{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T22:30:04Z","timestamp":1788474604419,"version":"build-2803163510"},"reference-count":16,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Glob Health"],"accepted":{"date-parts":[[2019,4,20]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>Prior to the 2014\u20132016 Ebola epidemic, Sierra Leone\u2019s Ministry of Health and Sanitation had no infection prevention and control programme. High rates of Ebola virus disease transmission in healthcare facilities underscored the need for infection prevention and control in the healthcare system. The Ministry of Health and Sanitation led an effort among international partners to rapidly stand up a national infection prevention and control programme to decrease Ebola transmission in healthcare facilities and strengthen healthcare safety and quality. Leadership and ownership by the Ministry of Health and Sanitation was the catalyst for development of the programme, including the presence of an infection prevention and control champion within the ministry. A national policy and guidelines were drafted and approved to outline organisation and standards for the programme. Infection prevention and control focal persons were identified and embedded at public hospitals to manage implementation. The Ministry of Health and Sanitation and international partners initiated training for new infection prevention and control focal persons and committees. Monitoring systems to track infection prevention and control implementation were also established. This is a novel example of rapid development of a national infection prevention and control programme under challenging conditions. The approach to rapidly develop a national infection prevention and control programme in Sierra Leone may provide useful lessons for other programmes in countries or contexts starting from a low baseline for infection prevention and control.<\/jats:p>","DOI":"10.1136\/bmjgh-2019-001504","type":"journal-article","created":{"date-parts":[[2019,5,23]],"date-time":"2019-05-23T08:23:15Z","timestamp":1558599795000},"page":"e001504","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Creation of a national infection prevention and control programme in Sierra Leone, 2015"],"prefix":"10.1136","volume":"4","author":[{"given":"Hossinatu","family":"Kanu","sequence":"first","affiliation":[{"name":"Sierra Leone Ministry of Health and Sanitation, Freetown, Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8806-8522","authenticated-orcid":false,"given":"Kathryn","family":"Wilson","sequence":"additional","affiliation":[{"name":"Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanah","family":"Sesay-Kamara","sequence":"additional","affiliation":[{"name":"Sierra Leone Ministry of Health and Sanitation, Freetown, Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Bennett","sequence":"additional","affiliation":[{"name":"Division of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaheen","family":"Mehtar","sequence":"additional","affiliation":[{"name":"Infection Control Africa Network, Stellenbosch, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Storr","sequence":"additional","affiliation":[{"name":"Global Infection Prevention and Control Unit, WHO, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedetta","family":"Allegranzi","sequence":"additional","affiliation":[{"name":"Global Infection Prevention and Control Unit, WHO, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Benya","sequence":"additional","affiliation":[{"name":"Division of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Park","sequence":"additional","affiliation":[{"name":"Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Kolwaite","sequence":"additional","affiliation":[{"name":"Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,5,22]]},"reference":[{"key":"2025072913541110000_4.3.e001504.1","first-page":"1168","article-title":"Ebola virus disease in health care workers--Sierra Leone, 2014","volume":"63","author":"Kilmarx","year":"2014","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2025072913541110000_4.3.e001504.2","unstructured":"Organization WH . 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