Health systems in resource-limited settings may not be prepared to provide specialty and sub-specialty services to survivors after an outbreak, and it may be necessary to improve specific aspects of service delivery within the public health system.
Provision of Services
Priorities and Lessons Learned
In Sierra Leone, integrating Clinical Training Officers and Referral Coordinators within the existing health structures of service delivery and management has strengthened their mandate and benefited other categories of vulnerable groups.
Related Journal Article(s)
Harvard School of Public Health, JSI, and the Liberia MOH conducted interviews with 108 respondents to EVD in Liberia. They found that resilience improved more when prioritized by global and national actors compared to community leaders and local health actors. They concluded that full resilience has not yet been achieved and will take sustained collaboration across these sectors.
Tools and Training Materials
This is an orientation for frontline health workers on providing appropriate and respectful care for EVD survivors; the curriculum takes three days to complete.
These tools are intended to supplement the above training and be used at health centers where EVD survivors are being treated. Tools include assessments for county or district health teams and clinicians, as well as a patient exit interview template and materials checklist.
Curriculum de formation des prestataires de soins pour le traitement des manifestations cliniques post-Ebola des guéris, développé par le Ministère de la Santé et projet APC (mise à jour : Mai 2018).
National Guidelines and Policies
MOH Guidelines for health care for Ebola virus disease survivors (updated September 2016).
MOH Guidelines for health care for EVD survivors (updated April 2016).
Guinea’s national policy on surveillance of its Ebola survivors, January 2016 through July 2018.
La politique nationale de surveillance des guéris d’Ebola en Guinée, Janvier 2016 au July 2018.