[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:00.72,0:00:04.100,Default,,0000,0000,0000,,Au centre opérationnel d'urgence\Ndu Liberia, de lutte contre Ebola
Dialogue: 0,0:00:06.02,0:00:09.05,Default,,0000,0000,0000,,en compagnie de mon collègue \NMosaka Fallah.
Dialogue: 0,0:00:09.55,0:00:14.82,Default,,0000,0000,0000,,Votre lutte contre Ebola est primordiale\Npuisque vous êtes aujourd'hui responsable
Dialogue: 0,0:00:14.82,0:00:18.17,Default,,0000,0000,0000,,des traceurs de contacts ici à Moravia\N- Oui.
Dialogue: 0,0:00:18.17,0:00:23.21,Default,,0000,0000,0000,,Alors dites nous... Pourquoi est-ce\Nsi difficile de suivre ces contacts ?
Dialogue: 0,0:00:23.21,0:00:27.70,Default,,0000,0000,0000,,Pour deux raisons principales.
Dialogue: 0,0:00:27.70,0:00:31.92,Default,,0000,0000,0000,,La première est une question de confiance.
Dialogue: 0,0:00:32.10,0:00:35.28,Default,,0000,0000,0000,,De confiance dans les traceurs eux-mêmes
Dialogue: 0,0:00:35.28,0:00:41.85,Default,,0000,0000,0000,,Ils ont de moins en moins confiance en nous\Net c'est dû au fait que
Dialogue: 0,0:00:41.85,0:00:48.00,Default,,0000,0000,0000,,to them in time.\Nalso there is an issue of... our non-Ebola
Dialogue: 0,0:00:48.00,0:00:53.08,Default,,0000,0000,0000,,health services is not developed , in case\Nthey don't have Ebola, how do they get the
Dialogue: 0,0:00:53.08,0:00:56.34,Default,,0000,0000,0000,,best treatment?\NThat means if they have malaria, pneumonia
Dialogue: 0,0:00:56.34,0:00:59.86,Default,,0000,0000,0000,,or other sorts of diarrhea... they can't find\Nany treatment.
Dialogue: 0,0:00:59.86,0:01:04.77,Default,,0000,0000,0000,,Exactly. Since Ebola our health care system\Ncollapsed on the wake of the emergency
Dialogue: 0,0:01:04.77,0:01:09.38,Default,,0000,0000,0000,,So they don't have an alternative to go\NSo they see their relatives go before... they don't
Dialogue: 0,0:01:09.38,0:01:13.59,Default,,0000,0000,0000,,have any alternative, so they are distrustful.\NWhy should they tell us? They don't have an
Dialogue: 0,0:01:13.59,0:01:17.14,Default,,0000,0000,0000,,alternative.\NAnd the third thing is the issue of feedback.
Dialogue: 0,0:01:17.14,0:01:20.36,Default,,0000,0000,0000,,They have seen their relatives go to ETUs\Nand maybe die
Dialogue: 0,0:01:20.36,0:01:22.59,Default,,0000,0000,0000,,and they didn't have the feedback in a timely\Nfashion.
Dialogue: 0,0:01:22.59,0:01:26.03,Default,,0000,0000,0000,,And ETU is the abbreviation for the Ebola\NTreatment Units
Dialogue: 0,0:01:26.03,0:01:29.85,Default,,0000,0000,0000,,that are the hospitals or tent hospitals specially\Nfor Ebola.
Dialogue: 0,0:01:29.85,0:01:35.26,Default,,0000,0000,0000,,Yes, Dr. Hans.\NBut I mean... is it 8 monitors you have now?
Dialogue: 0,0:01:35.26,0:01:37.06,Default,,0000,0000,0000,,Oui.\NQui supervise cela…
Dialogue: 0,0:01:37.06,0:01:40.98,Default,,0000,0000,0000,,They are really wise.\NWhen I have been in the morning meetings,
Dialogue: 0,0:01:40.98,0:01:47.14,Default,,0000,0000,0000,,they understand all the dynamics\Nand realities of people. Some of which are
Dialogue: 0,0:01:47.14,0:01:53.37,Default,,0000,0000,0000,,very poor.\NSo when you now became in charge of this;
Dialogue: 0,0:01:53.37,0:01:56.34,Default,,0000,0000,0000,,What is the most important? I know that you\Nare fixing the food now.
Dialogue: 0,0:01:56.34,0:01:59.27,Default,,0000,0000,0000,,Yes.\NBecause they need food the same day that they
Dialogue: 0,0:01:59.27,0:02:04.58,Default,,0000,0000,0000,,became a case, a contact,\Nso they can't go out and buy themselves.
Dialogue: 0,0:02:04.58,0:02:08.85,Default,,0000,0000,0000,,How are you planning to change or improve\Nthe system?
Dialogue: 0,0:02:08.85,0:02:11.37,Default,,0000,0000,0000,,Because it's already good!\NBecause you took it from a catastrophe.
Dialogue: 0,0:02:11.37,0:02:14.42,Default,,0000,0000,0000,,You took it from a 100 a day down to 10 a\Nday.
Dialogue: 0,0:02:14.42,0:02:16.59,Default,,0000,0000,0000,,What are the next things you want to change\Nnow?
Dialogue: 0,0:02:16.59,0:02:20.85,Default,,0000,0000,0000,,First I want to restore the confidence and\NI hope in building trust.
Dialogue: 0,0:02:20.85,0:02:22.89,Default,,0000,0000,0000,,Engaging local communities.
Dialogue: 0,0:02:22.89,0:02:26.32,Default,,0000,0000,0000,,Engaging lots of stakeholders. And ensuring\Nthat they'll have a response
Dialogue: 0,0:02:26.32,0:02:30.55,Default,,0000,0000,0000,,in a timely fashion.\NAnd we are talking about making
Dialogue: 0,0:02:30.55,0:02:34.69,Default,,0000,0000,0000,,practical field decisions.\NMoving case-investigators, contact-tracers,
Dialogue: 0,0:02:34.69,0:02:37.37,Default,,0000,0000,0000,,psychosocial together.\NGenerate full list.
Dialogue: 0,0:02:37.37,0:02:40.12,Default,,0000,0000,0000,,Have the full list returned to the family\Nin a timely fashion.
Dialogue: 0,0:02:40.12,0:02:43.56,Default,,0000,0000,0000,,Providing the psychosocial support.\NWorking with local leaders.
Dialogue: 0,0:02:43.56,0:02:46.17,Default,,0000,0000,0000,,Supporting the local leaders building the\Ntransport.
Dialogue: 0,0:02:46.17,0:02:50.94,Default,,0000,0000,0000,,Working on a feedback system where we now\Ngonna have
Dialogue: 0,0:02:50.94,0:02:53.83,Default,,0000,0000,0000,,case investigators working closer with us\Nand a data unit
Dialogue: 0,0:02:53.83,0:02:55.96,Default,,0000,0000,0000,,ensuring that they'll feedback in a timely\Nfashion.
Dialogue: 0,0:02:55.96,0:03:00.33,Default,,0000,0000,0000,,As of the status of; their relatives;\Nthose in the ETU; and the lab results.
Dialogue: 0,0:03:00.33,0:03:06.02,Default,,0000,0000,0000,,Your people, the tracers, how many are they?\NHow many people do you have who go and visit
Dialogue: 0,0:03:06.02,0:03:09.32,Default,,0000,0000,0000,,these contacts?\NIn Montserrado county we have 305 tracers
Dialogue: 0,0:03:09.32,0:03:14.25,Default,,0000,0000,0000,,22 supervisors\Ncurrently in the two zones of the Montserrado
Dialogue: 0,0:03:14.25,0:03:17.81,Default,,0000,0000,0000,,county.\NAnd they have to be like detectives almost.
Dialogue: 0,0:03:17.81,0:03:21.64,Default,,0000,0000,0000,,But then you say they have to be kind also.\NThey have to think about the family.
Dialogue: 0,0:03:21.64,0:03:27.06,Default,,0000,0000,0000,,Yes, so it's always a critical issue, because\Nthey see them as representing the system.
Dialogue: 0,0:03:27.40,0:03:30.94,Default,,0000,0000,0000,,Because they are the ones that the first time,\Nif there is a death in the family, someone
Dialogue: 0,0:03:30.94,0:03:33.80,Default,,0000,0000,0000,,has to come see them first,\Nand they have to be the ones who go there
Dialogue: 0,0:03:33.80,0:03:37.50,Default,,0000,0000,0000,,everyday for 21 days.\NSo, yes they have to be empathetic.
Dialogue: 0,0:03:37.50,0:03:40.92,Default,,0000,0000,0000,,But also they have to be detectives.\NThey have to be able to see through them
Dialogue: 0,0:03:40.92,0:03:44.30,Default,,0000,0000,0000,,and know; those who have been honest\Nand those who are not saying the truth
Dialogue: 0,0:03:44.44,0:03:47.52,Default,,0000,0000,0000,,and after follow up investigation to find\Nall contacts.
Dialogue: 0,0:03:47.53,0:03:52.05,Default,,0000,0000,0000,,In this epidemic there is no room for errors.\NYou need to find 100% contacts.
Dialogue: 0,0:03:52.05,0:03:56.13,Default,,0000,0000,0000,,So they have to do the both.\NBe kind, at the same time as being a detective,
Dialogue: 0,0:03:56.30,0:03:58.96,Default,,0000,0000,0000,,to find out all of the contacts.\NAnd you never use force?
Dialogue: 0,0:03:58.96,0:04:03.84,Default,,0000,0000,0000,,I mean you don't threaten people.\NIt's just their free will?
Dialogue: 0,0:04:04.62,0:04:10.08,Default,,0000,0000,0000,,Yes, Sir! We encourage the free will,\Neven when deciding the concept of quarantine.
Dialogue: 0,0:04:10.09,0:04:12.75,Default,,0000,0000,0000,,We always say quarantine should be done by\Nthe communities.
Dialogue: 0,0:04:12.94,0:04:15.72,Default,,0000,0000,0000,,You shouldn't get the police involved.\NIt should be done... it should be involved
Dialogue: 0,0:04:15.73,0:04:17.92,Default,,0000,0000,0000,,for discussion.\NThere's a consensus building.
Dialogue: 0,0:04:17.92,0:04:20.37,Default,,0000,0000,0000,,It's so important because the fear we always\Nhave is that:
Dialogue: 0,0:04:20.37,0:04:23.56,Default,,0000,0000,0000,,if we use force, they could escape.\NIf we put them under huge pressure.
Dialogue: 0,0:04:23.56,0:04:27.20,Default,,0000,0000,0000,,It has to be a friendly approach; a comunity-based\Napproach
Dialogue: 0,0:04:27.20,0:04:31.61,Default,,0000,0000,0000,,You look like a very tough guy! That's what\Nhas impressed me you know.
Dialogue: 0,0:04:31.61,0:04:34.89,Default,,0000,0000,0000,,I've seen you almost rush out from the morning\Nmeetings.
Dialogue: 0,0:04:35.12,0:04:41.22,Default,,0000,0000,0000,,And then when you argue, you talk like a nun.\NYou are very kind to people!
Dialogue: 0,0:04:41.82,0:04:47.30,Default,,0000,0000,0000,,This is probably the most important\Nto be empathetic, you say?
Dialogue: 0,0:04:47.90,0:04:53.72,Default,,0000,0000,0000,,I think so. Yes!\NBut you have two types of problems. One is
Dialogue: 0,0:04:53.72,0:04:59.33,Default,,0000,0000,0000,,that you don't get the contacts listed.\NThey are hidden some of them.
Dialogue: 0,0:04:59.33,0:05:02.53,Default,,0000,0000,0000,,And the other is that the contacts who get\Nsick, they leave
Dialogue: 0,0:05:02.53,0:05:05.38,Default,,0000,0000,0000,,because they don't want to be identified as\Nsick.
Dialogue: 0,0:05:05.38,0:05:08.42,Default,,0000,0000,0000,,What is the reason why they don't get listed\Nin the beginning?
Dialogue: 0,0:05:08.62,0:05:12.56,Default,,0000,0000,0000,,In the beginning of the epidemic there was\Na couple of factors.
Dialogue: 0,0:05:12.98,0:05:16.16,Default,,0000,0000,0000,,One of them was that the burial team picked\Nup
Dialogue: 0,0:05:16.17,0:05:22.14,Default,,0000,0000,0000,,the body and we would not have the contacts\Ncoming to us in a timely fashion.
Dialogue: 0,0:05:22.14,0:05:26.38,Default,,0000,0000,0000,,Some of them road commercial vehicles probably\Nambulances, and went to ETUs.
Dialogue: 0,0:05:26.60,0:05:28.44,Default,,0000,0000,0000,,And those who did that without collecting send\Nback as a feedback
Dialogue: 0,0:05:28.44,0:05:34.33,Default,,0000,0000,0000,,and line then was sent to begin contact tracing.\NThat means that the list for them…
Dialogue: 0,0:05:34.33,0:05:37.33,Default,,0000,0000,0000,,and of course when they had someone who had\Ndied at home
Dialogue: 0,0:05:37.33,0:05:42.75,Default,,0000,0000,0000,,that was a very emotional, and very sad moment\Nit's not an easy time to remember them.
Dialogue: 0,0:05:42.75,0:05:45.60,Default,,0000,0000,0000,,Exactly, and the exam of contacts and all\Nthose kind of questions.
Dialogue: 0,0:05:45.60,0:05:51.84,Default,,0000,0000,0000,,It's an emotional period. That stage is critical\Nyou can build friendship, you can build empathy
Dialogue: 0,0:05:51.84,0:05:55.94,Default,,0000,0000,0000,,and then they can reveal to you, by that time\Nwhen they are in the though period.
Dialogue: 0,0:05:55.94,0:05:58.99,Default,,0000,0000,0000,,So now you are going to have a system where\Nby
Dialogue: 0,0:05:58.99,0:06:04.43,Default,,0000,0000,0000,,those which we call "case investigators",\Nwho just take care of the information of the
Dialogue: 0,0:06:04.43,0:06:08.46,Default,,0000,0000,0000,,sick\Nand your contact tracer, with a list of contacts
Dialogue: 0,0:06:08.46,0:06:13.14,Default,,0000,0000,0000,,and ambulances and the burial cars\Nthey will be one system?
Dialogue: 0,0:06:13.14,0:06:16.21,Default,,0000,0000,0000,,Yes, we're hoping yes.\NSo there can practical field decision.
Dialogue: 0,0:06:16.21,0:06:21.33,Default,,0000,0000,0000,,Because most of the time we lost a contact\Nin the time past when the case investigator
Dialogue: 0,0:06:21.33,0:06:25.62,Default,,0000,0000,0000,,does the investigation and line listing,\Nbetween that and the data unit and coming
Dialogue: 0,0:06:25.62,0:06:28.18,Default,,0000,0000,0000,,back to the tracer,\Nthere was a delay in time.
Dialogue: 0,0:06:28.18,0:06:32.65,Default,,0000,0000,0000,,So some of the contact listing got lost.\NIf there is a field level decision
Dialogue: 0,0:06:32.65,0:06:36.50,Default,,0000,0000,0000,,where the investigator does the investigation\Nthe contact tracer takes the line listing
Dialogue: 0,0:06:36.50,0:06:40.40,Default,,0000,0000,0000,,and initiates investigation immediately.\NIn that case I'll be very confident that every
Dialogue: 0,0:06:40.40,0:06:42.82,Default,,0000,0000,0000,,case we've seen,\Nwe've gone through that. We have the contacts
Dialogue: 0,0:06:42.82,0:06:45.00,Default,,0000,0000,0000,,listed and that we have followed up!