Isimo esisongela impilo seQembu LeRed Cross ngenxa yomphakathi omkhulu wabantu abathintwe yi-Ebola abenqaba ukwelashwa. Izinsizakalo zezokwelapha eziphuthumayo kufanele zibhekane nezimo eziningi eziyingozi nezinzima.

I #UKUKHANYA! umphakathi uqale ngo-2016 uhlaziya amanye amacala. Le yindaba ye- # Crimefriday yokufunda kangcono ukuthi ungawusindisa kanjani umzimba wakho, iqembu lakho kanye ne-ambulensi yakho “osukwini olubi ehhovisi”! Kwesinye isikhathi izenzo ezinhle azanele ukusindisa abantu, noma zinikeze izindlela zokwelashwa. I-protagonist yethu kulokhu i- Umhlengikazi obhalisiwe (RN) ne-Masters ku Impilo Yomphakathi uneminyaka engaphezu kwemihlanu yokusebenza komsebenzi ku Umkhuba ophuthumayo wezokwelapha, ukuqeqeshwa kwangaphambi kwenkonzo futhi ukuqeqeshwa ngemitholampilo yabanesi nababeletha, Ukuphepha kwezeMpilo futhi Indawo yokuNakekela emachwebeni nasezindaweni zezimboni, Ubuhlengikazi bezempilo emphakathini kanye nomqeqeshi abasebenzi bezempilo on Ebola ukutholwa / ukuphathwa kwamacala, Ukuvimbela Ukutheleleka Nokulawulwa.

Nansi indaba.

Umphakathi othinteke yi-Ebola wenqabile ukwelashwa

Ngangihola futhi ngiqondisa Ukusabela kwe-Ebola ne I-Liberia Red Cross lapho nganginesibopho sokuhlela, ukuqalisa ukusebenza, ukuqapha nokubika kwayo yonke imisebenzi ye-Ebola ezifundeni eziyi-15 zaseLiberia nazo zonke izinsika ezahlukahlukene zempendulo (ukulandelwa kokuxhumana, ukukhuthazwa komphakathi, ukwesekwa kwengqondo, ezokuxhumana nabantu abazuzayo kanye nokungcwatshwa. Njengamanje ngisebenza njengoMphathi wezeMpilo eRiberian Red Cross.

Ngesikhathi sesigameko, nganginguMxhumanisi Kazwelonke we-Ebola weSiphambano Esibomvu SaseLiberia. Besisebenza kuzo zonke izifunda ze-15 eLiberia ngokuzwela komphakathi, ukulandelwa kokuxhumana kanye nokwesekwa kwengqondo nezenhlalo. Siphinde sasingatha ukungcwatshwa kwezidumbu eSifundeni esisodwa lapho inhlokodolobha (iMonrovia) ikhona nalapho iningi labantu ababulawa yi-Ebola kwenzeka khona. Ngaphezu kwalokho, okubaluleke kakhulu, besisebenza nomsebenzi okhethekile obizwa ngokuthi Ukuvikelwa Komphakathi (I-CBP) kunzima ukufinyelela imiphakathi ezweni lonke.

Ngesikhathi esifanayo ukusabela kwe-Ebola, sasizama ukuphendula imibuzo eminingi ngokuthi kungani yonke imizi isulele igciwane ngisho nokuzwela okukhulu, futhi sathola ukuthi imiphakathi eminingi yayisekude futhi ingenakufinyeleleka ngokuthola inethiwekhi encane noma engekho inethiwekhi eyenza ukubizwa i-ambulensi yomuntu ogulayo cishe engenakwenzeka noma ama-ambulensi afika kwenye yale miiphakathi ethatha okungaphezulu kuka-72hours noma ngaphezulu isikhathi esiningi.

Ngakho-ke, iSiphambano Esibomvu saseLiberia ngokubambisana UNICEF waqala ukuqeqesha abantu emiphakathini enjalo eyihlane futhi abahlinzeka ngokulula / okulula Ukuvikelwa Komuntu Isisetshenziswa (I-PPE), imishanguzo eyisisekelo (i-Paracetamol ne-ORS) kanye nemigoqo ephezulu yamaprotheni uma kungenzeka babe nomuntu emindenini yabo okhombisa uphawu noma uphawu Ebola futhi isikhathi sokuphendula sasingaphezu kwamahora amabili (2). Isiko eLiberia likhona kangangokuba kunzima kakhulu ukutshela umama noma amalungu omndeni ukuthi akufanele athinte elinye ilungu lomndeni eligulayo futhi alithathwa yi-ambulensi noma alinakwa. sagcina ngokuthi yonke imindeni itheleleke ngoba bazozama ukwenza okuthile noma ngabe kubalahlekisela izimpilo zabo. Imane nje iyindlela yokuphila ejwayelekile. Ngakho-ke ngokuyisisekelo i-CBP izoqeqesha amavolontiya omphakathi ambalwa (ababambiqhaza abathembekile njengamavolontiya we-General Community Health Volunteers (gCHVs) abaqeqeshiwe nguMnyango Wezempilo, Abaqeqeshi Bokuzalwa Kwendabuko) futhi yabeka ezinye izinto zokuvikela ezizosetshenziswa yilungu linye lomndeni lapho kunesidingo ivuke ngokuqashwa kwabasebenzi abaqeqeshiwe (umqondo wokubeka engcupheni impilo yelungu elilodwa lomndeni ngokuqhathaniswa nayo yonke imindeni isengozini. Ngakho-ke kwakuwukuhlukaniswa ngokweqiniso nokunakekelwa yilungu lomndeni elilodwa elithembekile kuze kube yilapho ogulayo ethathwa futhi ephuculwa indawo yokwelashwa.

ILiberia isogwini oluseNtshonalanga Afrika kanye nesibalo sabantu abayizigidi ezi-4. Sinezinkathi ezimbili unyaka nonyaka, inkathi yemvula eqala ngo-Ephreli kuya kuSepthemba kanye nesizini eyomile esukela kuMiddle Okthoba kuya kuMashi. Lapho lina eLiberia liyathulula futhi i-EVD iqale ukushaya ngamandla ngoMeyi ngoJuni 2014 lapho imvula yayisifinyelela phezulu ngoJulayi Agasti.

Isu ukuthi iSiphambano Esibomvu SaseLiberia sisetshenziselwe ukuVikela koMphakathi kwakuwukuqasha ochwepheshe abaqeqeshiwe nabaqeqeshiwe abahlinzekwa ngezempilo eMid-level, abaqeqeshwe kunokuba basebenzise kahle izinkampani zokuvikela, futhi balindele ukuba baqhubekisele phambili ukuqeqeshwa kumavolontiya omphakathi futhi futhi kuqapha ukusetshenziswa kwezinkampani zokuvikela nsuku zonke esifundeni ngasinye eMiphakathi ye-Hotspot futhi uma isikhathi sokuphendula singaphezu kwamahora angu-2. Kwakukhona ukusekelwa kwabanye abaqeqeshiwe bezempilo emhlabeni wonke (IFRC Health Delegates) abaye bahlanganyela kulokhu kuqeqeshwa futhi basiza ngokuqapha ensimini.

Ngokuya kwezokuphepha, azikho izinyathelo ezinkulu zokuphepha ezibekwe eceleni kwemithetho ejwayelekile yezimoto zokungaphumi ebangeni lokuxhumana kwenethiwekhi ngemuva kuka-6 pm, izihambeli ezazithutha ziya emiphakathini nabalingani bazo bendawo njll. AbaseRiphabhuliki eRed Cross abatholanga lutho ukumelana okukhulu kwemiphakathi eminingi ngaphambi kwalesi sehlakalo ngenxa yemisebenzi edlule yeNational Society ngakho-ke azikho izindlela zokuphepha ezisezingeni eliphakeme lapho amaqembu edlulela emiphakathini.

Umphakathi othinteke yi-Ebola wenqabile ukwelashwa - Icala

Kukhona amaningana alawa izigameko eLiberia ngenkathi silwa no-Ebola ikakhulukazi namaqembu e-Red Cross angcwaba kodwa lokhu kwenzeka lapho ngingalindelekile. Ngangihola iqembu le-7 kubantu abangu-9 Ukuqeqeshwa kokuVikela komphakathi kunzima kakhulu ukufika emphakathini lapho sitshele izisebenzi zokuzithandela ukuthi kukhona abantu abagulayo ababonisa izimpawu ze-EVD ukuthi amalungu omndeni wabo wenqaba ukuthatha inyunithi yokwelashwa noma ngisho nokubiza i-ambulensi.

Ngakho ngabiza i-ambulensi futhi ngiya kuqinisekisa amalungu omndeni ukuthi avumele umuntu ogulayo ukuba athathwe ku-ETU. Bathi CHA futhi abakwazanga ngisho nokusivumela ukuba sisondele ezindlini zabo. Ngemuva kwamahora ambalwa, i-ambulensi yafika futhi la malungu omphakathi athukuthele kakhulu futhi afuna ukwazi ukuthi ngubani owazibiza ngokuthi i-ambulensi futhi sathi sasingashiyi futhi bazoshisa i-ambulensi. Lokhu kwakungesinye sezikhathi ezimbi kakhulu ekulwa kwami ​​ne-Ebola. Babefanele babe ngaphansi kokuhlukanisa kodwa kodwa baphule yonke imithethonqubo yokuhlukanisa futhi wayefuna ukusithinta okuyinto ezobe isichaze nathi igciwane futhi.

Kwakukhona izinkinga eziningi ezihilelekile kodwa lokhu kwakunjalo esisongela impilo ngempela mina kanye neqembu lami, nokho sasifuna ukusindisa izimpilo zalabo abagulayo ngokubathuthela ekliniki yokwelapha.
Kamuva sizwe ukuthi amavolontiya ethu amabili ayephakathi nomphakathi aye enduneni yedolobha (kwaba ngowesifazane futhi abe yiRed Cross Volunteer) ukuchaza ngalesi sigameko futhi sathi nabanye basala nathi endaweni yesehlakalo futhi bayangenelela ( bekhuluma ngolimi lwabo lwendawo) egameni lethu ngenkathi besanxusa ukuthi bavumele abagulayo babo ukuthi bayiswe ekwelashweni lokwelashwa. Inkosi yedolobha yafika nge-Red Cross bib yayo yangenelela futhi imindeni yamukela ukuthi izithandwa zabo zithathwe ngesicelo esisodwa.

Isicelo bekuwukuthi kufanele sibabuyekeze ku-zakuqala zabathandekayo babo lapho besezindaweni zokwelashwa. Samukele futhi ngokushesha sakha amasu futhi sabela abanye umthwalo kithi. Mina (Umxhumanisi we-Ebola) unesibopho sokuthola eqenjini labasebenza i-ambulensi igama lophiko olwaluyiswa kulo isiguli bese silulandela nsuku zonke futhi ngenxa yalokho ondle amaPhoyisa ezempilo kulelo Dolobhana, bese Abaphathi bezempilo bezokwazisa amavolontiya futhi ekugcineni, amavolontiya ayokwazisa amalungu omndeni ngenkosi yedolobha. Kwakuyilungiselelo eliphelele futhi kusize kakhulu ukuthuthukisa ubudlelwano ebesinabo namalungu omphakathi futhi kwakha ukuthembela okwengeziwe emsebenzini weRed Cross.

Analysis

Kube nezindaba eziningi ezihlobene nalesi simo. Umphakathi: Amalungu omphakathi ayenolwazi oluncane ngo Izifo Ze-Virus Ebola (iphethini yalo yokudlulisa, ukuvimbela kanye nezingozi) futhi babe nenkolelo yokuthi ngabasebenzi bezeMpilo ababesabalalisa igciwane ngakho-ke abakwazi ukuya ezikhungweni zezempilo nabathandekayo babo abagulayo. Bebethukuthele futhi ngoba bethi zimbalwa iziguli ezithathwe emphakathini oseduzane zayiswa e-ETU futhi azizwanga lutho ku-ETU noma kubantu abagulayo (ngakho-ke babenenkolelo yokuthi uma abantu abagulayo bezothathwa, bazofuthwa ngesisombululo esinobuthi esizosiza ukubabulala kuma-ETUs). Kube nokuntuleka kokuthembana ezinhlelweni. Kwakungekho mshini wokuphendula ekuqaleni nasehhafu ekuphenduleni okuvela kumayunithi Okwelashwa kuya kumalungu omphakathi mayelana nokuqhubeka kwesimo seziguli. Amathimba omngcwabo abesetshenziswa yiRed Cross nawo abeshesha kune-ambulensi ebhekele ukulanda abantu abagulayo (eqhutshwa uhulumeni) futhi amalungu omphakathi abengazi umehluko endimeni ebidlalwa ukuze kudale izinsongo eziningi kithina nakwabethu iqembu

Abaphenduli: Kwakukhona ukuhlukaniswa okuningi phakathi kwabasebenzi bokusiza nabalingani abakhulu kuhlanganise nohulumeni ngokusebenzisa uMnyango wezeMpilo. Asizange siphendule ngesikhathi ngenxa yezinto eziningi ezingaphezu kwamandla ethu (amanethiwekhi omgwaqo adabukisayo, inkathi yokuvula ngamabhuloho asekhukhulayo, uxhumano olubi lwe-inethiwekhi njll.) Kanti ngesikhathi i-ambulensi ifika eminye imiphakathi ukuyoyithatha umuntu ogulayo, ukufaka izinyathelo zokuhlukaniswa, cishe wonke amalungu emindeni kungenzeka abe nokuxhumana ngqo nomuntu ogulayo, futhi kungakapheli amasonto amabili, amalungu amaningi omkhaya aqala ukubonisa izimpawu noma izimpawu futhi izikhathi eziningi, yonke indlu uthola igciwane ngenxa yokubambezeleka noma ngezinye izikhathi akukho ukubonisa kwe-ambulensi.