Traced as a contact or taken to a case management

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traced as a contact or taken to a case management facility, fearful of what may happen” (MSF, 2014b). Addressing the key factors propagating the spread of this disease should be given priority attention; however, it is important to note that there is no panacea. A combined strategy of intensifying contact tracing to remove infected individuals from the general population and placing them in a setting that can provide both isolation and dedicated care has proved effective. It requires that holding or treatment centres have the necessary supplies, basic facilities and trained personnel. The successful containment in DRC, Mali, Nigeria and Senegal is positive, showing that the disease can be stopped if a country is adequately prepared from the outset. The fact that a densely populated country such as Nigeria could bring EVD under control in a very short time offers encouragement to other developing countries. Some innovations in these countries offer some good lessons to other countries. In these countries, the high-level of alert is a major feature of the response action. Providing means of transportation such as motorcycles, canoes, communications equipment such as satellite phones for EVD investigations and contact tracing, as well as leadership that demonstrates a high level of concern for the affected population have contributed significantly to the success in containing the disease in the DRC. The use of medical students trained in epidemiology to rapid increase the number of contact tracers is one of the drivers of success in Mali. Unique lessons learned can be drawn from Nigerian and Senegal experiences. Collaboration among stakeholders, coordination between government and development partners, high-quality laboratories, the setting up of separate emergency centres outside the health facilities, massive public information campaigns and effective contract tracing made it possible for Nigeria and Senegal to tame EVD. (See box 1 for key drivers of success in Nigeria.) Key lessons drawn from the field underscore the importance of: dealing with the psychological factors that must be combated through better communication and improved trust between populations and care organizations; improving coordination between government and non-governmental organizations (NGOs), development partners and the private sector; improving the quantity, coverage and quality of the health systems; SOCIO-ECONOMIC IMPACT OF EBOLA VIRUS DISEASE IN WEST AFRICAN COUNTRIES
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22 learning from the experiences of countries that succeeded in containing the epidemic. The rapid responses from Senegal and Nigeria are positive lessons learned. In these countries, there were competent and relatively adequate health personnel, decentralized health systems, community engagement and strong leadership commitment. Box 1 presents some of the success factors for Nigeria’s containment of the EVD; developing a long-term plan of how to address some of the behavioural and cultural issues that aided the spread of the disease;
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  • Fall '19
  • West Africa

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