Participants in an infection prevention and control training in Guinea learn key skills. / Jhpiego

Participants in an infection prevention and control training in Guinea learn key skills. / Jhpiego

Conakry, Guinea—Dr. Thierno Souleymane Diallo is a formidable ally in Guinea’s race to prevent and contain the spread of the deadly Ebola virus. As a survivor of the disease, he is championing with colleagues the Infection Prevention and Control (IPC) skills that can save lives.

Last August, Dr. Thierno contracted Ebola during his rotation in the maternity ward at the Ignace Deen National Hospital. The 35-year-old father of three was infected while treating a pregnant patient who showed no Ebola-related symptoms, but who later tested positive for the disease. The doctor candidly admits that he could have avoided infection if he had known “to take every precaution.”

However, because the hospital failed to follow recommended IPC practices while caring for the patient, Dr. Thiero and five team members had to be isolated after contact. “I was the only one of the team to develop the disease,” he said.

Thierno spent 21 days in an Ebola treatment center run by Doctors Without Borders, suffering from bloody diarrhea, nausea, body aches and constant 104-degree fevers. “Sometimes I prayed to God to let me sleep, to forget my state…and when I woke up,I felt like my entire body was full of lead,” he said.

When he received a visit from his wife during this period, he was so disoriented that he at first didn’t recognize her. From the designated visitors’ area of the center, Dr. Thierno and his wife had to call out to each other from a distance of about three meters—over a wire fence and across an empty lane. Dr. Thierno remembers little or nothing of this visit.

After his release, Dr. Thierno spent another two and a half months at home recovering from severe joint pain. Upon returning to work he participated in an update and refresher training for health workers during which he learned the importance of following proper IPC practices, especially during the Ebola outbreak.

The five-day training was organized by the USAID’s flagship Maternal and Child Survival Program (MCSP) in conjunction with the Ministry of Health in Guinea. The training used lectures along with simulated practical sessions and health facility site visits to allow for hands-on demonstrations of proper IPC.

Dr. Thierno is now among 27 providers with updated skills who are managing a large-scale training—under the guidance of the USAID team—for 2,200 Guinean health care workers in IPC practices adapted for Ebola-impacted countries. They are also providing follow-up supportive supervision to these workers every two weeks as part of Ministry of Health efforts to keep front-line health workers safe and prepared to serve Guineans who may become ill.

“This training has closed the door on ignorance related to infection prevention and opened a door on behavior change,” he said.

Rachel Waxman contributed to this article.


Jacqueline Aribot and Alisha Horowitz are the Senior Monitoring and Evaluation Advisor and Associate Editor for USAID’s flagship Maternal and Child Survival Program, implemented by Jhpiego