Research Article | | Peer-Reviewed

Infectious Disease Outbreaks in Sierra Leone: Exploration of the Emergency Preparedness and Response in a Decade

Received: 11 October 2023    Accepted: 28 October 2023    Published: 17 November 2023
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Abstract

Introduction: The African region is constantly contending with more than one hundred public health emergencies annually with infectious disease outbreaks being considerably rampant. The outbreaks of infectious diseases in Sierra Leone in the last decade with the associated impacts on the health system were very palpable. There is scarce knowledge as regards the evolutionary status of Sierra Leone in responding to the outbreak of infectious disease which necessitates the need for this study. Objective: The main objective of this study is to unknot the evolutionary trend of infectious disease outbreak emergency management in Sierra Leone between 2010 and 2020, and find an updated knowledge of the strengths and weaknesses in its health system for informed decision-making. Method: This is a descriptive survey study involving a quantitative and qualitative approach with data collection from the desk review of secondary sources and key informants’ interviews. A semi-structured questionnaire was used to collect primary qualitative data from 77 key informants from multi-sectoral agencies. Data collected were transcribed, coded, and analyzed thematically. Findings were presented in tables, pie and bar charts, and in narrations as appropriate. Results: The outbreaks of Ebola and COVID-19 pandemics ranked the most prominent among the infectious diseases needing emergency response with affirmative feedback from 97.4% and 90.8% of the respondents respectively. Respondents identified nine crucial elements of preparation for infectious disease management. Policy and decision-making, community participation, resource mobilization, and advocacy with the internal community and partners were visibly reported by the respondents to be the roles of the key stakeholders in the emergency preparedness and response to infectious disease outbreaks in the country. Generally, the respondents gave an appreciable positive view about the evolutionary trend of infectious disease management while some reservations hinged on the existing gaps in the public health system were stressed for improvement as necessary. Conclusion: Respondents’ perceptions about the status of Sierra Leone’s health system on the management of infectious disease outbreaks may serve as a pivot for thoughtful deliberation among public health actors to initiate the necessary actions. Findings in this regard can propel holistic decision-making toward building a more resilient emergency health system towards mitigating the enormity of the impacts of disease outbreaks in the country.

Published in World Journal of Public Health (Volume 8, Issue 4)
DOI 10.11648/j.wjph.20230804.16
Page(s) 291-299
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Infectious Disease, Emergency Preparedness and Response, Sierra Leone, Health System, Public Health Stakeholders

References
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Cite This Article
  • APA Style

    Nannie Conteh, I., Chisaka Kasolo, F., Olaiya Abiodun, P., Obi Daniel, E., Fouard Kanu, A., et al. (2023). Infectious Disease Outbreaks in Sierra Leone: Exploration of the Emergency Preparedness and Response in a Decade. World Journal of Public Health, 8(4), 291-299. https://doi.org/10.11648/j.wjph.20230804.16

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    ACS Style

    Nannie Conteh, I.; Chisaka Kasolo, F.; Olaiya Abiodun, P.; Obi Daniel, E.; Fouard Kanu, A., et al. Infectious Disease Outbreaks in Sierra Leone: Exploration of the Emergency Preparedness and Response in a Decade. World J. Public Health 2023, 8(4), 291-299. doi: 10.11648/j.wjph.20230804.16

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    AMA Style

    Nannie Conteh I, Chisaka Kasolo F, Olaiya Abiodun P, Obi Daniel E, Fouard Kanu A, et al. Infectious Disease Outbreaks in Sierra Leone: Exploration of the Emergency Preparedness and Response in a Decade. World J Public Health. 2023;8(4):291-299. doi: 10.11648/j.wjph.20230804.16

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  • @article{10.11648/j.wjph.20230804.16,
      author = {Ishata Nannie Conteh and Francis Chisaka Kasolo and Paul Olaiya Abiodun and Ebenezer Obi Daniel and Alhassan Fouard Kanu and Rashidatu Fouard Kamara and Aziza Amina Sahid and Olaniyi Felix Sanni and Aminata Tigiedankay Koroma and Josephine Amie Koroma and Lynda Foray-Rhall and Mukeh Kenneth Fahnbulleh and Charles Keimbe and Joseph Sam Kanu and Mohamed Vandy and Daniel Ganu},
      title = {Infectious Disease Outbreaks in Sierra Leone: Exploration of the Emergency Preparedness and Response in a Decade},
      journal = {World Journal of Public Health},
      volume = {8},
      number = {4},
      pages = {291-299},
      doi = {10.11648/j.wjph.20230804.16},
      url = {https://doi.org/10.11648/j.wjph.20230804.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20230804.16},
      abstract = {Introduction: The African region is constantly contending with more than one hundred public health emergencies annually with infectious disease outbreaks being considerably rampant. The outbreaks of infectious diseases in Sierra Leone in the last decade with the associated impacts on the health system were very palpable. There is scarce knowledge as regards the evolutionary status of Sierra Leone in responding to the outbreak of infectious disease which necessitates the need for this study. Objective: The main objective of this study is to unknot the evolutionary trend of infectious disease outbreak emergency management in Sierra Leone between 2010 and 2020, and find an updated knowledge of the strengths and weaknesses in its health system for informed decision-making. Method: This is a descriptive survey study involving a quantitative and qualitative approach with data collection from the desk review of secondary sources and key informants’ interviews. A semi-structured questionnaire was used to collect primary qualitative data from 77 key informants from multi-sectoral agencies. Data collected were transcribed, coded, and analyzed thematically. Findings were presented in tables, pie and bar charts, and in narrations as appropriate. Results: The outbreaks of Ebola and COVID-19 pandemics ranked the most prominent among the infectious diseases needing emergency response with affirmative feedback from 97.4% and 90.8% of the respondents respectively. Respondents identified nine crucial elements of preparation for infectious disease management. Policy and decision-making, community participation, resource mobilization, and advocacy with the internal community and partners were visibly reported by the respondents to be the roles of the key stakeholders in the emergency preparedness and response to infectious disease outbreaks in the country. Generally, the respondents gave an appreciable positive view about the evolutionary trend of infectious disease management while some reservations hinged on the existing gaps in the public health system were stressed for improvement as necessary. Conclusion: Respondents’ perceptions about the status of Sierra Leone’s health system on the management of infectious disease outbreaks may serve as a pivot for thoughtful deliberation among public health actors to initiate the necessary actions. Findings in this regard can propel holistic decision-making toward building a more resilient emergency health system towards mitigating the enormity of the impacts of disease outbreaks in the country.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Infectious Disease Outbreaks in Sierra Leone: Exploration of the Emergency Preparedness and Response in a Decade
    AU  - Ishata Nannie Conteh
    AU  - Francis Chisaka Kasolo
    AU  - Paul Olaiya Abiodun
    AU  - Ebenezer Obi Daniel
    AU  - Alhassan Fouard Kanu
    AU  - Rashidatu Fouard Kamara
    AU  - Aziza Amina Sahid
    AU  - Olaniyi Felix Sanni
    AU  - Aminata Tigiedankay Koroma
    AU  - Josephine Amie Koroma
    AU  - Lynda Foray-Rhall
    AU  - Mukeh Kenneth Fahnbulleh
    AU  - Charles Keimbe
    AU  - Joseph Sam Kanu
    AU  - Mohamed Vandy
    AU  - Daniel Ganu
    Y1  - 2023/11/17
    PY  - 2023
    N1  - https://doi.org/10.11648/j.wjph.20230804.16
    DO  - 10.11648/j.wjph.20230804.16
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 291
    EP  - 299
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20230804.16
    AB  - Introduction: The African region is constantly contending with more than one hundred public health emergencies annually with infectious disease outbreaks being considerably rampant. The outbreaks of infectious diseases in Sierra Leone in the last decade with the associated impacts on the health system were very palpable. There is scarce knowledge as regards the evolutionary status of Sierra Leone in responding to the outbreak of infectious disease which necessitates the need for this study. Objective: The main objective of this study is to unknot the evolutionary trend of infectious disease outbreak emergency management in Sierra Leone between 2010 and 2020, and find an updated knowledge of the strengths and weaknesses in its health system for informed decision-making. Method: This is a descriptive survey study involving a quantitative and qualitative approach with data collection from the desk review of secondary sources and key informants’ interviews. A semi-structured questionnaire was used to collect primary qualitative data from 77 key informants from multi-sectoral agencies. Data collected were transcribed, coded, and analyzed thematically. Findings were presented in tables, pie and bar charts, and in narrations as appropriate. Results: The outbreaks of Ebola and COVID-19 pandemics ranked the most prominent among the infectious diseases needing emergency response with affirmative feedback from 97.4% and 90.8% of the respondents respectively. Respondents identified nine crucial elements of preparation for infectious disease management. Policy and decision-making, community participation, resource mobilization, and advocacy with the internal community and partners were visibly reported by the respondents to be the roles of the key stakeholders in the emergency preparedness and response to infectious disease outbreaks in the country. Generally, the respondents gave an appreciable positive view about the evolutionary trend of infectious disease management while some reservations hinged on the existing gaps in the public health system were stressed for improvement as necessary. Conclusion: Respondents’ perceptions about the status of Sierra Leone’s health system on the management of infectious disease outbreaks may serve as a pivot for thoughtful deliberation among public health actors to initiate the necessary actions. Findings in this regard can propel holistic decision-making toward building a more resilient emergency health system towards mitigating the enormity of the impacts of disease outbreaks in the country.
    
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Cluster, Brazzaville, Congo

  • World Health Organization, Country Office, Ghana, Accra

  • Department of Public Health, Texila American University, Georgetown, Guyana

  • Department of Public Health, Texila American University, Georgetown, Guyana

  • World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Cluster, Brazzaville, Congo

  • World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Cluster, Brazzaville, Congo

  • World Health Organization, Country Office, Banjul, The Gambia

  • World Health Organization, Health Emergency Information and Risk Assessment (HIR), Nairobi Hub, Nairobi, Kenya

  • Directorate of Health Security and Emergencies, Ministry of Health, Freetown, Sierra Leone

  • National Tuberculosis and Leprosy Program, Ministry of Health, Freetown, Sierra Leone

  • Independent Consultant CDC Foundation, Maryland, USA

  • Directorate of Health Security and Emergencies, Ministry of Health, Freetown, Sierra Leone

  • Directorate of Health Security and Emergencies, Ministry of Health, Freetown, Sierra Leone

  • Directorate of Health Security and Emergencies, Ministry of Health, Freetown, Sierra Leone

  • Directorate of Health Security and Emergencies, Ministry of Health, Freetown, Sierra Leone

  • Department of Applied Sciences, Adventist University of Africa, Nairobi, Kenya

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