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In Liberia, the last known Ebola patient who died of the virus was buried on 28 March. The country is hopeful that it is now on the road to recovery but, nevertheless remains on high alert. In Liberia, the outbreak began to subside in late October and had stabilised by mid-November, with daily reports showing only 10 to 20 new cases. Since January Ebola cases in Liberia have dwindled further.

ChildFund Liberia’s Kelekula Interim Care Centre (ICC), the first centre focused on the care and support of children orphaned by Ebola, was established in partnership with the Ministry of Health and Social Welfare in October 2014. 55 children have stayed at the centre. After being cleared of the disease, staff have coordinated with government officials to help place these children with relatives or in stable foster care situations.

18-month-old baby, Saydee (pictured above with his aunt) stayed at the Kelekula ICC after he lost his mother to Ebola.  Saydee now lives with his father and aunt in a makeshift community in Monrovia, Liberia’s capital. His aunt, Mabel takes care of him while his father works as a casual teacher with the Liberian Teacher Training Program. Saydee’s father is concerned about one thing – he is unable to take his son to the health clinic as ChildFund used to do. “I do not have means to take my son to the treatment facility whenever he gets sick. It really worries me,” he says.

Social workers now conduct regular visits to the homes of all children who stayed at the Kelekula ICC to find out how they are coping with the loss of their loved ones and how they are getting along with their caregivers. ChildFund also distributes packages of clothes, mattresses, school materials, footwear, toiletries and food, such as rice and oil, to each child when reuniting them with their caregivers.

Seventeen-year-old Nellie lives in a village in Rigo District in Papua New Guinea (PNG). Most villages in this remote, rural area lack access to basic services, including healthcare. With Port Moresby more than three hours away by bus and with only five local health centres in Nellie’s district, which altogether support more than 7,800 people, many are forced to go without health services.

Last year Nellie contracted tuberculosis (TB) – one of the biggest killers in PNG today. “This is how I knew and felt when I had TB. Firstly, I was losing weight because I was not eating properly. I was tired and sleeping a lot and had diarrhoea. I often could not get up or do work,” she says.

PNG has the highest incidence of TB in the Pacific with the World Health Organisation estimating the country has over 20,000 new and relapsed cases diagnosed every year.

TB is a critical problem in Central Province, where Nellie lives, because of a lack of community awareness, poor treatment adherence and rundown health infrastructure.

Nellie is now healthy and TB free after she was supported by a ChildFund-trained village health volunteer (VHV) to complete her six-month TB treatment plan. This project is supported by the Australian Government.

“Richard Kora, our VHV, helped me a lot by encouraging me to take my medicine until I finished them,” Nellie says. “I should have died but because I took my medicine well and completed them I am feeling well and strong now.”

Richard’s training taught him about direct observed therapy, more commonly known as DOT. DOT is considered the most effective strategy for ensuring TB sufferers correctly take their medicine. It involves health workers observing patients physically take their medicine for six months. This is the technique Richard used to help Nellie recover.