1. Presentation on Projects 1 & 2, Basic FETP, Liberia
Prepared by
Thompson J. Bainbo
Yarwin mehnsonnoh
Nimba County

2. Acknowledgment I will like to acknowledge Ministry of Health AFENET
Emory University
US CDC
WHO
My mentors (Drs Justin and Peter)

3. Expanded Weekly Report, Week 31- 42

4. Summary During the weeks under review:
Mehnla and Zekepa Clinics reported on time
Whilekwendin Clinic reported late, wks 31 and 32
All health facilities had zero reporting 
All blood specimen collected for EVD were negative
Results from blood specimen for measles cases is still pending

5. Fig 1: Table of Timeliness and Completeness of reporting, week 31-42, Mehnsonnoh District, Nimba County
Health Facility
WK 31
WK 32
WK 33
WK 34
WK 35
WK 36
WK 37
WK 38
WK 39
WK 40
WK 41
WK 42
% of Timeliness WK 31-42
% of Completeness WK 31-42
Kwendin clinic L T
83%
100%
Mehnla
clinic
Zekepa
Legend
This week
On Time T
Late L
NO REPORT RECEIVED NR
% Cumulative
>=80%
>=50_79.9% ON TIME
<50% on time

6. Fig 2: Priority Disease Reports Week 31-42, 2015 Mehnsonnoh District, Nimba County.
Cumulative Week
Cases
Death
Case fatality Rate %
Acute watery diarrhea (AWD) 6 0%
Bloody diarrhea
Measles
Meningitis
Human Rabies
Neonatal Tetanus
Yellow fever
Supested EVD 40 3
7.5%
Cholera
Lassa fever
AFP
Maternal Death
Neonatal death 1

7. Timeliness And Completeness of Reporting, Week 31-42, 2015 Mehnsonnoh District, Nimba County
Health Facilities

8. Trend of Suspected EVD Cases And Deaths, Week 31-42, 2015 Mehnsonnoh District, Nimba County
No of Cases
Week

9. Epicurve of Measles Outbreak September 2015, Kaynepea, Mehnsonnoh District, Nimba County
No of Cases
Date of Onset

10. Project 2 Surveillance Communication Problem Analysis

11. Introduction
Communication in Surveillance system is the flow of information from one level to another level
Poor communication in surveillance system prevents the flow of information
To have effective surveillance system, there must be good communication system in Yarwin Mehnsonnoh District
Therefore, this study was conducted to analyze communication problems in Yarwin Mehnsonnoh District

12. Method
Study Location
Yarwin Mehsonnoh district has borders with Bong, Grand Bassa and Rivercess and a population of 33,251
Has only 3 health facilities
This analysis was done by using fish bone, critical cause analysis and health workers interview
Fish bone can be used to analyze surveillance problems
it consist of cause and effect diagram
critical cause consists of categorizing problem into three categories:
totally within your control to improve (T)
partially within your control (P), not in your control (N)

13. The Results

14. poor monitoring T Surveillance communication cause and effect Diagram
Staff
Logistics
Poor transportation system P
Staff attitude (P)
In adequate training(p)
No internet services N
No coordination(P)
No HVF based radio N
Poor monitoring
No VHF Radio
Surveillance communication problem
Lack of supervision(P)
poor monitoring T
Focal person T
Bad road condition N
Staff behaviour P
Traditional healer, gCHVs T
LEGEND
T- Totally under your control
P- Partially under your control
N- Not under your control
Belief and tradition P
Administration
Target Population

15. Recommendations
MOH should install HVF base radios to all health facilities
To encourage surveillance focus persons to find location of cell phone network
On job training for health facilities staff on the important of surveillance communication.
CHT to install VHF base radio to 2 health facilities
DSO to encourage focal persons to find coverage area to call
DSO to provide case base forms