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Challenges in Implementation of Infection Prevention and Control Measures During the Tenth Ebola Virus Disease in Northeastern of DRC, in 2019

Received: 24 October 2019     Accepted: 19 December 2019     Published: 7 January 2020
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Abstract

Health Workers (HWs) are most likely to be infected by the Ebola virus disease (EVD) through mainly nosocomial transmission because they treat patients with EVD; this occurs through close contact with patients when infection prevention and control (IPC) measures are not strictly practiced. This study aimed to assess the level of implementation of infection prevention and control measures as well as challenges in their implementation in the north-eastern region of the Democratic Republic of the Congo (DRC). A mixed study was carried out in northeastern of DRC in August 2019. In-depth interviews were conducted with 16 HCW in front-line and with a member of the national coordination team. The quantitative part was focused on the review of the reports of the commission for the prevention and control of infections. Interviews were audiorecorded and transcribed verbatim in Swahili before being translated in French and in English. The IPC packages were implemented in the health Facilities and in the community. We noticed a high proportion of realization of the IPC planned activities. All HCWs interviewed declared to have been trained on IPC and supported with materials and equipment for implementation. Cultural and traditional views of community have been mentioned as the community related factor which impact negatively in IPC implementation by the HCWs. Non-compliance with IPC measures by HCWs has been also mentioned added with the non viability of healthcare facilities. It is urgent to improve communication of importance to comply with IPC measures in community but also among HCWs. Also, Infrastructure of Health Care Facility must be strengthened.

Published in Central African Journal of Public Health (Volume 6, Issue 1)
DOI 10.11648/j.cajph.20200601.13
Page(s) 13-17
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

HCWs, IPC, Challenges

References
[1] WHO. Ebola virus disease. WHO. http://www.who.int/mediacentre/factsheets/fs103/en/ (accessed August 27, 2019).
[2] Gibado S., Oladimeji A. M., Roberts A. A., Nguku P., Mwangwu I. G., Waziri N. E. et al. Public Knowledge, Perception and Source of Information on Ebola Virus Disease-Lagos, Nigeria, September 2014. Version 1. PLoS Curr. 2015 April 8; 7: ecurrents. outbreaks. 0b805cac244d700a47d6a3713ef2d6db. Published online 2015 April doi: 10.1371/currents.outbreaks.0b805cac244d700a47d6a3713ef2d6db.
[3] World Health Organization, Health Worker Ebola Infections in Guinea, Liberia and Sierra Leone, World Health Organization, 2015.
[4] Goodfellow I, Reusken C, Koopmans M. Laboratory support during WHO. Health worker Ebola infections in Guinea, Liberia and Sierra Leone: a preliminary report 21 May 2015. WHO, Geneva 2015.
[5] Statista. Ebola cases and deaths among health care workers due to the outbreaks in West African countries as of November 4, 2015. Disaster Med Public Health Prep. 2017 Apr; 11 (2): 262-266. doi: 10.1017/dmp.2016.103. Epub 2016 Sep 26. Accessed on February 2019.
[6] Selvaraj S. A., Lee K. E., Harrell M., Ivanov I. and Allegranzi B. Infection Rates and Risk Factors for Infection Among Health Workers During Ebola and Marburg Virus Outbreaks: A Systematic Review. The Journal of Infectious Diseases 2018; 218 (S5): S679–89.
[7] Tariq A., Roosa K., Mizumoto K., Chowella G. Assessing reporting delays and the effective reproduction number: The Ebola epidemic in DRC, May 2018–January 2019. Epidemics 26 (2019) 128–133.
[8] WHO. Infection prevention and control guidance for care of patients in health-care settings, with focus on Ebola: Interim guidance. https://www.who.int/csr/resources/publications/ebola/filovirus_infection_control/en/ (accessed August 27, 2019).
[9] Oji MO, Haile M, Baller A, Tremblay N, Mahmoud N, Gasasira A et al. Implementing infection prevention and control capacity building strategies within the context of Ebola outbreak in a “Hard-to-Reach” area of Liberia. Pan Afr Med J. 2018; 31: 107.
[10] Shears P., O’Dempsey T. J. D. Ebola virus disease in Africa: epidemiology and Nosocomial transmission. Journal of Hospital Infection 90 (2015) 1-9.
[11] Bausch FA, Heller O, Bengaly L, Matthey-Khouity B, Bonnabry P, Touré Yet al. Building Local Capacity in Hand-Rub Solution Production during the 2014-2016 Ebola Outbreak Disaster: The Case of Liberia and Guinea. Prehosp Disaster Med. 2018 Dec; 33 (6): 660-667. doi: 10.1017/S1049023X18000985. Epub 2018 Nov 5.
[12] Den Boon, S., Vallenas, C., Ferri, M., & Norris, S. L. (2018). Incorporating health workers’ perspectives into a WHO guideline on personal protective equipment developed during an Ebola virus disease outbreak. F1000Research, 7, 45. https://doi.org/10.12688/f1000research.12922.2.
[13] Maynard, S. L., Kao, R., & Craig, D. G. (2016). Impact of personal protective equipment on clinical output and perceived exertion. Journal of the Royal Army Medical Corps, 162 (3), 180‑183. https://doi.org/10.1136/jramc-2015-000541.
[14] Yamanis T, Nolan E, Shepler S. Fears and Misperceptions of the Ebola Response System during the 2014-2015 Outbreak in Sierra Leone. PLoS Negl Trop Dis 2016 10 (10): e0005077. doi: 10.1371/journal.pntd.0005077.
[15] Coltart CEM, Lindsey B, Ghinai I, Johnson AM, Heymann DL. The Ebola outbreak, 2013–2016: old lessons for new epidemics. Phil. Trans. R. Soc. B 2017, 372: 20160297. http://dx.doi.org/10.1098/rstb.2016.0297.
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  • APA Style

    Paul Mansiangi Mankadi, Aimee Lulebo Mampasi, Guillaume Kiyombo Mbela, Jean-Claude Makenga Bof, Jean Nyandwe, et al. (2020). Challenges in Implementation of Infection Prevention and Control Measures During the Tenth Ebola Virus Disease in Northeastern of DRC, in 2019. Central African Journal of Public Health, 6(1), 13-17. https://doi.org/10.11648/j.cajph.20200601.13

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    ACS Style

    Paul Mansiangi Mankadi; Aimee Lulebo Mampasi; Guillaume Kiyombo Mbela; Jean-Claude Makenga Bof; Jean Nyandwe, et al. Challenges in Implementation of Infection Prevention and Control Measures During the Tenth Ebola Virus Disease in Northeastern of DRC, in 2019. Cent. Afr. J. Public Health 2020, 6(1), 13-17. doi: 10.11648/j.cajph.20200601.13

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    AMA Style

    Paul Mansiangi Mankadi, Aimee Lulebo Mampasi, Guillaume Kiyombo Mbela, Jean-Claude Makenga Bof, Jean Nyandwe, et al. Challenges in Implementation of Infection Prevention and Control Measures During the Tenth Ebola Virus Disease in Northeastern of DRC, in 2019. Cent Afr J Public Health. 2020;6(1):13-17. doi: 10.11648/j.cajph.20200601.13

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  • @article{10.11648/j.cajph.20200601.13,
      author = {Paul Mansiangi Mankadi and Aimee Lulebo Mampasi and Guillaume Kiyombo Mbela and Jean-Claude Makenga Bof and Jean Nyandwe and Jack Hyyombo Tambwe Kokolomami},
      title = {Challenges in Implementation of Infection Prevention and Control Measures During the Tenth Ebola Virus Disease in Northeastern of DRC, in 2019},
      journal = {Central African Journal of Public Health},
      volume = {6},
      number = {1},
      pages = {13-17},
      doi = {10.11648/j.cajph.20200601.13},
      url = {https://doi.org/10.11648/j.cajph.20200601.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200601.13},
      abstract = {Health Workers (HWs) are most likely to be infected by the Ebola virus disease (EVD) through mainly nosocomial transmission because they treat patients with EVD; this occurs through close contact with patients when infection prevention and control (IPC) measures are not strictly practiced. This study aimed to assess the level of implementation of infection prevention and control measures as well as challenges in their implementation in the north-eastern region of the Democratic Republic of the Congo (DRC). A mixed study was carried out in northeastern of DRC in August 2019. In-depth interviews were conducted with 16 HCW in front-line and with a member of the national coordination team. The quantitative part was focused on the review of the reports of the commission for the prevention and control of infections. Interviews were audiorecorded and transcribed verbatim in Swahili before being translated in French and in English. The IPC packages were implemented in the health Facilities and in the community. We noticed a high proportion of realization of the IPC planned activities. All HCWs interviewed declared to have been trained on IPC and supported with materials and equipment for implementation. Cultural and traditional views of community have been mentioned as the community related factor which impact negatively in IPC implementation by the HCWs. Non-compliance with IPC measures by HCWs has been also mentioned added with the non viability of healthcare facilities. It is urgent to improve communication of importance to comply with IPC measures in community but also among HCWs. Also, Infrastructure of Health Care Facility must be strengthened.},
     year = {2020}
    }
    

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    AU  - Paul Mansiangi Mankadi
    AU  - Aimee Lulebo Mampasi
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    AB  - Health Workers (HWs) are most likely to be infected by the Ebola virus disease (EVD) through mainly nosocomial transmission because they treat patients with EVD; this occurs through close contact with patients when infection prevention and control (IPC) measures are not strictly practiced. This study aimed to assess the level of implementation of infection prevention and control measures as well as challenges in their implementation in the north-eastern region of the Democratic Republic of the Congo (DRC). A mixed study was carried out in northeastern of DRC in August 2019. In-depth interviews were conducted with 16 HCW in front-line and with a member of the national coordination team. The quantitative part was focused on the review of the reports of the commission for the prevention and control of infections. Interviews were audiorecorded and transcribed verbatim in Swahili before being translated in French and in English. The IPC packages were implemented in the health Facilities and in the community. We noticed a high proportion of realization of the IPC planned activities. All HCWs interviewed declared to have been trained on IPC and supported with materials and equipment for implementation. Cultural and traditional views of community have been mentioned as the community related factor which impact negatively in IPC implementation by the HCWs. Non-compliance with IPC measures by HCWs has been also mentioned added with the non viability of healthcare facilities. It is urgent to improve communication of importance to comply with IPC measures in community but also among HCWs. Also, Infrastructure of Health Care Facility must be strengthened.
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Author Information
  • Kinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Kinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Kinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • National Onchocerciasis Control Program, Ministry of Health, Kinshasa, Democratic Republic of Congo

  • Kinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Kinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo

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