As
you may know, Ola During Children’s Hospital (ODCH) stopped admitting
patients on the 18th of August, when a child that had spent several
days on the emergency ward was suspected of having Ebola after the caregivers
finally gave the correct history. This patient tested positive. Unfortunately,
caregivers frequently hold back information for fear of their child having
Ebola, leading to challenges with identification and appropriate isolation of
potential cases. Sadly, this breach of protocol on this occasion meant that
multiple patients, their families, and the health workers tending to them were
exposed to Ebola. The closure of ODCH’s inpatient wards has inevitably had
terrible consequences for children seeking care for any number of potentially
life-threatening conditions. The consequences of the Ebola outbreak for
pregnant women are equally as bad, as women end up giving birth at home for
fear of catching Ebola if they deliver in a health facility or because they
cannot access health care services because health staff are placed at high risk without
proper protective equipment to allow them to safely conduct deliveries or
c-sections.
Currently, the ODCH management, Ministry representatives and
partners are working to find a way to reopen the hospital in a manner that will
ensure the safety of staff and patients. We are committed to supporting them in
that process.
In recent days and weeks, the Welbodi Partnership has had
multiple conversations both internally and with ODCH regarding how best we can
support them to mitigate the effects of Ebola—including the ripple effects on
Sierra Leone’s already fragile health system and on the ability of women to
access services for safe labour and delivery and children to access care for
preventable and usually treatable conditions. We simply cannot know with certainty what will be needed a few
days from now, let alone months down the line, as Sierra Leone works to contain
and then recover from this outbreak. What we do know is that the principles by
which we have always operated—particularly the principles of partnership, and
our recognition that health facility staff are often the best judges of what
kinds of support they need—still hold during this emergency and its aftermath.
We are therefore raising an emergency fund to support
initiatives proposed and implemented by staff on the ground at ODCH and Princess
Christian Maternity Hospital (PCMH). We will also explore whether and how we
might open this to peripheral health unit (PHU) staff and community initiatives
in the Western Area. We will work with staff to develop and implement these
ideas, and will coordinate with the MOHS and with other NGO partners, particularly
those with expertise in Ebola prevention and control. We envision that these initiatives might
include efforts to train health personnel in infection control, provide
protective equipment, support the re-opening of ODCH, coordinate with other
NGOs in other parts of the country, or contribute to the ongoing operational
costs of a children’s isolation ward. In the long run, there will be a great
need for strengthening health systems and rebuilding trust in the health
facilities and among communities. (To read more from some of the Welbodi
directors about the links between Welbodi and weak healthcare systems, you can
click here
or here.)
We would be grateful for your support—whether by donating
funds or spreading the word. You can donate online here,
or contact us to find out how you can help.
Thank you.
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