Together with Médecins Sans Frontières‎ and the World Health Organisation, we hosting a two day conference on the global response to Ebola. By pulling together and sharing the collective knowledge, we're working hard to ensure that, as a team, we have a head start on any future epidemics This presentation was by Fatouma Mabeye

1. “Non-Ebola health facilities, IPC and standards
“
Working together to improve Health
What are the key challenges and what will we do differently in the next outbreak?”
Working together to improve Health

2. “Non-Ebola health facilities, IPC and
standards
I.1 Definition
IPC standards
is Infection – Prevention – Control by International Standard precautions (every health
worker, for every day, for every patient) to avoid the spread of infection in no Ebola Health
facilities.

3. I.2- Standard Precautions Key components
To prevent the spread of infection, you should always do the
following:
- Practice good Hand Hygiene (at all times)
- Wear appropriate PPE
- Practice good respiratory Hygiene
- Conduct environmental cleaning and disinfection
- Properly dispose of waste
- Disinfect patient care equipment
- Practice sharp safety

4. I.3- Standard Precautions in a facility
• Screening
• Prevention of overcrowding
• Regular training of Health care workers (HCWs) on IPC
• Health care facility infrastructure
• Ventilation
• Separation of beds
• Patient placement (Wet patient to wet patient and dry to
dry).
• IPC supplies (e.g. PPE, Hand washing stations)

5. II. What could be the IPC Standard precautions in no Ebola
Health facilities
II. 1 Triage and isolation Units
• Constructions of Triage and isolation Units or having
existing structure and adapt it.
II. 1-1 In triage area
• Screening
• Thermometer / Thermoflash
• PPE (Personal protective Equipment)
• Hand washing stations
II. 1- 2 In isolation Units;
• Patients’ beds
• Disinfection materials (mop bucket, mop, broom, sprayer
can, garbage bin, sharp safety box)

6. • 3 kind of buckets (vomiting bucket, diarrhoea, trash bucket)
• Bathroom / Toilet
• Hand washing station
• Need of towel for patients
• Nursing station with drugs.
II. 2- Water supply and Sanitation in place
II. 3- Electricity
II. 4- Donning and Doffing
• Hand washing station, mirrors, footbath, sprayer can,
buckets 100 l for waste/ garbage bin, clock
• In addition in donning there is wearing materials and the
pharmacy.
• In doffing there is bucket for reusable materials

7. II. 5- Medical materials
• Thermoflash, examination gloves, Light PPE, masks,
Googles/ face shields,
• Sharp safety boxes (use syringes, needles, scalpels, broken
glass, ampoules and vials, Iv cannulas, lancets)
II. 6- PPE materials
• Risk appropriate PPE
• The materials of PPE are (Gloves, Googles, masks,
Gumboots’, guns, Apron, face shields, Hair cover, hoods,
scrub suits,).
II. 7- Materials of IPC like
• Hand washing buckets at all points, entrance, patients care,
toilets, isolation donning and doffing, General Exit.
• Bath soap, chlorine, Hand sanitizer,

8. II. 8- IPC Waste management
• Garbage bins to all points with hazard bags inside Cover
with top
• Places for garbage bins: Entrance – Exit, patient care,
donning and doffing
• Wheelbarrow, waste buckets Incinerators (model or local
incinerator or burn pit
• Sharp safety boxes

9. Kolahun / Lofa County - Liberia triage and Isolation
Unit

10. III. The main Challenges
• Water supply
• Electricity in rural settings
• Road networks including transportation
• Communication
• Materials supplies, (overuse, misuses, distances for supply)
• Maintenance of these materials for those who are in facilities
• Implementation (sometimes the staffs didn’t use properly
the materials)
• Cross borders security
• Coordination between suppliers and staffs (are they doing
according to the way they are trained?) and at all levels.
• Acceptability because in some facilities they may think you
can bringing back Ebola
• Land space ( for the triage and isolation Units in the Health
facilities)

11. IV. What we can do better
• We have to work on all the parts above to have better and
safe health Facilities and improve population and patients
conditions
• Improvement of Health facilities supervision in rural areas
• Following and regular update of SOPS Conduct more
refresher trainings and simulations among staffs
• Supply materials regularly
• Monitor and evaluate regularly the general Health situation
• Support the Country on road, water supply and electricity
in rural areas to improve population conditions and good
health care delivery
• More support to NGOs and MoH to support the Country
• In summary, improvement on the Liberia Country
development.

12. Many Thanks