The Ebola-effect in Guinea 2014-15: Tangled trends of malaria care in children under-five

PloS One
D KoliéR Zachariah

Abstract

The 2014-15 Ebola outbreak in West Africa was disruptive for the general health services in the affected countries. This study assessed the impact of the outbreak on the reported number and management of malaria in children under-five in rural Guinea. A retrospective cross-sectional study was conducted in nineteen health centres in two rural, malaria-endemic health districts, one at the epicentre of the outbreak (Guéckédou) and one (Koubia) spared by Ebola. Routine surveillance data at health facility level were compared over similar periods of high malaria transmission in both districts before, during and after the outbreak. There were significant declines in the number of visits during the Ebola outbreak (3,700) in Guéckédou compared to before (4,616) and after it (4,195), while this trend remained more stable within the three periods for Koubia. Differences were nonetheless significant in both districts (p<0.001). In 2014, during the peak of the outbreak, the overall number of malaria cases treated exceeded the number of confirmed malaria cases in Guéckédou. There were decreases in antimalarial treatment provision in August and November 2014. In contrast, during 2015 and 2016, the proportion of malaria positive cases and tho...Continue Reading

References

Apr 18, 2014·The New England Journal of Medicine·Sylvain BaizeStephan Günther
Aug 12, 2014·JAMA : the Journal of the American Medical Association·Lawrence O GostinAlexandra Phelan
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Sep 16, 2015·AIDS·David LeuenbergerUNKNOWN IeDEA West Africa study group
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Oct 26, 2016·Frontiers in Public Health·Kim J Brolin RibackeJohan von Schreeb

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