Emergencies preparedness, response

People-centred services

Ebola: Health services recovery

WHO is working with countries to redesign the health-care delivery system based on strong primary care that is comprehensive, family and community-oriented, and well-coordinated with the rest of the care delivery system.

In Tanene, Guinea, Marie Claire from WHO goes from household to household with the Ebola teams to find out the concerns of the community.
WHO/P. Haughton

Key activity areas

The global knowledge on people-centred integrated health services was synthesized as a WHO global strategy in March 2015. Key information and approaches will be extracted and made available for application in local health service delivery in the 3 affected countries.

These include the development of proposals on the redesign of the health-care delivery system based on strong primary care that is comprehensive, family and community-oriented, team-based, and well-coordinated with the rest of the care delivery system. Approaches on reaching out to marginalized and distant communities will be developed, including the deployment of community health workers, creating mobile units, contracting out certain services to non-state providers, implementing e-health solutions, and testing new culturally-sensitive services.

Better coordination with the non-state sector and improved accountability among all stakeholders will be achieved through the development of joint district level services plans and the strategic purchasing of services, the elaboration of a consensus-based balance scorecard, and the integration of information systems at the district level. Technical resources will be increased by technical cooperation to support the local delivery of health services.

Community engagement

On patient/community engagement and empowerment, several key areas will be supported at the sub-national level:

  • Strengthening the interface between facilities, health workers and communities.
  • Engaging and empowering communities to participate, design, deliver and evaluate services with a specific focus on district health structures.
  • Addressing the stigma and discrimination resulting from the disease by building on the architecture of social and traditional media developed during the response.

A specific focus will be placed on the role of Ebola survivors within local health service delivery. Community engagement resources and experience across health care will be adapted and developed into tailored tools for sub-national teams to develop stronger, safer systems that are trusted and fully utilized. Community engagement and empowerment approaches act as a channel for community voices and act as a driver for change and improvement across health services.