Lassa Fever Prevention Project - Wash...Evidence-based Lassa Fever Prevention and Integration into...
Transcript of Lassa Fever Prevention Project - Wash...Evidence-based Lassa Fever Prevention and Integration into...
Evidence-based Lassa Fever Prevention
Kenema Government Hospital Tulane University
Lina Moses, PhD MSPH Field Director
Tulane University Lassa Fever Program
WF 015
• Project Start: 14 August 2012 • Project End: 31 July 2014
• Partners: – Tulane University – MOHS, Kenema Government Hospital – GOAL—sanitation marketing
• £199,781 WASH Facility, supplemental funds from Tulane
• Location: rural, Kenema, Bo, Kailuahun districts
• WF Themes – Capacity building in the WASH Sector – Small-scale pilot projects – Research, advocacy & sector learning
Evidence-based Lassa Fever Prevention and Integration into Kenema WASH Programmes
Lassa Fever • Fever, aches and pains, bleeding, shock • Case fatality rates can be over 69% of
hospitalized cases • Endemic to Sierra Leone, Liberia,
Guinea and Nigeria • KGH is only health facility for diagnosis
and treatment in Mano River Union • Mastomys natalensis
– Most common native rat in Africa – Found near human activity – Spreads many diseases
• Lassa virus transmission – Butchering rodents – Urine contaminated food, water, surfaces
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Lassa Fever in Sierra Leone
When we look for Lassa Fever in Sierra Leone, we find it.
Lassa Fever Across the West African Sub-Region
There is no formal Lassa Fever program anywhere in the world at the community level except the WASH Facility project
Lassa Fever is a rodent control problem Lassa Fever is a community hygiene problem
Lassa Fever Prevention
1. Rodent control intervention trial 2. Social marketing assessment 3. Crosslinking with WASH sector 4. Sanitation marketing pilot 5. Production of LF Prevention Toolkit for
MOHS, IPs
Rodent Control Intervention Trial 20 communities
Extermination
5 Villages
Exclusion
5 Villages
Hygiene
5 Villages 5 Villages—no intervention
Social Market Assessment • Consumer-focused (demand) assessment
– 8 communities from the Intervention Trial, two naïve communities in Kenema, two communities in non-endemic area
• Surveys • Focus groups • Interviews
• Supply assessment – Supply chain (large towns to small villages) – Costs – Motivation to sell
• Review and recommendations for IEC materials, San Mak promotional materials
• Input into Lassa Prevention Toolkit • April-May 2014
Sanitation Marketing Pilot
• Development of new products for rodent control
• Marketing of products
• Use of existing GOAL supply channels to produce and distribute rodent control products
• Monitoring uptake of messaging, rodent control products in GOAL target communities
Sanitation Marketing Pilot Development of new products for rodent control
125,000 Le
Sanitation Marketing Pilot Development of new products for rodent control
55,000 Le
Other products: Concrete thresholds To be launched at GOAL demonstration sites
Sanitation Marketing Pilot Marketing of products
• Radio talk shows • 2-minute jingles • A3 posters • Billboards
Sanitation Marketing Pilot
• Use of existing GOAL supply channels to produce and distribute rodent control products – March/April – Utilization of GOAL sanitation suppliers – Possibility of targeting peddlers and shops
• Monitoring uptake of messaging, rodent control products in GOAL target communities – May
Production of LF Prevention Toolkit for MOHS, IPs
1. Rodent control intervention trial 2. Social marketing assessment 3. Crosslinking with WASH sector 4. Sanitation marketing pilot
TOOLKIT June/July
Site Visit
NEKABO
MALEH