community health workers

Adolphus Scott

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D
Focus Area(s)
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1
Country of Reform
Interviewers
Leon Schreiber
Name
Adolphus Scott
Interviewee's Position
Communication and Development Unit
Interviewee's Organization
UNICEF
Language
English
Town/City
Monrovia
Country
Date of Interview
Reform Profile
No
Abstract

In this interview, acting head of the Communication for Development Unit of UNICEF prior to the 2014 Ebola outbreak in Liberia, Adolphus Scott describes how conflicting messages circulating in the community hindered the Ministry of Health’s attempts to control the virus. He explains the process of coming up with one set of messages among key actors that was then distributed in the form of posters, short dramas, and radio messages. Scott also tells about the troubling and limiting narrative against the government airing on about 22 radio stations toward the beginning of the outbreak saying that the government to secure more funding fabricated Ebola. Eventually, he says, they came on board and worked with UNICEF and the Ministry of Health to circulate their Ebola is Real program, a campaign complete with a popular song around July 2014. Scott also provides a brief overview of the new Incident Management System’s Social Mobilization Working Group, which worked to engage communities in the fight against Ebola. He also stresses the importance of conversing with and learning from community leaders early on and justifies the regret he feels about how late in the timeline the organizations met with religious and traditional leaders.

Profile

During the Ebola outbreak in Liberia, Adolphus Scott worked on public health messaging in coordination with the Health Promotion Division in the Ministry of Health. Having spent twelve years working with UNICEF (United Nations International Children's Emergency Fund) in Liberia, Scott served as the acting head of Communication for Development Unit of UNICEF prior to the Ebola outbreak. His work dealt with issues of child vaccination, nutrition, education and protection.

Full Audio File Size
62 MB
Full Audio Title
Adolphus Scott Interview

Raphael Frankfurter

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A
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2
Country of Reform
Interviewers
Jennifer Widner & David Paterson
Name
Raphael Frankfurter
Interviewee's Position
Former Director of Wellbody Alliance
Language
English
Town/City
Princeton, New Jersey
Country
Date of Interview
Reform Profile
No
Abstract

In this interview, Raphael Frankfurter describes overseeing the Wellbody Alliance clinic’s response to the Ebola outbreak in Kono, Sierra Leone. He recounts succeeding where other organizations failed by institutionalizing empathy, tightening protective protocol for health workers, and coordinating with partners to streamline treatment. In particular, Frankfurter attributes Sierra Leoneans’ exceptional degree of cooperation with Wellbody to the pairing of each patient with a community health worker. He explains how Wellbody benefited from a mostly local staff, with a structure that promoted vital conversations among community health workers, supervisors, and managers. He notes that discussions with local leaders, residents, and traditional healers helped the organization identify and serve the area’s needs. Based on various players’ achievements and setbacks in the field, Frankfurter concludes that to effectively deliver care, healthcare providers should respect patients as humans from the beginning.

Profile

At the time of this interview, Raphael Frankfurter was an MD/PhD student at the University of California, San Francisco and Berkeley. He previously served as the Executive Director of Wellbody Alliance from 2013 to 2015. He led the organization’s community-focused response to the Ebola outbreak by operating a medical center in Kono, Sierra Leone and a network of care centers throughout the country. Frankfurter conducted ethnographic research in Kono during his undergraduate career at Princeton University, where he studied anthropology as well as global health and health policy.

Full Audio File Size
62 MB
Full Audio Title
Raphael Frankfurter Interview