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Effect of the 2014/2015 Ebola outbreak on reproductive health services in a rural district of Guinea: an ecological study

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Show simple item record Camara, B. S. en_US Delamou, A. en_US Diro, E. en_US Beavogui, A. H. en_US El Ayadi, A. M. en_US Sidibe, S. en_US Grovogui, F. M. en_US Takarinda, K. C. en_US Bouedouno, P. en_US Sandouno, S. D. en_US Okumura, J. en_US Balde, M. D. en_US Van Griensven, J. en_US Zachariah, R. en_US 2017-12-18T12:55:36Z 2017-12-18T12:55:36Z 2017 en_US
dc.identifier.issn 0035-9203 en_US
dc.identifier.doi en_US
dc.identifier.other en_US
dc.identifier.other ITG-H2B; ITG-C13A; MULTI; DPH; U-MRH; DCS; U-HIVNTD; JIF; DOI; PDF; Abstract; DSPACE64 en_US
dc.description.abstract Background: The 2014/2015 Ebola outbreak was the most sustained in history. In Guinea, we compared trends in family planning, antenatal care, and institutional deliveries over the period before, during and after the outbreak. Methods: We carried out an ecological study involving all the health facilities during pre-Ebola (1 March 2013 to 28 February 2014), intra-Ebola (1 March 2014 to 28 February 2015) and post-Ebola (1 March to 31 July 2016) periods in Macenta district. Results: Utilization of family planning declined from a monthly average of 531 visits during the pre-Ebola period to 242 visits in the peak month of the Ebola outbreak (51% decline) but recovered in the post-Ebola period. From a monthly average of 2053 visits pre-Ebola, antenatal care visits declined by 41% during Ebola and then recovered to only 63% of the pre-Ebola level (recovery gap of 37%, p<0.001). From a monthly average of 1223 deliveries pre-Ebola, institutional deliveries also declined during Ebola and then recovered to only 66% of the pre-Ebola level (p<0.001). Conclusions: All services assessed were affected by Ebola. Family planning recovered post-Ebola; however, shortfalls were observed in recovery of antenatal care and institutional deliveries. We call for stronger political will, international support and generous funding to change the current state of affairs. en_US
dc.language English en_US
dc.relation.uri en_US
dc.subject Ebola virus disease en_US
dc.subject Viral diseases en_US
dc.subject Impact en_US
dc.subject Reproductive health services en_US
dc.subject Ecology en_US
dc.subject Rural en_US
dc.subject Guinea en_US
dc.subject Africa-West en_US
dc.title Effect of the 2014/2015 Ebola outbreak on reproductive health services in a rural district of Guinea: an ecological study en_US
dc.type Article en_US
dc.citation.issue 1 en_US
dc.citation.jtitle Transactions of the Royal Society of Tropical Medicine and Hygiene en_US
dc.citation.volume 111 en_US
dc.citation.pages 22 en_US
dc.citation.abbreviation Trans R Soc Trop Med Hyg en_US

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