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Ebola Health Action Team (E.H.A.T) Strengthening Health Care Capacities Duke Ebola Innovation Challenge Team: Sulzhan Bali | Ph.D. - MSc-GH, DGHI- India.

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Presentation on theme: "Ebola Health Action Team (E.H.A.T) Strengthening Health Care Capacities Duke Ebola Innovation Challenge Team: Sulzhan Bali | Ph.D. - MSc-GH, DGHI- India."— Presentation transcript:

1 Ebola Health Action Team (E.H.A.T) Strengthening Health Care Capacities Duke Ebola Innovation Challenge Team: Sulzhan Bali | Ph.D. - MSc-GH, DGHI- India Lyttleton Braima | B.Sc. Econ. - MIDP, Sanford School of Policy- Sierra Leone Bolun Li | BS Mathematics - MSc-GH, DGHI- China Lily Martyn | BA Epidemiology - MSc-GH, DGHI- USA Naman Pandey | B.Tech - IT, MS - Engg Mgmt, Pratt School of Engg- India Starling Shan | BA Intl Relations & Communications - MSc-GH, DGHI- China November 2, 2014

2 E.H.A.T - Strengthening Healthcare Workers Capacity Current Situation & Challenge Our Solution Healthcare Worker Shortage HCWs Protection HR Gap Lack of Incentive Community Stigma Key Facts People Deliver Health World Bank Estimation: another 5000 health care workers are needed in West Africa Controlling Ebola Outbreak Building Capacity for Future Outbreaks Increase Public Health Awareness Key Force HCWs E.H.A.T Ebola Healthcare-worker Action Training EHAT Training EHAT Certification EHAT training EHAT KIT Provides essential tools for field work

3 E.H.A.T. Training E.H.A.T. Kit How Will E.H.A.T. Work Increase the number of HCWs and build health system capacity in long-term 1)Recruit previously trained HCWs and community volunteers 2)Ensure 1 team (10-20 HCWs) per catchment (rural) or per zone (urban) 2)Provide 3 levels of certificate (monetary incentives for level 1 and career opportunities for level 3) 3)Train the team in standardized protocol and buddy system 4)Repeat the training every 6 month at designated community centers 1)Oral Rehydration Sachets (EHAT-ORS) 2)Pocket book in local language with standard protocols 3)Temperature Monitor (continuous temperature sensing with button for emergency and connected to analog phone) 4)Analog Phone 5)Hand Sanitizer Provide HCWs with inexpensive but essential tools for personal protection during delivery work

4 Why will EHAT succeed? Sustainable, Scalable, Cost-effective & Holistic Solution  Fill the gap of HCW shortage and address issues of recruitment, retention, and inequitable distribution of HCWS in Ebola stricken areas  Ensure access to medicine and tools; increase HCWs motivation with supplies Tools are inexpensive but essential  Hand Sanitizer (< $1)  Oral Rehydration Sachets (< $1)  Analog Phone (<$15)  Temperature Monitor ($6-$10)  Training in standard protocol for EHAT Kit usage and disease management can be duplicate at other community centers  Easy copy of 3 level of certificates with WHO support to gain international qualification  Reduce community stigma of Ebola and gain pride to be HCWs through spreading awareness by EHAT member from catchment  Training will provide HCWs with skills required to work as HCWs for other diseases like childhood infectious diseases, HIV, TB

5 Challenges Community applicability How can EHAT be customized to each country’s needs? Understanding the root & stigma of Ebola fear Are diagnostic capabilities available at PHU? Understanding the HCW shortage and HCW distribution in each country Partnerships, recruitment & retain of HCWs How can we strengthen public-private partnership? Our idea focuses on recruiting and retaining HCWs to build health systems capacity in the Ebola stricken areas Understanding these components in greater detail will help better adapt our design, integrate into the current healthcare structure, and effectively leverage healthcare workers.

6 Additional information- PPE & the EHAT Monitor Measures temperature Hypoallergenic clip 3d battery life Analog phone compatible, 15 USD Inexpensive: < 6-10 USD Source: Avantari, manufacturer Source: Personal communication with Avantari founder

7 Reflection Hard Work Different backgrounds, ONE attribute - on Halloween night, we gathered in the living room, costumed as community health workers, and came up with the ultimate solution for Ebola CHW. Collaboration It is never easy for a six-headed dragon to attack the same target, but once it does, the target will hardly escape – and our target is EBOLA! We conclude with a graph that suggests to you how to tame a six- headed dragon: basically you need three things – knowledge, hard work and collaboration. Knowledge We discussed like we were in a model stakeholders meeting, with perspectives from many sides; there are views from a politician, epidemiologist, technician, economist, business-minded woman, and journalist digging into/questioning all the ideas. Our explosion of ideas were well seasoned through rethinking, refining, and reflecting, eventually becoming the ultimate E.H.A.P strategy.

8 Thank you’s & Outtakes 1.Monitoring healthcare worker’s vitals by regular weekly checkups 2.Ebola Socks - Water resistant, Modeled on Leech Socks 3.Providing clean water in form of Water Packets to affected areas by government 4.Temperature monitoring watches 5.Shoes with anti-perspirant; Laundry bleach + foot powder 6.Troops and military for HCWs safety 7.Sending pictures to doctors for better treatment results

9 Appendix: Understanding the System PHU (primary health unit/peripheral health unit): lowest tier of health service delivery in rural areas: 1.Maternal and Child Health Post (MCHP): ideally should service 500 – 5,000 people in villages within a 3-mile radius 2.Community health post (CHP) should service about 5,000 – 10,000 people in villages within 5-mile radius 3.Community Health Center (CHC) should service about 10,000 – 30,000 people in villages within 5 – 10-mile radius CHC at chiefdom headquarters District hospitals are the main referral centers for the village and chiefdom level facilities. District Hospitals are Located in District Headquarter towns. ●In big towns and cities, target local council wards or divide the city/town into zones to ease operation (management and coordination). ●Private and faith based health clinics/health centers in big towns/cities. MCHP and CHP are at village level

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