The Ebola Outbreak and Staffing in Public Health Facilities in Rural Sierra Leone: Who is Left to do the Job?
MetadataShow full item record
JournalPublic Health Action
AbstractSetting: The 82 public health facilities of rural Kailahun District, Sierra Leone. Objective: The 2014-2015 Ebola virus disease outbreak in Sierra Leone led the Ministry of Health and Sanitation and stakeholders to set minimum standards of staffing (medical/non-medical) for a basic package of essential health services (BPEHS). No district-level information exists on staffing levels in relation to the Ebola outbreak. We examined the staffing levels before the Ebola outbreak, during the last month of the outbreak and 4 months after the outbreak, as well as Ebola-related deaths among health care workers (HCWs). Design: This was a retrospective cross-sectional study. Results: Of 805 recommended medical staff (the minimum requirement for 82 health facilities), there were deficits of 539 (67%) pre-Ebola, 528 (65%) during the Ebola outbreak and 501 (62%) post-Ebola, hovering at staff shortages of >50% at all levels of health facilities. Of the 569 requisite non-medical staff, the gap remained consistent, at 92%, in the three time periods. Of the 1374 overall HCWs recommended by the BPEHS, the current staff shortage is 1026 (75%). Of 321 facility-based HCWs present during Ebola, there were 15 (14 medical and one non-medical staff) Ebola-related and three non-Ebola related deaths among HCWs. Conclusion: The post-Ebola health-related human resource deficit is alarmingly high, with very few staff available to work. We call for urgent political will, resources and international collaboration to address this situation.
- Staffing in public health facilities after the Ebola outbreak in rural Sierra Leone: How much has changed?
- Authors: Squire JS, Hann K, Denisiuk O, Zachariah R
- Issue date: 2019
- Epidemiology of Ebola virus disease transmission among health care workers in Sierra Leone, May to December 2014: a retrospective descriptive study.
- Authors: Olu O, Kargbo B, Kamara S, Wurie AH, Amone J, Ganda L, Ntsama B, Poy A, Kuti-George F, Engedashet E, Worku N, Cormican M, Okot C, Yoti Z, Kamara KB, Chitala K, Chimbaru A, Kasolo F
- Issue date: 2015 Oct 13
- Successful Control of Ebola Virus Disease: Analysis of Service Based Data from Rural Sierra Leone.
- Authors: Lokuge K, Caleo G, Greig J, Duncombe J, McWilliam N, Squire J, Lamin M, Veltus E, Wolz A, Kobinger G, de la Vega MA, Gbabai O, Nabieu S, Lamin M, Kremer R, Danis K, Banks E, Glass K
- Issue date: 2016 Mar
- Increase in acute malnutrition in children following the 2014-2015 Ebola outbreak in rural Sierra Leone.
- Authors: Kamara MH, Najjemba R, van Griensven J, Yorpoi D, Jimissa AS, Chan AK, Mishra S
- Issue date: 2017 Jun 21
- Ebola virus disease in health care workers--Sierra Leone, 2014.
- Authors: Kilmarx PH, Clarke KR, Dietz PM, Hamel MJ, Husain F, McFadden JD, Park BJ, Sugerman DE, Bresee JS, Mermin J, McAuley J, Jambai A, Centers for Disease Control and Prevention (CDC).
- Issue date: 2014 Dec 12