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Ebola and Health Systems Strengthening in Rural Liberia. Ebola and Health Systems Strengthening in Rural Liberia. Subarna Mukherjee, RN, MSN Community Health Systems Technical Adviser. Last Mile Health saves lives in the world’s most remote villages.
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Ebola and Health Systems Strengthening in Rural Liberia Ebola and Health Systems Strengthening in Rural Liberia Subarna Mukherjee, RN, MSN Community Health Systems Technical Adviser
Last Mile Health saves lives in the world’s most remote villages …by giving community health workers the training, supervision, equipment and incentives they need to perform.
WHAT WE DO? ADULT DEATH- HIV/AIDS, TB, HTN UNDER 5 DEATH Neonatal sepsis, Pneumonia, Malaria, Diarrhea, Malnutrition MATERNAL DEATH- Hemorrhage, Sepsis
INTEGRATING EBOLA RESPONSE • Scale our FHW model • Prioritize Ebola response activities • No touch diagnosis and treatment • Link FHWs with ETUs
Recommendations to keep FHWs safe from Ebola and Ebola-related violence • Education and training 2. No- touch services i.e. Maintain distance of 2 arms length, outdoor visits 3. Weekly supervision
Recommendation to support FHWs- • Budget for routine supervision • Supervision structures • Financial Incentives • Community Engagement • Linkages to overall public health system- http://www.nytimes.com/2014/10/21/opinion/fighting-ebola-and-the-mud-.html?_r=0