introduction
The Maternal and Child Survival Program (MCSP) is a global cooperative agreement funded by the United States Agency for International Development (USAID) to introduce and support high-impact health interventions in 24 priority countries, and has the ultimate goal of ending preventable maternal and child deaths within a generation. MCSP carries forward the momentum and lessons learned from the highly successful USAID-funded Maternal and Child Health Integrated Program (MCHIP), which has made significant progress in improving the health of women and children in over 50 developing countries throughout Africa, Asia, Latin America, and the Caribbean. MCSP interventions build on the development of local training capacity among health care providers in Guinea with a focus on competency-based training methods that work to improve both knowledge and skills. These build from previous work, specifically on infection prevention practices in health care facilities, and a commitment to quality improvement and supportive mentoring and supervision to assist health care providers translate new skills into their ongoing practice.
Jhpiego, an affiliate of Johns Hopkins University, is leveraging the achievements of previous and ongoing projects to improve and extend activities strengthening infection prevention and control (IPC) initiatives in prefectures that currently lack donor support. Through funding from OFDA / USAID, this project is building upon MCSP’s comprehensive IPC training and supportive supervision activities in Conakry, Beyla, Kissidougou, and Forécariah prefectures, which trained 2,985 health workers in 55 targeted health structures from December 2014 - August 2015.
The focus areas for this project are the prefectures of Boke, Dabola, Dinguiraye, Faranah, and Mandiana.
This final report describes the activities conducted during the contractual period of the project from June 2015 to March 2016.
Goal and Objectives
The goal of the MCSP Ebola Response Project in Guinea is to scale up efforts to prevent and control the spread of EVD to protect and maintain quality reproductive, maternal, newborn, and child health services.
The key objective of this activity is to work with the MOH and key partners to support healthcare workers and facilities to continue to offer high quality health services in a safe environment by strengthening infection prevention and control (IPC) practices through training, supportive supervision, and complementary monitoring and evaluation.
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Major Accomplishments
XXX.. some kind of intro here
The key achievements for this nine-month project are presented by the two project objectives: 1) prevention at facilities and 2) prevention within communities.
Objective 1: Prevention at Facilities Objective 1 focused on supporting health care workers and facilities to continue to offer high quality health services in a safe environment by strengthening IPC practices through training, supportive supervision, and complementary monitoring and evaluation.
1.1. Active Participation of MCSP in Coordination Nationale de Lutte contre la Maladie à Virus Ebola CNLEB was formed to lead the national,
I. IPC skills-based training of health providers and support staff
From June to December 2015, the MCSP project with funding from USAID/OFDA, organized 48 training sessions on IPC for 1,345 health workers in the DPS health facilities of Boké, Faranah, Dabola, Dinguiraye and Mandiana. These training sessions were conducted by trainers developed by MCSP. Each session lasted five days during which the theoretical course was provided long with classroom simulated practice sessions and field visits with real patient interactions in the different departments of the hospitals and the health center where the trainings were conducted.
The training involved 110 health facilities, of which 60 were public health facilities. Additional details can be found in Table 1 for details on training.
Table 1: Distribution of DPS and DRS Training Participants
# of # Public # Private # of # of # health support # of NGO Region DPS Health Health providers DPS/DRS personnel staff staff trained Facilities Facilities trained staff trained trained Boké Boké 15 27 476 124 6 9 491 Faranah 14 14 323 45 3 0 326 Faranah Dabola 9 4 131 38 6 2 139 Dinguiraye 9 1 179 34 4 1 184 Kankan Mandiana 13 4 201 30 4 0 205 Total 60 50 1310 271 23 12 1345
II. Supportive supervision of IPC-trained health providers Health staff present higher risks of infection during outbreaks of EVD. In an effort to minimize these risks, MCSP implemented IPC/Ebola trainings, assessments and supportive supervision for all health workers in the health districts of Boké, Faranah, Dabola, Dinguiraye and Mandiana, aimed at improving and strengthening provider skills.
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The supervisory visits had the following objectives: 1) Ensure that the PCI measures taught and learned during the training sessions were applied to the work sites 2) Strengthen the skills of health personnel in order to achieve a positive IPC behavior change 3) Equip managers and supervisors to use of performance standards to ensure internal supervision and strengthen health and safety committees in each recipient health facility.
The supervisory visits covered the following topics: • Lessons learned from previous coaching visits • Review of the steps of handwashing with soap and friction, as well as with the hydro-alcoholic product • Provision of guidance on putting on and removing gloves • Provision of guidance on the preparation of chlorine solutions from bleach and sodium hypochlorite powder • Provision of guidance on the sorting of trash, waste management and garbage disposal • Provision of guidance on the steps for the processing of instruments
The supervisory visits have achieved the following tasks: - Prior to the visit Gather / organize documents (standards, checklists dilution formulas, handwashing posters, etc.) Gather inputs that will be used to give demonstrations with beneficiaries (gloves, bactigel, chlorine, EPI, etc.) Prepare and share with partners and providers the calendar with a precise timetable of activities to achieve targets and expected results Inform the departments and the targeted staff of the planned supportive supervision visit
- During the visit Strengthen and improve the IPC practice of providers and support staff using the performance standards and working closely with the health and safety committee Check availability of IPC inputs, collection tools, and IPC procedure posters Check the water access points and their functionality Check the functionality of the screening and triaging unit Take pictures and videos to illustrate the findings and record evidence or practices.
- After the visit Provide feedback results from visit to health staff to initiate quality improvement measures of IPC practices Determine the date of the next supportive supervision visit
For the implementation, six supervisors were selected in each targeted health district, based on their performance in assessments and their availability. The organization of the supportive supervision was coordinated in collaboration with focal points, heads of departments and centers, as well as members of the health and safety committee at each health facilitiy. Table 2 shows the distribution of the number of providers supported in the prefectures of Boké, Faranah, Dinguiraye, Dabola and Mandiana.
Table 2: Supportive Supervision of providers trained in IPC
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During the supportive supervision visits, a total of 267 support staff members were coached across 15 sites in Dinguiraye, 44 in Dabola, 81 in Faranah, 45 in Mandiana and 82 in Boké. Through the use of supervisors, 167 new providers and 68 support staff were oriented on IPC at the DPS sites in Boké.
Overall, almost 61% of trained personnel were mentored during the supportive supervision visits conducted. In addition, 67 untrained providers received on-site orientation from supervisors at the DPS sites in Boké.
III. Donation of IPC materials and consumables to health facilities: The availability and utilization of IPC inputs is one of the key pillars of an effective IPC program. Under the guidance of the DPS health structures of Faranah, Dabola, Dinguiraye and Mandiana, an IPC donation of materials and consumables was made to the sites aforementioned sites by MCSP.
1) Donation of IPC inputs and materials at the health facilities of Boke, Faranah, Dabola, Dinguiraye and Mandiana
The official presentation of the IPC materials and consumables was made in the presence of DPS officials, field partners and the administrative and municipal authorities of each prefecture. These allocations were calculated on the basis of statistical data obtained during the baseline assessment conducted at the start of the intervention, including data on monthly client loads for each targeted services and departments. The inputs provided are of two categories: • IPC products and personal protective equipment and consumables • Waste management materials (hygiene and sanitation) IPC inputs consisted of: sterile gloves, 30L trashcans for non-contaminated waste, 30L trashcans for contaminated waste , trash bags , solid soap (Dyama), examination gloves, cleaning gloves, hats, glasses, N-95 masks, bavette, mops, raclette, petit champs, grand champs non perfore, 70%chlorine granules (25 kg packets), safety box, bin for linen, plastic cups, Termoflash, 120L bucket with cover, handwashing station. Among the IPC equipmentwere wheelbarrows, shovels, hoes, rakes, pickaxes, and 150 L tank with lid and tap.
2) Donation of sterilization materials to project sites In order to support the management of biomedical waste, MCSP ordered and installed seven (7) Universe Redline incinerators in the following health facilities: XXX, XXX, XXX.
Additionally, to strengthen IPC practices in health facilities, eight (8) sites in the regions of Kankan, Faranah, and Boke received donation of autoclaves. Table 3 shows the distribution of autoclaves by DPS health structure and site.
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Table 3: Distribution of autoclaves by DPS health structure by and site # Type of Sites Region Quantity autoclave 1 HP de Mandiana Kankan 1 Non-electric 2 HR de Faranah Faranah 1 Electric 3 HP de Dinguiraye 1 Electric 4 HP de Dabola 1 Electric 5 Boké Regional Hospital Boké 1 Electric 6 CSA Sangaredi 1 Electric 7 CS Kassapo 1 Electric 8 CS Kolaboui 1 Non-electric
The amounts received by the various health districts are listed in Tables No. 1 to No. 2 in the Appendices. IV. The implementation of IPC performance assessments in targeted sites
Prior to the implementation of field trainings, MCSP conducted baseline assessments in targeted health facilities using the standards of performance to identify the current level of IPC performance and to identify gaps to be solved via training and on-site supportive supervision.
Prior to the assessments, MCSP participated in the updates made to the existing MOH IPC standards, from 2009, which included the integration of EVD-specific components. The MCSP-supported evaluators selected were familiar with the updated IPC practices, as well as the use of performance standards as part of the SBM- R process.
As part of improving the quality and availability of health services, with the goal of strengthening best practices in IPC, MCSP conducted two follow-up evaluations, every subsequent 3 months, at the same DPS sites in Boke. The performance evaluation results are presented in Tables 4 and Table 5 below. The health facilities in Mandiana, Faranah, Dabola and Dinguiraye received baseline assessments and monitoring visits.
Table 4: Comparison of IPC baseline assessments and evaluation performance scores in targeted Boké health centers
Health Centers
Performance
(%) Korera Sangaredi CS Sansalé Nènè Port CS CS Kanfarandé CS Dibia CS Malapouyah Bintimodia CS CS Kayenguissa Tanènè CS CS CS Dabis CS Koulifanya Kolaboui CS CS Kassapo CS Baseline Assessment - 0% 4% 8% 12% 16% 21% 25% 28% 29% 29% 31% 16% 24% 32% Jun 2015 2nd Evaluation NA 46% NA 80% NA 64% 54% 58% 52% 69% 69% 58% 76% 27% – Sep 2015
3rd Evaluation - 56% 36% 50% 33% 77% 38% 50% 50% 85% 73% 73% 63% 77% 38% Jan 2016
• An analysis of the results of the three IPC evaluations shows that 57% (8/14 sites) improved their performance over the course of the three assessments. • 3 sites reached the minimum IPC performance threshold required (75%) by the third evaluation.
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• It should be noted that 10 out of 11 sites showed an improvement in performance between the baseline assessment and the first follow-up evaluation. However, in 36% (5/14) of the sites, a decline in performance was observed between the second and third evaluations, due in part to inadequate and/or inconsistent use of internal evaluations to monitor adherence to IPC standards. As a result, MCSP advised the DPS to strengthen periodic monitoring of these sites.
Table 5. Comparison of IPC Baseline Assessment and Follow-up Evaluations Performance Scores for Departments at Boke Regional Hospital Departments / Services
Performance
(%)
logy Pediatric Emergency Surgery Laboratory General Medicine Ear, Nose, and Throat Pharmacy Odontostomatology Maternity Ophthalmology Radio Baseline Assessment - 0% 9% 1 % 15% 15% 18% 20% 25% 35% 52% 52% Jun 2015 2nd Evaluation 55% 56% 59% 59% 41% NA 85% 75% 54% 67% 67% – Sep 2015
3rd Evaluation - 59% 80% 37% 23% 48% NA 56% 45% 58% 81% 38% Jan 2016
• The range of 3rd evaluation performance scores observed at the departments at the Boke regional hospital varies from 23% to 81%, which are lower than those recorded in the 2nd evaluation (41% to 85%). • Only two departments – Ophthalmology and Emergency – have reached the performance threshold of 75% required for well-performing department/health facility. • The laboratory department has posed a challenge because the performance dropped from 59% to 23% between the 2nd and 3rd evaluations, which is especially troubling because the laboratory staff are most exposed to the body fluids. MCSP has advised the DPS supervisors to work with the MCSP Regional Coordinator to strengthen supervision at this level, and especifaly for this department.
Table 6. Comparison of IPC Baseline Assessment and Follow-up Evaluation Performance Scores for Departments at ANAIM of Kamsar Hospital Departments / Services
Services/
Performance
(%) Medicine Pediatric Laboratory Emergency Radiology Pharmacy Resuscitation Morgue Surgery Maternity Ear, Nose, and Throat Baseline Assessment - 24% 33% 33% 37% 38% 47% 50% 50% 52% 58% 60% Jun 2015 2nd Evaluation – 89% 48% 68% 81% 88% 41% 68% 74% 73% 68% 82% Sep 2015
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Departments / Services
Services/
Performance
(%) Medicine Pediatric Laboratory Emergency Radiology Pharmacy Resuscitation Morgue Surgery Maternity Ear, Nose, and Throat 3rd Evaluation - 83% 63% 75% 81% 68% 93% 47% 41% 60% 79% N/A Jan 2016
• The range of the performance scores observed at the departments of ANAIM hospital for the 3rd evaluation varied from 41% to 93%, which is an improvement from the range of scores of observed during the 2nd evaluation (14% to 89%), and remarkably higher than the initial range of scores of observed at the baseline assessment (24% to 60%). • 50% des services évalués à la 3e évaluation ont atteint le seuil de performance PCI (75%). Ces efforts sont à noter et une reconnaissance des progrès sera envisagée en collaboration avec la DPS et la direction de l’hôpital.
Table 7. Comparison of IPC Baseline Assessment and First Follow-up Evaluation Performance Scores for Departments at Faranah Regional Hospital Department / Services
Services/Performance (%) Laundry Pediatric Medicine Emergency Surgery Maternity Pharmacy Sterilization Laboratory Baseline Assessment - Sep 2015 0% 6% 6% 11% 11% 20% 22% 33% NA
2nd Evaluation - Jan 2016 0% 45% 42% 29% 56% 54% 78% NA 36%
The range of 2nd evaluation performance scores observed at the departments of Faranah Regional Hospital vary from 0% to 78% , which is an improvement from the scores recorded at the baseline assessments (0% to 33%). The Laboratory department was not evaluated during the baseline assessment because the staff were not available at the time. Follow-up supervisory activities must focus in on the Laundry department in an effort to improve their IPC performance.
Table 8. Comparison of IPC Baseline Assessment and First Follow-up Evaluation Performance Scores for DPS Health Centers in Faranah Health Centers Health
Facilities/
é
Performance (%) Tiro CSU Abattoir CSU March CS CS Passayah CS Hèrèmakono CS Kobikoro CS CS Niala Beindou CS CS Tindo CS Banian CS Sangoyah CS Sandenia Baseline Assessment - 4% 4% 12% 15% 19% 19% 19% 19% 23% 27% 38% NA Sep 2015 2nd Evaluation - 58% 31% 60% 50% 50% 35% 50% 46% 58% 58% 54% 38% Jan 2016
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At the DPS health centers of Faranah, the IPC performance scores from the 2nd evaluation varied from 31% to 60%. Despite the health centers’ inability to reach the minimum threshold of 75%, the results show that all health centers have improved their performance scores in comparison to the baseline assessment. The health center staff require additional support to improve performance specific to the correct use of PPE, the implementation of triage and quarantine zones, and the sterilization of instruments.
Table 6. Comparison of IPC Baseline Assessment and First Follow-up Evaluation Performance Scores for Health Centers and Prefectural Hospital in Dabola Health Centers and Prefectural Hospital
Health Facilities/
Performance (%) Hospital
Bissikirima CS CS Kankama Konso CS Arfamoussaya CS Konindou CS Banko CS Dabola CSU CS Dogomet Dabola Baseline Assessment - Sep 8% 16% 16% 16% 28% 28% 28% 36% 76% 2015 2nd Evaluation - Jan 2016 73% 42% 40% 59% 69% 58% 77% 73% 46%
Every evaluated health center in Dabola improved their IPC performance scores at the second evaluation in comparison to the baseline assessment, including the health center of Bissikirima whose score improved by 65%. In contrast, Dabola Prefectural Hospital recorded a lower performance score at the second evaluation due to a regression in the application of IPC practices. Supportive supervision activities and the implementation of regular internal evaluations will enable the hospital staff to reverse this trend.
Table 7. Comparison of IPC Baseline Assessment and First Follow-up Evaluation Performance Scores for Departments at Dinguiraye Prefectural Hospital Departments / Services
Departments/
Performance (%) Surgery Emergency Pediatric Dental Maternity Laboratory Pharmacy Baseline Assessment – Oct 3% 5% 5% 8% 14% 15% 31% 2015
2nd Evaluation – Jan 2016 68% 59% 82% NA 52% 76% 82%
The 2nd evaluation results for the departments of Dinguiraye Hospital range from 52% to 82%, which is an improvement from the baseline assessment, and 3/6 departments (50%) surpassed the minimum threshold score of 75%. The dental department was not included in the 2nd evaluation because no staff members were present.
Table 8. Comparison of IPC Baseline Assessment and First Follow-up Evaluation Performance Scores for Departments at DPS Health Centers in Dinguiraye Health Centers
Health Facilities/ Performance (%) bomet louma
CS Lansanaya CS Sé CS Gagnakaly CS M’ Dialakoro CS Diatifèrè CS CSU CS Kalinko Baseline Assessment 4% 4% 4% 4% 8% 8% 12% 52% – Oct 2015
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2nd Evaluation – Jan 56% 68% 76% 50% 60% 48% 68% 79% 2016
Amongst the DPS health centers of Dinguiraye, two facilities – CS Gagnakaly and CS Kalinko – were able to surpass the minimum perfomance threshold of 75% at the 2nd IPC evaluation. All other health centers improved their IPC performance scores at the 2nd evaluation.
Table 9. Comparison of IPC Baseline Assessment and First Follow-up Evaluation Performance Scores for Departments at Mandiana Hospital Departments / Services
Departments/ Performance (%) Medicine Maintenance Radiology Pediatric Emergency Pharmacy Surgery Laboratory Maternity Baseline Assessment – 6% 7% 7% 18% 18% 20% 24% 28% 36% Oct 2015 2nd Evaluation – Jan 53% 13% 31% 41% 38% 47% 44% 52% 31% 2016
In general, the scores obtained by the departments of Mandiana Hospital improved slightly from the baseline assessment to the second evaluation, with the exception of the Maternity department. The hospital will need additional support in implementing regular internal evaluations and supportive supervision in order to improve their IPC performance.
Table 10. Comparison of IPC Baseline Assessment and First Follow-up Evaluation Performance Scores for DPS Health Centers in Mandiana
Health Centers
Health Facility/
Performance (%) dou Koundian CS Morodou CS Kondianakoro CS Balandougouba CS CS Kinieran CS Sala CS Kantoumania CS CS Sansado Niantanina CS Dialakoro CS CS Faralako CSU Mandiana Baseline Assessment – Oct 2015 0% 0% 4% 4% 5% 8% 8% 9% 9% 13% 17% 28% 2nd Evaluation – Jan 2016 35% 32% 40% 39% 54% 38% 38% 17% 56% 33% 44% 71%
All the health centers of Mandiana improved their scores at the 2nd evaluation , and the CSU Mandiana, which is also an MCSP SBM-R site, recorded the greatest improvement of 43%. Recommendations : • Share the results of the various evaluations with the administrators of health facilities, the DPS teams, and the local health and safety committees. • Strengthen the monthly supportive supervision activities conducted by local supervisors in the sites that have received IPC training. • Support the local DPS teams through the donation of IPC inputs and materials to the health facilities of Faranah, Dabola, Dinguiraye and Mandiana.
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• Ensure quarterly IPC follow-up evaluations by the health center heads and monitoring teams of departments, in colaboration iwth health and safety committees at the DPS sites of Boké, Faranah, Dabola, Dinguiraye and Mandiana.
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Annexe A. List of Local Trainers
No Prefecture Name Site Location Contact 49 Boké Ibrahima Camara DPS 50 Abdoulaye Keita HR 51 Ismael Dieudonne Maomou HR 52 Toumani Diallo DRS 53 Sekou Naba Camara HR 54 Apollinaire Camara CCS Port Nene 55 Sekou Amara Camara CSR Kassapo 56 Ibrahima Camara DPS 57 Faranah Sekou Conde CSU Abattoir 622 01 46 95 58 Nakan Traoré CSU Abattoir 628 96 70 90 59 Ibrahima Sovogui HR Faranah 628 50 19 44 60 Oumar Bailo Diallo HR Faranah 622 01 95 15 61 Glima Bamba HR Faranah 622 09 95 55 62 Ibrahima Solo Conde HR Faranah 628 18 03 82 63 Dabola Hadja Boh Fanta Conde 622 64 88 13 64 Mohamed Habib Kaba 622 91 96 91 65 Moumini Diallo 622 04 98 34 66 Mamadouba Sylla 622 12 05 33 67 Kadiatou Camara 628 41 06 58 68 Fodé Mamadouno 69 Dinguiraye Mariame Touré DPS 624 82 73 83 70 Camara Ousmane HP 71 Kolié Emmanuel HP 72 Camara Almamy CSU 73 Sow Hadja Hawa Diallo HP 74 Siba Sakouvogui HP 75 Mandiana Ibrahima Diakite HP 76 Diabola Conde HP 77 Mathos Zaly Lamah CSU 78 Ibrahima Doumbouya HP 79 Moussa Keita HP 80 Halimatou Diallo CSR 81 Diamila Sidibe DPS
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2 - Tableau : Répartition des intrants PCI pour les centres de santé de Boké
No Désignation Quantité 1 Bottes 215 paires 2 Serpillères 1005 3 Thermoflachs 98 4 Lunettes de protection 215 5 Bactigel grd model 80 cartons de 12 par cartons 6 Aseptoman 3 cartons 7 Savon diamant 87 cartons 8 Gants de ménages 2 cartons plus 99 paires 9 Gants d’examen 91 cartons 10 Tyveck 25 cartons 11 Bavettes 66 cartons 12 Boites de sécurités 112 cartons 13 Pioches 54 14 Pelles 56 15 La daba 56 16 Raclettes 52 17 Râteaux 52 18 Brouettes 28 19 Sceau a Poubelle 140 20 petit sceau 140 21 Grand sceau 242 22 Tasse 189 23 cuve avec couvercles 14 24 Hypo chlorites 30 bidons de 50 kg et 1 bidon de 25 kg 25 Gants stériles 5 cartons 26 Brosse à dents 1000 27 Masque 3 paires 28 Poubelles 102 29 Bonnets 13 paquets de 1000 et 5 de 2000
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3- Tableau : Répartition des intrants PCI pour la DPS et DRS de Boké
No Désignation Quantité DPS DRS Grand Total 1 Bottes 215 paires 3 2 5 2 Serpillères 1005 8 7 15 3 Thermoflaches 98 4 3 7 4 Lunettes de protection 215 0 5 Bactigel grd model 80 cartons de 12 par cartons 1 1 2 6 Aseptoman 3 cartons 0 7 Savon diamant 87 cartons 0 8 Gants de ménages 2 cartons plus 99 paires 2 1 3 9 Gants d’examen 91 cartons 0 10 Tyveck 25 cartons 0 11 Bavettes 66 cartons 0 12 Boites de sécurités 112 cartons 0 13 Pioches 54 2 1 3 14 Pelles 56 2 2 4 15 La daba 56 2 2 4 16 Raclettes 52 2 2 4 17 Râteaux 52 2 2 4 18 Brouettes 28 1 1 2 19 Sceau a Poubelle 140 0 20 petit sceau 140 0 21 Grand sceau 242 2 2 4 22 Tasse 189 5 5 10 23 cuve avec couvercles 14 0 0 0 24 Hypo chlorites 30 bidons de 50 kg et 1 bidon de 25 kg 1 1 2 25 Gants stériles 5 cartons 0 0 0 26 Brosse à dents 1000 0 27 Masque 3 paires 0 0 0 28 Poubelles 102 3 2 5 29 Bonnets 13 paquets de 1000 et 5 de 2000 0
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