Rapid Assessment of Ebola-Related Implications for Reproductive, Maternal, Newborn and Child Health Service Delivery and Utilization in Guinea

PLoS Currents
Janine Barden-O'FallonJack Hazerjian

Abstract

Since March 2014, Guinea has been in the midst of the largest, longest, and deadliest outbreak of Ebola Virus Disease ever recorded. Due to sub-optimal health conditions prior to the outbreak, Guinean women and children may have been especially vulnerable to worsening health care conditions. A rapid assessment was conducted to better understand how the delivery and utilization of routine RMNCH services may have been affected by the extraordinary strain placed on the health system and its client population by the Ebola outbreak in Guinea. Data were collected January-February 2015 in a convenience sample of public and private facilities in areas of the country that were Ebola active, calm and inactive. Monthly data on a number of RMNCH services were collected by facility record abstraction for the period from October 1, 2013 through December 31, 2014. Structured interviews were also held with facility directors and RMNCH service providers. Data on RMNCH services from forty five public facilities were obtained. A statistically significant decline of 31% was seen in outpatient visits between October-December 2013 (before the Ebola outbreak) and October-December 2014 (the advanced stage of the Ebola outbreak). Service declines appea...Continue Reading

Citations

Oct 26, 2016·Frontiers in Public Health·Kim J Brolin RibackeJohan von Schreeb
Feb 26, 2016·PloS One·Kim J Brolin RibackeAnnaMia Ekström
Mar 18, 2020·Studies in Family Planning·Kristin BietschMargaret Reeves
Apr 10, 2020·Nature Medicine·Ling San LauMonette Zard
Nov 5, 2016·Annual Review of Medicine·Terrence Q LoKevin M De Cock
Nov 11, 2018·BMC Health Services Research·Håkon A BolkanJohan von Schreeb

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contraception

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