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Staff story: “People were scared of Lassa fever, but I wanted to save lives”

13 Aug 25 | 15 Aug 25

Staff story: “People were scared of Lassa fever, but I wanted to save lives”

Claude Ndoko standing outside an MSF-supported paediatric unit in Sierra Leone Caption
Claude Ndoko standing outside an MSF-supported paediatric unit in Sierra Leone
Claude Ndoko

Claude Ndoko

Community health officer

Claude’s journey with MSF started in 2001, as a nurse during Sierra Leone's civil war. From selling firewood to fund his training as a community health officer, he has now worked through multiple healthcare crises, including Lassa fever and the West Africa Ebola epidemic.

In this interview, Claude reflects on his career with Médecins Sans Frontières / Doctors Without Borders (MSF) ahead of his retirement, as well as the humanitarian values he still lives by today.


What motivated you to start working with MSF?

What motivated me is the fact that patients are always the priority. As a medical student, I already knew that, but with MSF, this was truly reinforced. In just a few months of working with MSF, I felt at home and could say I had found a family.

I started working with MSF in 2001 in Moyamba district, Southern Province of Sierra Leone, during the civil war (1991-2002). Although the armed conflict was still going on, the situation was already starting to be calmer, and we were all hoping for the end to arrive soon. 

I was born in Gbangbama village in Moyamba district, so I already knew about MSF because they were working in my province.

I had just graduated from nursing school, and I was eager to start working. Back then, MSF was providing care to children, lactating mothers, and pregnant women in the Moyamba government hospital. I started working as a nurse and after a few months, I became the nursing team supervisor.

At MSF's out-patient department in Batil refugee camp Gandhi Pant, a nurse, escorts a patient with a possible appendicitis to a waiting ambulance. 

Batil is one of three camps in South Sudan’s Upper Nile State sheltering at least 113,000 refugees who have crossed the border from Blue Nile state to escape fighting between the Sudanese Armed Forces and the SPLM-North armed group. Refugees arrive at the camp with harrowing stories of being bombed out of their homes, or having their villages burned. The camps into which they have poured are on a vast floodplain, leaving many tents flooded and refugees vulnerable to disease. Mortality rates in Batil camp are at emergency levels, malnutrition rates are more than five times above emergency thresholds, and diarrhea and malarial cases are rising.

Help us prepare for the next emergency

What has been the most rewarding part of your job?

In 2002, I moved to Tonkolili district where MSF was supporting the Magburaka government hospital.  I started working in a paediatric ward for the first time, and it was there that I truly fell in love with my job.  That experience gave me a new sense of purpose in my job.

I am a father, and when I take care of the children in the wards it’s always like I am taking care of my own children. I have treated a lot of children at the hospital. In fact, two of them are now nurses working with the Ministry of Health. I feel so proud when I see them.

“I am a former Lassa fever patient, and I have lost colleagues due to Lassa fever. I know what’s it like to be isolated and to not have proper care because people are scared to be near you.” 

Claude Ndoko
|
Community health officer

In 2006, I went back to college to become a community health officer. I sold firewood and did farm work to be able to pay the fees. After I graduated, I worked with the Ministry of Health on an immunisation campaign, mainly on yellow fever, measles and polio in the Northern Province, in the town of Kabala. 

Then I moved to Bo, where MSF was providing healthcare services to children under 15 years and pregnant women at the Gondama referral centre. I worked as a clinic supervisor and later that same year as a data encoder.

What were the most challenging moments during all these years?

Working with haemorrhagic fevers has been the most challenging aspect of my job during these years. In 2010, I worked with MSF in a Lassa fever response in Bo district in the Southern Province. I was the only community health worker who agreed to work in the wards at the time. We were a very small team of one doctor, a few nurses and me.

Most people were scared but I did it because I wanted to save lives. I am a former Lassa fever patient, and I have lost colleagues due to Lassa fever. I know what’s it like to be isolated and to not have proper care because people are scared to be near you.

With the 2014 Ebola outbreak in Sierra Leone, I moved from caring for patients with Lassa fever to patients with Ebola. Ebola was new to us. A lot of people were confused about what it was and where it came from. A blame game started because everyone was scrambling for answers. It took courage to work in the medical field during this time. 

In an Ebola triage area, Claude Ndoko and Dr Christoph Hoehn speak to patients with suspected Ebola (December 2014) Caption
In an Ebola triage area, Claude Ndoko and Dr Christoph Hoehn speak to patients with suspected Ebola (December 2014)

A lot of organisations were in Sierra Leone to support with the response, including MSF. We had to play our own part as medical personnel to stop the spread and treat patients. 

My mother would call me on the phone most days and ask me to not work during this time. She was scared she would lose her eldest son. I always told her “nya longoh ngie kpomiweh”, which means ‘I have to help’. She never understood why I did it, but today she calls me a soldier.

Throughout all those years, wearing personal protective equipment every day was very challenging, especially during the dry season when the temperatures are scorching hot. Some days were simply unbearable, but we reminded each other that we also have to protect ourselves.

When Ebola was declared over in 2015, I returned to my job at the Magburaka government hospital, again with MSF but this time in the paediatric intensive care unit.

What plans do you have for the future?

I will be retiring at the end of this year, and I will start gardening. 

I have truly enjoyed working with MSF all these years. MSF taught me to put humanity first with selflessness at its core. This is a lesson I will not forget, and I will also teach my children.

MSF in Sierra Leone

Médecins Sans Frontières/Doctors Without Borders (MSF) teams work in hospitals, health facilities and in the community to increase access to healthcare, fill gaps in the provision of essential medicines, and help develop the country’s health workforce. Key areas of focus include community-based treatment for malaria, medical and psychosocial support for victims and survivors of sexual violence, prevention of mother-to-child transmission of HIV, and family planning.