Neonatal & Child Health

Our Activities

• We provide continuous professional development for nurses, focusing on evidence-based care and competency in practical skills.

• We train nurses to use resources and equipment safely and effectively.

• We provide monitoring and supervision to check the effectiveness of training and give support in implementing care in clinical areas.

• We work with student nurses posted at ODCH to ensure that they receive practical experience in paediatric care.

• For 2 years we have led on paediatric training for Junior Doctors.

• We are working with the teaching hospital complex to build specialty paediatric training so that Sierra Leone can one day train and qualify it’s own paediatricians. We create and share a hospital newsletter to promote good practice and recognise the good efforts of staff.

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• We want to improve patient safety through improved recognition and action on medical incident.

• ODCH have requested our support to improve data collection, including medical records, so that staff can access patient information quickly and easily.

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• We want to develop our work in advocating for and creating opportunities for accredited paediatric nurse training.

• As a tertiary hospital ODCH needs specialist nursing care. We want to support specialist training in neonatal, malnutrition and general paediatric nursing.

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VITAL PROGRESS

• Welbodi Partnership set up the first nurse training office at ODCH, equipping the hospital to prioritise training for it’s staff. Numerous trainings have subsequently taken place, equipping staff to better care for children.

• We have donated equipment to improve diagnostics, including X-ray, monitoring of vital signs, delivering oxygen, supporting breathing and enabling phototherapy.

• We supported ODCH in instigating and delivering ETAT+ (Emergency Triage and Treatment) training, equipping staff to safely manage emergency cases.

• We set up and continue to deliver induction training to all new Doctors, nurses and students at the hospital, ensuring standards are maintained. Welbodi Partnership have run mentoring and leadership training with key  ODCH staff.

Maternal Health

Our Activities

• Teaching and mentoring of skilled and student Midwives in the hospital.

• Support on the job training in primary health care  facilities for Maternal & Child Health Aids and Community Nurses.

• Lead partner in Sierra Leone for King’s College London CRADLE research which is evaluating the introduction of a novel blood pressure device.

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• Support for the introduction of structured Prevention of Mother to Child Transmission of HIV programming at the Maternity Hospital.

• Support for the provision of comprehensive family planning service at the Maternity Hospital.

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• Collaboration with the Hospital and  School of Midwifery to enhance Continuing Professional Development for Midwives and nurses providing maternal health care.

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VITAL PROGRESS

• Introduction of a maternity triage system which is now run by hospital staff, following clinical mentorship and support from Welbodi Partnership during the design and set up phase. The number of correctly triaged patients on arrival increased from 43% to 88%, with emergency cases receiving immediate nursing attention. 

• On the job clinical mentorship alongside training and practical sessions focused on topics including patient monitoring, recognition of warning signs and emergency management, resulting in improved clinical skills among Midwives.

• As part of the CRADLE research study 352 staff have been trained in the recognition and management of shock and pre eclampsia, two of the biggest killers of women. 167 innovative blood pressure devices have been distributed to 11 primary health care facilities and two major hospitals, to help recognise warning signs. Blood pressure devices now readily available and accurate prompting quicker action for those at risk.

Community Health

Our Activities

• Support and train volunteers to facilitate monthly women’s groups using the Participatory Learning Approach.

• Refresher trainings and monthly review meetings to improve facilitation and planning skills of volunteer women’s group facilitators.

• Supportive supervision and field visits to volunteers’ group meetings. 

• Community health sensitization activities to support maternal and child health messages and vaccination campaigns. 

• Health facility education in collaboration with health staff  targeting pregnant women.

Now Fundraising:

• Continued support and increased funding for our activities in community health in Sierra Leone.

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Now Fundraising:

• Continued support and increased funding for our activities in community health in Sierra Leone.

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VITAL PROGRESS

• Project activities expanded from 4 to 8 city sections, women’s group from 46 to 115 groups creating wider coverage of Welbodi Partnership maternal and child health education and  promotion activities.

• Quality Improvement groups established in primary health care facilities by the project have strengthened community and facility relationships.

• Completed baseline survey for eleven PHUs in 2016.

Health System Strengthening

Our Activities

• We work to strengthen the performance and interconnectedness of the 6 WHO health system building blocks.

• We provide high-quality, evidence-based technical assistance that focuses on national priorities and improving health worker performance and engagement.

• We strive to improve patient and population health outcomes, particularly among the poor, as well as ensuring efficiency and effectiveness of systems and processes in the facilities where we work.

• We have introduced a range of training and capacity building programmes for Doctors, Nurses and Midwives across tertiary and primary health care.

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• We want to increase appropriate and timely referrals from primary health care facilities through better training and professional development of staff at these facilities.

• We want to support facility-led Quality Improvement projects at tertiary and primary health care to ensure better standards of care for all patients.

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• We are committed to supporting the Children’s and Women’s Hospital to build systems that will help them to better manage patients and patient data and improve Workforce development & planning.

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VITAL PROGRESS

• Established Quality improvement groups in five PHUs and provided Training on QI Methodology for health staff and community stakeholders.

• QI projects completed at Ross Road Community Health Centre and Jenner Wright Children's’ Clinic where a TB Unit was constructed to separate TB patients from the under-5s clinic.

• At Children’s Hospital, a QI project led to the development of a Malaria Job Aid and subsequent reduction in mortality attributed to malaria from 38% to 25%.

• At the Women’s Hospital, QI methodology was applied to the development of a new Triage System which resulted in more urgent cases being seen more quickly.

• QI groups were an integral part of infection prevention and control, focusing on hand hygiene and waste management practices at ODCH and PCMH.

• Improving water supply and sanitation facilities at three hospitals

• Installing a backup generator at Ola During Children’s

• Hospital Installing a digital x-ray machine at ODCH and re-establishing the x-ray department Upgrades at Jenner Wright clinic, including a Tuberculosis unit

• Upgrading Rokupa Hospital by constructing a mortuary, laundry area and reinstating the well 

• Upgrading laundry and installing washer and dryer machines at ODCH

• Provision of a generator which enables continuous electricity supply in the event of loss of power at ODCH

• Improved the environment by painting the hospital, including child-friendly murals on the walls of the wards

emergency response

Our Activities

• March 2014 marked the beginning of what was to become the most devastating epidemic in recent history. Sierra Leone was the worst affected country during the 2014 – 2015 Ebola Virus Disease (EVD) outbreak with more than 14,000 confirmed cases and nearly 4000 deaths. The EVD outbreak decimated the countries health infrastructure and served to highlight the severe challenges already faced; limited health workforces (in numbers and quality), ineffective supply chains and challenged management systems.

• Welbodi Partnership was well placed to respond effectively - we expanded our operations from our flagship partnership in Ola During Children’s Hospital to include Rokupa Government Hospital and Princess Christian Maternity Hospital.  Within weeks, Infection Prevention Control (IPC) Teams were in place. An Infection Control Mentor from Welbodi Partnership was paired with a local Infection Control Focal Person in each facility to build capacity and create a sustainable staff-led patient safety programme. For two years, the IPC teams supported patient-safety committees, audited practice, contributed to city-wide and country-wide monitoring and evaluation, and completed training of trainers. In 2017 all the mentors withdrew and left in place a 14-person team of Infection Control Champions in each facility.

• Welbodi Partnership are not routinely an emergency response organisation but we made the commitment to remain in Sierra Leone throughout the outbreak. It was quickly apparent that it was essential for us to dramatically broaden our support to existing facilities and rapidly scale up to meet new challenges in order to help combat this deadly epidemic. It was an extremely challenging time in which we achieved many essential infrastructural developments  and trained huge numbers of healthcare staff. Welbodi Partnership focuses our day-to-day efforts on strengthening the health system to reduce the impact of shock events when they occur.

VITAL PROGRESS

• During the Ebola emergency response Welbodi Partnership expanded its support to three large hospitals within the Eastern area of Freetown: Ola During Children’s hospital, Princess Christian Maternity Hospital & Rokupa Government Hospital.

• Training and mentoring of 1200 healthcare workers in infection prevention and control

• Support of essential screening at the point of entry for all facilities 

• Comprehensive renovation of hospital water supplies, drainage and sanitation facilities at all site.

• Construction of a mortuary, laundry area and re-instillation of the a well at Rokupa

• Construction of a burn-pit incinerator to support safe disposal of hospital waste at PCMH and ODCH

• Provision of hand-washing facilities and associated supplies throughout all sites for the duration of the outbreak

• Provision of comprehensive personal protective equipment  and waste disposal tools for healthcare workers at all sites

• Supported the formation of Tok for Pikin Welbodi, a community based child health advocacy organisation, which carried out extensive community sensitisation during the outbreak.