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    Health-Care Access during the Ebola Virus Epidemic in Liberia

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    Authors
    McQuilkin, Patricia A.
    Udhayashankar, Kanagasabai
    Niescierenko, Michelle
    Maranda, Louise
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Department of Pediatrics
    Document Type
    Journal Article
    Publication Date
    2017-09-01
    Keywords
    Ebola virus disease
    epidemics
    Liberia
    health care access
    humanitarian crises
    Health Services Administration
    Infectious Disease
    Tropical Medicine
    Virus Diseases
    
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    Link to Full Text
    https://doi.org/10.4269/ajtmh.16-0702
    Abstract
    The Ebola virus disease (EVD) epidemic, which began in West Africa in December 2013, claimed more than 11,000 lives, with more than 4,800 of these deaths occurring in Liberia. The epidemic had an additional effect of paralyzing the health-care systems in affected countries, which led to even greater mortality and morbidity. Little is known about the impact that the epidemic had on the provision of basic health care. During the period from March to May 2015, we undertook a nationwide, community-based survey to learn more about health-care access during the EVD epidemic in Liberia. A cluster sampling strategy was used to administer a structured in-person survey to heads of households located within the catchment areas surrounding all 21 government hospitals in Liberia. A total of 543 heads of household from all 15 counties in Liberia participated in the study; more than half (67%) of urban respondents and 46% of rural respondents stated that it was very difficult or impossible to access health care during the epidemic. In urban areas, only 20-30% of patients seeking care during the epidemic received care, and in rural areas, only 70-80% of those seeking care were able to access it. Patients requiring prenatal and obstetric care and emergency services had the most difficulty accessing care. The results of this survey support the observation that basic health care was extremely difficult to access during the EVD epidemic in Liberia. Our results underscore the critical need to support essential health-care services during humanitarian crises to minimize preventable morbidity and mortality.
    Source
    Am J Trop Med Hyg. 2017 Sept;97(3):931-936. doi: 10.4269/ajtmh.16-0702. Published online July 10, 2017. Link to article on publisher's site
    DOI
    10.4269/ajtmh.16-0702
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/43596
    PubMed ID
    28722621
    Related Resources
    Link to Article in PubMed
    Rights
    Copyright © 2017 by The American Society of Tropical Medicine and Hygiene. Publisher PDF posted after 12 months as allowed by the publisher's author rights policy at http://www.ajtmh.org/oa-policy.
    ae974a485f413a2113503eed53cd6c53
    10.4269/ajtmh.16-0702
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