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 Guinea Ebola Response Plan II: End of Project Report 3 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 Guinea Ebola Response Plan II: End of Project Report 4 List of Tables and Figures Fdfdf Ds Dsds Guinea Ebola Response Plan II: End of Project Report 5 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) Guinea Ebola Response Plan II: End of Project Report 6 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 Guinea Ebola Response Plan II: End of Project Report 7 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) Guinea Ebola Response Plan II: End of Project Report 8 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),