Facing COVID-19 in Liberia: Adaptations of the Resilient and Responsive Health Systems Initiative

The 5-year Resilient and Responsive Health Systems (RRHS)-Liberia Initiative, funded by PEPFAR via HRSA, launched in 2017 and was designed to support the implementation of Liberia’s National Health Workforce Program as a means to improving HIV-related health outcomes. The COVID-19 pandemic, arrived...

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Autores principales:	Regan H. Marsh, Chelsea Plyler, Mary Miller, Robin Klar, Mukhtar Adeiza, Ian Wachekwa, Freda Koomson, James Luke Garlo Jr., Kebeh Kruah, Sodey C. Lake, Rita Matte, Rebecca Cook, Daniel Maweu, Lila Kerr, Onyema Ogbuagu, Kristina Talbert-Slagle, Bernice Dahn
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2021
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/637e9a1dbbe8491c8eb9835beddd7aff
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spelling	oai:doaj.org-article:637e9a1dbbe8491c8eb9835beddd7aff2021-11-08T08:04:51ZFacing COVID-19 in Liberia: Adaptations of the Resilient and Responsive Health Systems Initiative2214-999610.5334/aogh.3245https://doaj.org/article/637e9a1dbbe8491c8eb9835beddd7aff2021-10-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/3245https://doaj.org/toc/2214-9996The 5-year Resilient and Responsive Health Systems (RRHS)-Liberia Initiative, funded by PEPFAR via HRSA, launched in 2017 and was designed to support the implementation of Liberia’s National Health Workforce Program as a means to improving HIV-related health outcomes. The COVID-19 pandemic, arrived in Liberia just five years after Ebola and during RRHS-Liberia’s fourth year, impacted educational programs and threatened the project’s continued work. This paper presents the challenges that the COVID-19 pandemic posed to the RRHS partners, as well as adaptations they made to maintain progress towards project goals: 1) contributing to Liberia’s 95-95-95 HIV targets via direct service delivery, and 2) building a resilient and responsive health workforce in Liberia via instruction and training. Direct health service impacts included decreased patient volumes and understaffing; adaptations included development of and trainings on safety protocols, provision of telehealth services, and community health worker involvement. Instruction and training impacts included suspension of in-person teaching and learning; adaptations included utilization of multiple online learning and virtual conferencing tools, and increasing clinical didactics in lieu of bedside mentorship. The RRHS team recommends that these adaptations be continued with significant investment in technology, IT support, and training, as well as close coordination among partner institutions. Ultimately, the RRHS Liberia consortium and its partners made significant strides in response to ensuring ongoing education during the pandemic, an experience that will inform continued service delivery, teaching, and learning in Liberia.Regan H. MarshChelsea PlylerMary MillerRobin KlarMukhtar AdeizaIan WachekwaFreda KoomsonJames Luke Garlo Jr.Kebeh KruahSodey C. LakeRita MatteRebecca CookDaniel MaweuLila KerrOnyema OgbuaguKristina Talbert-SlagleBernice DahnUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 87, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Regan H. Marsh Chelsea Plyler Mary Miller Robin Klar Mukhtar Adeiza Ian Wachekwa Freda Koomson James Luke Garlo Jr. Kebeh Kruah Sodey C. Lake Rita Matte Rebecca Cook Daniel Maweu Lila Kerr Onyema Ogbuagu Kristina Talbert-Slagle Bernice Dahn Facing COVID-19 in Liberia: Adaptations of the Resilient and Responsive Health Systems Initiative
description	The 5-year Resilient and Responsive Health Systems (RRHS)-Liberia Initiative, funded by PEPFAR via HRSA, launched in 2017 and was designed to support the implementation of Liberia’s National Health Workforce Program as a means to improving HIV-related health outcomes. The COVID-19 pandemic, arrived in Liberia just five years after Ebola and during RRHS-Liberia’s fourth year, impacted educational programs and threatened the project’s continued work. This paper presents the challenges that the COVID-19 pandemic posed to the RRHS partners, as well as adaptations they made to maintain progress towards project goals: 1) contributing to Liberia’s 95-95-95 HIV targets via direct service delivery, and 2) building a resilient and responsive health workforce in Liberia via instruction and training. Direct health service impacts included decreased patient volumes and understaffing; adaptations included development of and trainings on safety protocols, provision of telehealth services, and community health worker involvement. Instruction and training impacts included suspension of in-person teaching and learning; adaptations included utilization of multiple online learning and virtual conferencing tools, and increasing clinical didactics in lieu of bedside mentorship. The RRHS team recommends that these adaptations be continued with significant investment in technology, IT support, and training, as well as close coordination among partner institutions. Ultimately, the RRHS Liberia consortium and its partners made significant strides in response to ensuring ongoing education during the pandemic, an experience that will inform continued service delivery, teaching, and learning in Liberia.
format	article
author	Regan H. Marsh Chelsea Plyler Mary Miller Robin Klar Mukhtar Adeiza Ian Wachekwa Freda Koomson James Luke Garlo Jr. Kebeh Kruah Sodey C. Lake Rita Matte Rebecca Cook Daniel Maweu Lila Kerr Onyema Ogbuagu Kristina Talbert-Slagle Bernice Dahn
author_facet	Regan H. Marsh Chelsea Plyler Mary Miller Robin Klar Mukhtar Adeiza Ian Wachekwa Freda Koomson James Luke Garlo Jr. Kebeh Kruah Sodey C. Lake Rita Matte Rebecca Cook Daniel Maweu Lila Kerr Onyema Ogbuagu Kristina Talbert-Slagle Bernice Dahn
author_sort	Regan H. Marsh
title	Facing COVID-19 in Liberia: Adaptations of the Resilient and Responsive Health Systems Initiative
title_short	Facing COVID-19 in Liberia: Adaptations of the Resilient and Responsive Health Systems Initiative
title_full	Facing COVID-19 in Liberia: Adaptations of the Resilient and Responsive Health Systems Initiative
title_fullStr	Facing COVID-19 in Liberia: Adaptations of the Resilient and Responsive Health Systems Initiative
title_full_unstemmed	Facing COVID-19 in Liberia: Adaptations of the Resilient and Responsive Health Systems Initiative
title_sort	facing covid-19 in liberia: adaptations of the resilient and responsive health systems initiative
publisher	Ubiquity Press
publishDate	2021
url	https://doaj.org/article/637e9a1dbbe8491c8eb9835beddd7aff
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Facing COVID-19 in Liberia: Adaptations of the Resilient and Responsive Health Systems Initiative

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