Analyzing the Effects of the Ebola Virus Disease Outbreak on Maternal and Child Health Services in the Health District of Beyla, Guinea
Central African Journal of Public Health
Volume 5, Issue 4, August 2019, Pages: 136-141
Received: Apr. 8, 2019;
Accepted: May 29, 2019;
Published: Jun. 12, 2019
Views 155 Downloads 41
Karifa Kourouma, Research Unit, National Training and Research Centre in rural Health of Maferinyah, Forecariah, Guinea
Bienvenu Salim Camara, Research Unit, National Training and Research Centre in rural Health of Maferinyah, Forecariah, Guinea
Delphin Kolie, Research Unit, National Training and Research Centre in rural Health of Maferinyah, Forecariah, Guinea
Sidikiba Sidibé, Research Unit, National Training and Research Centre in rural Health of Maferinyah, Forecariah, Guinea; Department of Public Health, Faculty of Health Sciences and Technique, University of Conakry, Conakry, Guinea
Abdoul Habib Beavogui, Research Unit, National Training and Research Centre in rural Health of Maferinyah, Forecariah, Guinea
Alexandre Delamou, Research Unit, National Training and Research Centre in rural Health of Maferinyah, Forecariah, Guinea; Department of Public Health, Faculty of Health Sciences and Technique, University of Conakry, Conakry, Guinea
Follow on us
While more efforts were needed to enhance maternal and child health services in Guinea, the country experienced the worst and longest Ebola virus disease outbreak in 2014. The aim of this study was to analyze the effects of the 2014 Ebola virus disease outbreak on antenatal care visits, institutional deliveries and vaccine coverage among children aged 0 to 11 months in the health district of Beyla in Guinea. This was an ecological study based on aggregated data from the public health facilities of the district health of Beyla, that covered three distinct periods related to the Ebola virus disease outbreak: pre-Ebola (February 1st 2013 to January 31st 2014), intra-Ebola (February 1st 2014 to January 31st 2015) and post-Ebola (February 1st 2015 to December 31st 2015). Antenatal care visits, institutional deliveries and vaccination coverage of children aged 0 to 11 months significantly decreased during the intra and post-Ebola periods. The average of antenatal care visits (third visit or more) declined from 123% (pre-Ebola period) to 85% and 65% during the intra and post-Ebola periods respectively. Institutional deliveries declined from 40% to 35% then to 30% respectively (p < 0.001). Also, the average of vaccination coverage declined from 86% to 65% then to 56% respectively for BCG (p < 0.001), from 90% to 50% then to 52% for Pentavalent-3 (p < 0.001), and from 84% to 33% then to 48% for Oral Polio vaccine (third dose) (p < 0.001). Ebola virus disease outbreak led to persistent decrease in antenatal care visits, institutional deliveries and vaccination coverages among children aged 0 to 11 months in the district health of Beyla intra and post Ebola outbreak. Further studies, using qualitative research methods, that explore perceptions of communities and women will better guide health response during outbreak, strengthen health systems and prevent future Ebola outbreak in Guinea.
Ebola, Antenatal Care Visits, Institutional Deliveries, Vaccination, Guinea
To cite this article
Bienvenu Salim Camara,
Abdoul Habib Beavogui,
Analyzing the Effects of the Ebola Virus Disease Outbreak on Maternal and Child Health Services in the Health District of Beyla, Guinea, Central African Journal of Public Health.
Vol. 5, No. 4,
2019, pp. 136-141.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
WHO | World Health: World Health Statistics data visualizations dashboard 2019. Monitoring health for the SDGs. [Internet] [cited 2019 May 22]; Available from: http://apps.who.int/gho/data/node.sdg.tp-1?lang=en
Institut National de la Statistique, INS; Ministère du Plan et de la Coopération Internationale. Annuaire Statistique 2016. Conakry, Guinée; 2017. [Internet] [cited 2019 May 22]. Available from: http://www.stat-guinee.org/images/Publications/INS/annuelles/INS_annuaire_2016.pdf
Nations Unies. Rapport 2015. Objectifs du Millénaire pour le développement. [Internet] [cited 2017 Apr 5]. Available from: http://www.un.org/fr/millenniumgoals/reports/2015/pdf/rapport_2015.pdf
Institut National de la Statistique INS; Ministère du Plan et de la Coopération Internationale. Enquête Démographique et de Santé et à indicateurs multiples (EDS-MICS-IV) 2012. [Internet] [cited 2019 May 22]. Available from: https://dhsprogram.com/pubs/pdf/FR280/FR280.pdf
World Health Organization. Ebola Situation Report - 30 March 2016. Ebola [Internet] 2016 [cited 2017 Apr 4]. Available from: http://apps.who.int/ebola/currentsituation/ ebola-situation-report-30-march-2016.
Brolin Ribacke KJ, Saulnier DD, Eriksson A, von Schreeb J. Effects of the West Africa Ebola Virus Disease on Health-Care Utilization - A Systematic Review. Front public Heal 2016; 4: 222.
Ly J, Sathananthan V, Griffiths T, Kanjee Z, Kenny A, Gordon N, et al. Facility-Based delivery during the Ebola Virus Disease Epidemic in Rural Liberia: Analysis from a Cross-Sectional, Population-Based Household Survey. Kruk ME, editor. PLoS Med 2016; 13: 1002096.
Elston JWT, Moosa AJ, Moses F, Walker G, Dotta N, Waldman RJ, et al. Impact of the Ebola outbreak on health systems and population health in Sierra Leone. J Public Health (Oxf) 2015; 158.
Sylla Thiam AD, Camara S, Carter J, Lama EK, Ndiaye B, Nyagero J, et al. Challenges in controlling the Ebola outbreak in two prefectures in Guinea: why did communities continue to resist? Pan Afr Med J 2015; 22.
McMahon SA, Ho LS, Brown H, Miller L, Ansumana R, Kennedy CE. Healthcare providers on the frontlines: a qualitative investigation of the social and emotional impact of delivering health services during Sierra Leone’s Ebola epidemic. Health Policy Plan 2016; 31: 1232–9.
Camara BS, Delamou A, Diro E, Béavogui AH, El Ayadi AM, Sidibé S, et al. Effect of the 2014/2015 Ebola outbreak on reproductive health services in a rural district of Guinea: an ecological study. Trans R Soc Trop Med Hyg 2017; 1–8.
Delamou A, Beavogui AH, Kondé MK, van Griensven J, De Brouwere V. Ebola: better protection needed for Guinean health-care workers. Lancet (London, England) 2015; 385: 503–4.
Centers for Disease Control and Prevention C. Recommendations for Managing and Preventing Cases of Malaria in Areas with Ebola | Ebola Hemorrhagic Fever | CDC. 2015.
Delamou A, Ayadi AM El, Sidibe S, Delvaux T, Camara BS, Sandouno SD, et al. Effect of Ebola virus disease on maternal and child health services in Guinea: a retrospective observational cohort study. Lancet Glob Heal 2017; 5: 448–57.
Présidence de la République, Sécrétariat Général du Gouvernement. Décret D/2015/229/PRG/SGG portant publication des résultats définitifs du troisième recensement général de la population et de l’habitation réalisé du 1er Mars au 02 Avril 2014; 2015.
Coordination Nationale de lutte contre Ebola. Rapport de la Situation Epidémiologique Maladie à Virus Ebola en Guinée, 2016 (Coordination Ebola no. 702).
Direction Préfectoral de la Santé (DPS) de Beyla. Rapport de la situation sanitaire de Beyla, 2015 (DPS-Beyla no. 34).
Professeur René Migliani. Situation de l’épidémie de fièvre hémorragique à virus Ebola en Guinée. Bilan des données disponibles le 24 mai 2015; Available from: http://reliefweb.int/sites/reliefweb.int/files/resources/situation_epidemie_ebola_guinee_24_mai_2015.pdf
Delamou A, Hammonds RM, Caluwaerts S, Utz B, Delvaux T, WHO, et al. Ebola in Africa: beyond epidemics, reproductive health in crisis. Lancet (London, England) 2014; 384: 2105.
Mselle LT, Kohi TW. Healthcare access and quality of birth care: narratives of women living with obstetric fistula in rural Tanzania. Reprod Health 2016; 13: 87.
Kyei-Nimakoh M, Carolan-Olah M, McCann T V. Access barriers to obstetric care at health facilities in sub-Saharan Africa—a systematic review. Syst Rev. 2017 Dec 6; 6 (1): 110.