Re: Capacity and chiefdom by chiefdom information
I've been in touch with outreach community sensitisation workers in two chiefdoms, Lei and Sandoh, who report very low anti-ebola health capacity. They will get back to me with details. I have asked for them and their colleagues stationed in other chiefdoms by Arrested Development to provide the following capacity information for each section of the chiefdoms they are stationed in:
The health staff capacity for each section.
Also each section of each chiefdom's capability in the following for ebola:
1) triage,
2) isolation,
3) taking blood, protected by 4) PPE
5) oral rehydration
6) intravenous rehydration
7) paracetamol
8) decontamination
9) safe transport to Koidu with PPE
10) safe burial teams using
11) double sealed body bags
12) full community sensitisation and community have adjusted habits to avoid infection.
any other indicators of capacity
If you all can communicate with your contacts for the above information and feed this back regularly we can build up an accurate independent picture of the actualities on the ground. This will help us all in our campaign and lobbying efforts wherever we are. And will help us all to direct our efforts where they are needed the most.
Re: PPE
I thought since our government and NGO's still have not equipped every PHC unit and every nurse and burial team in all sections of all chiefdoms, perhaps we could launch an appeal, purchase and send our own by airfrieght. I believe the NGO's are about to take care of Koidu so I had the idea we could perhaps concentrate on rural areas which they tend to neglect.
I also wanted to find out if what I have been hearing from various sources; ie that there is a world shortage of PPE equipment, is true. If it is not we could lobby for all PHC units and burial teams to be supplied.
I decided to investigate online and also called a couple of companies.
The kits I found include the following WITHOUT plastic apron or heavy gloves, and are supposed to be disposable.
1 x CE Category 3, Types 3, 4, 5 & 6 disposable coverall
1 x FFP3 face mask
1 x set of goggles
4 x lightweight nitrile gloves (2 pairs for double layer system)
1 x pair overshoes
1 x clinical waste disposal bag
2 x hand wipes
1 x illustrated instructions
My first findng was the prices I've been receiving for full kits seem to be very high.
Smartway Pharmaceuticals list price was £49.95 inc vat. After speaking to them they were able to offer for £35 ex vat with overseas invoice address, but only had 5 in stock, their soonest availablity for any more was the end of January 2015.
GV Health seemed to be a more professional organisation who may be supplying NHS. The identical kit was quoted to me for £83.30 ex vat per box of 5 kits which is £16.66 per kit for 10 to 20 boxes (ie 50 to 100 kits). For higher quantities the prices could be negotiated further. Their delivery date if ordered now was the first week in January (ie 2-3weeks) , because it seems they actually compile the separate components to make up the kits. GV Health also do kits for safe cleaning of bodily fluid spills. http://www.gvhealth.com/infection-control/ppe-kits.html
I feel with further investigations by our members and appeals to the NHS we could get hold of these kits cheaper or for nothing. Our selling point is we can ensure direct delivery to PHC's in every section of Kono to ensure they are equipped, then all they will need is training in use and infection prevention protocols. I believe the NGO's are already in the best position to do healthcare worker training which is ongoing , so the weak link is PPE availability (we should also approach SLUKDERT formally and request from their 10 containers).
Launching an appeal where someone knows that every penny they give will go to buy a tangible beneficial object like a PPE kit is a potentially very popular strategy, everybody everywhere is already sold on the urgent need for PPE, and everyone likes to know what exactly their money is spent on and where exactly it is going. We can do that, point to each geographical region of Kono and assure direct delivery. What makes it even more popular is we can now give people a cost figure and tell them that each one costs £16.66 (or maybe less if everyone conducts their own investigations and gets back to us).
We're very close to Christmas, although its been cancelled in Sierra Leone, what better appeal than to ask everyone to buy one less present and instead buy a ppe kit, which will be delivered to village PHC's to prepare them and help save healthcare workers lives?
Please feed back your findings, both on chiefdoms status on the above points and on your PPE investigations.
