Support to Ebola Treatment Unit 
Project (STEP): 
One Step Closer to an Ebola-Free Liberia
Liberia
Project End-line Evaluation Report
Agreement: AID-OFDA-G-15-00021
Contact: Ms. Karen Romano, Country Director, Monrovia, Liberia
Mr. Tim Ogborn, Vice President and Managing Director, Washington D.C.
SUBMITTED TO: 
USAID Office of Foreign Disaster Assistance 
July 29, 2016
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Table of Contents
Table of Contents ........................................................................................................................................... i
Table of tables and figures ............................................................................................................................ ii
List of Acronyms ......................................................................................................................................... iii
1.0 Executive summary ........................................................................................................................... 1
2.0 Introduction ....................................................................................................................................... 4
2.1 Background ................................................................................................................................... 4
2.2 Program description: ..................................................................................................................... 4
3.0 Evaluation Scope and Objectives ...................................................................................................... 6
4.0 Evaluation Methodology ................................................................................................................... 7
4.1 Study population and data sources ................................................................................................ 7
4.2 Sampling and data collection methods .......................................................................................... 8
4.3 Limitations of the evaluation ........................................................................................................ 9
5.0 Results and Interpretation: .............................................................................................................. 10
5.1 STEP performance and contribution to EVD outbreak control and prevention ......................... 10
5.1.1 Review of project performance ........................................................................................... 10
5.1.2 Contribution to EVD prevention and post-outbreak basic health services restoration ....... 16
5.2 Effort in building health workers’ and health facilities’ capacity in Nimba County; ................. 19
5.3 Continued utilization/application of the skills obtained through training and mentorship ......... 23
5.4 Key lessons learned for future programming .............................................................................. 24
6.0 Conclusions and Ways forward ...................................................................................................... 27
6.1 Conclusions ................................................................................................................................. 27
6.2 Way forward ............................................................................................................................... 28
Annexes ...................................................................................................................................................... 30
Annex 1: Survey tools and questionnaires ............................................................................................. 30
A1.1 STEP End-line Evaluation Key Informant Interview Guide ............................................... 30
A1.2 STEP End-line evaluation Key Informant Interview Questionnaire ................................... 32
A1.3 STEP End-line Evaluation FGD Guide............................................................................... 36
A1.4 STEP FGD Questionnaire ................................................................................................... 39
Annex 2: List of Indicators and Results ................................................................................................. 40
Annex 3: Medical Commodities and supplies used/distributed by STEP .............................................. 48
Annex 4: List of health facilities Supported by STEP by type of supported ......................................... 66
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Table of tables and figures
Table 1. Summary of STEP partners and coordinated activities .................................................................. 6
Table 2: Distribution of Key Informant Interviews ...................................................................................... 8
Table 3: Beneficiaries targeted and reached ............................................................................................... 10
Table 4: Number of people received clinical consultations by age, sex and consultation site ................... 13
Table 5: Training Participants by sex and Profession ................................................................................. 20
Table 6: Health Facilities and Health Care Workers Mentored by STEP ................................................... 22
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
List of Acronyms
CB-AECS: Community Based Active EVD Case Surveillance
CDC: Center for Disease Control
CHT:
CoP
County Health Team
Chef of Party 
DHT District Health Team
EVD: Ebola Virus Disease
FGD Focus Group Discussion
gCHVs General Community Health Volunteers
GETU: Ganta Ebola Treatment Unit
HC Health Center
HF Health Facility
IPC Infection Prevention and Control
KII Key Informant Interview
KSKS: Keep Safe – Keep Serving
MOHSW Ministry of Health and Social Welfare
OIC Officer In Charge
PCI: Project Concern International
PPE Personal Protective Equipment
SQS: Safe and Quality Service
STEP: Support To Ebola Treatment Unit Project
TTMs Trained Traditional Midwifes 
UNICEF:
UMU
United Nations Children’s Fund
United Methodist University
WHO: World Health Organization
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
1.0 Executive summary 
In response to the Ebola Virus Disease (EVD) emergency in Liberia, Project Concern
International (PCI) implemented Support to Ebola Treatment Project (STEP) in Nimba County, 
funded by the USAID Office of Foreign Disaster Assistance (USAID/OFDA). Through STEP,
PCI managed the Ganta Ebola Treatment Unit (GETU) in close partnership with the Liberian
Ministry of Health and Social Welfare (MOHSW), endeavoring to slow the spread of EVD in
Nimba County through the isolation of cases, the provision of a high standard medical care and
the psychosocial support to EVD suspected and confirmed individuals and affected families at
the GETU. In addition, STEP, leveraged skills and experience of its project staff and leadership
to expand support to the County Health Team (CHT). Support included system strengthening and
implementing IPC outreach programs to communities and health facilities throughout Nimba
County. The project started in December 2014 and ended April 30, 2016. The project initially
targeted to benefit 9,180 individuals in the area, but reached a total of 15,388 people (68%
increase over target) by the end of the project period. 
The end-line evaluation was conducted in Mid-March/April 2016, to assess project performance,
the project’s contribution to the control of the EVD outbreak, the contribution towards
strengthening the health system of Nimba County, and to draw key lessons. The findings of this
evaluation are reported herein. 
The evaluation’s population of study mainly comes from the county health systems: the CHT, 
District Health Team (DHT), health facilities, the staff who worked at the GETU 1 , and
community health facilitators or leaders. Primary data from key informant interviews (KII) and
focus group discussions (FGD) using purposive sampling technique, and secondary data from the 
project quarter reports, IPTT, training database, and other sources were used as source data. All
data collected were summarized and analyzed, and findings are presented in this report. 
In summary, STEP project activities supported 78 health facilities (69 primary, five secondary
and four tertiary level) in Nimba County, serving a catchment area of 200,000 people through 
different interventions and project activities as indirect beneficiaries. Activities included the 
provision of high standard clinical services the GETU, community outreach for social
mobilization on EVD prevention; community based active case surveillance, trainings such as
Keep Safe – Keep Serving (KSKS), Safe and Quality Service (SQS)
2
, technical support to
selected health facilities and health care workers (HCW) through mentorship and supportive 
supervision, IPC and basic medical supply provision, and other capacity building interventions. 
Project achievements include: 
 
1 The Ganta ETU had been decommissioned since January 2016, and turned into a nursing training center by G. W. Harley 
Nursing School, UMU – the proprietor of the property.
2 SQS (Safe and Quality Service) is a post-EVD outbreak health service delivery protocol, and is the replacement for Keep Safe 
Keep Serving (KSKS) protocol that had been used during the EVD outbreak for health service delivery.
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
• provided consultation services to 8,865 (4,030 male and 4,835 female) people at the
facility (Gant ETU) and using outreach approaches; 
• organized 24 community events for social mobilization and outreach level services; 
• reached 46 of the health facilities through comprehensive IPC mentorship benefiting 867 
(428 male and 439 female) health care workers - more than double of the targets; 
• facilitated and supported the setup and erection of temporary triage and screening unities,
waste management, and other IPC facilities during the mentorship visits in 20 of the 46 
mentored health facilities; 
• renovated and partially furnished two isolation and referral facilities; 
• provided KSKS, Surveillance, Swab collection and transporting, SQS and other training
to 3448 (75% over the target) health care workers and managers from the 78 health
facilities; 
• provided SQS training to 100% of the health care workers (2,764) in each of the 78 
health facilities; 
• provided IPC and other basic medical supplies to 58 of the 78 health facilities directly at
least once, and in most cases more than twice, and STEP supported the CHT emergency
medical depot to supply the remaining health facilities; and, 
• reached 2,524 direct beneficiaries through different psychosocial support services.
The evaluation findings indicate that the quality of service provided by the project was
consistently compliant and in adherence to MoH/WHO protocols for EVD. All protocols and
procedures related to IPC were followed and were of the high standard of MOH/WHO, including 
hand hygiene, donning and doffing of Personal Protective Equipment (PPE), chlorine mixing for
correct percentages, etc. Patient care followed MOH/WHO protocols and all required resources
to run the GETU were available to provide a high standard of care. The facility was kept at a 
high level of cleanliness, all waste were disposed of appropriately and all medical supplies were
properly maintained. There was proper segregation of red and green zones with proper 
precautions taken. The ETU had a constant and adequate supply of water and electricity
ensuring proper cleaning and disinfections, ensuring WASH protocols were constantly observed. 
Patient care, including psychosocial services through mental health clinicians, was provided in a 
proper and timely manner. Most importantly, team work was encouraged and facilitated, and
staff reported they felt supported and able to provide feedback to colleagues at all times.
The qualitative survey findings suggest that STEP significantly contributed toward improved 
service delivery to clients at the health facilities, and its interventions positively influenced the 
day to day behavior of health workers. All respondents answered with a resounding “yes”, when
asked whether the project had any influence on their EVD related practices. Many pointed out, 
that training and mentorship led to better understanding of the importance of consistent IPC
practices. Health workers observed PPEs donning and doffing procedures and wearing risk￾appropriate PPEs to care for patients. Proper waste disposal practices were followed as much as
possible. The mentorship activities, SQS training, and the need-based supply provision to
selected health facilities was highly valued by all health care workers at all level. Respondents 
noted significantly improved triage and screening, case identification, waste management and 
hand hygiene skills.
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Findings from the evaluation conclude that there are several key reasons for STEP’s success:
ambition from project staff, agility of the project in tracking the trend of the outbreak and
making required adjustments to project priority activities based on evidence-based decision
making process, and the interactive process and flexibility of the donor to accommodate
anticipated needs during the no-cost extension (NCE). These factors significantly facilitated
efficient use of available resources to enhance the prevention and control of EVD, to address
priorities of the county health system, and, most importantly, to achieve the project objectives.
Among others, the level of coordination and collaboration with the CHT, and partners like
WHO, coupled with the level of STEP’s dedication, commitment, and determination to work
with the national IPC taskforce, the Nimba CHT and the DHT were instrumental in exploring 
and addressing priority needs on time. 
The evaluation uncovered an inherently weak and dependent health system, ineffective
community based health care, irregularities in the surveillance and preventive approaches, as
well as the continued flare up of EVD and other disease outbreaks. These weaknesses challenge
the advances made by the project. Interventions that can capitalize on the achievement of STEP
need to exist, and the health system leadership must be supported to fully manage the system.
In conclusion, the STEP project implemented all its project activities in close collaboration with
the CHT/MoH and surpassed its targets, thereby significantly contributing to the prevention of 
EVD, and added capacity to the county health system. The close coordination with the CHT, the 
determination of the project management, the hard work and motivation of the staff, and
guidance and flexibility from the donor, were key to project success. However, contributions are
not enough to meet the level of the need the health system has to prevent and manage a potential 
outbreak in the future, and further efforts to strengthen and move towards a self-reliant health
system are strongly recommended.
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
2.0 Introduction 
2.1 Background 
Project Concern International (PCI) has been working in Liberia since 2010 to increase access to
food, reduce chronic malnutrition, and increase access to improved livelihood and educational
opportunities. PCI had also responded to the Ebola Virus Disease (EVD) emergency through 
different emergency response projects funded by USAID Office of Foreign Disaster Assistance
(USAID/OFDA). As part of these response, PCI had been implementing an Ebola emergency
response project, Support to Ebola Treatment Project (STEP) in Nimba County with funding 
from the USAID Office of Foreign Disaster Assistance (USAID/OFDA). The project started in
December 2014 and initially planned to end in June 2015, but was later extended to April 2016. 
The project initially targeted to benefit 9,180 individuals in the area, but reached a total of 
15,388 people, by the end of the project period. STEP served a catchment area of 200,000 people 
through community outreach, technical supports of health facilities and HCW, SQS training, and
supply provision, and other capacity building interventions. The same population is also served
by the health facilities (hospitals, health centers and community clinics) whose staff are trained
and supervised by STEP project staff. In addition, STEP managed the Ganta Ebola Treatment
Unit (GETU) in close partnership with the Liberian Ministry of Health and Social Welfare
(MOHSW), and the STEP/GETU outreach team provided continuous and appropriate Ebola￾focused education, and CB-AECS at the community level as part of PCI’s Ebola-focused social
mobilization and early case detection and referral effort.
2.2 Program description: 
The three important public health interventions aimed at any outbreak prevention and
management as well as promoting health are categorized into primary, secondary and tertiary
preventions. Each intervention has its focused purpose and time when it will be most important,
and yet they all complement each other and have a strong synergetic effect if implemented in
integration. The EVD epidemic may have been better controlled if there had been strong primary
prevention interventions at household, community, and health facility levels with basic and
proven preventive practices at an early stage. Had there been a strong community-based
surveillance system with continuous situation analysis and response capacity, the outbreak may
have been detected early enough and contained before it overwhelmed communities and an
entire health system, and become a national and international public health emergency. 
As there was no capacity to effectively implement primary and secondary preventive public 
health interventions, tertiary prevention using a facility with full isolation, safe and quality 
treatment capacity and service, was required not only to prevent death and disability of the 
infected individuals, but also to isolate the suspected and confirmed cases to reduce the risk of 
further spread. These facilities were the Ebola Treatment Units (ETUs), like that of GETU. 
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Therefore, together with support from USAID/OFDA, PCI implemented the STEP project. STEP
was initially focused on managing and running the GETU, in close partnership with the Liberian
Ministry of Health and Social Welfare (MOHSW). The goal was to slow the spread of Ebola in
Nimba County through the isolation of cases, the provision of a high standard medical care, and
the protection of individuals affected by Ebola at the ETU. As the result of the ambitious effort
of and revelation by the project management and staff, the evidence-based decision making
process, the strong partnership with the CHT/MoH and other partners in the county, and the 
interactive process and flexibility of the donor to understand the dynamics the outbreak, STEP
was able to accommodate and address needs identified during the implementation process. 
Consequently, unlike similar projects in Liberia, STEP was positioned to also significantly
contribute to primary and secondary preventions of EVD while still maintaining its original
focus. In view of that, STEP subsequently expanded to strengthen the primary and secondary
prevention of infection transmission through social mobilization in targeted communities,
conducting active case surveillance at selected communities, and supporting and facilitating the 
integration of full EVD care to basic health service delivery system through building the capacity
of the health facilities and health care workers in Nimba County. 
PCI’s STEP project managed both the clinical and non-clinical components of the GETU’s
operations and provided multiple services, including: 
• provided high standard of medical care, and the psychosocial support of Ebola￾suspected cases at the GETU, and screening and isolation services at the outreach
level; 
• conducted regular mentoring and needs-based training for health facility staff in
patient care and comprehensive infection prevention and control (IPC); e.g. waste
management, setting up triage and isolation, setting up PPEs procedures and practices
for patient care, etc.;
• provided supportive mentoring and supervision of day to day operations of the 
project; 
• supported in maintaining the highest standards of operation of the clinical services; 
• supplied PPEs, and other IPC and medical supplies in collaboration with the 
MOHSW/CHT and WHO;
• supported data collection and reporting, administration of human resource functions 
and payment of salaries;
• restored the post-outbreak basic service delivery based on the MOHSW’s newly
launched SQS3 approach; 
• supported the Nimba CHT in epidemic preparedness and response activities; and, 
• coordinated the activities of the GETU with other institutions and partner agencies
involved in the response including the MOHSW at the county and national levels, the 
National Case Management Committee, a number of sub-committees, and WHO
technical advisors at the national and county levels.
 
3 SQS (Safe and Quality Service) is a post-EVD outbreak health service delivery protocol, and is the replacement for Keep Safe 
Keep Serving (KSKS) protocol that had been used during the EVD outbreak for health service delivery.
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Further, as part of its effort to support the Nimba CHT, STEP provided mentorship and
supportive supervision to health facilities, improved health facility capacity through provision of 
supplies and training of health care workers, continuously provided community outreach
programming to promote IPC, and conducted active EVD case surveillance in different
communities along the Guinea border with a mobile team. Throughout the project life, 
PCI/STEP coordinated its effort with a wide range of partners in the administration of the GETU,
including UNICEF and WHO, the CHT and DHT, CDC and others. A summary of partners and
activities is shown in the Table 1 below. 
Table 1. Summary of STEP partners and coordinated activities
3.0 Evaluation Scope and Objectives
STEP’s performance is evaluated by gaging results against the project plan, appraising to what 
extent the project objectives are achieved by analyzing the overall effect/contribution of the 
project on health systems strengthening and identifying gaps in the system, and revealing key 
lessons for future programming. 
More specifically, the objectives of the evaluation were to: 
a) explore STEP’s contribution in the EVD outbreak control and preventions using the set
output/performance indicators; 
b) assess the level of effort in building health workers’ and health facilities’ capacity
throughout Nimba County; 
c) determine the continued utilization/application of the skills obtained through training and
mentorship; and, 
d) identify key lesson learned and best practices for future programing. 
Consequently, the evaluation aimed to answer the following key questions: 
• whether the STEP had achieved its target/plan; 
Partner(s) Coordinated Activities
UNICEF and WHO Provide the supplies and medicines needed to manage 
suspected and confirmed EVD cases
CHT Coordinate referrals and surveillance in the catchment 
area
CDC and WHO Strengthen capacity of surrounding health facilities in 
infection prevention, surveillance and early case 
detection and referral
Other international non-government
partners, e.g. Global Communities 
and Riders for Health
Transport samples to laboratories, dead body 
management, and in support of international border 
surveillance.
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
• whether the STEP had significant “effect/impact” in the prevention and control of EVD
outbreak; 
• to what extent STEP contributed to stabilize, restore and improve the capacity of the
health facilities and health service providers so as to prevent and control EVD and similar
possible outbreaks in the catchment areas; 
• whether STEP’s intervention/activities had been evolving to maximize the influence and
ensure sustainability of the result; 
• how STEP adapted programmatically in response to the trend of the Ebola outbreak and
community and health system needs in the project area; and, 
• what best practices and lessons were learned during the course of the project and share 
for future programing. 
The primary purpose of the evaluation is to fulfil donor commitment and provide succinct 
information as to the outcome of the investment made to implement the project; however, the 
report further aims to provide donors, PCI, public health emergency professional, and other 
stakeholders with practical information for future decisions and actions regarding 
designing/planning, organizing, implementing, and monitoring similar initiatives, as well as 
conducting wise and continuous adjustments to maximize project resource utilization and 
enhance project results. Thus, users of this report include USAID/OFDA, PCI, CHT/MoH, and 
others. 
4.0 Evaluation Methodology 
4.1 Study population and data sources
Nimba County, STEP’s operational area, was the focus for end-line evaluation; and the study 
population mainly includes county health system staff from the CHT, DHT, health facilities and
the GETU4
, as well as community health facilitators or leaders. The evaluation used both 
primary and secondary data sources. 
Primary Data: primary qualitative data was collected from focus group discussions (FGDs) and 
key informant interviews (KIIs). KIIs were conducted with CHT, DHT, WHO, and ETU staff, 
health care workers from the supported health facilities, and community leaders in the outreach 
activity areas. Further, one FGD was held with staff who had worked at the GETU; these were 
clinical workers, hygienists, social workers, administration staff and others, who were asked to 
explore their experience and reflect lessons while working for the project, how they perceived 
the contribution of the project in EVD prevention and control, and how working in the project 
 
4 The Ganta ETU had been decommissioned since January 2016, and turned into a nursing training center by G. W. Harley 
Nursing School, UMU – the proprietor of the property. 
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
could have influenced their career. All assessment tools and questionnaires are provided in 
Annex 1. 
Secondary data: secondary data was collected and organized using a thorough review of key 
project quarter reports, the project’s Indicator Performance Tracking Table (IPTT). These 
sources were used to evaluate the project’s plan versus achievement, and to recapture key lessons 
documented over the life of the project. 
4.2 Sampling and data collection methods
Due to the limited number of the sample population, the evaluation used purposive sampling 
technique where the sample respondents were selected from the GETU, CHT and DHT, and 
health facility staff representing all the six districts of the county, as well as community leaders 
from the project target area. The GETU and CHT/DHT participants were selected to represent 
each of the service department, while the KII participants in the health facilities and communities 
were selected based on their availability, though the health facilities and communities were 
randomly selected. A total of 45 key informants were selected from the aforementioned lists (see 
Table 2). 
Table 2: Distribution of Key Informant Interviews 
Key Informant Category # Interviewed
CHT, DHT and partners 5
ETU staff 13
Health Facility staff 16
Community members/leaders 11
Total 45
In addition, one FGD of seven participants, all from GETU staff representing the different areas 
of responsibilities/sections (1 physician assistant, 2 nurses, 2 hygienists, 1 WASH technician, 
and 1 ground maintenance supervisor) was used. The following table shows the distribution of 
key informant interview participants.
Five STEP staff were selected and trained based on their competence and previous experience. 
Field testing was done to provide practical training and testing on the data collection tools, and 
was done using some ETU staff and a health worker from a nearby hospital. These field tests 
were not included in the evaluation KIIs and are not included in this report. STEP CoP trained 
the data collectors and supervisors, ensured the questionnaires were tested, and revised tools 
based on the test feedback. While the KIIs were held at health facilities and in the communities, 
the CoP facilitated the FGD and KIIs with GETU staff. The STEP CoP led the design, collection, 
organization and analysis of the data, and preparation of the report. The PCI Liberia M&E 
manager reviewed the evaluation plan, reviewed the tools, and supported in cleaning the 
secondary data.
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
All information collected was transcribed and organized. The qualitative data from the KII was
organized by respondent and question, cleaned and summarized. PCI M&E manager, and PCI
technical support unit, reviewed to ensure the quality of the process and outputs, including 
reviewing the plan, tools, helping cleaning/summarizing the qualitative data and draft reports. 
4.3 Limitations of the evaluation
This end-line evaluation is an internally conducted evaluation by project staff. They have better 
overall knowledge of the project and more familiar with the county health system and staff than 
an external evaluation team; however, because staff are very close to the subject matter, internal￾evaluation biases may be introduced into the evaluation. Effort was made to minimize this bias
through team training and allowing them to fully dedicate their time to the evaluation process. 
Each step of the evaluation was monitored/reviewed by additional staff across different technical 
units within PCI. 
Another limitation is that the sample size was small and previous patients or others who received 
care during the project implementation could not be surveyed. However, the evaluation 
diversified the sample population as much as possible within the scope of the evaluation 
objectives and resources, to represent all levels of the health system, from county level to district, 
health facility and community level. Further, key partners were included as KII respondents. 
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
5.0 Results and Interpretation: 
5.1 STEP performance and contribution to EVD outbreak control 
and prevention 
5.1.1 Review of project performance 
Project Targets Reached: All findings from the primary and secondary data show that the 
project successfully achieved its task: all project activities were completed, and, as project IPTT 
and quarterly reports show, surpassing most project targets. The evidence from the secondary 
data show that STEP directly reached 15,388 beneficiaries, a 68% increase over target. More 
than 200,000 people in the project catchment area were reached indirectly through the different 
sectors and core activities/services. Table 3 shows planned versus actual beneficiaries, broken 
down by project sector. 
Table 3: Beneficiaries targeted and reached5
Sector Beneficiaries 
Targeted
(Planned) 
Beneficiaries Reached
Dec 
2014 – 
Mar 
2015 
Apr –
Jun 
2015 
Jul –
Sep 
2015 
Oct –
Dec 
2015 
Jan –
Mar 
2016 
Cumulative 
(Dec 2014 – 
Mar 2016)
Health 9,180 687 4,715 3,597 4,366 722 14,087
Protection 355 512 434 1,075 148 2,524
Total 9,180 1,042 5,227 4,031 4,3666 7227 15,3888
The indirect beneficiaries include the population served by the health facilities (hospitals, health 
centers and community clinics) supported by STEP and/or served by the health care workers 
trained and/or mentored by STEP. Moreover, referred project records and KIIs suggested the 
GETU and the health facilities along the border with Guinea were also serving people from 
Guinea and adjacent counties, and therefore, the actual number of indirect beneficiaries could be
higher than reported. There was no evidence to show documented internally displaced persons 
(IDPs) reached by this project.
 
5 FY2016 Quarter two STEP project report, Project Concern International
6 The protection sector beneficiaries were also health sector beneficiaries and, therefore, are not counted twice in this total. 7 The protection sector beneficiaries were also health sector beneficiaries and, therefore, are not counted twice in this total.
8 The protection sector beneficiaries were also health sector beneficiaries and, therefore, are not counted twice in this total. 
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Sector Health: 
The objective of this sector was to provide the highest standard of medical care for Ebola 
patients in Nimba through the management of the GETU. Consequently, effort was made to 
explore three important factors: the level of service target achievement, implementation of the 
core components/activities, and the quality of service. The findings attest the implementation of 
the key planned activities as per the standard set by the MoH, and the targets had been reached
(and in most cases exceeded) as outlined below. 
Target: Despite the low EVD caseload in Liberia, STEP consistently reached large numbers of 
direct beneficiaries during the project period through both facility based and community 
outreach, CB-AECS and screening, and ongoing clinical training and mentorship of health 
facility staff from across Nimba County. This enabled the project to surpass its 9,180 target, 
reaching 14,087 within the Health Sector (53% increase over target). 
Activity implemented: The appraised secondary data (reports and data sets) confirmed STEP 
implemented comprehensive case screening, referral, care and case management. All those 
services were delivered as per the Government of Liberia’s strategy to respond to the EVD 
epidemic, which calls for the isolation of persons with suspected, probable, or confirmed EVD 
both at facility (GETU) level and outreach level. The project: 
• supported 78 health facilities (69 primary, five secondary and four tertiary level) in 
Nimba County through training of their staff, mentorship, and basic IPC supply 
provision; 
• trained 3,448 (1,597 male, and 1,851 female) health care workers working in the county, 
which is exceeded target by 75%. 80.2% (2,764) were trained in SQS, the remaining 
19.8% (684) were trained in KSKS, Surveillance, and Swab collection and transporting, 
and other training; 
• mentored 867 (428 male and 439 female) health care workers in 46 health facilities – 
more than double of the target; 
• provided consultations and clinical services to 8,865 (4,030 male and 4,835 female) 
people at the facility (ETU) and using outreach approaches; and, 
• organized 24 community events for social mobilization and outreach level services. 
• reached 46 of the health facilities through comprehensive IPC mentorship benefiting 867 
HCW, surpassed the target by over 100%; 
• facilitated and supported the setup and erection of temporary triage and screening unities, 
waste management, and other IPC facilities during the mentorship visits in 20 of the 46 
mentored health facilities; 
• renovated and partially furnished two isolation and referral facilities 
• provided IPC and other basic medical supplies to 58 of the 78 health facilities directly at 
least once, and in most cases more than twice, and STEP supported the CHT emergency 
medical depot to supply the remaining health facilities; 
Quality: The GETU secondary data (quarter reports, staff work schedule and attendance, and 
event records) suggested that the ETU staff had maintained operational readiness at all times and 
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the facility had been open for service 24 hours per day, 7 days per week, and the staff were 
working in three shifts until the clinical services were closed on October 31st 2015. This was
consistent with the MOH recommendations for staffing and working schedules of ETU across 
the county. 
The reports and photos from the GETU indicated that each section and service point in the green 
and red zones were clearly demarcated and signposted. These included the green zone gate, staff 
waiting areas, donning and doffing rooms, triage and screening sites, all hand washing stations, 
WASH facilities in both red and green zones, the fencing and gate to the red zone, the suspected 
and confirmed, male and female, wet and dry symptoms, maternal and child wards were well 
separated, demarcated and visibly signposted. These was also physically verified during 
evaluation visits on April 4 and 5, 2016. 
All patient records were properly documented, safely placed, and the GETU submitted its daily 
and weekly case investigation and surveillance reports to the CHT surveillance desk, as 
witnessed from the report copies and record books. The project continuously monitored the 
quality of the documentation, regularity of reporting on individual cases, and the weekly and 
monthly performance reporting as noted during the focus group discussion. 
Facilities and operational support of the GETU: The GETU had two well maintained 
functional generators (165 and 150 KVA) working on alternate schedule. The facility had also 
two bore holes with functional submersible pumps, and six water tanks (each with 5,500 liters 
capacity) for water storage and well maintained and functional pipeline supplying all corners of 
the ETU. In addition, there were 18 hand washing stations (three at the different entry/exit 
points, five in the “green zone” and ten in the “red zone”). Based on available records at the 
GETU, the stations had been checked three times a day for presence of the appropriate hand 
washing supplies (water, chlorine solutions or soap) and the chlorine solutions were changed 
every 24 hours. All those facilities enabled the ETU to have sufficient water and steady power 
supply 24 hours a day throughout the week, which were a key to implement the IPC protocols 
consistently, and maintain WASH standard throughout the project life. 
The records and checklists from the hygienist section, as well as KIIs and FGD discussions, 
revealed that the ETU staff consistently followed the IPC and PPE protocol for patient care 
followed by the ETU staff. All contaminated surfaces and instruments were disinfected with 
chlorine solution immediately after use. Staff assigned to the suspected or confirmed ward had 
been visiting patients at least twice during each working shift. Every time the staff left the wards, 
she/he decontaminated the PPEs immediately before leaving the “red zone”. Each item was then
properly disposed of, by the hygienist, at a designated location. All contaminated liquid wastes 
and containers were checked, disinfected and properly disposed of in a designated secure site 
three times in a day (every eight hours) seven days a week. 
The FGD and KII respondents noted that all protocols and procedures related to IPC were 
followed and were of the high standard of MOH/WHO, including hand hygiene, donning and 
doffing of PPEs, chlorine mixing for correct percentages, etc. Patient care was also provided 
based on MOH/WHO protocols and all resources were available to provide a high standard of 
care. The facility was kept at a high level of cleanliness, all waste were disposed of appropriately 
and all medical supplies were properly maintained. There was proper segregation of red and 
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
green zones with proper precautions taken. The ETU had a constant and adequate supply of 
water and electricity ensuring proper cleaning and disinfections, ensuring WASH protocols were 
constantly observed. Patient care, including psychosocial services through mental health 
clinicians, were provided in a proper and timely manner. Most importantly, team work was 
encouraged and facilitated with staff feeling supported and able to provide feedback to 
colleagues at all times. 
One CHT respondent, during their KII, said, “In my opinion, the project did extremely well in its 
compliance and adherence to MoH/WHO protocol for EVD in the county and can be describe as 
excellent. This is evident by the fact that there was no incident of cross infection reported at the 
ETU. The ETU also had adequate supply of medical, non-medical and the resources required for 
IPC and for the effective running of the ETU” 
The respondents believed that the GETU met and exceeded the minimum standards for the safe 
care in the context of Ebola, as outlined in the MOH protocol. During their interviews, they 
attributed such performance to be a result of: 
• the initial training, and the continuous on-job training and mentorship given to all staff 
throughout the life of the project; 
• clear tasks and responsibilities communicated to each staff as an individual and as a team 
member;
• availability of required supplies and materials all the time as need; 
• continuous access to basic facilities and equipment (including continuous power and 
water, washing machines, reusable PPEs, etc.) for the provision of safe care; and, 
• the level of monitoring and feedback process from project management. 
Consultations and clinical services: Based on the project historical records (reports and data set) 
the project provided EVD focused clinical assessments and screening to a total of 8,865 (4,030 
male and 4,835 female) people through the STEP/GETU mobile surveillance team’s triage and 
screening as part of the CB-AECS. Of the total 8,865 consultations, only 48 (27 male and 21
female) were admitted and managed at the ETU, while the other 8,817 were screened at 
community level by an outreach team reaching out to different communities along the border 
with Guinea. Table 4 shows the sex and age distribution of all the medical consultation 
beneficiaries. 
Table 4: Number of people received clinical consultations by age, sex and consultation site 
Age group
Beneficiaries per consultation site Total ETU Mobile CB-AECS site
M F Total M F Total M F G. Total
0-11 months 0 0 0 656 608 1,264 656 608 1,264
1 – 4 years 3 0 3 1,921 1,956 3,877 1,924 1,956 3,880
5 – 14 years 3 1 4 524 592 1,116 527 593 1,120
15 – 49 years 22 19 41 630 1,200 1,830 652 1,219 1,871
50 – 60 years 0 0 0 152 243 395 152 243 395
> 60 years 0 0 0 119 216 335 119 216 335
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Total 28 20 48 4,002 4,815 8,817 4,030 4835 8,865
The KII respondents noted that the standard of care at the ETU was high and based on the MOH 
and WHO protocols for EVD care. The GETU team was trained in clinical case management and 
followed appropriate protocols to ensure IPC for the patients and the staff. The GETU team had 
a clear understanding of international protocols and procedures, they conducted live simulation 
drills to ensure staff was always prepared and made sure that all staff, including non-medical 
personnel were trained in IPC and SQS to ensure their safety and a high standard of care. One 
respondent from the Nimba CHT said, “One of the thematic areas of STEP, clinical management 
of EVD cases, was a brain child of the CHT’s own efforts to respond to the outbreak in Nimba. 
As such adhering to the protocol for EVD care provision, was present from the very beginning of 
the project. Over time and with experience, there were modifications made to address some 
pitfalls and improve on care provision. For example, two negative EVD PCR as criteria for 
discharge even in negative patients, and certification of only confirmed patients upon discharge; 
modification of the ETU structure to create dead spaces as a mean of enhancing IPC to protect 
staff and patient. The project implementation was flexible to incorporate MOH approved 
modifications of existing guidelines to improve overall clinical management of EVD cases” 
WASH and IPC protocol implementation at the ETU: The assessment findings revealed that the
GETU had consistent and adequate water supply throughout, and adequate IPC supplies and 
materials in place for use all the time. Both the green and red zone had adequate and properly 
maintained functional WASH facilities (toilets, bathrooms, and handwashing stations, and 
functional water pipes). The WASH staff was trained on the operation and maintenance of the 
WASH facilities, operating the water source and pumping system, regulating the water storage 
and distribution, and, in collaboration with the hygienist, monitoring water flow to the different 
facilities within the ETU. During their KIIs, interviewees stated there was no single day that the 
ETU faced with shortage of water throughout the life of the project. The hygienist also was
trained on: cleaning and disinfection of WASH facilities; preparation, monitoring and disposition 
of chlorine solutions; operating and managing the donning and doffing areas; and monitoring and 
refilling the hand washing stations. All types of waste were properly segregated by type and 
disposed; and all contaminated reusable objects, surfaces are disinfected and decontaminated.
Source of medical commodities and supplies: As per the project records and documents, the 
ETU received adequate supplies from UNICEF, WHO, PCI in-kind donations, and PCI￾purchased from a project budget. According to project documentation, UNICEF provided all 
pharmaceuticals and medical supplies, and WHO donated some PPEs. The majority of the IPC 
supplies and commodities, including PPEs, came from an in-kind donations mobilized by PCI 
international office, private fund, purchased using project budget, and/or donations from other 
USAID/OFDA projects such as HHI (operating the Tappita ETU). All supplies and commodities 
were received prior to May 2015. 
Management and utilization of medical commodities and supplies: PCI/STEP had a proper 
inventory and warehouse management system, utilization and inventory reports. All appropriate
warehouse house management records (stock cards, airway bill, goods receiving and dispatching 
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
note, etc.) and reports were available monthly, in both hard and soft copies. The review of these 
records and documents suggested that the ETU had been using STEP commodities for its GETU 
facility level services, outreach services, supporting the mentored health facilities under the 
direction of the CHT’s supply chain management, conducting the SQS trainings, and supporting 
other PCI projects in IPC implementation in the workplace. There was no evidence to indicate 
the ETU went out of stock of any of the medical commodities and supplies throughout its 
operation. Furthermore, the FGD and the key informant interview (KII) respondents reported that 
the continuous availability of medical commodities and supplies were vital in keeping service 
quality to standard and consistently implement the MOH protocol for EVD treatment and care at 
the GETU. 
Based on the inventory and supply management records, PCI/STEP utilized all its stock of 
pharmaceuticals, medical and IPC supplies, as described above, and the monthly inventory report 
for March 31st, 2016 showed zero balance. Annex 4 lists the health facilities benefitting from 
supply distributions. 
Protection
The objective of this sector had been to provide protection to individuals affected by the Ebola 
outbreak at the GETU. The number of beneficiaries targeted for this sector (9,180) was based on 
the number of patients projected for the GETU when the project was initially designed in 2014. 
A total of 48 cases were admitted to the GETU; however, while the EVD caseload at the GETU 
remained low, STEP extended its services to community outreach and support activities for EVD 
survivors and other affected persons throughout the GETU catchment area, reaching, according 
to project documentation, 2,524 direct beneficiaries through different psychosocial support 
services.
The project used the MOHSW protocol for psychosocial support and child protection throughout 
the project life. As the project’s reports document, the project facilitated and supported the 
integration of 11 EVD orphans to their relatives and guardians within one week time of 
identification. During outreach services, the GETU’s psychosocial support team conducted 
community follow up visits to foster families taking care of EVD orphans. 
The FGD respondents confirmed that the shelter for orphans and their families, created and 
supported by the STEP/GETU, provided food and psychosocial support until they were 
reintegrated into their communities with assistance by the psychosocial team and local leaders.
The STEP/ETU psychosocial team was facilitating to minimize Ebola-related stigma of affected 
families through counselling and community dialogue, though community outreaches, dedicating 
staff time to provided radio talk show and educated community member through community 
healing dialogue and to share the work and purpose of the ETU. Such effort helped to the 
integration of EVD affected families and orphans into their community within one week of 
identification. 
The project data base and reports indicated that, 4,478 people reached through social 
mobilization, of which 2,524 (1,112 males and 1,412 females) were targeted for special 
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
psychosocial support and counseling focused on integrating EVD affected families and 
managing and supporting EVD affected children, including orphans, due to their special need.. 
5.1.2 Contribution to EVD prevention and post-outbreak basic health 
services restoration 
Primarily, the project aimed to contribute to the national and global effort to prevent the spread 
of EVD outbreak in Nimba County, through the implementation of tertiary level clinical and 
psychosocial services at GETU. As the Ebola outbreak evolved, the STEP project also adjusted, 
addressing gaps in secondary and primary prevention of EVD. Evaluation shows that STEP 
visibly contributed to the overall prevention and control of EVD and to the post-outbreak 
restoration of basic health services, through: 
• supporting the CHT in sharing the burden of service delivery in terms of staff capacity 
building and basic health commodities and supply provision; 
• implementing and supporting/facilitating the implementation of the national IPC and case 
management protocols; 
• improving IPC practices at health facility and community level, stimulating and 
supporting the planning and operationalization of epidemic preparedness and response 
plan; and, 
• health facility capacity building. 
Support to the county health system: The assessment confirmed that PCI, through STEP, took 
over the management of the GETU when the country needed it most. The project staffs’
dedication, commitment, and willingness to work with the IPC team of Nimba CHT was 
instrumental in building their capacity, and was essential to building infrastructure - even 
temporary infrastructure - to support essential health services and rebuild the damaged health 
system. Throughout the KIIs, mentorship was consistently noted as being key to PCI/STEP’s 
success in contributing to the rebuilding of health services in the county after severely hit with 
the EVD outbreak. 
All respondents noted that they have seen a change not only in the health service capacity, but 
also in attitudes in themselves, their colleagues and their workforce as the result of the 
mentorship and trainings provided by PCI/STEP. The survey respondents noted that capacity 
and implementation had been enhanced, especially in IPC and SQS, through training and 
mentorship. They also noted that their own leadership and coordination capacity has improved as 
they saw increased communication, feedback and information sharing through STEP. 
Compliance with national protocols: The KII respondents and FGD participants ascertained that 
the project did extremely well in its compliance and adherence to MoH/WHO protocol for EVD 
in the county with many describing it as excellent. Based on the KII respondents, FGD 
participants, and inventory report reviews the ETU had adequate supply of medical, non-medical 
and the recourses required for IPC and for the effective running of the ETU, and supporting the 
different health facilities in the County. The CHT worked closely with PCI/STEP and the Ganta 
ETU team to ensure that all clinicians are making maximum use of standard case definition and 
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
make appropriate referral; and suspected cases were isolated, attended to, investigated and 
referred which all were done in line with MoH/WHO protocol for EVD case management. 
Partnership and coordination: KII respondents from CHT and partners noted that project 
management remained engaged and transparent, with the door always open to the CHT 
throughout the implementation of the project. No challenges in regard to coordination and 
partnership were raised during the KIIs or FGD. 
Many times planning was done along with the CHT. The CHT always played the lead in 
monitoring and supervision with support by STEP. Feedback from the CHT was acted upon. 
According to project staff, the relationship was very good and commendable. Even other 
partners, e.g. WHO and the central Ministry, noted the strong relationship between the CHT and 
PCI/STEP. One district level respondent commented, “At the district level, PCI/STEP 
collaborated well with the DHT and shared their agenda with us, provided us 
transportation/ambulance support whenever needed for patient referral, and provided additional 
technical assistance to the DHT where there were limitation, especially during the mentoring 
sessions…” 
Strengthen IPC in the county: PCI/STEP contributed in shaping IPC practices in the county
through the mentorship program, the SQS training, provision of essential medicines and medical 
supplies/equipment, and the setting up of temporary IPC infrastructure in different health 
facilities of the county. One participant said, “In my opinion, PCI/STEP was the most 
outstanding partner of the CHT when it came to IPC practices in Nimba. During the peak of the 
EVD crisis and throughout the response, PCI/STEP took the lead on establishing and 
maintaining the culture of IPC practices not only in the healthcare facilities, but also in the 
communities.” 
All KII respondents noted that PCI/STEP had made significant difference in the implementation 
IPC in Nimba County through either:
• the mentorship program, 
• SQS training, 
• need-based supply provision, 
• setting up triage and isolation in many health facilities across the county, and/or 
• the renovation of two infectious disease control centers. 
Health facility/ Care worker capacity: Overall the KII respondents noted that mentorship 
program and the SQS training will make the most difference to the future of health care workers 
capacity building in Nimba County. The continuous training, supervision, and coaching both to 
the GETU staff and health care workers in health facilities across Nimba is a significant 
contribution to strengthen the health service delivery. One respondent said, “About 95% of 
PCI/STEP staff were indigenous healthcare workers posted in Nimba. All of the trainings and 
experiences they gathered as responders during the outbreak will remain with the county as 
these service providers have now returned to routine healthcare delivery. The SQS training for 
both public and private healthcare workers, has strongly equipped these providers to provide 
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
safe and quality care. Each health facility (HF) also received the comprehensive SQS guideline 
as a reference for maintaining IPC standards in all HFs at all times.” 
In response to a question related to the contribution of the project’s contribution to support the 
health facilities, a KII respondent from the WHO office in Nimba remarked, “Capacity-building 
in the major areas of healthcare delivery, has been the major achievement of PCI/STEP during 
the project’s lifetime. Human resource capacity building will remain a major asset for the CHT 
as it administers healthcare delivery in Nimba. Provision of implements such as caller user 
groups will enhance timely reporting and isolation of suspected cases surveillance diseases in 
line with national protocols. Standardized healthcare infrastructure to manage epidemic 
diseases will greatly help to contain future outbreaks, those are some the contributions of this 
project.” 
A district health officer from Nimba also reflected on STEP’s contribution to improve services at 
the health facilities: “The training of health workers has improved their capacity to conduct 
contact tracing, investigate EVD related cases and formulate team to intervene in any emergency 
situation; PCI/STEP distributed assorted IPC supplied to all health facilities which have used 
appropriately to protect health workers, patients, and the communities from potential infections; 
and Temporary Triage and isolation units were built at some health facilities and helping to 
improve screening process.”
The setting up and renovation of the temporary isolation unit (triage) at some health facilities, 
even though they are temporary, did help to support the knowledge and skills acquired during the 
training, and significantly helped to prevent and control the spread of Ebola and other infectious 
diseases through strengthening the screening practice. The majority of respondents (32 of the 45) 
noted that the strengthening of the epidemic preparedness and response capacity at the county 
level, especially in border districts and health facilities, and support to the roll out at the district 
level was a key and long-lasting achievement. 
The KII responses highlight the positive impact that PCI/STEP trainings have made on the 
capacity of Nimba County’s health system. Respondents noted that the SQS training and 
mentorship has significantly improved triage and screening, case identification, waste 
management, and hand hygiene skills in the health facilities. The KII respondents from the 
health facility reported that PCI/STEP supplied medical and IPC supplies and equipment, had 
significant contribution in implementing the IPC protocols and improve service delivery and 
client satisfaction. It also improved the quality of services through the in-service staff capacity 
strengthening (professional and auxiliary), overall facility cleanliness, improvements in all 
service delivery (including laboratory, delivery room, etc.). 
Respondents noted that the STEP had limitations in fully supporting the community based health 
care services. Health facility based KII respondents noted that STEP could have supported more 
gCHVs and strengthened linkages between the community and health facility. One respondent 
indicted that, “while gCHVs have a significant role to play in community based promotive and 
preventive health services, the engagement and support activities from STEP were limited”. Over 
40% of the respondents noted that additional training was necessary for all cadres of staff at the 
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
health facilities, especially gCHVs and TTMs. Those interviewed also emphasized the need for 
the creation of community structures in support of IPC (i.e. committees) and the need to expand 
training to all community leaders, volunteers and key stakeholders, especially traditional healers. 
However, this was beyond the project scope. 
5.2 Effort in building health workers’ and health facilities’ capacity 
in Nimba County;
Health Care Facilities Supported: As the evaluation shows, STEP supported all of the health 
facilities in the county through a combination of interventions that include mentorship, 
KSKS/SQS and other trainings, and supply provision. There were 78 functional health facilities 
in six health district in the county when STEP was operating (Annex 4 provides a cumulative list 
of health facilities supported by STEP during the project life). The secondary data show STEP 
reached 46 of the 78 health facilities through comprehensive IPC mentorship, thereby benefiting 
867 HCW. STEP also facilitated the setup and erection of temporary triage and screening units, 
waste management, and other IPC facilities during mentorship visits to 20 of the 46 mentored 
health facilities. The KII and written reports show that. STEP also provided IPC and other basic 
medical supplies to 58 of the 78 health facilities directly at least once, and in most cases more 
than twice, and STEP supported the CHT emergency medical depot to supply the remaining 
health facilities. 
Respondents noted SQS training, the need based supply provision, and the mentorship to the 
health facility that improved triage and screening, case identification, waste management and 
hand hygiene skills where among the valuable contributions of STEP project. The training served 
as a cornerstone to build staff capacity up to standard in terms of care provision. Further, the KII 
findings indicated that PCI/STEP project not only significantly contributed to improved service 
delivery to clients at the health facilities, but its interventions positively influenced the day to day 
behavior of the health workers. All respondents answered with a resounding “yes” to a question 
on whether the project had any influence on their EVD-related practice. Many pointed out, prior 
to the Ebola outbreak and in the early days of the crisis, health workers were not 
aware/observing proper IPC practices. Now, following training and mentorship, all respondents 
noted that they and their teams have a better understanding of the importance of consistent IPC
practices. Health workers were observing PPEs donning and doffing procedures and constantly 
wearing risk appropriate PPEs to care for patients; and proper waste disposal practices were
followed as much as possible.
Health care providers trained: The project records revealed that STEP trained 3,448 health care 
workers (1,597 male and 1,851 female), a 75% increase over the original planned target of 1,970. 
The SQS training covering 100% of the health care workers in all the health facilities (hospitals, 
health centers and clinics) in Nimba County, was the main reason for the over achievement. 
Apart from the SQS training, KSKS, EVD surveillance and response, psychosocial support, and 
swab sample collection were among the focus of the trainings supported by the project. Table 5
shows the training beneficiaries by profession and sex. 
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Table 5: Training Participants by sex and Profession
Professional 
Category
Number of participants
Male Female Total
Medical Doctor 15 6 21
Registered Nurses 252 368 620
Physician Assistant 35 8 43
Hygienist 217 170 387
Midwifes 4 53 57
Others 1073 1247 2320
Total 1597 1,851 3,448
In response to a question related to the contribution of the project’s contribution to support the 
health facilities, a KII respondent from the WHO office in Nimba remarked, “Capacity-building 
in the major areas of healthcare delivery, has been the major achievement of PCI/STEP during 
the project’s lifetime. Human resource capacity building will remain a major asset for the CHT 
as it administers healthcare delivery in Nimba. Provision of implements such as caller user 
groups will enhance timely reporting and isolation of suspected cases surveillance diseases in 
line with national protocols. Standardized healthcare infrastructure to manage epidemic 
diseases will greatly help to contain future outbreaks, those are some the contributions of this 
project.” 
A district health officer from Nimba also reflected on STEP’s contribution to improve services at 
the health facilities: “The training of health workers has improved their capacity to conduct 
contact tracing, investigate EVD related cases and formulate team to intervene in any emergency 
situation; PCI/STEP distributed assorted IPC supplied to all health facilities which have used 
appropriately to protect health workers, patients, and the communities from potential infections; 
and Temporary Triage and isolation units were built at some health facilities and helping to 
improve screening process.” 
Considering the magnitude of training targets, effort was made to examine how successful the 
SQS training was. The SQS training has four levels: there are four master SQS trainers trained at 
national level, 43 county level facilitators trained as SQS facilitators by the master trainers, and 
472 clinical level and 2,247 non-clinical level HCWs trained. Pre and post training test results 
from randomly selected health facilities were documented in the training databases, and these
were compared. Further, reflections from key informant interviews regarding trainings were also 
collected. 
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The pre and post-test score comparison showed an average of 37 (64.5%) points gain in IPC, 
PSS, clinical practice knowledge among clinicians, and an average of 32 point (52.4%) increase
in IPC practice knowledge among non-clinicians9
. Although the passing point was 60%, as per 
the WHO/MOH set criterion, all four of the master SQS trainers 84% (36 of 43) of the county 
level SQS training facilitators, 99% (469 of 472) of the clinical HCW, and 96% (2152 of 2247) 
scored above 70% in the final test, highlighting the success of the SQS training. .. There were no 
drop outs in any category. 
Based on the KII participants’ reflections, the SQS training was among the most valued 
contribution of the project in strengthening the capacity of the health workers. Nearly all of the 
respondents from the health facilities reflected that the SQS training brought about several 
changes in the quality of health care services at health facilities and service provider confidence 
in case management and IPC. Improved knowledge and practice of IPC, through SQS trainings, 
was noted as a very important intervention at health care facilities. It was reported that these 
trainings, coupled with supplies of equipment and medicines, increased health care workers’ 
capacity in risk assessment to identify emergency, priority and queue patients, improved 
sanitation and hygiene practices, and improved screening and case identification. Respondents 
noted that facilities were better organized and cleaner from improved waste management. In 
addition, respondents noted that creating temporary triage/screening areas in combination with 
the SQS trainings improved isolation of suspect cases. For example, one respondent noted that, 
SQS training complemented by the preceding mentorship “practically demonstrates to us why 
every patient that comes to the clinic must enter through triage so that they are correctly 
screening for suspicious symptoms, and how and why a risk appropriate PPE should be 
utilized.” Another respondent commented that the SQS training was helpful to the way it enabled 
them to better communicate with patients,noting that it “helped improved our way of talking to a 
patient in a manner that makes them feel relaxed and comfortable.” Given the fear surrounding 
Ebola, this is an interesting remark regarding the benefit of the training. The trainings appear to 
be fundamentally important component of the success of the intervention. As one respondent 
noted, the trainings “enlighten our minds on how to provide care to our patients.” 
Mentorship: STEP, in collaboration with CHT and WHO, engaged in the mentorship of high 
priority health facilities in Nimba County. The purpose of the mentorship was to support the 
targeted health facilities overall system to implement the national IPC minimum standard in the 
context of EVD, and train and mentor the health care workers in those health facilities to comply 
and implement the IPC universal precautions and the Liberian IPC minimum standard in the 
context of EVD. Initially, the mentorship was started based on the then “Keep Safe Keep 
Serving,” or KSKS, protocol, and later shifted to the Safe and Quality health Services (SQS) 
protocol10 few months after Liberia was first declared Ebola free. 
 
9 The point gain/loss is calculated by subtracting the pre-test result from the post-test result.
10 KSKS and SQS are both MOHSW standard protocols for IPC. KSKS protocol had been used to implement IPC intervention in 
the context of the EVD outbreak; now that the outbreak is under control, KSKS protocol was replaced with SQS during the 
reporting period.
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
The project records show that STEP covered 46 of the 64 mentored health facilities, above the
target of 24 health facilities, which were initially targeted high priority health facilities. This 
coverage included mentoring on regular hand washing and hygiene practices, setting up and 
implementing triage and screening procedures, appropriate use and disposal of PPEs (including 
donning and doffing procedures), health facility waste management and environmental cleaning, 
and IPC supply chain management, were among the areas covered in each of the mentorship 
visits. As part of the mentorship, the mentors also supported the health staff in some of the 
facilities, to set up and rehabilitate temporary triage structures, established hand washing stations 
through providing staff time and supplies (e.g. buckets and forceps, chlorine solutions, etc.). The 
project staff mentored more than double the health care workers (324) originally targeted. The 
project records show that 867 (428 male and 439 female) health care providers in 46 health 
facilities were mentored over the life of the project (See Table 6). 
Table 6: Health Facilities and Health Care Workers Mentored by STEP
Type Facility 
Mentored Quantity
Health Care Workers mentored11
Clinician Non-clinician Total Grand Total
Male Female Male Female Male Female
Hospitals 5 49 78 55 48 104 126 230
Health Centers 2 13 15 37 38 50 53 103
Clinics 39 54 62 220 198 274 260 534
Total 46 116 155 312 284 428 439 867
The qualitative data gathered from KIIs noted mentorship as among the most important activities 
that facilitated IPC practices and improved capacity and confidence of the health care workers.
The findings demonstrated that the mentorship component of STEP’s outreach program helped 
build the technical knowledge and proficiency of health workers and strengthened IPC 
implementations in Nimba County. 
An officer in charge in one health facility in Tappita district, said, “PCI/STEP did especially 
very well in making hand washing practices are effective and consistent; screening of patients, 
visitors and staff before entering health facility; improved screening and isolation through 
building of temporary triage; and setup procedures to use PPEs, and improve the waste disposal 
and management in our facility – all as a the result of the conducted mentorship program at our 
clinic….”
The respondents also noted that the mentorship activities improved health care workers’ 
knowledge on prevention, assessment, case management, and met overall goal of behavior 
modification. It helped the service providers by making them aware of important routine 
practices such as on the need for hand hygiene, and their social behaviors including hand 
shaking, hugging etc. 
 
11 According to the CHT/MOH, Clinician HCW include: MDs, Physician Assistants, Nurses, and Clinical Midwifes; and Non￾clinician HCW includes, hygienists, nurse aides, dispensers, vaccinators, cleaners, TTMs, and others. 
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According to the KII respondents, the mentorship also helped them learn how to engage with
community-based health volunteers to support the health facilities in creating a safer 
environment. Mentorship helped increase active participation by gCHVs and community leaders 
to improve IPC infrastructure (fencing, waste disposal, and maintaining water points) of health 
facilities. Mentorship also brought improvement in community dead body management through 
health education and community awareness promotion. Mentorship contributed to the 
improvement of all aspects of IPC and health facility management. It also improved the quality 
of services through the building of staff capacity (professional and auxiliary), overall facility 
cleanliness, improvements in all service delivery (including laboratory, delivery room, etc.). 
A medical director of one of the hospitals in Nimba County reflected, “PCI/STEP conducted 
mentorship and 15-20 staff were mentored on IPC protocol; conducted SQS training that 
increased the knowledge capacity of all our staff in IPC practice, waste management and hand 
hygiene, case management; and taught us the KSKS approach to IPC practice, which is now 
replaced by SQS approach, and provided us IPC supplies – all these supports were very helpful 
to improve service quality”
A staff member at the health facility in Zoe-geh district said, “First, we never have knowledge on 
triage screening, hand hygiene, or IPC in general, but we acquired adequate knowledge on IPC 
protocol, waste management, and hand washing through the intervention of PCI/STEP. In 
addition, PCI/STEP brought positive changes to our patient care by sending mentor to refresh 
our knowledge and practice.” 
5.3 Continued utilization/application of the skills obtained through 
training and mentorship 
The key informant interview respondents pointed out that the mentorship activities positively 
impacted on their basic skills and knowledge, including the preparation of appropriate chlorine 
solutions, the disinfection of medical instruments and reusable PPEs, proper waste management, 
and how to clean environment in a manner to promote health. Key informants noted that hygiene 
practices are improved: hand washing stations are seen everywhere and patients and visitors are 
making use of such facilities to protect themselves. They also stated that patients and visitors are 
properly screened before entering health facilities. According to interviewees, trainings helped 
them as a key reminder to implement the IPC protocol and refresh on some basic skills on IPC 
and case management, which they had forgotten. The respondents also said that the mentorship 
has led to improved hand hygiene practices and the importance of consistent placement of hand 
washing stations at the health facility; proper patients and visitors screening before entering 
health facility; case separation and isolation, and organize the setup of the health facility to better 
implement the IPC protocol, including organizing the OPD area, the laboratory, in-patient 
service, donning and doffing areas, waste segregation and disposal, as well as fencing of the 
health facility. 
Over 80% of the KII respondents and the FGD participants noted that, as the result of the STEP 
training and mentorship, they would now prepare chlorine solutions properly and know how to 
disinfect areas of possible contamination. They also noted that they would have more confidence 
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in caring for their patients appropriately, including triage and isolation. Waste management 
practices are essential to the prevention of infection and a majority of respondents noted that they 
have good knowledge of the importance of IPC and waste management. 
One staff in one of the health facilities in Gbarlay-Geh district, said, “Generally, the mentorship 
helped put things in order, for instance, the laboratory section was disorganized, waste was 
poorly managed and poorly disposed, and staff were not following IPC protocol, but the 
mentorship improved the system of waste segregation and management; it helped to clean and 
organize the laboratory working environmental, and the condition of the health facility. The 
mentorship also created room for gCHVs and community people involvement in health facility 
work thereby linked the gCHVs and community in improving health activities. Further, 
mentorship brought improvement in community dead body management by promoting health 
education and community awareness.” 
Further, the health workers noted that the continued supply of the IPC and medical commodities 
helped them in demonstrating the appropriate IPC practices. One health facility staff from 
Saclepea district said, “PCI/STEP supplied essential drugs, IPC supplies, patient bed, and other 
assorted medical supplies when we were really in need of them. Those support, not only will keep 
us safe and work in safe environment, but were very helpful to provide the routine health care 
services and to practically implement what we have gained during the trainings with confidence 
and without fear.” 
Another KII respondent said, “Due to the lack of IPC supplies at the health facility I am 
working, before, health workers in my facilities were not protected, but PCI/STEP provided 
those personal protective materials, chlorine, and other IPC materials; and trained us how and 
when to use them that improved our knowledge and skill in patient care and use of protective 
measures. As the result, I am set to serve in a very safe environment and highly motivated to do 
my job.” 
5.4 Key lessons learned for future programming 
• The aspiration and vision by the project management and staff, the flexibility of the project, 
the evidence-based decision making process, short decision-making path that PCI had, as 
well as the interactive process and flexibility of the donor to understand the dynamics the 
outbreak and accommodate needs identified during the NCE, had significantly helped the 
project to efficiently utilize available resources so as to speed up implementation of all 
project components, enhance its contribution to the prevention and control of EVD, 
addressed priority needs of the health system in the county, and, most importantly, to achieve 
the project objectives. Besides, as well noted by the key informants, due to the improved 
communication and feedback system, STEP facilitated joint planning exercises, and 
information sharing, thus improving leadership and coordination capacity of the key 
stakeholders at the county, especially the CHT. 
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• The level of coordination and collaboration with the CHT, and partners like WHO, 
significantly contributed to the success of the project. The effective engagement of 
PCI/STEP’s staff to work with the national IPC taskforce, the CHT and the DHT of Nimba 
was instrumental in exploring and addressing priority needs on time, and had significantly 
contributed to improve the county’s health system. 
• Having a locally staffed ETU significantly improved STEP’s ability to work closely with the 
communities and the CHT/MOHSW. Further, 80% of staff who transitioned from the GETU 
at the end of the project are now working in the different health facilities in the county, a 
continuing asset to the health system.
• The series of flare ups of EVD cases in Liberia after the country was declared free of EVD is 
an important indication and continued reminder to maintain high levels of vigilance to 
monitor the situation, examine trends, and intensify surveillance and social mobilization on 
IPC, and most importantly, for functional and robust community based health care.
• Mentorship was consistently noted as being key to PCI/STEP’s success. Mentorship and the 
SQS training were most valued by all respondents, and all noted that those two components 
has well-appointed the HCWs in the county, with basic knowledge about patient care, hand 
washing practice, risk assessment, psychosocial services, set-up and use of triage and 
isolation facilities, and appropriate waste management, and use of risk appropriate PPEs. In 
addition, the respondents from the health facilities, noted the continuous provision of IPC 
and medical supplies had helped them to improve health services, and apply what they had 
learnt from the trainings and mentorship. 
• The KII respondents strongly agreed that PCI/STEP interventions had significant influence in 
their day to day practice of IPC. They noted that “Prior to the Ebola outbreak, and in the 
early days of the crisis, health worker were not aware of or observing proper IPC. Following 
training and mentorship, now all respondents noted that they and their teams have a better 
understand of the importance of consistent IPC. Health workers are adhering to PPEs 
donning and doffing procedures and constantly wearing risk-appropriate PPEs to care for 
patients; and proper waste disposal practices are being followed at much as it need to be”
• Maintaining and strengthening relationships with all key stakeholders (schools and 
community based organizations; community, traditional, governmental and religious leaders; 
EVD survivors; and community health clinics) was an essential part of the effectiveness of 
STEP activities. These relationships can and must be maintained and replicated to build 
strong epidemic preparedness and response systems across the board through existing social 
and behavior change approaches, strengthening existing surveillance capacity, 
creating/improving community-facility linkages, and building community resilience. 
• Despite mentorship and supervision activities, in 50% of the facilities technical assistance 
was challenged by a lack of or irregular supply of IPC supplies and consumables and poor 
infrastructure. Most respondents highlighted the severe infrastructure limitations of health 
facilities in the county as key challenges to consistently implementing the national IPC 
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minimum standards. Consequently, the respondents wished PCI/STEP would have built 
permanent incinerators, instead of simple renovations and putting zinc over damaged ones; 
requested construction of permanent triage and isolation areas, which was unallowable by the 
grant, would have been very important for health system rebuilding and strengthening. 
• Based on survey findings and observation, while gCHVs have a significant role to play in 
community based promotive and preventive health services, the engagement and support 
activities from STEP were limited. All respondents noted that additional training was 
necessary for all cadres of staff at the health facilities, especially gCHVs and TTMs. 
• The respondent also emphasized the need for the creation of community structures in support 
of IPC (i.e. committees) and the need to expand training to all community leaders, volunteers 
and key stakeholders, especially traditional healers.
• As the PCI/STEP closes, many respondents noted maintaining the level and scale of 
mentorship and on-site capacity building activities at all health facilities as an imminent gap. 
The survey participants noted that there was a will continue to be a need for continued 
mentorship and integrated supervision on SQS and a constant supply of IPC materials in all 
health facilities. 
• Due to the emergency nature of the project, very short contracts (up to three months at a 
time) led to stress and uncertainty for most STEP staff. Additionally, lack of compensation 
for overtime work, sudden shifting to different responsibilities after the cessation of clinical 
services at the ETU, inconsistent and ineffective medical insurance, unsuccessful treatment 
outcomes for some patients, and finally, witnessing the decommissioning of the ETU when it 
could be used as a an infectious disease control center, were the most disappointing/low 
points as reflected by the project staff.
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6.0 Conclusions and Ways forward 
6.1 Conclusions
In conclusion, STEP project not only achieved and/or surpassed its targets, but also became a 
great opportunity to further continue health system strengthening in Nimba County. STEP
implemented all its planned activities and performed well in achieving all its targets. All
evidence suggests that STEP project, through the implementation of IPC promotion and
demonstration at community and health facility levels, effectively supported surveillance
activities, established effective triaging/screening and isolation protocols and facilities for
suspected and confirmed cases, and improved the technical capacity of health workers through 
training and mentorship. These outcomes played a pivotal role in the EVD prevention and
control efforts. 
The provision of need-based IPC and other medical supplies support to selected health facilities,
coupled with health care worker capacity strengthening, contributed to restoring basic health
services post-outbreak, while strengthening the capacity of health facilities to prevent and
contain a possible flare ups of EVD and/or other disease of outbreak potential. 
Improved technical capacity of health workers, including staff working at the GETU, that
resulted from the different trainings and mentoring sessions conducted by STEP, became a major
asset to the county in terms of health system capacity. These capacities have been pivotal in
current efforts to develop epidemic preparedness and response efforts in the county, and in
restoring post outbreak basic health services, improving the quality of health services, and
building communities’ trust on the health system that had been lost during the outbreak. STEP
project’s capacity strengthening interventions significantly improved the day to day IPC
practices of thousands of health workers in Nimba. This training and mentorship helped health
workers to better understand the importance of consistent IPC and to put that knowledge directly
to practice. During supervision and mentoring visits, health workers were consistently observed 
properly and constantly wearing risk appropriate PPEs, practicing PPE donning and doffing
procedures, and regularly applying/following proper waste disposal practices/procedures. 
An important element of success for STEP was the effective, consistent and ongoing
coordination and collaboration with the CHT and DHT, partners like WHO, and the national IPC
taskforce. Such coordination was instrumental to identify and address priority needs on time,
improving the county’s health system. 
Additional elements that contributed to the project’s success include the commitment and
motivation from project management and staff, the agility of the project to identify and adapt to
evolving circumstances, the evidence-based decision making process implemented for technical
and operational decisions, as well as the flexibility of the donor to accommodate new requests
that resulted from emerging needs identified during the NCE. All these significantly facilitated
the efficient utilization of available resources, thus enhancing the project’s contributions to the 
prevention and control of EVD, while responding to priority needs of the county’s health system, 
and, most importantly, achieving project objectives. 
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Furthermore, STEP helped to improve leadership and coordination capacity of key stakeholders
at the county, especially the CHT, through the effective and continuous communication which
included a swift feedback system, facilitation of joint planning exercises, and regular information
sharing activities. 
6.2 Way forward 
An inherently weak and dependent health system, ineffective community based health care, 
irregularities in the surveillance and preventive approaches, as well as the continued flare up of 
EVD and other disease outbreaks, will challenge progress made by the STEP project unless 
additional interventions are implemented to capitalize on its achievements. The following 
recommendations are made:
• Unless the health system has determined and functional leadership, that fully owns and leads 
at all levels of the system - and becomes fully accountable to its challenges, gains, and 
problems - maintaining or replicating positive lessons and good practices is always 
impossible. 
• Epidemic preparedness and response should be further strengthened by having clear 
mandates and shared responsibilities and accountabilities among the key players. The series 
of flare up of EVD cases in Liberia and its neighboring two countries, after they had been
declared Ebola free, serve as an important reminder of the need to ensure and maintain 
appropriate systems in place to monitor the situation, examine trends, and intensify 
surveillance and social mobilization on IPC, and most importantly, the strong need for 
functional and robust community based health care that includes surveillance. 
• Training is an important component of capacity and health systems strengthening, as it 
provides participants with an opportunity to gain knowledge, skills and an incentives to
implement a given task in a given setting. However, training by itself is not an end result, and 
it has to be complemented by supportive, effective, on site and regular mentorship. The 
lesson from this project is very clear in that mentorship was consistently noted as being key 
to PCI/STEP’s success and the most highly valued element by health workers as a means of 
building their capacity and source of motivation. As the PCI/STEP closes, many 
stakeholders, from the county and district health team and health facilities, noted continued 
mentorship as an imminent gap to be addressed in the near future. Thus, though resource 
intensive, mentorship and a post-training supervision, should be prioritized as key 
interventions to uplift and improve the human resource capacity in Nimba, and in Liberia in 
general.
• As part of the community based health care system, maintaining and strengthening 
relationships with all community level stakeholders (schools and community based 
organizations; community traditional, governmental and religious leaders; EVD survivors; 
and community health clinics) will continue to be an essential part of an effective emergency 
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preparedness/response system. Using Social and Behavior Change approaches like the ones 
implemented by STEP, will help build upon surveillance capacity created by STEP and will 
contribute to building community resilience. 
• As a key component of the health system, functional and robust supply chain management 
(SCM) is very crucial. Lack or weak SCM counteracts the positive effects of any technical 
assistance and other capacity strengthening achieved and will continue to undermine the 
system’s ability to implement recently acquired technical capacity and motivation. Thus, 
efficient supply management system is another area that will continue to require the support 
and attention of health system leaders. 
Finally, it is certain that ‘health is made at home and fixed at the health facilities.’ This is more 
accurate for resource-limited communities and nations like Liberia, where a strong community￾based health care system, can be an efficient alternative to help prevent and address most of the 
health challenges in the country. At the heart of community-based health care is active and 
meaningful community engagement by its volunteers: gCHVs, TTMs, community health service 
supervisors, traditional healers, and community leaders. These community representatives would 
not only serve as change agents for better health and disease prevention at household and 
community levels, but would also act as bridges between the community and facility services, 
and would advocate for specific improvements needed. This component of the health system is 
crucial in helping minimize or prevent future potential outbreaks, while effectively promoting
better health at household and community level.
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Annexes
Annex 1: Survey tools and questionnaires
A1.1 STEP End-line Evaluation Key Informant Interview Guide
Definition and Purpose: Key informant interviews are qualitative in-depth, one-on-one interviews with people who 
have first-hand knowledge about their offices or health facilities or community, its staffing, and issues related to the 
different activities that PCI/STEP are implementing and trying to investigate. 
This interviews aims to understand the understanding, perception, and values of the different interventions that 
PCI/STEP has been implementing in Nimba County, in general and in their particular district, health facility and/or 
community specifically. Therefore, the interview must be conducted based on the guiding points and instructions 
outlined below. 
A. Instructions to the Interviewer:
1) Introduce yourself. 
2) Establish the purpose for the interview. 
3) Explain why his/her cooperation is important in collecting the information you need. 
4) Explain what will happen with the collected information and how the community will benefit. 
5) Ask the informant if they have any questions before you begin.
6) Ask the questions on the key informant interview guide, and where needed probe to learn additional 
information.
7) When give unclear answers, the interviewer should probe for fuller, clearer responses. 
8) A few suggested techniques are: repeat the question, explain that you have limited understanding of the 
subject and ask for specific detail, or repeat the participant’s reply.
9) Summarize main points from the interview. 
10) Provide an opportunity for the key informant to give any additional information or co
B. Instructions to the Note taker: 
1) Record major themes, ideas, comments and observations. 
2) Use KII Note Taking Form.
3) Document verbal and non-verbal communication.
4) When in doubt, don’t leave it out!
5) Do not throw away any papers with notes of the interview. 
6) After completing the interview please review your notes for completeness before leaving the venue.
7) In evening, interviewer and note taker should review and consolidate notes to ensure complete 
documentation.
8) Capture any new insights that emerged as a result of this discussion with the interviewers.
9) Save all notes from FGDs 
C. Interviewer/Note taker Information: 
Name and signature of Interviewer: ____________________________________________ 
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Name and signature of Note taker: _____________________________________________ 
District: _____________________ Health facility/community: _____________________________ 
Date: ________________Time: ________ 
D. Interviewee Information: As filled in the questionnaire (Optional) 
Name: ________________________ Sex: ________________, Position/profession: ______________________ 
E. Introduction (Interviewer): 
Hi my name is ______ (interviewer), and this is my colleague, ______ (note taker), and we work with the _______. 
Thank you for sharing your time with us today. Before we begin, we need to inform you of several things.
The purpose of today’s group discussion is to gather feedback about your experience with the work of PCI/STEP 
that manages the Ganta ETU. Sharing your experiences and opinions will help us document the lessons and 
improve our future similar interventions, so we would like you to be honest and open with your responses. We do 
greatly value your participation, but also need to let you know that your participation in this discussion is 
completely voluntary. You are not required to be here as to participate in this group discussion. By participating in 
this discussion you are consenting to allow us to use your anonymous responses to help inform program planning in 
the future.
I am going to ask you some questions about contribution of STEP/Ganta ETU, and my colleague (note taker) is 
going to take notes on our conversation. Your privacy is very important to us, and your name will not be linked to 
anything that you share with us today. We also request that you respect the privacy of others in the room and not 
share their comments outside of this group. 
We anticipate this discussion to last for 1 hour. Please be patient and participate in the discussion through its 
entirety. Your views and opinions are valuable to us. 
Remember that this is an open discussion and I would like you to share your views freely. If you are no comfortable 
in taking part in this you are free to say so. Please note that your refusal to take part in this will not be held against 
you in any of your interactions with PCI. 
At this point, the interviewer asks whether the participants will take part in the interview. If yes, the interviewer 
continues. If not, the interviewer thanks the participant and excuses the participant from the interview. 
Note to Interviewer: Instructions and probes for interviewers are bolded throughout the guide
Question 1:
Question 2: Etc…continue
Exit:
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Thank you again for you time today. Your comments will help us to better understand how __________, and how we 
can improve future programs. Please remember that we will keep the information you provided anonymous, and we 
ask that you not share other participant’s responses.
A1.2 STEP End-line evaluation Key Informant Interview Questionnaire 
A. Introduction to the Questionnaire (this is to all questionnaires categories) 
STEP Project has been managing the MOHSW-staffed Ebola Treatment Unit (ETU) in Ganta in order to slow the 
spread of Ebola in Nimba County through the isolation of cases, the provision of a high standard of medical care, the 
protection of individuals at the ETU affected by the Ebola outbreak, strengthen the primary prevention of infection 
transmission in Nimba County, and support and facilitate the integration of full EVD care to basic health service 
delivery system. Though the primary focus of the project was to manage the tertiary referral center for EVD 
suspected and confirmed cases at GETU, STEP also leverages the skills and resources of the GETU and its staff to 
support ongoing outreach programs to communities and health facilities in throughout Nimba County. 
Thus, this exercises is aimed at looking at the performance of PCI/STEP over the last 15 months period, and 
document lesson and stakeholder reflection in the overall process and achievement of the project.
The major strategic approaches that have been used to achieve STEP’s project objective have been: 
 Providing high quality/standard medical care to admitted EVD suspected and confirmed cases at the Ganta 
ETU, based on the MoH protocol for EVD care;
 Providing psychosocial support and protection to individuals affected by the Ebola outbreak at the ETU ;
 Conduct focused primary and secondary EVD prevention interventions at community level, that includes 
social mobilization and active case surveillance;
 Strengthen the capacity of health facilities and health care workers to implement EVD focused and MoH 
minimum standard for infection prevention and control;
Based on this, it is important to get reflection from different stakeholders on the implementation process and results 
achieved. This helps PCI to learn and document the process of implementing the project, and take a lesson on what 
improvements must be considered while designing and/or implementing future public health or development 
projects. 
Accordingly, PCI/STEP highly values your input and appreciates your contribution in outlining your thoughts on the 
issues below. 
B. ETU Staff 
Name: _______________ (optional) Organization: ____________________
1. As PCI/STEP employee, what do you value most while working for STEP project?
2. Do you realize any change of attitude or understanding about EVD on yourself that as a result of direct 
involvement as a staff of the Ganta ETU? What are these changes you realized?
3. How do you describe your contribution in providing high quality/standard medical care to admitted EVD 
suspected and confirmed cases at the Ganta ETU, based on the MoH protocol for EVD care;
4. How do you justify if the medical services being provided to EVD suspected and confirmed cases at the Ganta 
ETU, were high/standard quality and were consistent to the MoH protocol for EVD care?
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5. What was you direct contribution to maintain the quality of services to be high standard and quality services and 
as per the MoH protocol for EVD care;
6. You are among the health care workers running a high/standard quality medical care to EVD suspected and 
confirmed cases at the Ganta ETU. How would such experience influence/shape your future professional 
career?
7. What do you consider some of the most significant trends, events, and developments shaping the IPC practice in 
Nimba County you believe STEP has contributed to? 
8. What do think is the key achievements of PCI/STEP during the course of the project implementation that you 
believe could make the most difference to the future of health care workers capacity building in Nimba County?
9. What do think is the key achievements of PCI/STEP during the course of the project implementation that you 
believe could make the most difference to strengthening the IPC implementation in Nimba County? 
10. What do think is the key achievements of PCI/STEP during the course of the project implementation that you 
believe could make the most difference to strengthening the epidemic preparedness and response capacity of the 
county level health system in Nimba County? 
11. What has been your major learning, insight, or discovery so far while working in the STEP project? 
12. As an engaged professional, there are inevitably high points and low points, successes and frustrations. What 
stands out for you as a high point when you were part of an outstanding STEP/Ganta ETU team member? 
a. What has been a high point of your involvement with STEP? Why was it a high point?
b. What do you especially value: 
i. About STEP as a project that adds value to EVD prevention and control project 
implementation? 
ii. About STEP, a key contributor to restore the basic health services through building the 
capacity of health facilities in Nimba County? 
iii. About STEP, as a key contributor/player to restore the basic health services through building 
the capacity of health care workers in Nimba County? 
iv. About STEP, as a key contributor/player to improve the infection prevention and control 
practices in Nimba County?
13. How do you think your experience and learning while working for STEP/PCI would shape your professional 
career, and enhance your contribution to the county health system or beyond?
14. What could PCI/STEP have done more to further boost its achievements and address areas which otherwise 
were not addressed during the course of the project? In terms of 
a. Health facility capacity?
b. Health care workers capacity?
c. IPC implementation?
d. Community facility linkage to improve IPC?
e. Others?
15. How do you think PCI/STEP could have achieved more or addressed these gaps?
16. What are the areas where you feel more projects like STEP engagement could have the most impact on 
improving IPC and Epidemic preparedness and response in Nimba County?
C. CHT, DHT, Partners 
Name: _______________ (optional) Organization: ____________________
1. As a key partner of PCI/STEP, what do you value most while partnering with STEP project to manage the ETU, 
jointly work on mentorship and all other efforts to improve the IPC practice in the county?
2. Do you realize any change of attitude or understanding on effective partnership on yourself and your office as a 
result of direct involvement with STEP project staff? What are these changes you realized?
3. In your observation, how do you describe the compliancy of the project to MoH/WHO protocol for EVD care, 
while providing high quality/standard medical care to admitted EVD suspected and confirmed cases at the 
Ganta ETU?
4. How open was the project management for partnership, receiving monitoring and supervision feedbacks from 
your office, in improving or maintaining the quality of services to the standard and quality services of the MoH 
protocol for EVD care?
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5. What do you consider some of the most significant trends, events, and developments shaping the IPC practice in 
Nimba County you believe PCI/STEP has contributed to? 
6. What do think is the key achievements of PCI/STEP during the course of the project implementation that you 
believe could make the most difference to strengthening the IPC implementation in Nimba County? 
7. What do think is the key achievements of PCI/STEP during the course of the project implementation that you 
believe could make the most difference to the future of health care workers capacity building in Nimba County?
8. What do think is the key achievements of PCI/STEP during the course of the project implementation that you 
believe could make the most difference to strengthening the epidemic preparedness and response capacity of the 
county level health system in Nimba County? 
9. What could PCI/STEP have done more to further boost its achievements and address areas which otherwise 
were not addressed during the course of the project? In terms of 
a. Health facility capacity?
b. Health care workers capacity?
c. IPC implementation?
d. Community facility linkage to improve IPC?
e. Others?
10. How do you think PCI/STEP could have achieved more or addressed these gaps?
11. What are the areas where you feel more projects like STEP engagement could have the most impact on 
improving IPC and Epidemic preparedness and response in Nimba County?
12. Any additional suggestions comments you would like to provide to PCI?STEP 
__________________________________________________________________________
Thank you for your time and contributions
D. Health Facility
Name: __________________________ (optional) Facility: ____________________ 
1. If you know PCI/STEP project that manages Ganta ETU, what interventions or in puts does the project have 
had in your facility or the health care workers in your health facility in the last one year? 
2. From all the inputs/interventions PCI/STEP have had in your facility, which one(s) do you value most? And 
why? 
3. Do you realize any change of understanding about EVD, EVD management and importance of IPC on yourself, 
as a result of the support from staff from PCI/STEP? What are these changes you realized? 
4. How do you describe the contribution of the PCI/STEP support in improving the quality of service and 
implementation of IPC protocols in the health facility you are working? 
5. If you were mentored by PCI/STEP staff, how does that mentorship helped you in improving your capacity to 
better carry out your responsibility as a health care provider? 
6. What was the direct contribution of the mentorship activity to improve the quality of health care services in 
your health facility? 
7. If you were trained on SQS by PCI/STEP staff, how does that training helped you in improving your capacity to 
better carry out your responsibility as a health care provider?
8. What was the direct contribution of the SQS training in improving the quality of health care services in your 
health facility? 
9. What could PCI/STEP have done more to further increase its achievements and address areas which otherwise 
were not addressed during the course of the project? In terms of 
a) Health facility capacity? 
b) Health care workers capacity? 
c) IPC implementation? 
d) Community facility linkage to improve IPC?
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e) Others?
10. How do you think PCI/STEP could have achieved more or addressed these gaps?
11. How do you think PCI/STEP could have achieved more or addressed these gaps?
12. Any additional suggestions comments you would like to provide to PCI?STEP 
__________________________________________________________________________
Thank you for your time and contributions
E. Community members or/and leaders
Name: __________________________ (optional) Community: ____________________ 
1. If you know Ganta ETU, and if any staff member from the ETU ever had visited your community, what had 
they done during that visit to your community? 
2. What was the different services the health workers from ETU had been providing to your community? 
3. How helpful was the Ebola screening services that the ETU staff had been providing to your community? 
4. How helpful was the education on prevention of Ebola that the ETU staff had been providing to your 
community? 
5. From all the inputs/interventions that the ETU staff had had in your community, which one(s) do you value 
most? And why? 
6. What could ETU staff have done more to further increase their support/help to your community in the 
prevention of Ebola and other diseases and address areas which otherwise were not addressed during the course 
of the project? 
7. How do you think the ETU staff could have helped the community in the prevention of Ebola and other diseases 
or addressed these gaps? 
8. Any additional suggestions comments you would like to provide to PCI?STEP 
__________________________________________________________________________
Thank you for your time and contributions
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
A1.3 STEP End-line Evaluation FGD Guide
STEP End-line Evaluation Notes for Planning, Conducting, and analyzing FGD findings/outcomes 
March 12, 2016
A. Planning: 
a) Staffing: The focus group will have one facilitator/interviewer, who will guide the discussion, and 
one1 note-taker (and translator, if necessary). At the end of the session, the facilitator/interviewer 
and the note-taker should debrief in order to ensure that the main themes of the conversation were 
captured. 
b) Participants: The focus group is conducted with 6-8 members of the ETU who make up the 
clinical group, and all have similar characteristics. These members are likely to be participative 
and reflective. 
c) Scheduling: The focus group discussion will be done on the dates between March 25th and 30th, 
and is planned to last about two hours. 
d) Setting: The focus groups is going to be organized in the staff training room of the then ETU, 
where participants are well familiar with and hoped to feel comfortable sharing their experiences. 
The seating will be arranged or configured in such a way that all members can see each other.
B. Essentials of the FGD process – the following basic actions guides will be ensured before, during and 
after the FGD:
a) A skilled facilitator/interviewer will remain neutral both in speaking tone and body. 
b) Ask open-ended questions and being careful not to lead participants to particular answer. 
c) Welcome: Welcome and thank the participants for sharing their time. 
d) Introductions: The facilitator/interviewer should introduce him/herself and the note-taker. The 
facilitator/interviewer should allow the participants to introduce themselves. 
e) Set the stage: Review the objective of the focus group. Explain how the information will be used 
and shared. Since the session is often a one-time occurrence, it's useful to have a few, short ground 
rules to encourage participation: 1) there are no right or wrong answers, 2) everyone’s opinion is 
valued, and 3) we are interested in what was discussed in the session, not WHO said what. 
f) Note Taking: Explain how the session will be recorded (e.g., notes). 
g) Focus group guide/Interviews and probes: Ask questions on the focus group/interview guide, and 
where needed probe to learn additional information. When participants give unclear answers, the 
facilitator/interviewer should probe for fuller, clearer responses. A few suggested techniques are: 
repeat the question, explain that you have limited understanding of a subject and ask for specific 
details, or repeat the participant’s reply. 
h) Participation: Ensure even participation among the group, particularly in cases where one or two 
people are dominating the conversation.
i) Conclusion: Conclude the focus group/interview by thanking the participants for sharing their 
perspectives, and ask if they have any additional questions. 
C. Guiding Principles during the FGD:
a) Only one person talks at a time
b) Assure confidentiality—”What is shared during FGD should not be shared outside FGD”
c) Important to hear everyone’s ideas and opinions
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
d) Important to hear all sides—positive and negative—of issues
e) Important for men’s and women’s ideas to be represented equally
D. Facilitation – the following facilitation values will be warranted during the FGD:
a. Active listening
i. Listen carefully and probe based on responses
ii. Note nonverbal cues and behavior and respond accordingly
iii. Look at participants when speaking
b. Maintain neutrality
c. Allow silence at times—can encourage elaboration
d. Encourage discussion, not consensus
e. Use probes (open-ended questions):
i. “Please tell me more about…”
ii. “Please explain what you mean by…”
f. Avoid interrupting respondents as much as possible
g. Use probes to clarify information
h. Avoid making assumptions—clarify with simple questions
i. Avoid leading respondents
j. Watch your time!
Note: When:
a. Someone Dominates
i. Acknowledge contributions: “I really appreciate your comments”
ii. Look directly at rest of group and note “I am interested in learning what other 
persons think of this issue”
iii. Directly ask other group members “What do the other group members think 
about this issue/that comment?”
b. When Women and Men Participate at Different Levels
i. Use same techniques as in previous slide
ii. Directly ask women what they think
c. No One Responds
i. Ask question in a different way
ii. If topic seems sensitive, move to a less sensitive topic and attempt to bring up 
more sensitive topic later in discussion
iii. If participants say they are uncomfortable with topic, thank them and do not 
bring it up again
iv. If group appears to have exhausted an issue, ask if there are any additional 
comments and move on
d. The Group/Interview is Off Topic
i. Steer group back to main topic, such as “Thank you for that interesting idea. It 
sounds like something that could be explored at a separate time. For the 
purposes of exploring the specific topics of this discussion, I would like to move 
on to the next question.”
ii. Provide a time check.
e. Side Conversations
i. Stress in ground rules—only one person speaks at a time
ii. Remind participants respectfully of ground rules
iii. Ask if participants have something they would like to share with the group
iv. Take a short break
f. Participants Skip Ahead
i. As long as participants are discussing the topics, allow them to move ahead
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
ii. Probe and clarify in order to obtain adequate response to question
iii. Return to previous topics to ensure all FGD questions are answered
g. Participants Begin Leaving
i. Provide a time check
ii. Consider focusing on the most important issues before finishing
E. Note Taker: the Note take will be carefully selected to have the following skills.
a) Have good listening skills
b) Have good observation skills
c) Have good writing skills
d) Are able to take notes that are comprehensive but not word-for-word
e) Use the note taking form provided
f) Act as an observer, not as a participant
g) Can remain impartial (i.e., do not give her/his opinions about topics, because this can influence 
what people say)
F. Important guides to for Note Taking:
a) Record major themes, ideas, comments and observations regarding group dynamics 
b) Use Note Taking Form
c) Document verbal and non-verbal communication
d) Document level of consensus among participants
e) When in doubt, don’t leave it out!
f) Distinguish clearly between participant comments and your own observations
g) Do not throw away any papers with notes of the focus group discussion. 
h) In evening, facilitator/interviewers and note takers should review and consolidate notes to ensure 
complete documentation
i) Capture any new insights that emerged as a result of this discussion with the 
facilitator/interviewer.
j) Save all notes from FGDs
G. A Quick Guide To Focus Group Analysis:
a) Read through all the answers to a question (from all the focus group transcripts/notes), looking for 
patterns and similarities.
b) Use the note Taking Form to keep key points together and organized. If a key point is repeated, 
place a tally mark next to that point. For example, if in answer to the question “What did you like 
about the savings group?” one participant said “I made new friends,” and another said “It gave me 
a chance to socialize” then the key point would be “socializing,” followed by 2 tally marks. 
Continue listing key points until every answer has been accounted for.
c) When summarizing the overall response to that question, consider:
d) Frequency - how many times the key point was made by different people
e) Specificity - how detailed particular responses were
f) Emotions - how much emotion, enthusiasm, or intensity was expressed in a particular answer?
g) Select a few quotes from the transcript to illustrate and provide insights for your summary.
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
A1.4 STEP FGD Questionnaire
FGD Questionnaires for ETU Staff
1. How would you justify the service provided by the ETU were high standard and as per the MoH/WHO protocol 
for EVD care? 
2. How would you justify if Ganta ETU have been consistently meeting Liberia Minimum Standards for Safe Care 
Provision by Healthcare Facilities in the Context of Ebola? 
3. What was your direct contribution to maintain the quality of services to be high standard and quality services 
and as per the MoH protocol for EVD care? 
4. What were the supports Ganta ETU providing to Ebola affected families and orphans at the ETU and 
community level? 
5. How had the ETU supported Ebola affected families and orphans to settle and integrate into their community? 
6. As a staff of the ETU, what had been the low point of your involvement in the project – things you were not 
happy with/ disappointed or regretted of happening? Why? 
7. If this were the time when the Ebola outbreak being, what would you differently that you have not done in the 
past? 
8. Over all, what do think is the key achievements of PCI/STEP during the course of the project implementation 
that you believe could make the most difference to strengthening the IPC implementation in Nimba County?
Thank you for your time and contributions
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Annex 2: List of Indicators and Results
Ind #
 
Indicator
 
Base-line
 
Disaggregation
 
 
 
LOP Total 
(to date)
LOP 
Target Notes
Goal: Manage the MOHSW-staffed Ebola Treatment Unit (ETU) in Ganta in order to slow the spread of Ebola in Nimba County through the isolation of cases, the 
provision of a high standard of medical care, and the protection of individuals at the ETU affected by the Ebola outbreak.
Sector: Health / Sub-Sector 1: Health Systems and Clinical Support
1.1.1
Ganta ETU 
consistently meets 
Liberia Minimum 
Standards for Safe 
Care Provision by 
Healthcare Facilities in 
the Context of Ebola
NA NA 100% 100%
Note that even though this is a new 
indicator added in the project modification 
approved in Nov 2015, we were collecting 
this data before and have, therefore, 
reported the information here.
1.1.2
Ganta ETU WASH 
facilities consistently 
meets the Minimum 
WASH Requirement – 
Ebola Treatment Unit 
NA NA 100% 100%
Note that even though this is a new 
indicator added in the project modification 
approved in Nov 2015, we were collecting 
this data before and have, therefore, 
reported the information here.
1.1.3 
Number of healthcare 
facilities supported 
and/or rehabilitated to 
treat cases of Ebola by 
type (e.g. Primary, 
Secondary, Tertiary
0 
Primary 69
1 ETU Reported monthly per PMP; required
indicator per USAID/OFDA guidelines
Secondary 5 
Tertiary 4 
1.1.4 
Number of healthcare 
providers trained by 0 Doctors
Males 15
1270 Target revised in project modification 
Females approved Nov 2015. Reported monthly per 6
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Ind #
 
Indicator
 
Base-line
 
Disaggregation
 
 
 
LOP Total 
(to date)
LOP 
Target Notes
type (e.g. doctor, nurse, 
hygienists, physician 
assistants, midwives, 
etc.), by sex
Sub-Total 21 PMP; required indicator per 
USAID/OFDA guidelines; should include 
by type "doctor, nurse, community health 
worker, midwife, and traditional birth 
attendant."
Nurse
Males 252
Females 368
Sub-Total 620
Hygienists
Males 217
Females 170
Sub-Total 387
Physician 
assistants
Males 35
Females 8
Sub-Total 43
Midwives
Males 4
Females 53
Sub-Total 57
Others
Males 1073
Females 1247
Sub-Total 2320
Total 3448
1.1.5 
Number and 
percentage of health 
facilities submitting 
weekly surveillance 
reports
0 
NA
1 1 
Required indicator per USAID/OFDA 
guidelines
0% 100% 100%
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Ind #
 
Indicator
 
Base-line
 
Disaggregation
 
 
 
LOP Total 
(to date)
LOP 
Target Notes
1.1.6
Number of 
consultations, by sex 
and age, per quarter
0 
0 - 11 mo
Males 656
4,400
By quarter; required USAID/OFDA 
indicator
Females 608
Sub-Total 1264
1 - 4 yrs
Males 1924
Females 1956
Sub-Total 3880
5 - 14 yrs
Males 527
Females 593
Subtotal 1120
15 - 49 yrs
Males 652
Females 1219
Sub-Total 1871
50 - 60 yrs
Males 152
Females 243
Sub-Total 395
60+ yrs
Males 119
Females 216
Sub-Total 335
All Ages 
Combined
Males 4030
Females 4835
Total 8865
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Ind #
 
Indicator
 
Base-line
 
Disaggregation
 
 
 
LOP Total 
(to date)
LOP 
Target Notes
1.1.7
Number of community 
events to strengthen 
community resilience 
and /or preparedness
NA Total 42 24 
1.1.8
Number of Healthcare 
Facilities at which staff 
are mentored by ETU 
staff on minimum 
standards for IPC, 
triage and use of PPE 
NA Total 46 24
Note that even though this is a new 
indicator added in the project modification 
approved in Nov 2015, we were collecting 
this data before and have, therefore, 
reported the information here.
1.1.9
Number of healthcare 
providers mentored by 
ETU staff on minimum 
standards for IPC, 
triage and use of PPE 
NA All Districts
Male 428 
 
324
Note that even though this is a new 
indicator added in the project modification 
approved in Nov 2015, we were collecting 
this data before and have, therefore, 
reported the information here.
Female 439
Total 867
1.1.10
Percent of days that 
contaminated 
objects/surfaces are 
disinfected with 
chlorine solution
NA NA 100% 100% Indicator removed in the project 
modification approved in Nov 2015
1.1.11
Percent of days that all 
contaminated liquid 
wasted are disinfected 
and disposed of in 
designated, secured site
NA NA 100% 100% Indicator removed in the project 
modification approved in Nov 2015
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Ind #
 
Indicator
 
Base-line
 
Disaggregation
 
 
 
LOP Total 
(to date)
LOP 
Target Notes
1.1.12
Percent of observations 
of Handwashing 
Stations where water 
and soap were both 
present
NA NA 100% 100% Indicator removed in the project 
modification approved in Nov 2015
1.1.13
Percent of days in 
which 70 liters of water 
per staff per day were 
available at the ETU
NA NA 100% 100% Indicator removed in the project 
modification approved in Nov 2015
1.1.14
Percent of days in 
which 2 days of buffer 
water storage were 
maintained at the ETU
NA NA 100% 100% Indicator removed in the project 
modification approved in Nov 2015
1.1.15
Percent of drinking 
water samples from the 
ETU which had a 
minimum of 0.5 mg/L 
(ppm) free residual 
chlorine (FRC)
NA NA 100% 100% Indicator removed in the project 
modification approved in Nov 2015
Sector: Health / Subsector 2: Medical Commodities Including Pharmaceuticals
1.2.1
Number and 
percentage of health 
facilities, supported by 
USAID/OFDA, out of 
# NA NA 0 0 
Essential medicines include those for 
managing symptoms (fever, pain 
discomfort, confusion/aggression, hiccups, 
vomiting, seizures, ulcers, rash), 
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Ind #
 
Indicator
 
Base-line
 
Disaggregation
 
 
 
LOP Total 
(to date)
LOP 
Target Notes
stock of selected 
essential medicines and 
tracer products for 
more than 1 week
% NA 0% 0%
rehydration, testing and treating common 
conditions with symptoms similar to EVD; 
required indicator per USAID/OFDA 
guidelines
1.2.2
Number of people 
trained, by sex, in the 
use and proper disposal 
of medical equipment 
and consumables
0 
Males 1597
1,970
Target revised in the modification in Nov 
2015. Required indicator per 
USAID/OFDA guidelines
Females 1851
Total 3448
1.2.3 Number of supplies 
distributed by type 0 
County and 
Local
Medical Kits 0 
285,795
For consistency across the various supplies, 
each item is reported based on the smallest 
unit possible. Supplies for the effective 
control of Ebola virus, including sanitation 
materials and PPE; reported monthly; 
required indicator per USAID/OFDA 
guidelines
Equipment 5295
Consumables/supplies 585815
Sub-Total 591110
International 
Procurement
Medical Kits 0 
Equipment 
7,664
Consumables/supplies 
989,188
Sub-Total 
996,852
Combined 
(County, Medical Kits 
- 
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Ind #
 
Indicator
 
Base-line
 
Disaggregation
 
 
 
LOP Total 
(to date)
LOP 
Target Notes
Local, 
International) Equipment 
13,799
Consumables/supplies 
1,575,003
Total 
1,588,802
Sector: Protection / Sub-Sector 1: Child Protection
2.1.1
Average # of weeks 
required for 
resettlement of Ebola 
orphans back into a 
family or community 
setting
NA NA 1 4 
Reported as an average number of weeks. 
This indicator is included to fulfill 
USAID/OFDA requirement for second 
indicator that measures protection 
outcomes of the proposed activities
2.1.2
Number of people 
trained in child 
protection
0 
Males 56
30
Target revised in the modification Nov 
2015. Required indicator per 
USAID/OFDA guidelines, including 
disaggregation by sex
Females 16
Total 72
2.1.3
Number of Ebola 
orphans resettled into a 
family or community 
setting.
NA NA 11 TBD
Note that even though this is a new 
indicator added in the project modification 
approved in Nov 2015, we were collecting 
this data before and have, therefore, 
reported the information here.
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Ind #
 
Indicator
 
Base-line
 
Disaggregation
 
 
 
LOP Total 
(to date)
LOP 
Target Notes
2.1.4
Number of Ebola 
affected individuals 
resettled into their 
community.
NA NA 0 TBD
Note that even though this is a new 
indicator added in the project modification 
approved in Nov 2015, we were collecting 
this data before and have, therefore, 
reported the information here.
2.1.5
Ganta ETU has a Child 
Protection Policy in 
place 
NA The ETU is using the MoHSW protocol 1 1 
Note that even though this is a new 
indicator added in the project modification 
approved in Nov 2015, we were collecting 
this data before and have, therefore, 
reported the information here.
* Age ranges are as follows: 0-11 months, 1-4 years, 5-14 years, 15-49 years, 50-60 years, and 60+ years, per USAID/OFDA guidelines
(Source: STEP Quarterly Indicator Performance Tracking Table for the period of Jan 1 – March 31, 2016. PCI, April 21, 2016)
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Annex 3: Medical Commodities and supplies used/distributed by STEP 
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
Medicines 
1 Alcohol Hand Gel Btts 0 649 649 0 649 649
2 Alumimium hydroxide 500mg Tablets 0 500 500 0 500 500
3 Amoxicillin (250mg) Tabs 0 0 7200 0 7200
4 Amoxicillin 125mg oral susp Bottles 0 9 9 0 9 9
5 Amoxicillin 250mg capsules BP STRIPS 0 13 13 0 13 13
6 Amoxicillin 500mg cap 0 0 5370 0 5370
7 Amoxicillin 500mg capsules BP STRIPS 0 12 12 0 12 12
8 Antibactrium dressing jell Bottles 0 9 9 0 9 9
9 Antibiotic Ointment Tubes 0 0 0 3 0 3
10 Antibiotic Pain Relief Cream Tubes 0 0 0 15 0 15
11 Anticide 500mg Tabs 0 0 0 1000 0 1000
12 Artemether (15kg less than 20kg) ( 
Coartem) Strips 0 227 227 0 227 227
13 Artemether 20mg+Lumefantrine 
120mg 5kg<15kg STRIPS 0 30 30 0 30 30
14 Artemether 20mg+Lumefantrine 
120mg 35kg above STRIPS 0 110 110 0 110 110
15 Artesunate 60mg IV vial 211 211 156 211 367
16 Ascorbic Acid 250mg Tabs 900 900 2000 900 2900
17 Atropin salphate AMPS 0 100 100 0 100 100
18 Avelox 400mg Tablets 0 420 420 0 420 420
19 Azithromycin 250mg Tablets 0 6 6 0 6 6
20 Bactigel pcs. 1 6 7 1 6 7
21 Calcium Gluonat AMPS 2 300 302 2 300 302
22 Cefixicime (400mg) Tabs 0 0 120 0 120
23 Cefixime 200mg Tablets 0 3,948 3948 0 3948 3948
24 Cefixime 200mg/tablet Tablets 0 16,504 16504 0 16504 16504
25 Ceftriaxone Vials 0 0 50 100 150
26 Ceftriaxone 1000mg vial 0 0 94 0 94
27 Ceftriaxones sodium Eq 1 g base 
power vial Vials 0 2,885 2885 0 2885 2885
28 Ceftriaxones sodium Eq 250mg base 
power vial Vials 0 15,950 15950 0 15950 15950
29 Chloramphenicol 1g vial 0 10 0 10
30 Cimetidine 200mg amp 0 10 0 10
31 Cimetidine 400mg Tabs 0 50 0 50
32 Ciprofloxacin (250mg) Tabs 0 1600 0 1600
33 Ciprofloxacin (500mg) Tabs 630 630 4000 630 4630
34 Ciprofloxacin 500mg tabs pacs 10 PKS 0 3800 3800 0 3800 3800
35 Coartem 15-25kg Strip 30 30 443 30 473
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
36 Coartem 25-35kg Strip 59 59 340 59 399
37 Coartem 35 above Strip 175 175 349 175 524
38 Coartem 5-15kg Strip 30 30 480 30 510
39 Co-trimaxazole syrup btts 40 40 160 40 200
40 Co-trinoxazole 120mg Tablets 0 3960 3960 0 3960 3960
41 Dexamethasone(4mg/ml) Amp 2350 2350 190 2350 2540
42 Dextouse-5% Btts 12 12 24 72 96
43 Dextros-50% (D-50%) Btts 0 42 60 102
44 Dextroxe 5% ( 1000ml ) CRT 0 120 120 0 120 120
45 Diazapan 10mg amp 0 23 0 23
46 Diazepam 5mg Tablets 0 1830 1830 0 1830 1830
47 Dispensing bag pcs 1800 1800 3200 1800 5000
48 DNS 1000ml Btts 258 258 80 288 368
49 Doxycline 100mg Tabs 0 1060 0 1060
50 Epinephrine 1mg/ml amp box 10 BOXES 0 3,500 3500 0 3500 3500
51 Epinephrine Galenica Senese pks. 0 1,200 1200 0 1200 1200
52 Epinphrine Galenica IV AMPS 0 500 500 0 500 500
53 Erythromycin (333mg Tabs 0 459 0 459
54 Ferrous Tabs 3000 3000 4000 3000 7000
55 Furesemide pcs. 0 100 100 0 100 100
56 G-50% Btts 0 1 0 1
57 Galenica H2O vial pcs. 0 400 400 0 400 400
58 Gentamicin(40mg/ml) Amp 0 400 0 400
59 Gentamycin 80mg amp 0 30 0 30
60 Gestifloxacin (Eye Drop) Btts 0 4 0 4
61 Girl Friend Hand & Body Lotion bts. 0 9 9 0 9 9
62 Glenica senese water for injection AMPS 0 400 400 0 400 400
63 Glucose 5% 500ml/box 20 bts. 0 1,708 1708 0 1708 1708
64 Glucose 50% IV GV Vials 0 927 927 0 927 927
65 Glucose Inj. 50% W/v bts. 0 854 854 0 854 854
66 Glucose Injection pks. 0 5 5 0 5 5
67 Haloperidol 5mg for Injection 5mg in 
1ml AMPS 0 11,000 11000 0 11000 11000
68 Hydrocorlisone sodium succinate IV 
100mg Vials 0 2,900 2900 0 2900 2900
69 Hydrocortisone 100mg Vials 0 43 0 43
70 Hyoscine 20mg amp 300 300 20 300 320
71 Infusion set kit pcs. 0 2280 2280 0 2280 2280
72 Lansoprazole (30mg) Tabs 0 630 0 630
73 Levofloxacin (500mg) Tabs 0 1000 0 1000
74 Levofloxacin (750mg) Tabs 0 1900 0 1900
75 Magellan (1ml Insulin Safety Syringe) pcs. 0 0 0 50 0 50
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
76 Mebendazole 500mg Tabs 0 0 500 0 500
77 Metoclopramide amp 0 4000 4000 100 4000 4100
78 Metro infusion 500mg btts 0 0 4 0 4
79 Metroclopramide 10mg Tabs 0 101,750 101750 1000 101750 102750
80 Metroclopromide 500mg amp 0 0 2450 150 2600
81 Metronidazole 250mg Tabs 0 0 73 0 73
82 Metronidazole 500mg Tabs 0 200 200 8051 200 8251
83 Metronidazole 5mg AMPS 0 100 100 0 100 100
84 Metronidazole IV Bottles 0 416 416 0 416 416
85 Morphine sulfate 10mg Tablets 0 12,000 12000 0 12000 12000
86 Morphine sulfate IV AMPS 0 3,950 3950 0 3950 3950
87 Multi-Symptom cold btts 0 0 3 0 3
88 Multi-vitamin 200mg Tabs 0 0 5101 1000 6101
89 Neosporin+ pain relief tubes 0 3 3 0 3 3
90 Normal Saline 1000ml btts 0 0 66 30 96
91 Nystatin USP 100,000IU Tablets 0 200 200 0 200 200
92 Omeprazole 20mg PK 0 8 8 0 8 8
93 Omeprazole(40mg) Amp 0 0 88 0 88
94 ORS Sachet 0 20000 20000 4000 20000 24000
95 ORS Low osm 20.5g/L CAR/100 Sachet 0 55,500 55500 0 55500 55500
96 Oxytocin 10IU AMPS 0 10 10 0 10 10
97 Paracetamol 100mg Tabs 0 30200 30200 5200 30200 35400
98 Paracetamol 125mg oral solution Bottles 0 475 475 0 475 475
99 Paracetamol 125mg/5ml, 60ml 
solution Bottles
0
 580 580 0 580 580
100 Paracetamol 325 mg Tabs 0 980 980 58 980 1038
101 Paracetamol 500mg Tabs 0 0 9450 0 9450
102 Paracetamol 500mg tabs pacs 100 PACK 0 12,163 12163 0 12163 12163
103 Paracetamol syrup btts 0 0 70 0 70
104 Paracetamol syrup 100mg btts 0 0 3 0 3
105 Povidone Iodine solution 10% bottle 
200ml PCS
0 400 400 0 400 400
106 Promethazine 25mg Tabs 0 42000 42000 2100 42000 44100
107 Ringer Lactate 1000ml btts 0 108 108 86 132 218
108 Robitussin 20mg Tablets 0 800 800 0 800 800
109 Salbutamol 4mg Tabs 0 90 90 100 90 190
110 Salbutmol sulfate 0.1mg/puff 200 
puff, aerosal pcs
0 200 200 0 200 200
111 Septrim 480 mg Tabs 0 0 2000 0 2000
112 Silvrstat (Antibacterial wound 
dressing gel)
0
 94 94 0 94 94
113 Sodium chloride 0.9% Bottles 0 747 747 0 747 747
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USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
114 SODIUM LACTATE Comp inj 
1000ml w/g. set box 10 PCS 0 2,068 2068 0 2068 2068
115 SODIUM LACTATE Comp inj 
500ml w/g. set box 50 PCS 0 4,160 4160 0 4160 4160
116 Sterile water 1000ml Btts 0 60 60 0 60 60
117 Tetracycline 1% tubes 0 500 500 0 500 500
118 Vitamin A oral cap 0 2,500 2500 0 2500 2500
119 Water for injection 10ml plastic 
ampule PCS 0 24,000 24000 0 24000 24000
120 Zinc 20mg tablets, pac 100 PKS 0 3,400 3400 0 3400 3400
121 Zinc sulfate 20mg Tablets 0 5,300 5300 0 5300 5300
Medical Supplies and consumables
122 3M particulate Respiratory mask Pcs 0 7,680 7680 0 7680 7680
123 Absorbent Cotton Guaze Swab ( 10 x 
10cm ) ROLL 0 1,035 1035 0 1035 1035
124 ABSORBENT COTTON GUAZE 
SWAB ROLL 0 4,800 4800 0 4800 4800
125 ABSORBENT COTTON GUAZE 
SWAB (7.5X7.5 CM) ROLL 0 214 214 0 214 214
126 ABSORBENT COTTON WOOL 
(500G) ROLL 0 183 183 0 183 183
127 ABSORBENT GAUZE PAD Pcs 0 504 504 0 504 504
128 ABSORBENT PAD PCS 0 1,500 1500 0 1500 1500
129 Adhesive tape roll 0 114 114 11 114 125
130 Adult Diapers Large Size Case 0 717 717 0 717 717
131 Adult Diapers Madium/regular size CASE 0 144 144 0 144 144
132 Adult Diapers small size CASE 0 144 144 0 144 144
133 AERO CHAMBER PCS. 0 18 18 0 18 18
134 Alcohol and Betadine Pads & Swabs PCS 0 4,950 4950 0 4950 4950
135 ALCOHOL PAD PCS 0 500 500 0 500 500
136 Applicator Swabs (Q-Tips), Tongue 
Depressors, Cotton Balls PCS
0 16,000 
16000 0 16000 16000
137
Applicator Swabs (Q-Tips), Tongue 
Depressors,
Cotton Balls PCS
0 
 5,600 
5600 0 5600 5600
138 Assorted Anesthetic materials pcs 0 0 0 1500 1500
139 Assorted Foley catheter pcs 0 0 0 503 503
140 Assorted Guazes and Bardanges ROLL 0 244 244 0 244 244
141 Assorted IV cannulas pcs 0 0 0 0 2013 2013
142 Assorted lubricating gel pcs 0 0 0 0 5107 5107
143 Assorted medical gel pcs 0 0 0 0 503 503
144 Assorted skin lotion Btts 0 0 0 0 76 76
145 Assorted wound dressing materials pcs 0 0 0 0 210 210
52 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
146 BABY JOHNSON POWDER PCS 0 99 99 0 99 99
147 Bandage roll 0 0 15 0 15
148 Bandages elastic ROLL 0 91 91 0 91 91
149 Bandages gauzes ROLL 0 282 282 0 282 282
150 Bandaids, Steristrips, Tape, 
Transparent Dressings ROLL 0 8,500 8500 0 8500 8500
151 Bandaids, Steristrips, Tape, 
Transparent Dressings (tegaderm) PCS
0 21,909 
21909 0 21909 21909
152 BD SYRINGE (10ML) PCS 0 600 600 0 600 600
153 BD VACUTAINER PKS 0 3,000 3000 0 3000 3000
154 BD VACUTAINER REF: 364815 PCS 0 200 200 0 200 200
155 Blood Access tray Set 0 0 6 6
156 Blood collection tubes pcs 0 0 36 36
157
Blood Drawing Supplies (Vacutainer 
Holders & Needles, Butterflies, 
Lancets, Tourniquets) pcs
0 
 9,464 
9464 0 9464 9464
158 BLOOD LANCET PCS 0 10 10 0 10 10
159 Blood transfusion tubing pcs 0 0 0 0 73 73
160 Bottle plastic 250ml, wash bottle PCS. 0 21 21 0 21 21
161 BREATHING CIRCUIT PCS. 0 58 58 0 58 58
162 Broom and stick PCS. 0 4 4 0 4 4
163
Buffalo Caps, Prn Adaptors And 
Other IV Infusion Supplies, Vial 
Spikes And Adaptors PCS
0 
 6 
6 0 6 6 
164 Bulb Syringe ( 60ml ) PCS 0 74 74 0 74 74
165 Cannula 16g pcs 0 781 781 0 781 781
166 Cannula 18g pcs 2008 2008 15 2008 2023
167 Cannula 20g Pcs 2126 2126 54 2126 2180
168 Cannula 22g pcs 3459 3459 37 3459 3496
169 Cannula 24g Pcs 530 530 35 530 565
170 Cannulas (23g) Pcs 0 97 97 0 97 97
171 Canulas ( 14g ) Pcs 0 303 303 0 303 303
172 CHEMSPLASH (ENVRO GUARD) PCS 0 780 780 0 780 780
173 Children's Diapers Cases 0 210 210 0 210 210
174 Cidex Solution test strip pcs 0 0 311 311
175 COMMODE TOILET TAP PCS 0 2 2 0 2 2
176 Cotton Roll 0 6 1 7
177 COTTON BALLS PKS 0 95900 95900 0 95900 95900
178 Cotton roll pcs 0 1 1 0 1 1
179 COTTON WOOL (500G) ROLL 0 45 45 0 45 45
180 CREPE BANDAGE (10CM X 45M) PKS 0 135 135 0 135 135
181 Disposable Bedding Kits PCS 0 164 164 0 164 164
53 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
182 Disposable Syringes 2/3ml pcs 0 300 300 0 300 300
183 Disposable syrings 5ml pcs 0 1,183 1183 0 1183 1183
184 DRAINABLE POUCH PCS. 0 2 2 0 2 2
185 Drapes Non-Sterile PCS 0 760 760 0 760 760
186 ELASTIC BANDAGE (8CM X 5CM) ROLL 0 1,120 1120 0 1120 1120
187 ELASTIC EARLOOP FACE MASK PCS 0 65,400 65400 0 65400 65400
188 ELASTIC GUAZE BANDAGE 
(10CM X 4M) ROLL 0 5,000 5000 0 5000 5000
189 ELASTIC GUAZE BANDAGE (6CM 
X 10CMX 4M) ROLL 0 8,000 8000 0 8000 8000
190 ELASTIC GUAZE BANDAGE (6CM 
X 4M) ROLL 0 20 20 0 20 20
191 EMPTY BOTTLES FOR DRUG 
(MEDICINE) PCS 0 45 45 0 45 45
192 EPIDURAL LINES PCS. 0 50 50 0 50 50
193 FEEDING TUBE (100CM) PCS 0 95 95 0 95 95
194 FEEDING TUBE (40CM) PCS 0 200 200 0 200 200
195
FEEDING TUBE ADJUSTABLE 
(ADULT 120CM) (PEDIATRIC 
40CM) PCS
0 
 200 
200 0 200 200
196 First infant milk btts 0 18 0 18
197 FOG FREE PROCEDURE MASK SO 
SOFT LINNING PCS 0 400 400 0 400 400
198 Foley bags Pcs 0 6 0 6
199 Foley Balloon catherter 18fr pcs 0 219 219 0 219 219
200 Foley catheter Set 0 17 61 78
201 FOLEY TRAY WITH BARD pks. 0 35 35 0 35 35
202 Gauze And All Other Non-Sterile 
Dressings PCS 0 875 875 0 875 875
203 GAUZE PAD (10 X 10) CM PCS 0 250 250 0 250 250
204 GAUZE PAD (10 X 10) CM PCS 0 200 200 0 200 200
205 Gauze pad 2x2, 4x4 box 0 0 1 1
206 GAUZE SWABS (10 X 10) CM. 8 
FACH/PLY PCS 0 1,000 1000 0 1000 1000
207 GAUZE SWABS (7.5 X 7.5) CM. 8 
FACH/PLY PCS 0 2,000 2000 0 2000 2000
208 Gloves PCS 0 60 60 0 60 60
209 Gloves Exam, latex, power free, 
medium box 100 PCS 0 21 21 0 21 21
210 Gloves, Sterile Pair 0 500 500 0 500 500
211 Glucose Meters Pks 0 4 0 4
212 GRAVITY FEEDING BAG PCS. 0 30 30 0 30 30
213 GURNEY first KITS PCS 0 500 500 0 500 500
214 High Quality Bopp Tape PCS 0 50 50 0 50 50
54 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
215 HOSPITAL BED (Gurney) PCS 0 2 2 0 2 2
216 HOSPITAL MATRESS PCS 0 12 12 0 12 12
217
I.V. CATHETER WITH WINGS 
AND INJECTION PORT 
(18G/45MM. (1 3/4")MM PCS
0 
 700 
700 0 700 700
218 INFUSION GIVING SET PCS 0 3,628 3628 0 3628 3628
219 Infusion set tubes 0 0 0 0 0
220 INLINE BURETTE SET 150ml PCS. 0 18 18 0 18 18
221 INNER CANNULAS PCS. 0 60 60 0 60 60
222 IRRIGATION SYRINGES TUBES 
AND TRAYS PCS. 0 21 21 0 21 21
223 IV / NG tubing Pcs 0 447 0 447
224 Iv Cannulas 20g Pcs 0 0 50 50
225 Iv Cannulas 22g Pcs 0 0 50 50
226 IV Cannulas 24g Pcs 0 0 50 50
227 IV CATHETER 14g PCS. 0 303 303 0 303 303
228 IV CATHETER 16g PCS. 0 407 407 0 407 407
229 IV CATHETER 18g PCS. 0 1,824 1824 0 1824 1824
230 IV CATHETER 20g PCS. 0 2,070 2070 0 2070 2070
231 IV CATHETER 22g Pcs. 0 3,309 3309 0 3309 3309
232 IV CATHETER 24g PCS. 0 480 480 0 480 480
233 IV CATHETER/HUBER, 
BUTTERFLY FISTULA PCS. 0 400 400 0 400 400
234 IV Primary Tubing PCS 0 1,617 1617 0 1617 1617
235 IV START KIT PCS. 0 100 100 0 100 100
236 IV SYSTEM DIMISION pks. 0 600 600 0 600 600
237 IV tubing Pcs 0 100 200 300
238 IV TUBING/NG TUBING PKS 0 1725 1725 0 1725 1725
239 Lancet Pcs 0 0 100 100
240 LATEX SURGICAL GLOVES PCS 0 5,000 5000 0 5000 5000
241 LIMB HOLDER+ PCS. 0 6 6 0 6 6
242 LINERS, TRASH, CAN LAUNDRY PCS 0 24 24 0 24 24
243 Lubricating Gel PCS 0 60 60 0 60 60
244 Magellan 1m Syringes pcs 0 50 50 0 50 50
245 Malaria Test pcs 0 170 0 170
246 Medication Cup Pcs 0 0 50 50
247 NASAL CANNULAS ( Oxygen 
Mask) PCS. 0 197 197 0 197 197
248 NASAL OXYGEN CANNULA PCS. 0 238 238 0 238 238
249 Needles (21G) Pcs 0 2024 2000 4024
250 NEEDLES 19g PCS. 0 12,200 12200 0 12200 12200
251 NEEDLES 21g PCS. 0 11,600 11600 0 11600 11600
55 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
252 NEEDLES 22g PCS. 0 100 100 0 100 100
253 NEEDLES 23g PCS. 0 400 400 0 400 400
254 NG Tube 6fr pcs 0 39 39 0 39 39
255 NG Tube 8fr pcs 0 51 51 0 51 51
256 Nitrile Powder Free Midical 
Examination gloves ( Medium ) PCS
0 7,200 
7200 0 7200 7200
257 Nitrile Powder Free Midical 
Examination gloves ( Small) PCS
0 2,000 
2000 0 2000 2000
258 Nulife B alloon catherter 14fr pcs 0 84 84 0 84 84
259 ORAL NASAL TRACHEAL TUBES PCS. 0 48 48 0 48 48
260 Oxygen face mask Pcs 0 5 0 5
261 Oxygen nasal prong Pcs 0 9 0 9
262 PATIENT BED SHEETS (60 X 90) 
CM PCS 0 188 188 0 188 188
263 PATIENTS BED SHEETS (40 X 60) 
CM PCS 0 1,500 1500 0 1500 1500
264 Pediatric IV tubing pcs 0 0 103 103
265 PILLOWS PCS 0 67 67 0 67 67
266 Plastic disposable ampule opener BOX 0 100 100 0 100 100
267 PLASTIC MEDICINE BAG ( 
Dispensing Bag ) PCS 0 2,800 2800 0 2800 2800
268 Plston Syringes 60ml pcs 0 50 50 0 50 50
269 Plumpy Nuts Pcs 0 13 0 13
270 Power Milk (F-75) Pcs 0 10 0 10
271 PRESSURE INFUSER PCS. 0 64 64 0 64 64
272 Radial artery catheter tray Pks 0 0 23 23
273 SILICONE COATED LATEX 
FOLEY CATHETER pks. 0 96 96 0 96 96
274 Specimen Bag pcs 0 74 74 0 74 74
275 specimen CUPS PCS 0 700 700 0 700 700
276 SPECIMEN CUPS PCS. 0 100 100 0 100 100
277 SPONGE FOAM MATTRESS PCS 0 22 22 0 22 22
278 Sterile needles pcs 0 8,300 8300 0 8300 8300
279 STOMACH TUBE (125CM) PCS 0 75 75 0 75 75
280 STOMACH TUBE/ Dual Limen PCS. 0 54 54 0 54 54
281 Straight catheter pcs 0 0 125 125
282 STRETCHER SHEET (WHITE & 
BLUE) PCS 0 1,600 1600 0 1600 1600
283 Surgical gloves Pairs 0 3720 3720 2210 5070 7280
284 surgical mask pcs 0 0 0 320 0 320
285 surgical mask 3-M pcs 0 0 0 1080 0 1080
286 Surgical Skin Marker PCS 0 32 32 0 32 32
56 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
287 SUTURE POLYPROPYLENE PKS. 0 396 396 0 396 396
288 SWABSTICK PCS. 0 71 71 0 71 71
289 SYRING PCS. 0 31 31 0 31 31
290 SYRINGE (2ML) PCS 0 3,600 3600 0 3600 3600
291 Syringe (5ml) Pcs 1606 1606 300 1706 2006
292 SYRINGE [50ML) PCS 0 0 0 0 0
293 Syringe 10ml pcs 0 342 25 367
294 Syringe 12ml pcs 12,849 12849 30 12849 12879
295 Syringe 6ml Pcs 2,100 2100 16 2100 2116
296 Syringe(2/3ml) Pcs 0 100 100 200
297 Syringe(20ml) Pcs 216 216 144 256 400
298 Syringe 3ml pcs 0 1,500 1500 0 1500 1500
299 Syringes 30ml-BD PCS 0 31 31 0 31 31
300 Syringes 3cc ( With needles-20g) PCS 0 47 47 0 47 47
301 Syringes 3cc ( With needles-21g) PCS 0 239 239 0 239 239
302 Syringes Hypodermic safety needls pcs 0 150 150 0 150 150
303 Syringes, 1 cc/tb PCS 0 6,923 6923 0 6923 6923
304 Syringes, 10cc & 12cc PCS 0 7,563 7563 0 7563 7563
305 Syringes, 3cc ( With needles- 23g ) PCS 0 11,281 11281 0 11281 11281
306 TRANS-PAC BIFUCATED 
MMONITORING PCS. 0 5 5 0 5 5 
307 Underpads, (Chux and Blue Pads) PCS 0 4 4 0 4 4
308 Urinary Catheters ( Straight) PCS 0 563 563 0 563 563
309 Urinary Drainage Bags PCS 0 14 14 0 14 14
310 URINARY/Uro-Trapper Drain Bag PCS. 0 10 10 0 10 10
311 Vaseline PCS 0 72 72 0 72 72
312 Veno Catheter (18g) Pcs 0 0 0 30 0 30
313 Veno Catheter (20g) Pcs 0 0 0 30 0 30
314 Veno Catheter (22g) Pcs 0 0 0 30 0 30
315 Vinyl Pillow Case PCS 0 18 18 0 18 18
316 VOLUMETRIC INCENTIVE 
SPIROMETER PCS. 0 15 15 0 15 15
317 WHITE BED SHEET PCS 0 35 35 0 35 35
318 WOODEN TONGUE DEPRESSOR PCS 0 900 900 0 900 900
IPC Supplies and Commodities
319 Abd Sterile Dressings 2x2, 4x4, Pcs 0 5 5 0 5 5
320 Accent cleansing wash btts 0 116 0 116
321 Alcohol Btts 113 113 0 137 137
322 ANTIBACTERIAL LOTION SOAP 
WITH MOISTERIZERS LITER 0 6 6 0 6 6 
323 Applicator swab pcs 0 0 800 800
324 Apron protection PCS. 0 850 850 0 850 850
57 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
325 Aprons (Green Aprons) PCS. 0 90 90 0 90 90
326 Aprons (Surgical Aprons) PCS 0 300 300 0 300 300
327 Bactigel Hand sanitizer Bottles 0 3 3 0 3 3
328 BATH SOAP (BROWN) WARREN 
TRICOMI CAKES 0 3,687 3687 0 3687 3687
329 Bathing soap Cakes 0 999 0 999
330 Bathing towel Pcs 0 5 0 5
331 Bed sheet Pcs 0 15 56 71
332 Bio hazard bags (Plastic Roll Black) Roll 0 99 99 0 99 99
333 BLACK BUCKET PLASTIC PCS 0 143 143 0 143 143
334 blanket Pcs 0 8 0 8
335 Blanket/Bed sheet Pcs 0 19 50 69
336 Bleach Gal 0 390 198 588
337 Bleach Classic gal 0 467 0 467
338 Bleach Classic btts 0 587 0 587
339 Bleach Classic (128 oz. Gallons) Gasl 0 2914 2914 0 2914 2914
340 Body bag pcs 0 0 90 90
341 Bopp Tape roll 0 6 0 6
342 BOUFFANT CAP( Blue ) PCS 0 3500 3500 0 3500 3500
343 Broom with stick Pcs 0 9 0 9
344 Brushes ( Black) PCS 0 48 48 0 48 48
345 BUCKET Without hole)-Small PCS 0 69 69 0 69 69
346 Bucket + Lid, White plastic PCS. 0 22 22 0 22 22
347 Bucket 20L with hole PCS. 0 11 11 0 11 11
348 Bucket with top PCS. 0 100 100 0 100 100
349 Buto-Asma pks 0 4 0 4
350 Buto-asna pks 0 45 45 0 45 45
351 Children clothes Pcs 0 21 0 21
352 Children Diaper size 3 PCS 0 186 186 0 186 186
353 Children Diaper size 4 PCS 0 160 160 0 160 160
354 Chlorine Btts 0 4 5 9
355 Chlorine (25kg) Bucket 202 202 7 202 209
356 Chlorine (45kg) Bucket 0 8 0 8
357 Clean & Fresh Liquid soap btts 0 27 0 27
358 Clean and Fresh Btle 0 35 35 0 35 35
359 Cleansing Wash Btts 0 142 0 142
360 Clorox (Bleach) Gals 0 63 63 0 63 63
361 Clothing Detergent (40lb pail) GAL 0 3 3 0 3 3
362 Condom Box 0 0 0 1544 0 1544
363 Containers, Basins, Emesis, Water 
Mugs, Pitchers, Glassware pcs
0 1,601 
1601 0 1601 1601
58 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
364 Cup 250ML, green PCS 0 89 89 0 89 89
365 DANLINE / TWINE ROPE BOXES 0 6 6 0 6 6
366 DETERGENT POWDER SOAP( 
KLIM SOAP) Sachet 0 378 378 0 378 378
367 DETOL (ANTISEPTIC 
DISINFECTANT) Bottle 0 18 18 0 18 18
368 Dettol btts 0 77 0 77
369 Diamond- PLASTIC WRAP PCS 0 15 15 0 15 15
370 Disinfectant and Skin Cleansing 
Products pcs
0 1,476 1476 0 1476 1476
371 Disposable Aprone Pcs 0 100 0 100
372 Disposable cups Pcs 0 926 100 1026
373 Disposable Examination gloves pcs 0 15900 176000 191900
374 Disposable Face mask with anti-fog 
shield (2 boxes, 200 per box) CRT
0 800 800 0 800 800
375 Disposable fork Pcs 0 500 0 500
376 DISPOSABLE HOOD ( E- HOOD ) PCS 0 4500 4500 0 4500 4500
377 Disposable plate Pcs 0 1288 0 1288
378 Disposable Plates Pcs 0 202 100 302
379 Disposable spoon pcs 0 914 0 914
380 Disposable Spoons Pcs 0 106 100 206
381 Drape Sterile pcs 0 0 28 28
382 Drapes, Non-sterile PCS 0 336 336 0 336 336
383 Drapes, sterile PCS 0 712 712 0 712 712
384 Dressing Change Kits, Laceration 
Trays, wound Care PCS 0 52 52 0 52 52
385 Duct Tape roll 0 11 0 11
386 Emergency Cadaver Bag PCS 0 15 15 0 15 15
387 Examination Gloves ( XL ) Pair 0 1,700 1700 0 1700 1700
388 EXAMINATION GLOVES 
POWDER FREE LATEX ( XL) BOXES 0 150 150 0 150 150
389 Examination gloves Pcs 560 560 5720 1560 7280
390 Examination Gloves (L) PCS 0 5,750 5750 0 5750 5750
391 Examination Gloves (M) PKS 0 5,500 5500 0 5500 5500
392 Examination Gloves (S) PKS 0 5,100 5100 0 5100 5100
393 EXAMINATION GLOVES 
POWDER FREE, LATEX (L) PCS 0 2,000 2000 0 2000 2000
394 EXAMINATION GLOVES 
POWDER FREE, LATEX (M) PCS 0 25,000 25000 0 25000 25000
395 EXAMINATION GLOVES 
POWDER FREE, LATEX (S) PCS 0 4,000 4000 0 4000 4000
396 Exergen pcs 0 12 12 0 12 12
397 Eye wash refill bottles BTS. 0 6 6 0 6 6
59 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
398 Face Mask ( Goggles, Protective , 
Surgical) PCS 0 960 960 0 960 960
399 Face caps Pcs 0 54 0 54
400 Face Mask - Surgical, Medline PCS 0 4,920 4920 0 4920 4920
401 Face Mask ( 3M Respirator) PCS 0 7,680 7680 0 7680 7680
402 Face Mask ( 3M- Tie- on ) PCS 0 16,200 16200 0 16200 16200
403 Face Mask ( 3M- Tie- on )-Loose PCS 0 32,800 32800 0 32800 32800
404 Face Mask ( Ear loop Shield) PCS 0 400 400 0 400 400
405 Face Mask ( Goggle, Protective, 
Surgical) PCS 0 12,100 12100 0 12100 12100
406 Face Mask ( Medical Protective) PCS 0 50 50 0 50 50
407 Face Mask ( Protective ) PCS 0 400 400 0 400 400
408 Face Mask ( Smart Seal Surgical) PCS 0 4,200 4200 0 4200 4200
409 Face Mask ( Surgical) Kimberly Clark PCS 0 900 900 0 900 900
410 Face Mask (N-95 Particulate- 3M) PCS 0 20,000 20000 0 20000 20000
411 Face Mask (N-95 Respirator) 4 Pannel PCS 0 3,500 3500 0 3500 3500
412 Face Mask (Respirator) PCS 0 400 400 0 400 400
413 Face Mask (Tecnol Procedure) PCS 0 500 500 0 500 500
414 Face mask ear loop with shield pcs 0 0 1400 0 1400
415 Face Mask( Fluid Shield Fog- Free) PCS 0 800 800 0 800 800
416 FACEMASK (HONEYWELL) PCS 0 7,800 7800 0 7800 7800
417 Facial Tissue ( Board Walk ) CRT 0 352 352 0 352 352
418 Fleece blanket- Dark green and 
Claret/garnet PCS 0 996 996 0 996 996
419 Floor towel Pcs 0 0 9 45 54
420 FLOOR TOWEL SCRUB PCS 0 103 103 0 103 103
421 FOLIODRESS GOWN L/S PCS 0 308 308 0 308 308
422 FOLIODRESS GOWN XL/S PCS 0 224 224 0 224 224
423 Gloves Heavy duty Pair 0 2,416 2416 0 2416 2416
424 Gloves Heavy duty, rubber/nitrile ( 
Atlas, Large ) Pair 0 60 60 0 60 60
425 Gloves Heavy duty, rubber/nitrile , ( L 
)-Clean Expert Pair
0 1,872 
1872 0 1872 1872
426 Gloves Heavy duty, rubber/nitrile pair 
L PCS 0 120 120 0 120 120
427 Gloves Heavy duty, rubber/nitrile pair 
M PCS 0 300 300 0 300 300
428 Gloves Heavy duty, rubber/nitrile pair 
S PCS 0 80 80 0 80 80
429 Gloves, Non-sterile Pair 0 1,000 1000 0 1000 1000
430 Goggle pcs 151 151 447 755 1202
431 GOGGLE CLEANER PCS 0 100 100 0 100 100
432 Goggles Safety ( Uvex) PCS 0 300 300 0 300 300
60 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
433 Goggles Safety ( Proviz Gard) PKS 0 156 156 0 156 156
434 Goggles Safety ( Pyramex ) PCS 0 2,453 2453 0 2453 2453
435 Goggles, Chemical Splash Vent Caps CRT 0 325 325 0 325 325
436 Goggles, Masks, And Face Protection PACK 0 2,880 2880 0 2880 2880
437 Goggles, Masks, And Face Protection PACK 0 12,100 12100 0 12100 12100
438 Golggles Safety PCS 0 40 40 0 40 40
439 Gown Foliodress pcs 0 1040 0 1040
440 Gown Polywear - R pcs 0 1400 1300 2700
441 Gowns, Patient, Inc Paper, Protector 
Cover-up PCS 0 120 120 0 120 120
442 Gowns, Surgical, Non-sterile PCS 0 386 386 0 386 386
443 Gowns, Surgical, Sterile PCS 0 676 676 0 676 676
444 GREEN APRON (RUBBER) PCS 0 205 205 0 205 205
445 Gueney Cover Dispos( Euipment 
Cover) PCS 0 288 288 0 288 288
446 Gurney (Gurney Kits) PCS 0 500 500 0 500 500
447 Gurney Cover Pcs 0 6 0 6
448 Hair cover/hood pcs 6000 6000 200 7900 8100
449 Hand Sanitizer btts 24 24 4795 1752 6547
450 Hand sanitizer (500 ml bottles) bts. 0 2,418 2418 0 2418 2418
451 Hard brush Pcs 0 7 5 12
452 HEAD CAP / BOUFFANT ( Green ) Pair 0 0 0 0 0
453 Heavy duty gloves Pairs 0 334 244 578
454 Hood (TYVEK) Pcs 0 1385 0 1385
455 Hydrated Lime bag 0 8 0 8
456 INDUSTRIAL GLOVES Pair 0 448 448 0 448 448
457 Insect killer can 0 29 0 29
458 INSECT SPRAY GUN CAN( Killer) CAN 0 45 45 0 45 45
459 Ioban 2 Antimicrobial Incise Drape, 
Sterile PCS 0 3,920 3920 0 3920 3920
460 Isolation gown (yellow)/Basic PPE Pcs 0 1560 2225 3785
461
Isolation Gown with Thumbloop 
100ea size Large Polywear - 
Caloloympic (large: 42 cases of blue, 
100/case; XL: 16 cases of blue, 
100/case) pcs
0 
 4,200 
4200 0 4200 4200
462
Isolation Gown with Thumbloop 
100ea size Regular, Polywear - 
Calolympic PCS
0 
 2,392 
2392 0 2392 2392
463 ISOLATION GOWN YELLOW ( 
Disposable Surgical Gown ) PCS
0 100 
100 0 100 100
464 Jerrycans Plastic, 1L PCS 0 508 508 0 508 508
465 Kitchen Mate Gal 0 5 5 0 5 5
61 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
466 Klin powder soap sachet 0 1344 72 1416
467 Lab Coat Pcs 0 20 0 20
468 Lab Coats And Tunics, Scrub Suits, 
Surgical PCS 0 436 436 0 436 436
469 Lab Supply Kit, Abg Syringes & 
Culture Supplies KIT 0 2 2 0 2 2 
470 Lab Supply Kit, General Lab Supplies KIT 0 2 2 0 2 2
471 Lab Supply Kit, Vacutainer Tubes KIT 0 2 2 0 2 2
472 Mask (3M) Pcs 0 670 1440 2110
473 Mask earloop with shield Pcs 0 100 0 100
474 Mask Respirator N-95 Pcs 0 1505 0 1505
475 Mattress pcs 0 5 8 13
476 Measuring jugs PCS 0 60 60 0 60 60
477 Med comfort pe apron (light) PCS 0 700 700 0 700 700
478 Medical supplies (action medeor) 
pvc/nitril boots (white) PCS
0 311 
311 0 311 311
479 Medical supplies (ida) plastic corpse/ 
body bags (white) pcs
0 1,190 
1190 0 1190 1190
480 Medical supplies (ida) pvc boots 
(black) pcs
0 110 
110 0 110 110
481 Medical supplies (imres) black sagety 
boots (pvc) pcs
0 107 
107 0 107 107
482 Medical supplies (imres) body bag ( 
black) PCS
0 1,294 
1294 0 1294 1294
483 Medical supplies (imres) body bag 
(white)-zipper pcs
0 1,200 
1200 0 1200 1200
484 Medical supplies (imres) nose mask PCS 0 30 30 0 30 30
485 Medication cups PCS 0 385 385 0 385 385
486 Mop bucket Pcs 0 3 0 3
487 Mop head Pcs 0 4 0 4
488 Mopper broom pcs 0 10 0 10
489 Mosquito Netting CASES 0 12 12 0 12 12
490 Mosquito Netting ( White ) CASES 0 62 62 0 62 62
491 Mr. Clean Liquid soap btts 1 1 222 0 222
492 N-95 Particulate Respirator and 
Surgical Mask ( Yellow ) PCS
0 90000 90000 0 90000 90000
493 Napkin folder folder 0 237 0 237
494 Napkin roll Roll 0 3 0 3
495 Paper Towel Pcs 0 189 250 439
496 Patient Supplies kit PCS 0 3 3 0 3 3
497 Pillow case/cover PCS 0 51 51 0 51 51
498 Plastic apron Pcs 0 974 0 974
62 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
499 Plastic roll (white) ROLL 0 3 3 0 3 3
500 Plastic sheets Pcs 0 4 0 4
501 Plastic table cover PCS. 0 56 56 0 56 56
502 Plastic tubs (large size) PCS 0 9 9 0 9 9
503 Plastic tubs (medium size) PCS 0 10 10 0 10 10
504 Ploywear-R Pcs 0 1270 3775 5045
505 PPE Enhanced pcs 0 1485 650 2135
506 PPE- Top Guard ( Large) PCS 0 1,900 1900 0 1900 1900
507 PPE -Top Guard ( Medium) PCS 0 375 375 0 375 375
508 PPE -Top Guard ( XL) PCS 0 1,600 1600 0 1600 1600
509 PPE- Tyvek Hood ( Medium) PCS 0 225 225 0 225 225
510 PPE- Tyvek Suit ( Large) PCS 0 400 400 0 400 400
511 PPE- Tyvek Suit ( XL) PCS 0 625 625 0 625 625
512 PPE -Tyvex Suit (Medium) PCS 0 700 700 0 700 700
513 Prep Brush pcs 0 0 714 714
514 PVC CLING FILM PCS 0 8 8 0 8 8
515 Rainboot Pairs 0 181 24 205
516 Ready-bath pcs 0 63 63 0 63 63
517 RESPIRATOR PARTICULATE 
HEATHCARE FACEMASK PCS 0 480 480 0 480 480
518 RESTRAIN PATIENT BOX 0 37 37 0 37 37
519 Re-usable apron pcs 0 26 192 218
520 Rubber cup Pcs 0 56 0 56
521 Rubber Cup Pcs 0 82 82 0 82 82
522 Rubber plate pcs 0 183 0 183
523 Rubber spoon Pcs 0 25 0 25
524 SAFETY GOGGLES PCS 0 328 328 0 328 328
525 Safety Pin PKs 0 0 0 0 0
526 Sanitary pad Pcs 0 20 0 20
527 Scrub Brushes and Skin Prep Sets PCS 0 556 556 0 556 556
528 Scrub care/povidine pcs 0 0 711 711
529 SCRUBS Suit (S, M, L) set: 
top/bottom pcs 361 361 60 361 421
530 Secure comfort tape PCS 0 250 250 0 250 250
531 Sensi care power examination gloves 
(l) PCS 0 4,000 4000 0 4000 4000
532 Sensi care power examination gloves 
(m) PCS 0 20,000 20000 0 20000 20000
533 Sharp container Pcs 0 19 33 52
534 Sharps collector glove box each 0 6 6 0 6 6
535 Sharps container wall mount unit each 0 35 35 0 35 35
536 Sharps Containers, Send Only w/ Lids each 0 546 546 0 546 546
63 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
537 Shoe cover pcs 0 1966 600 2566
538 Shoes cover machine PCS 0 1 1 0 1 1
539 Shower slippers PCS. 0 95 95 0 95 95
540 Skin barrier wipes CRT 0 4 4 0 4 4
541 Skin specialties PCS 0 58 58 0 58 58
542 Slippers Pairs 0 2 0 2
543 Soap bar 200gm Cakes 0 257 257 0 257 257
544 Soft broom Pcs 0 30 0 30
545 Soft scrub (bleach cleanser) PCS 0 30 30 0 30 30
546 Soft soap/ hand soap btts 0 7 7 0 7 7
547 Specimen bag pcs 0 200 0 200
548 Specimen container pcs 0 0 10 10
549 Specimen tube pcs 0 50 0 50
550 Split peas bag 0 3 0 3
551 Sponges pcs 0 0 27 27
552 Sprayer 1 Liter CAN 0 15 15 0 15 15
553 Sprayer disinfectant 10 Liters CAN 0 10 10 0 10 10
554 Sprayer disinfectant 10L CAN 0 6 6 0 6 6
555 Spraying can CAN 0 2 2 0 2 2
556 Spraying can (1liter) Pcs 0 0 24 0 24
557 Spraying Can (Large) Pcs 0 0 6 0 6
558 Sterilization, Tapes, Indicators, Wraps 
& Pouches PCS 0 1,174 1174 0 1174 1174
559 Surgical apron (light yellow) pcs 0 600 600 0 600 600
560 Surgical caps, hats and shoes cover PCS 0 500 500 0 500 500
561 Tarpaulin box 0 23 6 29
562 Tissue Roll 0 980 36 1016
563 Tissue weib PCS 0 16 16 0 16 16
564 Toothbrush Pcs 16 16 73 16 89
565 Toothpaste pack 15 15 70 15 85
566 Tournequet PCS 0 200 200 0 200 200
567 Towel Pcs 0 21 3 24
568 Trash bag pcs 0 7827 2000 9827
569 Trash bag ( black) PCS 0 2,472 2472 0 2472 2472
570 Trash bag ( white) PCS 0 1,500 1500 0 1500 1500
571 Tyvek hood ( dupont personal 
protection) PCS 0 2,300 2300 0 2300 2300
572 Under clothes (woman) pcs 0 6 0 6
573 Vinyl Bed Surface (Camp Bed) PCS 0 19 19 0 19 19
574 Vinyl bed/ camp bed Pcs 0 5 0 5
575 Vita cube Pcs 0 900 0 900
576 Walker, Folding each 0 4 4 0 4 4
64 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
577 WARNING TAPE ROLL 0 2 2 0 2 2
578 Washing Soap Cakes 0 1079 0 1079
579 WATER PLASTIC CONTAINER PCS 0 21 21 0 21 21
580 WOVEN TARPAULIN BOXES 0 80 80 0 80 80
Medical and IPC Equipment
581 3-way stop cock pcs 0 0 0 0 126 126
582 4-way stop cock Pcs 0 0 0 0 50 50
583 Ambu bag Pcs 0 26 26 9 26 35
584 Assorted IV tubing pcs 0 0 0 0 101 101
585 Assorted Laboratory Materials Ctn 0 0 0 0 2 2
586 Baby Scale Pcs 0 0 0 0 1 1
587 BACK PACK SPRAYER CAN ( 12L) can 0 25 25 4 25 29
588 Bandage roll 0 0 0 15 0 15
589 Barrel (large) Pcs 0 0 0 7 0 7
590 Barrel (XL) pcs 0 0 0 15 0 15
591 Barrel Medium) pcs 0 0 0 12 0 12
592 Bed Pan ( Round Wash Basin)-Blue PCS 0 60 60 0 60 60
593 Bed pan ((IMRES) adult size pcs 0 250 250 0 250 250
594 BED PAN (PLASTIC) with lid and 
handles PCS 0 100 100 0 100 100
595 Bedpans And Urinals pcs 0 200 200 0 200 200
596 Blood Collection Tubes tubes 0 137 137 0 137 137
597 Bowl, stainless steel, 180ml PCS. 0 60 60 0 60 60
598 BP cuff Pcs 0 10 26 36
599 BREAST PUMP PCS 0 3 3 0 3 3
600 BREAST RELIEVER PCS 0 2 2 0 2 2
601 Bucket (faucet) Pcs 0 75 45 120
602 Bucket (small) Pcs 0 160 27 187
603 Bucket (White with Lid) Pcs 0 1 0 1
604 Container 5L (black) pcs 0 3 0 3
605 Cooling vast pcs 0 26 26 0 26 26
606 Cooling Vest Pcs 0 65 0 65
607 Dust pan Pcs 0 3 0 3
608 Electronic scale (bath room type) PC 0 2 2 0 2 2
609 Empty spray can(1 litre) PCS 0 20 20 0 20 20
610 Funnel Psc 0 10 10 0 10 10
611 Glucose Meter PCS 0 1 1 0 1 1
612 Hard brush pcs 0 4 0 4
613 IR thermometer Pcs 60 60 10 90 100
614 IV Extension & Secondary Tubing sqm 0 1,728 1728 0 1728 1728
615 IV Pole each 0 7 7 0 7 7
65 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Item Description Unit
Quantity used this quarter
(Jan - Mar 2016)
Cumulative 
Jan 2015- Mar 2016
By 
the 
ETU
Distributed
to HF Total
By 
the 
ETU
Distributed
to HF Total
616 IV Primary Tubing, Including Blood 
Tubing each 0 95 95 0 95 95
617 Jerry can (1L) Pcs 0 160 0 160
618 Kidney bean Surgical bowl Pcs 32 32 12 32 44
619 LARYNGNGOSCOPE PC 0 1 1 0 1 1
620 Light, Exam PCS 0 1 1 0 1 1
621 Light, Exam ( Spoiled) PCS 0 1 1 0 1 1
622 Nasal Gastric & Gastric Lavage Tubes 
& Kits PCS 0 36 36 0 36 36
623 Nebulizer -Machine Box 0 1 1 0 1 1
624 Nebulizer Supplies PCS 0 146 146 0 146 146
625 Needles, Mixed Gauges PCS 0 31 31 0 31 31
626 Oxygen Masks and Tubing PCS 0 4 4 0 4 4
627 Pads, Wedges, Positioning Pillows PCS 0 144 144 0 144 144
628 Patient ID Bracelet PCS 0 4,000 4000 0 4000 4000
629 SPECIMEN CONTAINER PCS 0 740 740 0 740 740
630 Sphygmomanometer BOXES 0 139 139 0 139 139
631 SPRAYER CAN (1LITRE) CAN 0 11 11 0 11 11
632 Stethoscope Pcs 44 44 7 44 51
633 STRETCHER, foldable, alu CRT 0 21 21 0 21 21
634 Suction Canisters & Lids PCS 0 491 491 0 491 491
635 Suction Machine Low Portable Box 0 1 1 0 1 1
636 Suprapubic catheter tray Set 0 0 6 6
637 SURGICAL SCISSORS PCS 0 15 15 0 15 15
638 Temporal Thermometers - Abatix ( 
Patient Digital) PCS
0 1,913 
1913 0 1913 1913
639 THERMOMETER COVER PCS 0 2,000 2000 0 2000 2000
640 Thermometer, Oral each 0 6 6 0 6 6
641 Thermometer, Patient Digital pcs 0 0 31 31
642 Thermometer/flash Pcs 0 4 0 4
643 Urinary Catheters, Trays & Insertion 
Sets PCS 0 5 5 0 5 5 
644 Vena Thermometer pcs 3 3 3 3 6
645 Ventilator Tubing and Supplies each 0 174 174 0 174 174
646 Weighing (Baby)scale -CCC PCS 0 3 3 0 3 3
(Source: STEP program performance report for the period of Jan 1 – Mar 31, 2016; PCI. April 21, 2016) 
66 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
Annex 4: List of health facilities Supported by STEP by type of supported 
S/N Name of Health Facilities
/Institutions District
Level of 
HF[1]
Type of Support Provided 
Medical 
commodities 
and supplies 
provision
Mentorship
Type of training
SQS 
Training12
EVD 
surveillance 
and 
response
13 
Safe swab 
sample 
collection 
and 
transporting14
1 Beoyoola Clinic Gbarlay Geh Primary xxx xxx xxx xxx
2 Gbaelay-geh DHT Gbarlay Geh DHT xxx xxx 
3 Duoplay Clinic Gbarlay Geh Primary xxx xxx xxx xxx xxx
4 Garplay Mission Clinic Gbarlay Geh Primary xxx xxx xxx xxx
5 Gbeivonwea Clinic Gbarlay Geh Primary xxx xxx xxx xxx
6 Give them hope Clinic Gbarlay Geh Primary xxx xxx xxx xxx
7 Gorguatuo Clinic Gbarlay Geh Primary xxx xxx xxx xxx xxx
8 Karnplay Health Center Gbarlay Geh Primary xxx xxx xxx xxx
9 Kpairplay Clinic Gbarlay Geh Primary xxx xxx xxx xxx xxx
10 Loguatuo Clinic Gbarlay Geh Primary xxx xxx xxx xxx xxx
11 Slanganplay Clinic Gbarlay Geh Primary xxx xxx xxx xxx
12 Vayenglay Clinic Gbarlay Geh Primary xxx xxx xxx xxx xxx
13 Younlay Clinic Gbarlay Geh Primary xxx xxx xxx xxx xxx
 
12 At least three service providers from the listed health facilities and County/District offices have been trained on SQS, and the plan is to train 100% of the service providers in 
each HF. 
13 One staff representing the health facilities, DHT, and CHT have benefited from the training
14 At least one lab aid or health service provider is trained per facility.
67 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Name of Health Facilities
/Institutions District
Level of 
HF[1]
Type of Support Provided 
Medical 
commodities 
and supplies 
provision
Mentorship
Type of training
SQS 
Training12
EVD 
surveillance 
and 
response
13 
Safe swab 
sample 
collection 
and 
transporting14
14 Zorgowee Clinic Gbarlay Geh Primary xxx xxx xxx xxx xxx
15 Beindin Clinic Saclepea Mah Primary xxx xxx xxx xxx
16 Bunadin Clinic Saclepea Mah Primary xxx xxx xxx xxx xxx
17 Cocopa Clinic Saclepea Mah Primary xxx xxx xxx
18 Sclepea-mah DHT Saclepea Mah DHT xxx xxx 
19 Duayee Clinic Saclepea Mah Primary xxx xxx xxx
20 Flumpa Comm. Clinic Saclepea Mah Primary xxx xxx xxx xxx
21 Flumpa ULIC Saclepea Mah Primary xxx xxx xxx xxx xxx
22 Karnwee Clinic Saclepea Mah Primary xxx xxx xxx xxx xxx
23 Kpaytuo Clinic Saclepea Mah Primary xxx xxx xxx xxx xxx
24 Kpein Clinic Saclepea Mah Primary xxx xxx xxx xxx xxx
25 Saclepea Clinic Saclepea Mah Primary xxx 
26 Saclepea Com. HC Saclepea Mah Primary xxx xxx xxx xxx xxx
27 Saclepea ULIC Saclepea Mah Primary xxx xxx xxx
28 Tunukpuye Clinic Saclepea Mah Primary xxx xxx xxx xxx xxx
29 Zahn Bahnla Clinic Saclepea Mah Primary xxx xxx xxx xxx xxx
30 Duayee (Gbeyi Duayee) clinic Saclepea Mah Primary xxx xxx 
31 Docas Matto Memorial Clinic Saclepea Mah Primary xxx xxx xxx xxx
32 Duo Clinic Saclepea Mah Primary xxx xxx xxx xxx
33 Kpallah Saclepea Mah Primary xxx xxx 
34 Agape Clinic Sanniquelle Mah Primary xxx xxx xxx
35 Arcelor Mittal Yekepa Hosp. Sanniquelle Mah secondary xxx xxx xxx xxx xxx
68 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Name of Health Facilities
/Institutions District
Level of 
HF[1]
Type of Support Provided 
Medical 
commodities 
and supplies 
provision
Mentorship
Type of training
SQS 
Training12
EVD 
surveillance 
and 
response
13 
Safe swab 
sample 
collection 
and 
transporting14
36 Bomah Clinic Sanniquelle Mah Primary xxx xxx xxx xxx
37 CHT Emergency Pharmacy Sanniquelle Mah CHT xxx xxx 
38 Nimba CHT Sanniquelle Mah CHT xxx xxx 
39 Sanniquelle-mah DHT Sanniquelle Mah DHT xxx xxx 
40 Duotiayee Clinic Sanniquelle Mah Primary xxx xxx xxx xxx xxx
41 Evening Star Clinic Sanniquelle Mah Primary xxx xxx xxx
42 Free penticostal Clinic Sanniquelle Mah Primary xxx xxx xxx xxx
43 G.W.Harley Hospital Sanniquelle Mah tertiary xxx xxx xxx xxx xxx
44 Gant ETU Sanniquelle Mah tertiary xxx xxx xxx xxx
45 Ganta Comm. Clinic Sanniquelle Mah Primary xxx xxx xxx xxx xxx
46 Ganta Equip Clinic Sanniquelle Mah Primary xxx xxx xxx xxx xxx
47 Ganta Methodoest Hospital Sanniquelle Mah Tertiary xxx xxx xxx xxx xxx
48 Ganta Rehab. Hospital Sanniquelle Mah Secondary xxx xxx xxx xxx xxx
49 J. Kohn Hosp. Sanniquelle Mah secondary xxx xxx 
50 KL Foundation Clinic Sanniquelle Mah Primary xxx xxx xxx xxx
51 Kozomoway Med. Clinic Sanniquelle Mah Primary xxx xxx xxx xxx
52 Lugbeyee Clinic Sanniquelle Mah Primary xxx xxx xxx xxx
53 Newman Clinic Sanniquelle Mah Primary xxx xxx xxx xxx
54 Power House Clinic Sanniquelle Mah Primary xxx xxx xxx xxx xxx
55 St. Mary's Clinic Sanniquelle Mah Primary xxx xxx xxx xxx
56 YMCA Clinic Sanniquelle Mah Primary xxx xxx xxx xxx xxx
57 Bonlay Clinic Tappita Primary xxx xxx xxx xxx xxx
69 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Name of Health Facilities
/Institutions District
Level of 
HF[1]
Type of Support Provided 
Medical 
commodities 
and supplies 
provision
Mentorship
Type of training
SQS 
Training12
EVD 
surveillance 
and 
response
13 
Safe swab 
sample 
collection 
and 
transporting14
58 Consoleta Clinic Tappita Primary xxx xxx xxx xxx
59 Tappita DHT Tappita DHT xxx xxx 
60 Dilla (Gblor Dialla) Clinic Tappita Primary xxx xxx xxx xxx xxx
61 Glahn Town Clinic Tappita Primary xxx xxx xxx xxx
62 Graie Clinic Tappita Primary xxx xxx xxx xxx
63 JFD Hospital Tappita Tertiary xxx xxx xxx xxx
64 Mid-Baptist Clinic Tappita Primary xxx xxx xxx xxx xxx
65 New Yourpea Clinic Tappita Primary xxx xxx xxx xxx
66 Toweh Town Clinic Tappita Primary xxx xxx xxx
67 Zuaplay Clinic Tappita Primary xxx xxx xxx xxx xxx
68 Zuolay Clinic Tappita Primary xxx xxx xxx xxx xxx
69 YM DHT Yarwin 
Mehnsonnoh DHT xxx xxx 
70 Kwendin Clinic Yarwin 
Mehnsonnoh Primary xxx xxx xxx xxx
71 Mehnla Clinic Yarwin 
Mehnsonnoh Primary xxx xxx xxx xxx xxx
72 Zekepa Clinic Yarwin 
Mehnsonnoh Primary xxx xxx xxx
73 Zekepa H. Center Yarwin 
Mehnsonnoh Primary xxx xxx xxx xxx
74 Boyee Clinic Yarwin 
Mehnsonnoh Primary xxx xxx 
75 Bahn AHA Camp Clinic Zoe-Geh Primary xxx xxx xxx xxx
76 Bahn Health Center Zoe-Geh Primary xxx xxx xxx xxx xxx
70 | Page
USAID/OFDA funded Support To Ebola Treatment Unit Project End-Line Evaluation Report 2016, PCI Liberia
S/N Name of Health Facilities
/Institutions District
Level of 
HF[1]
Type of Support Provided 
Medical 
commodities 
and supplies 
provision
Mentorship
Type of training
SQS 
Training12
EVD 
surveillance 
and 
response
13 
Safe swab 
sample 
collection 
and 
transporting14
77 Bahn ULIC Zoe-Geh Primary xxx xxx xxx xxx xxx
78 Beadatuo Clinic Zoe-Geh Primary xxx xxx xxx xxx
79 Buutuo Clinic Zoe-Geh Primary xxx xxx xxx xxx
80 Buutuo United Lib Inland Clinic Zoe-Geh Primary xxx xxx xxx xxx
81 Zoe-geh DHT Zoe-Geh DHT xxx xxx 
82 Gblarlay Clinic Zoe-Geh Primary xxx xxx xxx xxx xxx
83 Lapula Clinic Zoe-Geh Primary xxx xxx xxx xxx
84 Payee Clinic Zoe-Geh Primary xxx xxx xxx xxx
85 Wehplay Clinic Zoe-Geh Primary xxx xxx xxx xxx
86 Zoe-Geh M. Center Zoe-Geh Primary xxx xxx xxx
87 Gbloulay Clinic Zoe-Geh District Primary xxx xxx xxx xxx
Source: summarized from STEP quarterly program performance reports for the period of Jul 1 – Sept 30, 2015; Jul 1 – Sept 30, 2015; and Jan 1 – Mar 31, 2016; 
PCI.