An Ebola training facility set up by Doctors Without Borders in Kenya is a chance for health workers to prepare for one of the most complex emergencies they are ever likely to face.The outbreak in ššš©š®šš„š¢š ššš¦šØšš«ššš¢š of Congo (DRC) is the fastest growing ever, according to African health officials, and has claimed at least 600 lives since it was declared in mid-May.
ItĀ isĀ happeningĀ inĀ aĀ regionĀ plaguedĀ byĀ extremeĀ povertyĀ andĀ multipleĀ armedĀ groups,Ā whileĀ misinformationĀ aboutĀ theĀ diseaseĀ hasĀ ledĀ someĀ localsĀ toĀ avoidĀ treatment,Ā ignoreĀ safeguards,Ā andĀ evenĀ attackĀ healthĀ workers.HealthĀ workersĀ makeĀ upĀ 112Ā ofĀ theĀ 1,759Ā confirmedĀ casesĀ inĀ DRC,Ā andĀ 35Ā haveĀ died.ToĀ helpĀ prepareĀ forĀ thisĀ extremelyĀ challengingĀ environment,Ā globalĀ charityĀ DoctorsĀ WithoutĀ BordersĀ (knownĀ byĀ itsĀ FrenchĀ acronymĀ MSF)Ā hasĀ setĀ upĀ aĀ trainingĀ centreĀ onĀ theĀ outskirtsĀ ofĀ Nairobi.
Equipped with beds, mannequins, a mock laboratory, and protective gear, the simulation centre prepares doctors, nurses, and clinicians for deployments in DRC, or from regional countries at risk from the spreading disease.”Often, you come from a hospital and a university, you have knowledge and you think you can handle it,” said one of the trainees, Cisse Papa Ndiaga, 43, an MSF community health worker from Senegal, soon to be deployed in DRC.
“ButĀ onceĀ you’reĀ inĀ PPEĀ (personalĀ protectiveĀ equipment),Ā it’sĀ aĀ differentĀ story,”Ā heĀ said-Ā CommunityĀ engagementĀ -TraineesĀ learnĀ howĀ toĀ dealĀ withĀ theĀ communityĀ —Ā whoĀ areĀ oftenĀ scaredĀ byĀ theĀ suddenĀ influxĀ ofĀ healthĀ workersĀ inĀ fullĀ protectiveĀ gearĀ —Ā asĀ wellĀ asĀ howĀ toĀ conductĀ safeĀ funerals,Ā andĀ preventĀ theĀ stigmatisationĀ ofĀ thoseĀ whoĀ haveĀ recovered.
“We need to put more attention on the acceptance of these centres in the communities –it’s something so bizarre for a community to see people dress the way that we’re dressed,” said Diana Corben, 37, a doctor with MSF’s mission in Central African Republic.
“OneĀ ofĀ theĀ keyĀ thingsĀ isĀ toĀ beĀ ableĀ toĀ getĀ theĀ communitiesĀ toĀ engage,Ā toĀ understand.Ā ButĀ alsoĀ toĀ makeĀ sureĀ thatĀ weĀ haveĀ empathyĀ andĀ we…Ā takeĀ theĀ timeĀ toĀ sensitiseĀ them,”Ā sheĀ added.ItĀ isĀ alsoĀ aboutĀ knowingĀ yourĀ ownĀ limits,Ā saidĀ Corben.”WeĀ needĀ toĀ beĀ veryĀ muchĀ awareĀ ofĀ howĀ muchĀ weĀ canĀ tolerate…Ā whatĀ we’reĀ goingĀ toĀ beĀ putĀ through,”Ā sheĀ said.
“This is a simulation… the reality is going to be that much more intense.”The centre began training in mid-June, and is running through to August and perhaps beyond, training around 100 people per month.
Most have been MSF staff so far, but the centre will also train Kenyan Ministry of Health officials and staff from other NOs.
NdiagaĀ saidĀ heĀ wasĀ somewhatĀ moreĀ confidentĀ aboutĀ hisĀ imminentĀ deploymentĀ afterĀ theĀ training.”I’mĀ notĀ sureĀ I’mĀ ready…Ā butĀ I’mĀ lessĀ scared,”Ā heĀ said.


