The Ebola Virus Disease (EVD) outbreak has both exacerbated and been amplified by poor WASH conditions throughout the rural and urban areas of Sierra Leone, particularly within the health-care sector. This document outlines ASI’s WASH response to the outbreak.… Read More


The three days Ose-To-Ose Ebola Tok campaign was an initiative of the government of Sierra Leone through the Ministry of Health and Sanitation and the EOC aimed at cutting the chain of transmission from one person to the other and also to build the confidence of citizens on the health care system of the country. … Read More


The outbreak of Ebola virus disease in West Africa in 2014 is the worst single outbreak recorded, and has resulted in more fatalities than all previous outbreaks combined. This outbreak has resulted in a large humanitarian effort to build new health care facilities, with associated water supplies. Although Ebola is not a water-borne disease, care facilities for Ebola patients may become sources of outbreaks of other, water-borne, diseases spread through shallow groundwater from hazard sources such as open defecation, latrines, waste dumps and burial sites to water supplies. The focus of this rapid desk study is to assess from existing literature the evidence for sub-surface transport of pathogens in the context of the hydrogeological and socio-economic environment of Sierra Leone. In particular, the outputs are to advise on the robustness of the evidence for an effective single minimum distance for lateral spacing between hazard sources and water supply, and provide recommendations for protecting water supplies for care facilities as well as other private and public water supplies in this region.… Read More


This document assesses the impact of the Ebola outbreak on the WASH sector. During the crisis people used alternative water sources and sanitation facilities, particularly if in quarantine. Ebola facilities have added to the demand on an already weak WASH systems. The WASH response has focused on new structures rather than maintenance of existing ones. A focus on facilities has drawn resources away from communities. Remote rural areas and urban slums are the most vulnerable and most affected by a weakened WASH sector.… Read More


This map shows the Ebola Virus Disease WASH response accross Sierra Leone, mapping the health facilties, cumulative cases and lists the WASH agencies active in each district. Data correct as of 28 February 2015.… Read More


The cholera epidemic of 2012 was the worst to affect Sierra Leone in fifteen years. It was also the largest outbreak in the West African region for ten years. This paper is concerned with integrating the lessons learned from the 2012 cholera response into a national strategy for risk reduction preparedness and response.… Read More


In light of the decline in new Ebola cases, strategies are now needed to scale down the activities and bed capacities in Ebola care facilities. These facilities include Ebola treatment units, community care centres, Ebola treatment centres and isolation centres. Thus, the closure of such facilities or repurposing for other uses not related to the treatment of Ebola should be approached using evidence-based, best practices, while at the same time respecting the social and psychological impact of the outbreak on the affected populations.… Read More