An article from WHO: The road to redemption: Infection prevention and control in the era of Ebola. Click or tap through for some good photographs. Excerpt:
The road to the 200-bed Redemption Hospital in Monrovia is unpaved. During the rainy season it is full of potholes and mud. Patients may have difficulty arriving, but they come, because Redemption is the only public facility in the area and serves some 90 000 people.
In August 2014, the hospital was at the center of the Ebola epidemic in Liberia. It quickly became overwhelmed and, for a time, had to close its inpatient department.
However, after decontamination of contaminated wards, reinforcement of infection prevention and control (IPC) practices, and outbreak response training, the inpatient department was able to reopen. This was made possible due to the leadership of the Ministry of Health of Liberia, the World Health Organization (WHO), and the support of many partners, including the US Centers for Disease Control (CDC), Médecins Sans Frontières (MSF), the International Rescue Committee (IRC), the International Committee of the Red Cross/Red Crescent (ICRC), and the Academic Consortium to Combat Ebola in Liberia (ACCEL).
In August 2014, at the height of the Ebola epidemic, Redemption Hospital lacked robust IPC practices and relevant equipment to prevent the spread of Ebola. Both staff and patients were becoming sick and dying in the hospital and the inpatient wards were closed. To prevent further transmission of Ebola virus disease, the sanitary conditions and procedures of the facility were overhauled. Today, the community and its health workers feel safer coming to the hospital, now that adequate IPC measures are in place.
Implementation of screening measures
At all main entrances of the hospital as well as in patient care areas, hand hygiene is performed, along with other IPC procedures and screenings. Under the guidance of the IPC Task Force, a technical group led by the Ministry of Health with support from WHO, the US Centers for Disease Control and Prevention (CDC) and other partners, Liberia is moving away from the use of chlorine to using soap and water or alcohol-based hand rub for hand hygiene. This is due to the complications and occupational hazards posed by repeated use of chlorine.
Assisted by IRC, Redemption Hospital received much-needed renovations to its emergency ward. With proper infrastructure, the hospital is now able to more effectively implement Ebola screening for every person coming into the facility. Once his/her temperature is checked, each person is given a card with the current temperature for reference. A fever will trigger a careful response to isolate the person from patients and further investigation will be done to determine whether Ebola is a likely possibility. Any person suspected of being infected with Ebola is referred to the Ebola transit unit, located next door.
Murals communicate public health messages
The exterior of the hospital is lined with murals with public health messages painted by local artists. This one describes what the community can do every day to create a more hygienic environment that can help stop the spread of disease.
Strategically-placed reminders inspire confidence in safety
Reminders about IPC are positioned at strategic points throughout the hospital. These prompters help give patients and health-care workers confidence that this is a safe workplace.