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0. SDB volunteer Intro

presentation on SDB about outbreak preparedness

UWINEZA
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0. SDB volunteer Intro

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  1. Community SAFE AND DIGNIFIED BURIAL

  2. Training Objectives • Define SDB and why it is important • Explain the roles of the SDB team members • Describe the 13 steps of an SDB • Explain the management of infectious waste associated with the SDB process • Recognize the importance of community engagement and responding to feedback

  3. Introductions

  4. Housekeeping

  5. Safe and Dignified Burial • What is an SDB? • Why are SDB important in VHF outbreaks? • Who is involved?

  6. What is SDB? • A complex procedure for burying bodies with suspect or confirmed Viral Hemorrhagic Fever (VHF) • Can occur • In health care facilities – not the object of this training • In the community = role of the Red Cross • Protocol by IFRC/WHO adapted to Rwanda

  7. Why are SDB important in VHF outbreaks? The risk of transmission of Viral Hemorrhagic Fevers is highest in • Health care settings • Funeral rites and ceremonies BUT WHY?? • Infected persons are most contagious before they die and the bodies continue to be contagious • Many persons may come in contact with the very infectious body fluids (washing, preparing, kissing,…)

  8. SDB = essential in stopping VHF transmission

  9. Impact of SDB on transmission Study on unsafe burials during the West African outbreak 2013-2016 https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0005491 • > 2 people (2.6) developed Ebola for every unsafe community burial • The authors estimate that SDB performed by the RC may have averted between 1,411 and 10,452 secondary EVD cases

  10. What is SDB? SDB require 2 very important skill set: • IPC: Applying a very strict protocolto • Prevent the spread of VHF in the communities • Protect the burial team • CEA: Engaging with the family of the deceased respecting burial rites and practices in order to • preserve humanity and dignity • Ensure acceptability

  11. Who should conduct an SDB in the community? Trained volunteers with appropriate materials and high level protection (PPE) Ideally from the community Do not require a health background

  12. Who should conduct an SDB? An ever increasing number staff and volunteers have been trained all over Africa NOTE: National Society teams trained in Dead Body Management/COVID burials are not prepared to carry out an SDB without additional training Only personnel who have been trained and have the required materials should conduct SDBs for deceased persons

  13. Safe and Dignified Burials • Designated role of Red Cross Movement • For Community deaths only • Teams of local volunteers fully trained to carry out SDB

  14. Red Cross Experience with SDB During the West Africa outbreak (2013-2016): • Teams managed over 47,000 burials • Carried out more than 50% of all burials during the outbreak • About 1,500 Red Cross volunteers involved in burials • Improved the procedure to adapt to community feedback During the DRC outbreak (2018-2020): • Teams managed over 6,700 burials • Procedure adapted to a conflict zone Wide experience in Africa in response in smaller outbreaks Uganda, Equatorial Guinea, Tanzania and preparedness in South Sudan, Kenya, Burundi, Rwanda

  15. The 9 key components of SDB • Consent of family and community • Trained SDB teams prepare the deceased person • Dignity and respect for the deceased and the family • Respect for duration of ceremony and expressions of grief • Decontamination of the house or place of death • Community engagement and accountability • Respect + dignity = acceptance • Agreed burial sites with authorities and community • No mass burials

  16. Safety first • No volunteer has been infected performing SDBs

  17. Community is Key • Listening, hearing and responding to community feedback • Understanding community beliefs and practices is vital for community acceptance

  18. SDB Training Outline Three levels of SDB training • Volunteers • Training of Trainers • Coordinator

  19. SDB coordination • The Red Cross is usually responsible to lead the SDB pillarunder RBC/MOH • National coordination will be by designated RRCS coordinator in close coordination with Ministry of health and /Or RBC • SDB teams will be locally coordinated by Red cross at district level in close coordination with health authorities- RBC • At all coordination focal points, teams will work closely with other support departments, partners and stakeholders through respective team leads

  20. Our Agenda: 4 days • Day 1: Introductions, Overview, Adult Learning, Intro to RCRC, Intro to Viral Hemorrhagic Fevers, RC response to VHFs, Begin with SDB process • Day 2: Continuation of 13 steps of SDB process, Psychological First Aid, Volunteer management, CEA • Day 3: Tabletop exercise, Skills training • Day 4: Simulation Each day will start and finish with re-cap of progress, checking in, evaluating how we’re doing. Your input is very important!

  21. Questions?

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