ArticleThe American journal of tropical medicine and hygiene2017
Health-Care Access during the Ebola Virus Epidemic in Liberia.
Article in The American journal of tropical medicine and hygiene, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.
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Who cites it
43 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Changes in stroke and TIA admissions during the COVID-19 pandemic: A meta-analysis.European stroke journal · 2024Pooled it
- Epidemics, Lockdown Measures and Vulnerable Populations: A Mixed-Methods Systematic Review of the Evidence of Impacts on Mother and Child Health in Low-and Lower-Middle-Income Countries.International journal of health policy and management · 2022Pooled it
- Pooled it
- Reducing maternal, neonatal, and child mortality and improving quality of health care through a national task-shifting program for public hospitals in Liberia.Human resources for health · 2025Review
- Reproductive health ignorance in disasters: A qualitative study.Journal of education and health promotion · 2025Article
- Ensuring the continuity of essential health services during mpox response in the African region.Journal of public health in Africa · 2025Article
- Building resilient surgical systems that can withstand external shocks.BMJ global health · 2024Review
- Guidance on sexual, reproductive, maternal, newborn, child and adolescent health in humanitarian and fragile settings: a scoping review.BMJ global health · 2024Article
- National COVID-19 preparedness and response plans: a global review from the perspective of services for maternal, newborn, child and adolescent health and older people.BMJ global health · 2024Review
- Hepatitis B serology testing and vaccination for Gambian healthcare workers: A pilot study.Journal of public health in Africa · 2024Article
- Explaining Iranian midwives' experiences of providing healthcare services during the COVID-19 pandemic: a qualitative study.BMC health services research · 2023Article
- Evaluation of emergency care education and triage implementation: an observational study at a hospital in rural Liberia.BMJ open · 2023Observational
- Article
- Effects of public health emergencies of international concern on disease control: a systematic review.Revista panamericana de salud publica = Pan American journal of public health · 2023Review
- The impact of the Ebola epidemics on children's rights: a scoping review.Global health action · 2022Article
- Indirect Effects of Ebola Virus Disease Epidemics on Health Systems in the Democratic Republic of the Congo, Guinea, Sierra Leone and Liberia: A Scoping Review Supplemented with Expert Interviews.International journal of environmental research and public health · 2022Article
- Sexual and reproductive health services during outbreaks, epidemics, and pandemics in sub-Saharan Africa: a literature scoping review.Systematic reviews · 2022Article
- Dynamic Demand Evaluation of COVID-19 Medical Facilities in Wuhan Based on Public Sentiment.International journal of environmental research and public health · 2022Article
- The impact of COVID-19 pandemic on treatment delay and short-term neurological functional prognosis for acute ischemic stroke during the lockdown period.Frontiers in neurology · 2022Article
- The impact of COVID-19 on clinical research for Neglected Tropical Diseases (NTDs): A case study of bubonic plague.PLoS neglected tropical diseases · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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