Epidemiekontrolle und Gesundheitssystemstärkung, Phase II Sierra Leone: epidemic control and health system strengthening , Phase II Das Ziel des Programmes ist es, einen Beitrag zu einem verbesserten Gesundheitszustand der sierra-leonischen Bevölkerung zu leisten. Die zweite Phase des Moduls schließt vor diesem Hintergrund nahtlos an Phase I an.Nach den notfallorientierten Interventionen der ersten Phase ist das Ziel der Phase II von ECRHS, das aufgebaute epidemiologische Kontrollsystem nachhaltig zu unterstützen und die Leistungsfähigkeit des Gesundheitssystems mit Schwerpunkt auf reproduktiver Gesundheit / selbstbestimmter Familienplanung zu stärken. Im Kernbereich Epidemiekontrolle ist die weitere Förderung des integrierten Frühwarnsystems für epidemiologisch bedeutsame Krankheiten unter Einbeziehung von gemeindegetragenen Strukturen vorgesehen. Weiterhin soll die Ausbreitung von Krankheiten in Gesundheitseinrichtungen durch verbesserte Wasserversorgung und Abwasserentsorgung eingedämmt werden. Im Kernbereich Gesundheitssystemstärkung werden Gesundheitseinrichtungen dabei unterstützt, die Basisversorgung der Bevölkerung sicherzustellen, wobei die reproduktive Gesundheit / selbstbestimmte Familienplanung im Vordergrund stehen. Ebenso werden die Planungs- und Koordinationsfunktion der Distrikt-Management-Teams durch Fortbildungsaktivitäten gestärkt.Die Zielbevölkerung des ECRHS ist die Bevölkerung der vier ländlichen Distrikte Bombali, Kambia, Koinadugu und Tonkolili mit Schwerpunkt auf besonders vulnerablen Bevölkerungsgruppen. Auf Wunsch der sierra-leonischen Partner wird in der zweiten Phase auch der fünfte Distrikt Port Loko der Nordprovinz Sierra Leones einbezogen: Die Maßnahmen betreffen somit schwerpunktmäßig die Bevölkerung fünf ländlich geprägter Distrikte mit einer Gesamtbevölkerung von 2,5 Millionen Bewohnern, darunter 630.000 Frauen im gebärfähigen Alter. Das ECRHS fügt sich konzeptionell in den Nationalen Wiederaufbauplan für das Gesundheitswesen Sierra Leones 2015 - 2020 (Health Sector Recovery Plan) mit seinen fünf Schwerpunkten ein: Patienten- und Personalsicherheit, Entwicklung der Humanressourcen, Förderung essentieller Gesundheitsdienste, Informationssystem / Surveillance und Gemeindebeteiligung, wobei im ECRHS Aktivitäten umgesetzt werden, die Beiträge zur Umsetzung aller fünf Entwicklungsschwerpunkte des Wiederaufbauplans leisten. The programme objective is to contribute to improve the health status of the population of Sierra Leone. Against this background, the second phase of the module follows on seamlessly from phase I.After the emergency-oriented interventions of the first phase, the objective of Phase II of ECRHS is to provide sustainable support for the epidemiological control system that has been established and to strengthen the efficiency of the health care system with a focus on reproductive health / self-determined family planning. In the central area of epidemic control further promotion of the integrated early warning system for epidemiologically significant diseases is planned, including community-based structures. Furthermore the spread of diseases in health care facilities is to be curbed through improved water supply and sanitation. In the central area of strengthening the health system health care facilities are supported in ensuring basic care for the population with the focus on reproductive health / self-determined family planning. The planning and coordination function of the district management teams is also strengthened through training activities.The target population of the ECRHS is the population of the four rural districts of Bombali, Kambia, Koinadugu and Tonkolili with a focus on particularly vulnerable population groups. At the request of the Sierra Leonean partners the fifth district of Port Loko in the northern province of Sierra Leone will also be included in the second phase: The measures thus focus on the population of five rural districts with a total population of 2.5 million inhabitants, including 630,000 women of childbearing age.The ECRHS conceptually fits into the National Reconstruction Plan for Sierra Leone's Health Sector 2015 - 2020 (Health Sector Recovery Plan) with its five priorities: patients and staff safety, human resource development, promotion of essential health services, information system/surveillance and community participation. The ECRHS will implement activities that contribute to the implementation of all five development priorities of the reconstruction plan. Epidemiekontrolle und Stärkung des Gesundheitssystems The programme objective is to contribute to improve the health status of the population of Sierra Leone. Against this background, the second phase of the module follows on seamlessly from phase I.After the emergency-oriented interventions of the first phase, the objective of Phase II of ECRHS is to provide sustainable support for the epidemiological control system that has been established and to strengthen the efficiency of the health care system with a focus on reproductive health / self-determined family planning. In the central area of epidemic control further promotion of the integrated early warning system for epidemiologically significant diseases is planned, including community-based structures. Furthermore the spread of diseases in health care facilities is to be curbed through improved water supply and sanitation. In the central area of strengthening the health system health care facilities are supported in ensuring basic care for the population with the focus on reproductive health / self-determined family planning. The planning and coordination function of the district management teams is also strengthened through training activities.The target population of the ECRHS is the population of the four rural districts of Bombali, Kambia, Koinadugu and Tonkolili with a focus on particularly vulnerable population groups. At the request of the Sierra Leonean partners the fifth district of Port Loko in the northern province of Sierra Leone will also be included in the second phase: The measures thus focus on the population of five rural districts with a total population of 2.5 million inhabitants, including 630,000 women of childbearing age.The ECRHS conceptually fits into the National Reconstruction Plan for Sierra Leone's Health Sector 2015 - 2020 (Health Sector Recovery Plan) with its five priorities: patients and staff safety, human resource development, promotion of essential health services, information system/surveillance and community participation. The ECRHS will implement activities that contribute to the implementation of all five development priorities of the reconstruction plan.