Impact of Ebola outbreak on reproductive health services in a rural district of Sierra Leone: a prospective observational study
| Autor: | Gianluca Quaglio, David Bome, Livio Finos, Claudia Marotta, Francesco Di Gennaro, Annalisa Saracino, Francesca Tognon, Giovanni Putoto, Susan Jones, Damiano Pizzol, Bienvenu Salim Camara, Atiba Kebbie, Walter Mazzucco, Santigie Sesay, Vincenzo Pisani, Zainab Bangura |
|---|---|
| Přispěvatelé: | Promovendi PHPC, International Health, RS: CAPHRI - R2 - Creating Value-Based Health Care, Quaglio G., Tognon F., Finos L., Bome D., Sesay S., Kebbie A., Di Gennaro F., Camara B.S., Marotta C., Pisani V., Bangura Z., Pizzol D., Saracino A., Mazzucco W., Jones S., Putoto G. |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Rural Population medicine.medical_specialty paediatric Adolescent Maternal-Child Health Services viruses 030231 tropical medicine Settore MED/42 - Igiene Generale E Applicata Sierra leone Disease Outbreaks Sierra Leone paediatrics LESSONS 03 medical and health sciences 0302 clinical medicine EPIDEMIC Medicine Humans EMERGENCY OBSTETRIC CARE 030212 general & internal medicine Prospective Studies Reproductive health business.industry Public health Health Policy Research MORTALITY public health Infant Newborn Outbreak virus diseases Infant Rural district community gynaecology General Medicine Hemorrhagic Fever Ebola Family planning Child Preschool Community health Observational study Female business Demography VIRUS DISEASE |
| Zdroj: | BMJ Open, 9(9):029093. BMJ Publishing Group BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesTo assess the trends concerning utilisation of maternal and child health (MCH) services before, during and after the Ebola outbreak, quantifying the contribution of a reorganised referral system (RS).DesignA prospective observational study of MCH services.SettingPujehun district in Sierra Leone, 77 community health facilities and 1 hospital from 2012 to 2017.Main outcome measuresMCH utililization was evaluated by assessing: (1) institutional deliveries, Cesarean-sections, paediatric and maternity admissions and deaths, and major direct obstetric complications (MDOCs), at hospital level; (2) antenatal care (ANC) 1 and 4, institutional delivery and family planning, at community level. Contribution of a strengthened RS was also measured.ResultsAt hospital level, there is a significant difference between trends Ebola versus pre-Ebola for maternal admissions (7, 95% CI 4 to 11, pConclusionsA stronger health system compared with other districts in Sierra Leone and a strengthened RS enabled health facilities in Pujehun to maintain service provision and uptake during and after the Ebola epidemic. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|