Central African Journal of Public Health

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Analyzing the Effects of the Ebola Virus Disease Outbreak on Maternal and Child Health Services in the Health District of Beyla, Guinea

Received: 08 April 2019    Accepted: 29 May 2019    Published: 12 June 2019
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Abstract

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.

DOI 10.11648/j.cajph.20190504.11
Published in Central African Journal of Public Health (Volume 5, Issue 4, August 2019)
Page(s) 136-141
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

Ebola, Antenatal Care Visits, Institutional Deliveries, Vaccination, Guinea

References
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[14] 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.
[15] 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.
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Author Information
  • Research Unit, National Training and Research Centre in rural Health of Maferinyah, Forecariah, Guinea

  • Research Unit, National Training and Research Centre in rural Health of Maferinyah, Forecariah, Guinea

  • Research Unit, National Training and Research Centre in rural Health of Maferinyah, Forecariah, Guinea

  • 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

  • Research Unit, National Training and Research Centre in rural Health of Maferinyah, Forecariah, Guinea

  • 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

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    Karifa Kourouma, Bienvenu Salim Camara, Delphin Kolie, Sidikiba Sidibé, Abdoul Habib Beavogui, et al. (2019). 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, 5(4), 136-141. https://doi.org/10.11648/j.cajph.20190504.11

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    ACS Style

    Karifa Kourouma; Bienvenu Salim Camara; Delphin Kolie; Sidikiba Sidibé; Abdoul Habib Beavogui, et al. Analyzing the Effects of the Ebola Virus Disease Outbreak on Maternal and Child Health Services in the Health District of Beyla, Guinea. Cent. Afr. J. Public Health 2019, 5(4), 136-141. doi: 10.11648/j.cajph.20190504.11

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    AMA Style

    Karifa Kourouma, Bienvenu Salim Camara, Delphin Kolie, Sidikiba Sidibé, Abdoul Habib Beavogui, et al. Analyzing the Effects of the Ebola Virus Disease Outbreak on Maternal and Child Health Services in the Health District of Beyla, Guinea. Cent Afr J Public Health. 2019;5(4):136-141. doi: 10.11648/j.cajph.20190504.11

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  • @article{10.11648/j.cajph.20190504.11,
      author = {Karifa Kourouma and Bienvenu Salim Camara and Delphin Kolie and Sidikiba Sidibé and Abdoul Habib Beavogui and Alexandre Delamou},
      title = {Analyzing the Effects of the Ebola Virus Disease Outbreak on Maternal and Child Health Services in the Health District of Beyla, Guinea},
      journal = {Central African Journal of Public Health},
      volume = {5},
      number = {4},
      pages = {136-141},
      doi = {10.11648/j.cajph.20190504.11},
      url = {https://doi.org/10.11648/j.cajph.20190504.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.cajph.20190504.11},
      abstract = {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.},
     year = {2019}
    }
    

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    AU  - Bienvenu Salim Camara
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    AB  - 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.
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