Liberia s Presentation At the. Global Ebola Vaccine Implementation Team (GEVIT) Regional Workshop October 27-29, 2015 Geneva, Switzerland

Transcription

1 Liberia s Presentation At the Global Ebola Vaccine Implementation Team (GEVIT) Regional Workshop October 27-29, 2015 Geneva, Switzerland

2 Presentation Structure List of participants from Liberia Background Ebola Virus Disease Outbreak: o Chronology/Epi-curve Surveillance: o Structure and reporting flow o Potential for Monitoring the impact and safety of an Ebola vaccine Communication & Social Mobilization Challenges Recommendations

3 Participants from Liberia MOH 1. Adolphus T. Clarke 2. Roseline N. George 3. Rev. John Sumo WHO 1. Dr. Zakari Wambai 2. Roland Tuopileyi 3. Hermann TCHIYANE LMHRA 1. James D.K. Goteh UNICEF 1. Soumitra Roy

4 2015 Projected Population: 4,021,018 Land area: 112,000sq km Administrative subunits: Counties: 15 Health Districts: 91 Admin districts: 136 EBOLA outbreak 10,666suspected, probable & confirmed cases. 4,806 deaths-45% mortality rate 192health worker deaths of the 378infected Background Basic Demographic & Health Indices Annual Growth Rate 2.1% Proportion <1yr 4% <5yrs 17% <15yrs 45% WCBA 18.4% Preg. 4.6% Life Expectance years 57.9 Infant Mortality Rate 54/1000 Under Five Mortality Rate 94/1000 Maternal Morality Rate 1072/100,000 Stunting prevalence in children <5 years of age 32% Population with access to safe drinking water 73% Pop. with access to safe excreta disposal means 45% Antenatal care received at clinics 93.6% Deliveries attended by skilled personnel 56% HIV prevalence in general population 1.9% Source: (National Census 2008/LDHS 2013)

5 EVD outbreak in Liberia

6 Surveillance Structure

7 Enhance d IDSR Structur e

8 Structure for Pharmacovigilance National Immunization Programme National Public Health Programmes in MoH

9 Harmonized Structure for Ebola Vaccine impact and safety monitoring Present Future Pharmacovigilance Pharmacovigilance IDSR/enhanced Surveillance IDSR/enhanced Surveillance VPD/AEFI Surveillance. VPD/AEFI Surveillance.

10 Proposed actions for Monitoring of Ebola Vaccine Impact & Safety In order to closely monitor the impact of Ebola Vaccine using existing surveillance structures, the below tasks will be carried out: Develop standardize monitoring guide/tools inclusive of AEFI monitoring for EVD vaccine Use existing structure to follow-up vaccinee(s) receiving the Ebola vaccine through the below: o Establishment of a detail data base for all those on the Ebola vaccine; o Mobile Phone Daily phone call to vaccinee(s) on the Ebola vaccine; o Visitation Bi-weekly visitation by general community health volunteers (gchvs) to assess vaccinee(s) health status in relation to the Ebola vaccine using standardized assessment tool.

11 Social Mobilization and Communication Engagement EVD transmission provoked high and large scale spreading of rumors that transformed from time to time KAP Survey showed: high awareness about the existence of the disease low knowledge on mode of transmission Which led to the perception that any injectable vaccines were vehicle for EVD transmission Hence, individual or community hesitancy and refusal against vaccination especially EVD vaccination is very critical Distrust in the health system worsened with the emergence of EVD in the country

12 POTENTIAL CHALLENGES Skepticism and Misconception about new EVD vaccine Individual or Block / Community resistance and refusal toward vaccination services. Poor coordination between PREVAIL and MOH Lack of cold chain capacity for Ebola vaccine storage Capacity building o Adverse Drug Reaction (ADR) MISCONCEPTIONS/RUMOR ABOUT ROUTINE VACCINES & EVD TRIAL VACCINE Ebola is gone but government is using it to get rich New ETUs empty, the Government is looking for people to fill them. Ebola virus injected into vaccines to infect children vaccine is intended to increase the death toll among children since Ebola is now finished Health workers are the ones manufacturing Ebola Ebola will spread among students when school open

13 RECOMMENDATIONS FOR MITIGATION MoH and other key partners to hold consultative meeting with PREVAIL to improve the coordination; Intensify community engagement: Construction of cold store facility; and Capacity building Rumor tracking and prompt modifications in messaging will play an important role U Reporting to be used proactively Continued involvement of community,religious and traditional leaders and Chiefs is critical in transforming the perceptions of the people An informed implementation and communities involvement in decision making existing social mobilization network will be highly useful Continue usage of FM and local radio stations is strategic in reaching out to the communities Continuum of care in an affordable manner is critical for regaining community confidence in health systems

14 E-mama(Thank You)!!!!!!