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    Jan 26, 2021
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    Did the Ebola Outbreak Disrupt Immunisation Services? A Case Study from Liberia

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    Wesseh C et al - 2017 - Did the ...
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    Authors
    Wesseh, C
    Najjemba, R
    Edwards, J
    Owiti, P
    Tweya, H
    Bhat, P
    Issue Date
    2017-06-21
    Submitted date
    2017-08-03
    
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    Journal
    Public Health Action
    Abstract
    Setting: All health facilities providing routine immunisation services in Liberia. Objective: To compare the number of routine facility-based and outreach immunisations and measles cases before, during and after the Ebola outbreak. Design: A descriptive cross-sectional study. Results: Immunisation coverage for fully immunised children before the Ebola outbreak was 73%. Immunisation coverage for all antigens declined by half compared to baseline during the outbreak. These findings were similar in facility-based and outreach immunisations. During the outbreak, the proportion of fully immunised children dropped by respectively 58%, 33% and 39% in the most, moderately and least Ebola-affected counties. Immunisation rate of recovery in the post-Ebola period was respectively 82%, 21% and 9% in the most, moderately and least affected counties compared to the Ebola-outbreak period. Outreach immunisation recovered slowly compared to facility-based immunisation. The mean number of measles cases reported per month was 12 pre-Ebola, 16 Ebola and 60 post-Ebola. Conclusion: This study provides insights into the possible impact of an Ebola outbreak on countrywide immunisation. The outbreak weakened a struggling national immunisation programme, and post-outbreak recovery took significant time, which likely contributed to the measles epidemic. Recommendations for the improvement of immunisation services that could limit further preventable epidemics in Liberia and similar contexts at risk for Ebola are provided.
    Publisher
    International Union Against Tuberculosis and Lung Disease
    URI
    http://hdl.handle.net/10144/618980
    DOI
    10.5588/pha.16.0104
    PubMed ID
    28744444
    Language
    en
    ISSN
    2220-8372
    ae974a485f413a2113503eed53cd6c53
    10.5588/pha.16.0104
    Scopus Count
    Collections
    Vaccination

    entitlement

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