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    Jan 19, 2021
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    Knockdown and recovery of malaria diagnosis and treatment in Liberia during and after the 2014 Ebola outbreak

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    Dunbar et al - 2017 - Knockdown ...
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    Authors
    Dunbar, NK
    Richards, EE
    Woldeyohannes, D
    Van den Bergh, R
    Wilkinson, E
    Tamang, D
    Owiti, P
    Issue Date
    2017-06-21
    Submitted date
    2018-05-16
    
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    Journal
    Public Health Action
    Abstract
    Setting: The malaria-endemic country of Liberia, before, during and after the 2014 Ebola outbreak. Objective: To describe the consequences of the Ebola outbreak on Liberia's National Malaria Programme and its post-Ebola recovery. Design: A retrospective cross-sectional study using routine countrywide programme data. Results: Malaria caseloads decreased by 47% during the Ebola outbreak and by 11% after, compared to the pre-Ebola period. In those counties most affected by Ebola, a caseload reduction of >20% was sustained for 12 consecutive months, while this lasted for only 4 consecutive months in the counties least affected by Ebola. Linear regression of monthly proportions of confirmed malaria cases-as a proxy indicator of programme performance-over the pre- and post-Ebola periods indicated that the malaria programme could require 26 months after the end of the acute phase of the Ebola outbreak to recover to pre-Ebola levels. Conclusions: The differential persistence of reduced caseloads in the least- and most-affected counties, all of which experienced similar emergency measures, suggest that factors other than Ebola-related security measures played a key role in the programme's reduced performance. Clear guidance on when to abandon the emergency measures after an outbreak may be needed to ensure faster recovery of malaria programme performance.
    Publisher
    International Union Against Tuberculosis and Lung Disease
    URI
    http://hdl.handle.net/10144/619127
    DOI
    10.5588/pha.16.0100
    PubMed ID
    28744443
    Language
    en
    ISSN
    2220-8372
    ae974a485f413a2113503eed53cd6c53
    10.5588/pha.16.0100
    Scopus Count
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