Your browser doesn't support javascript.
loading
Health Services and Infrastructure Recovery of a Major Public Hospital in Liberia During the 2014-2016 Ebola Epidemic.
Ndede, Paul Ochieng; Senkungu, Jude Kimbowa; Shakpeh, John K; Jones, Theresa E; Sky, Rebecca; McDonnell, Sharon.
Afiliación
  • Ndede PO; International Rescue Committee, Kakuma Refugee Camp, Kenya.
  • Senkungu JK; International Rescue Committee Ebola Response Project, Liberia, Ministry of Health of Liberia, Redemption Hospital, Monrovia, Liberia.
  • Shakpeh JK; Redemption Hospital, Ministry of Health, Monrovia, Liberia.
  • Jones TE; International Rescue Committee, Nairobi, Kenya.
  • Sky R; University of New Hampshire, Masters of Public Health Program, Manchester, NH, USA.
  • McDonnell S; International Rescue Committee, Department of Health Management and Policy, Masters of Public Health Program, Manchester, NH.
Disaster Med Public Health Prep ; 13(4): 767-773, 2019 08.
Article en En | MEDLINE | ID: mdl-31526416
During the 2014-2016 Ebola outbreak, health services in Liberia collapsed. Health care facilities could not support effective infection prevention and control (IPC) practices to prevent Ebola virus disease (EVD) transmission necessitating their closure. This report describes the process by which health services and infrastructure were recovered in the public hospital in Monrovia, Liberia. The authors conducted an assessment of the existing capacity for health care provision, including qualitative interviews with community members, record reviews in Ebola treatment units, and phone calls to health facilities. Assessment information was used to determine necessary actions to re-establish services, including building and environmental renovations, acquiring IPC supplies, changing health care practices, hiring additional staff, developing and using an EVD screening tool, and implementing psychosocial supports. On-site monitoring was continued for 2 years to assess what changes were sustained. Described in the report are 2 cases that highlight the challenge of safely re-establishing services with only a symptom-based screening tool and no laboratory tests available on-site. Despite fears among the public, health workers, and the international community, the actions taken enabled basic health care services to be provided during EVD transmission and led to sustainable improvements. This experience suggests that providing routine medical needs helps limit the morbidity and mortality during times of disease outbreak. (Disaster Med Public Health Preparedness. 2018;13:767-773).
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fiebre Hemorrágica Ebola / Atención a la Salud / Epidemias / Hospitales Públicos Tipo de estudio: Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Disaster Med Public Health Prep Asunto de la revista: SAUDE PUBLICA Año: 2019 Tipo del documento: Article País de afiliación: Kenia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fiebre Hemorrágica Ebola / Atención a la Salud / Epidemias / Hospitales Públicos Tipo de estudio: Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Disaster Med Public Health Prep Asunto de la revista: SAUDE PUBLICA Año: 2019 Tipo del documento: Article País de afiliación: Kenia Pais de publicación: Estados Unidos