National Ebola Response Centre 3 day campaign effectiveness National & Priority District

Note on the data Please note that in what follows, the graphs on 117 call volumes have been produced using data provided by 117. The NERC wishes to thank the 117 team for sharing this. The % increases shown on the graphs in this pack may differ from those show in data packs produced by 117. This is because 117 are tracking percentage increases in call volume week on week, whereas this pack compares this week’s call volumes to the average of the previous 3 week’s volumes. The data used is identical.

3 objectives of analysis What did we do?What were the results? Social mobilization efforts Radio and Television appearances SLAJ campaigns House to house campaigns Community task force to engage homes Health workers to identify sick One bar of soap for each home Active case finding Searching in high transmission districts for new cases Has social mobilization led to people engaging more with the response? 117 Calls Passive alerts EVD deaths Walk - ins Did we find more sick people and screen them for EVD? Active alerts People meeting case definition Suspect cases tested Did we find more EVD cases? Number of cases Source of cases

National Picture Did the campaign lead to people engaging more with the response?

1 Social mobilization The number of calls and alerts during the 3-day campaign increased drastically compared to previous 3 weeks indicating better community engagement National

Did the campaign lead to people engaging more with the response? 1 Social mobilization Only 2 cases came from deaths in the community. This is not a reduction in % compared to previous weeks, but is a small number. Back National

National Picture Did we find more sick people and bring them into the system?

2 Finding sick people The number of alerts raised by response staff increased nationally over the campaign which indicates Ebola response teams were able to identify additional sick people Back National

Did we find more sick people and screen them for EVD 2 Finding sick people The number of suspect cases being tested increased slightly compared with previous weeks. Back National Note: # of suspect cases tested serve as a proxy for the number of people found that meet the case definition. However, these numbers will differ so it should only be used to assess trend over time. Some lab tests may also be for repeat tests for those already found before the campaign

National Picture Did we find more people with EVD?

Summary of active case finding 3 Active case finding Overall, 10 cases were discovered during the campaign Back National

Western Area

Has the campaign led to people engaging more with the response? 1 Social mobilization There was a considerable increase in calls to 117 from members of the public and in the number of alerts from the public recorded by the DERC Back Western Area

Has the campaign led to people engaging more with the response? 1 Social mobilization There was a very large drop in walk ins that met the case definition. This is likely to be due to being forced to stay at home, but it is reassuring that ambulance activity also went up over the 3 days, meaning that people didn’t stay sick in their homes. Western Area

Did we find more sick people and screen them for EVD 2 Finding sick people The number of calls to 117 from response staff doubled compared with previous weeks. The Western Area were very successful in finding a large number of people that met the case definition, again more than doubling previous weeks. This suggests that case finding activities were well executed. Western Area

Bombali

Has the campaign led to people engaging more with the response? 1 Social mobilization There was a large increase in calls to 117 from members of the public, and very large increase in alerts from the public recorded by the command centre which suggests that social mobilisation has encouraged people to call 117 for the right kinds of cases (those that appear to have EVD symptoms) Back Bombali

Did we find more sick people and bring them into the system 2 Finding sick people Response staff, however, were less active in calling alerts through to 117, as shown by the fairly small increase in call volumes from response team members. Back Bombali

Did we find more sick people and screen them for EVD 2 Finding sick people Given high activity from members of the public, there was an increase in the numbers of suspect cases who were tested as a result of the campaign. Back Bombali Note: # of suspect cases tested serve as a proxy for the number of people found that meet the case definition. However, these numbers will differ so it should only be used to assess trend over time. Some lab tests may also be for repeat tests for those already found before the campaign

Port Loko

Has the campaign led to people engaging more with the response? 1 Social mobilization There was some increase in 117 calls from the public, but not as large as in other districts. Few of the calls resulted in alerts that were worthy of a DSO follow up, implying that most of the calls were about people without EVD symptoms Back Port Loko

Did we find more sick people and bring them into the system 2 Finding sick people Over the 3-day campaign, there was a large increase in calls from response staff ….. Back Port Loko

Did we find more sick people and bring them into the system 2 Finding sick people …. but this did not lead to much of an increase in the number of people found meeting the case definition compared with previous weeks. Back Port Loko Note: # of suspect cases tested serve as a proxy for the number of people found that meet the case definition. However, these numbers will differ so it should only be used to assess trend over time. Some lab tests may also be for repeat tests for those already found before the campaign

Kambia

Did the campaign lead to people engaging more with the response? 1 Social mobilization There was a sizeable increase in calls to the public Back Overall, walk-ins dropped as a result of campaign by 40% compared with the previous 3 weeks. Kambia

Did we find more sick people and bring them into the system 2 Suspect screening The number of alerts from response staff increased considerably which indicates Ebola response teams were able to identify additional sick people, but relatively few of those met the case definition in Kambia. Back Kambia

Summary of impacts in each district Western: very strong impacts on both community reporting of cases and on response staff activity which resulted in bringing a large number of people meeting the case definition into the system. This indicates strong surveillance performance. Kambia: Good at galvanising the community, lots of alerts raised for sick people by response staff, but found relatively few people that had EVD symptoms. Port Loko: some signs of increased engagement by public, and lots of activity by response staff, but it didn’t lead to finding more people with EVD-like symptoms. Bombali: Social mobilisation encouraged community to call in alerts and to do so for the right kinds of cases, but response staff were not very active and there wasn’t a big increase in the number of people found with EVD-like symptoms compared with previous weeks. This suggests that surveillance and active case finding could have been stronger during the campaign.