There was no separation of medical waste, which was a big problem, as it meant that potentially dangerous items like needles were not disposed of correctly. The deadly Ebola outbreak of 2014-2015 led to many medical staff either fleeing or falling victim to the disease.
Staff had some proper protective equipment in case of the emergence of highly contagious diseases. The team was well on the way to finishing the replacement of water pipes feeding the MSF-supported medical structures to supply clean water and reduce waste. There were 48 trained hygienists working in the structures.
The waste management area had been completed and waste was being separated and disposed of correctly. They were directly injecting chlorine into all the water supply to ensure that it was suitable for drinking. For vector control, that limits the spread of disease by mosquitoes, rats, dogs and so on, there was also progress. Each bed had a mosquito net - there were screens on the windows to prevent the mosquitoes from entering the wards. Most importantly, there were no more goats and dogs inside the buildings!
| 2018 Status | No clean water and outbreak of Ebola. WASH project implemented |
| 2019 Status | Proper protective equipment used and hand-washing strategies implemented |