BBC: DR Congo gunmen say health workers 'brought Ebola' (9) Transmission of Ebola within the health system (7)

3 May, 2019

David Gisselquist,

Thank you for sharing these very useful insights on the on-going tragic Ebola epidemic in DR Congo.

I thought I should make the following comments on some of the points you posted. I hope that the rich discussion taking place on HIFA forum is reaching members inside the country.

A) Where to go from here? –

brilliant, because it is better to learn lessons and move on positively!

B) What happened in 1976 and 1995 is instructive = great, because unless we learn lessons of what happened in the past. The plan for going forward will be blind and cannot see the solutions to progress ahead

C) New changes since 1976 and 1995:  cell phones, ebolavaccine, etc. – great inventions that must be applied in the prevention, promotion and treatment of Ebola going forward from now on, if they are not in use already

D) Why are recent outbreaks so much worse than previous outbreaks? Great question- the answer lies in the points below:

i) How to listen and learn from people traumatized by nosocomial infections?

ii) How to defuse anger for unintended accidents?

Joseph Ana


@Health Resources International (HRI) WA.

National Implementing Organisation: 12-Pillar Clinical Governance

National Implementing Organisation: PACK Nigeria Programme for PHC

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HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: Joseph is a member of the HIFA Steering Group:

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