• Login
    View Item 
    •   Home
    • 1 Published Research and Commentary
    • Paediatrics
    • View Item
    •   Home
    • 1 Published Research and Commentary
    • Paediatrics
    • View Item
    Jan 16, 2021
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of MSFTitleAuthorsSubjectsPublisherJournalThis CollectionTitleAuthorsSubjectsPublisherJournal

    Paediatric Care in Relation to the 2014-2015 Ebola Outbreak and General Reporting of Deaths in Sierra Leone

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Sesay T et al - 2017 - Paediatric ...
    Size:
    242.8Kb
    Format:
    PDF
    Download
    Authors
    Sesay, T
    Denisiuk, O
    Shringarpure, K
    Wurie, B
    George, P
    Sesay, M
    Zachariah, R
    Issue Date
    2017-06-21
    Submitted date
    2017-08-03
    
    Metadata
    Show full item record
    Journal
    Public Health Action
    Abstract
    Setting: All peripheral health units countrywide in Sierra Leone and one hospital in Port Loko. Objectives: Sierra Leone was severely affected by the 2014-2015 Ebola outbreak, whose impact on paediatric care and mortality reports merits assessment. We sought to compare the periods before, during and after the Ebola outbreak, the countrywide trend in morbidities in children aged < 5 years and exit outcomes in one district hospital (Port Loko). During the Ebola outbreak period, gaps in district death reporting within the routine Health Management Information System (HMIS) were compared with the Safe and Dignified Burials (SDB) database in Port Loko. Design: This was a retrospective records analysis. Results: The average number of monthly consultations during the Ebola outbreak period declined by 27% for malaria and acute respiratory infections and 38% for watery diarrhoea, and did not recover to the pre-Ebola levels. For measles, there was an 80% increase during Ebola, which multiplied by 6.5-fold post-Ebola. The number of unfavourable hospital exit outcomes was 52/397 (13%) during Ebola, which was higher than pre-Ebola (47/496, 9%, P = 0.04). Of 6565 deaths reported in the Port Loko SDB database, only 2219 (34%) appeared in the HMIS, a reporting deficit of 66%. Conclusion: The Ebola disease outbreak was associated with reduced utilisation of health services, and appears to have triggered a measles epidemic. Almost 70% of deaths were missed by the HMIS during the Ebola outbreak period. These findings could guide health system responses in future outbreaks.
    Publisher
    International Union Against Tuberculosis and Lung Disease
    URI
    http://hdl.handle.net/10144/618975
    DOI
    10.5588/pha.16.0088
    PubMed ID
    28744437
    Language
    en
    ISSN
    2220-8372
    ae974a485f413a2113503eed53cd6c53
    10.5588/pha.16.0088
    Scopus Count
    Collections
    Paediatrics

    entitlement

    Related articles

    • Paediatric morbidity and mortality in Sierra Leone. Have things changed after the 2014/2015 Ebola outbreak?
    • Authors: Sesay T, Denisiuk O, Zachariah R
    • Issue date: 2019
    • Management of malaria in children with fever in rural Sierra Leone in relation to the 2014-2015 Ebola outbreak.
    • Authors: Moses FL, Tamang D, Denisiuk O, Dumbuya U, Hann K, Zachariah R
    • Issue date: 2017 Jun 21
    • Non-communicable diseases in the Western Area District, Sierra Leone, before and during the Ebola outbreak.
    • Authors: Samba T, Bhat P, Owiti P, Samuels L, Kanneh PJ, Paul R, Kargbo B, Harries AD
    • Issue date: 2017 Jun 21
    • Offering general pediatric care during the hard times of the 2014 Ebola outbreak: looking back at how many came and how well they fared at a Médecins Sans Frontières referral hospital in rural Sierra Leone.
    • Authors: Hermans V, Zachariah R, Woldeyohannes D, Saffa G, Kamara D, Ortuno-Gutierrez N, Kizito W, Manzi M, Alders P, Maikere J
    • Issue date: 2017 Jan 25
    • Non-communicable diseases in the Western Area District, Sierra Leone, following the Ebola outbreak.
    • Authors: Koroma IB, Javadi D, Hann K, Harries AD, Smart F, Samba T
    • Issue date: 2019
    DSpace software (copyright © 2002 - 2021)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.