Because the Ebola virus can persist in the body for many months, there is a need to monitor the health of Ebola survivors for at least 12 months after their recovery. Such activities can include semen testing and the use of “sentinel sites,” which provide a system for communicating survivor health data from the community to the national level. Information in this section includes an overview of Guinea’s national surveillance approach and guidance for Ebola survivors on semen testing.
Monitoring Health Status of Survivors
Priorities and Lessons Learned
Reflections
Guinea
Lessons learned from Guinea’s sentinel site approach to surveillance of Ebola survivors for preventing and containing future outbreaks and monitoring the health status of survivors.
Video
Guinea
Watch an interview with Guinea’s Director of National Health Security Agency, Dr. Sakoba Keita, discussing his perspectives on their country’s post-Ebola response strategy, including priority actions, benefits, challenges, gaps, best practices, and what could have been done differently.
Video
Guinea
Regarder une entrevue avec le Directeur Général de l’Agence Nationale de Sécurité Sanitaire de Guinée, Dr. Sakoba Keita, qui partage son point de vue sur la stratégie de Guinée post-Ebola, y compris les action prioritaires, les avantages, les défis, les écarts, les meilleurs pratiques, et les changements.
Report
Sierra Leone
The CPES program seeks to address challenges faced by Ebola virus disease (EVD) survivors through an integrated partnership approach between Government and development partners which strengthens service delivery to EVD survivors contributing to improving the overall survivors’ well-being.
Report
Sierra Leone
The CPES program has without any doubt responded to the needs to restore Ebola virus disease (EVD) survivors’ confidence in a country health system heavily disrupted by the outbreak; and ensured that their special needs were addressed in a timely and efficient manner.
Report
Guinea
L’épidémie de la maladie à virus Ebola qui a frappé la Guinée en 2014-2015 a été une crise qui avait gravement menacé le système de santé et l’économie du pays. Cette épidémie a été à la base de l’émergence de plusieurs problèmes médicaux, psychosociaux, socio-économiques et professionnels dans le pays.
Assessment
Guinea
Le programme ETP&SS vise à atteindre l’objectif de réduire le risque de nouvelles flambées d’Ebola en Guinée en appuyant le programme national de SA-Ceint. Il faut souligner ici que l’objectif principal de la SA-Ceint est de minimiser le risque de la résurgence de la maladie à virus Ebola à travers la surveillance active en ceinture des guéris d'Ebola soutenue par les communautés locales dans lesquelles vivent les guéris d’Ebola.
Assessment
Liberia
The assessments confirmed that survivors have sought primary treatment from health facilities when they first get sick, with more than 90 percent of both baseline and endline respondents reporting that they had received treatment at a health facility within the past six months (92.3 and 91.7 percent, respectively).
Stories and Interventions
Brief
Guinea
To prevent future EVD outbreaks through early detection and rapid response, APC and its grantee, International Medical Corps, supported the MOH of Guinea in creating an early warning system using a targeted sentinel site surveillance model. The surveillance program was designed to detect any increase in fevers or other symptoms in both Ebola survivors and their immediate contacts.
Brief
Guinea
Pour prévenir d’éventuelles épidémies de MVE grâce à une détection précoce et une riposte rapide, l’APC et le titulaire de la subvention, l’International Medical Corps, ont aidé le Ministère guinéen de la santé à créer un système d’alerte précoce utilisant un programme ciblé de surveillance des sites sentinelles. Le programme de surveillance vise à détecter toute montée de fièvre et d’autres symptômes ou maladies chez les survivants d’Ébola et leurs contacts immédiats.
Video
Guinea
Every week, Ebola survivors come together with health workers and other community members in Guinea's hard-hit Kindia Region. They are part of the district’s sentinel site committee, which monitors the health and well-being of the area’s Ebola survivors. To prevent a resurgence of Ebola, APC helped establish 60 sentinel sites across Guinea, which enable the Ministry of Health to monitor illnesses in the Ebola survivor community and beyond. The sentinel sites allow for early detection and rapid response in the event of a suspected case.
National Guidelines and Policies
Policy
Guinea
Guinea’s national policy on surveillance of its Ebola survivors, January 2016 through July 2018.
Policy
Guinea
La politique nationale de surveillance des guéris d’Ebola en Guinée, Janvier 2016 au July 2018.
Policy
Liberia
MOH Guidelines for health care for EVD survivors (updated April 2016).
Policy
Sierra Leone
MOH Guidelines for health care for Ebola virus disease survivors (updated September 2016).
Brochure
Sierra Leone
Informational brochure for Ebola survivors about the risks of transmission of Ebola through semen and other body fluids, based on WHO, NIH, and other research findings. Also includes information on how to access semen testing programs.
