Maternal and Child Survival Program Guinea Ebola Response Plan Quarterly Report Quarter 2, 2015 1 January 2015 – 30 March 2015 Submitted to: United States Agency for International Development Cooperative Agreement No. AID-OAA-A-14-00028 Submitted by: MCSP Guinea implementing partners - Jhpiego Save the Children Submitted 20 May 2015 1 | Page TABLE OF CONTENTS ACRONYMS AND ABBREVIATIONS ............................................................................................................ 3 EXECUTIVE SUMMARY ............................................................................................................................. 4 INTRODUCTION ....................................................................................................................................... 6 GOAL AND OBJECTIVES ............................................................................................................................ 6 RESULTS AND ACTIVITIES BY OBJECTIVE .................................................................................................... 7 Objective 1 – Prevention at facilities ...................................................................................................... 7 1.1 Active participation of MCSP in national level coordination ......................................................... 7 1.2 Conduct training for facility staff & train/update consultant trainers ........................................... 7 1.3 Procure and supply necessary sterilization and sanitation/waste management equipment ........ 11 1.4 Conduct routine quality assurance visits and provide additional follow-up support .................... 12 1.5 Monitoring and Evaluation ...................................................................................................... 13 1.6 Communications support as a tool for referral, logistics management and mentoring ................ 14 Objective 2 – Ebola virus disease (EVD) prevention within communities. ................................................... 15 2.1 Social and behavior change communication (SBCC) & sensitization ........................................... 15 2.2 Sensitization for civil society groups and CHW associations ....................................................... 18 2.3 Contact-tracing and surveillance in affected sub-prefectures .................................................... 19 2.4 Coordination & technical support .................................................................................................... 22 2 | Page ACRONYMS AND ABBREVIATIONS 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 3 | Page EXECUTIVE SUMMARY The goal of the MCSP Ebola Response Project in Guinea is to scale up efforts to prevent and control the spread of Ebola Viral Disease (EVD) to protect and maintain quality reproductive, maternal, newborn, and child health services. The key achievements of the second quarter are listed below. Objective 1: Prevention at facilities: 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. • Active participation of MCSP in national level coordination o MCSP coordinated the establishment of a triage and isolation unit for medical and surgical emergencies at Donka National Hospital in collaboration with MSF-B, WHO, CDC, and the directors of the hospital. Since its inception, the unit has identified 51 suspected cases, 11 cases of which were confirmed positive for EVD (22%). o MCSP contributed to the development of several national strategies on IPC and rapid response teams • Conduct training for facility staff & train/update consultant trainers o From January to March 2015, MCSP trained 2482 providers on IPC practices, bringing the total to 2986. Training emphasizes understanding and preventing the transmission of EVD. Of the providers trained, 1950 are located in Conakry, 381 in Kissidougou, and 124 in Beyla. o 18 new IPT trainers were trained and qualified increasing the number of local trainers to 47 • Procure and supply necessary sterilization and sanitation/waste management equipment for training o MCSP donated various material and equipment to national hospitals and the CMCs Ratoma and Matam, including hand washing units. • Conduct routine quality assurance visits and provide additional follow-up support o 58% of trained staff received supervisory visits to improve service quality and IPC performance within two weeks of training. o All services of national hospitals and CMS/CMS benefited from 1 to 3 coaching visits during the quarter. • Monitoring and Evaluation o MCSP completed the baseline evaluations of the 14 services of Kipé Hospital , the 5 CMCs in Conakry, and the Social Medical Center of John Paul II. • Communications support as a tool for referral, logistics management and mentoring o MCSP provided an orientation on the mobile mentoring program to trained providers. Objective 2 – Ebola virus disease (EVD) prevention within communities: Support communities and their local leaders to combat disease transmission through improved contact-tracing, intensified social mobilization, and technical assistance to district health teams. • Social and behavior change communication (SBCC) & sensitization on EVD prevention and hygiene promotion in affected sub-prefectures through public health committees & radio messages 4 | Page o Implemented a participatory community theater initiative that reached 3,075 community members in 5 urban municipalities in Conakry, 300 people in Forécariah, and 200 people in Coyah. o Organized soccer match in Kouroussa prefecture in coordination with prefectural officials and field partners (Guinean Red Cross, WHO, CERADE, CENAFOD), during which 4,300 spectators were exposed to Ebola awareness messages. o Ninety talks & sensitization sessions were carried out in the prefectures of Kouroussa, Beyla and Conakry, reaching 13,795 people. o Radio programs were developed and broadcasts 22 times in the prefectures of Conakry, Kouroussa and Beyla, reaching an estimated 47,200 adults and 6,000 children. • Sensitization for civil society groups and CHW associations o Conducted a series of focus groups with 463 members of the civil society of Dixinn-Conakry, including: community leaders, religious leaders, and representatives of women's and youth associations o Conducted an EVD training for 233 members of 67 civil society associations and 2 police brigades • Contact-tracing and surveillance in affected sub-prefectures o Conducted a two-day training on contact-tracing and surveillance for 710 community members in Beyla, Conakry, Kouroussa. Participants included pharmacists, medical street vendors, health care workers from private clinics, traditional healers, and religious leaders, o Conducted trainined for 100 private care providers from 50 private health clinics that are not registered with the MOH. o Provided support to the local DPS office supervising community health workers engaged in EVD surveillance. • Coordination & technical support to the Direction Prefectural de la Santé (DPS) to help manage the EVD response at prefecture level o Participated in coordination meetings at the prefectural level. 5 | Page INTRODUCTION The Maternal and Child Survival Program (MCSP) is a global U.S. Agency for International Development (USAID) cooperative agreement to introduce and support high-impact health interventions in 24 priority countries with the ultimate goal of ending preventable maternal and child deaths (EPMCD) within a generation. The Maternal and Child Survival Program 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. Under this activity, MCSP interventions build on the development of local training capacity among healthcare 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 healthcare providers to translate new skills into ongoing practice at their worksites. In order to contribute to the response to the current Ebola Viral Disease (EVD) epidemic in Guinea and the severe effects on health services, including increased risks for healthcare providers, USAID requested MCSP to develop a workplan to address