Effects of the 2014 Ebola outbreak on antenatal care and delivery outcomes in Liberia: a nationwide analysis

Hdl Handle:
http://hdl.handle.net/10144/619125
Title:
Effects of the 2014 Ebola outbreak on antenatal care and delivery outcomes in Liberia: a nationwide analysis
Authors:
Shannon, FQ; Horace-Kwemi, E; Najjemba, R; Owiti, P; Edwards, J; Shringarpure, K; Bhat, P; Kateh, F N
Journal:
Public Health Action
Abstract:
Setting: All health facilities, public and private, in Liberia, West Africa. Objectives: To determine access to antenatal care (ANC), deliveries and their outcomes before, during and after the 2014-2015 Ebola outbreak. Design: This was a descriptive cross-sectional study. Result: During the Ebola outbreak in Liberia, overall monthly reporting from health facilities plunged by 43%. Access to ANC declined by 50% and reported deliveries fell by one third during the outbreak. Reported deliveries by skilled attendants and Caesarian section declined by respectively 32% and 60%. Facility-based deliveries dropped by 35% and reported community deliveries fell by 47%. There was an overall decline in reported stillbirths, maternal and neonatal deaths, by 50%, during the outbreak. ANC, reported deliveries and related outcomes returned to pre-outbreak levels within one year following the outbreak. Conclusion: The Liberian health system was considerably weakened during the Ebola outbreak and had difficulties providing basic maternal health services. In the light of the major reporting gaps during the Ebola period, and the reduced use of health facilities for maternal care, these findings highlight the need for measures to avoid such disruptions during future outbreaks.
Publisher:
International Union Against Tuberculosis and Lung Disease
Issue Date:
21-Jun-2017
URI:
http://hdl.handle.net/10144/619125
DOI:
10.5588/pha.16.0099
PubMed ID:
28744445
Submitted date:
2018-05-16
Language:
en
ISSN:
2220-8372
Appears in Collections:
Operational Research Courses

Full metadata record

DC FieldValue Language
dc.contributor.authorShannon, FQen
dc.contributor.authorHorace-Kwemi, Een
dc.contributor.authorNajjemba, Ren
dc.contributor.authorOwiti, Pen
dc.contributor.authorEdwards, Jen
dc.contributor.authorShringarpure, Ken
dc.contributor.authorBhat, Pen
dc.contributor.authorKateh, F Nen
dc.date.accessioned2018-05-17T14:02:03Z-
dc.date.available2018-05-17T14:02:03Z-
dc.date.issued2017-06-21-
dc.date.submitted2018-05-16-
dc.identifier.citationEffects of the 2014 Ebola outbreak on antenatal care and delivery outcomes in Liberia: a nationwide analysis. 2017, 7 (Suppl 1):S88-S93 Public Health Actionen
dc.identifier.issn2220-8372-
dc.identifier.pmid28744445-
dc.identifier.doi10.5588/pha.16.0099-
dc.identifier.urihttp://hdl.handle.net/10144/619125-
dc.description.abstractSetting: All health facilities, public and private, in Liberia, West Africa. Objectives: To determine access to antenatal care (ANC), deliveries and their outcomes before, during and after the 2014-2015 Ebola outbreak. Design: This was a descriptive cross-sectional study. Result: During the Ebola outbreak in Liberia, overall monthly reporting from health facilities plunged by 43%. Access to ANC declined by 50% and reported deliveries fell by one third during the outbreak. Reported deliveries by skilled attendants and Caesarian section declined by respectively 32% and 60%. Facility-based deliveries dropped by 35% and reported community deliveries fell by 47%. There was an overall decline in reported stillbirths, maternal and neonatal deaths, by 50%, during the outbreak. ANC, reported deliveries and related outcomes returned to pre-outbreak levels within one year following the outbreak. Conclusion: The Liberian health system was considerably weakened during the Ebola outbreak and had difficulties providing basic maternal health services. In the light of the major reporting gaps during the Ebola period, and the reduced use of health facilities for maternal care, these findings highlight the need for measures to avoid such disruptions during future outbreaks.en
dc.language.isoenen
dc.publisherInternational Union Against Tuberculosis and Lung Diseaseen
dc.rightsArchived with thanks to Public Health Actionen
dc.titleEffects of the 2014 Ebola outbreak on antenatal care and delivery outcomes in Liberia: a nationwide analysisen
dc.identifier.journalPublic Health Actionen

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