SynthesisJournal of global health2019
Utilization of non-Ebola health care services during Ebola outbreaks: a systematic review and meta-analysis.
Synthesis in Journal of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
76 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of the COVID-19 pandemic on access to and delivery of maternal and child healthcare services in low-and middle-income countries: a systematic review of the literature.Frontiers in public health · 2024Pooled it
- The effect of Ebola virus disease on maternal health service utilisation and perinatal outcomes in West Africa: a systematic review.Reproductive health · 2022Pooled it
- Healthcare system disruption across WHO-declared PHEICs: a 4S comparative case analysis.Frontiers in public health · 2026Article
- COVID-19 status and utilisation of essential maternal and child healthcare services during the pandemic in Ahmedabad, India.BMC pregnancy and childbirth · 2025Article
- The impact of COVID-19 on private healthcare service utilisation: time series analysis in the capital region of Finland during 2020-2022.BMC public health · 2024Article
- Maintaining non-communicable disease (NCD) services during the COVID-19 pandemic: lessons from Thailand.BMJ global health · 2024Review
- The effect of COVID-19 on the non-COVID health outcomes of crisis-affected peoples: a systematic review.Conflict and health · 2024Review
- The impact of COVID-19 on healthcare booking and cancellation patterns: time series analysis of private healthcare service utilisation in Finland.BMC health services research · 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
- Higher local Ebola incidence causes lower child vaccination rates.Scientific reports · 2024Article
- Impact of COVID-19 on essential healthcare services in Addis Ababa, Ethiopia: Implications for future pandemics.PloS one · 2024Article
- A qualitative study examining the health system's response to COVID-19 in Sierra Leone.PloS one · 2024Article
- Impact of the COVID-19 pandemic and policy response on access to and utilization of reproductive, maternal, child and adolescent health services in Kenya, Uganda and Zambia.PLOS global public health · 2024Article
- Impact of COVID-19 on hepatitis B screening in Sierra Leone: insights from a community pharmacy model of care.IJID regions · 2023Article
- Impact of COVID-19 on selected essential public health services - lessons learned from a retrospective record review in the Free State, South Africa.BMC health services research · 2023Article
- The COVID-19 pandemic and disruptions to maternal and child health services in public primary care Malaysia: a retrospective time-series analysis.BMJ global health · 2023Article
- Article
- Reduced incidence of respiratory, gastrointestinal and malaria infections among children during the COVID-19 pandemic in Western Kenya: An analysis of facility-based and weekly diaries data.Journal of global health · 2023Article
- Article
- The impacts of COVID-19 and its policy response on access and utilization of maternal and child health services in Tanzania: A mixed methods study.PLOS global public health · 2023Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBeyond their direct effects on mortality, outbreaks of Ebola Virus Disease (EVD) might disrupt the provision of health care services in affected countries, possibly resulting in an increase in the number of deaths from non-EVD causes. We conducted a systematic review and meta-analysis of studies documenting the impact of EVD outbreaks on health care utilization.
methodsWe searched PubMed, Embase, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Global Health, Pascal and grey literature to identify observational studies that compared indicators of health care utilization before and during the outbreak. We identified 14 752 unique citations, 22 of which met inclusion criteria. All were related to the 2013-2016 West African EVD outbreak. From the 22 studies, we extracted 235 estimates of the relative change in health care utilization during the EVD outbreak. We used multivariate regression to estimate the average effect of the outbreak on health care utilization, and to assess heterogeneity across study characteristics.
findingsOn average, health care utilization declined by 18.0% during the outbreak (95% Confidence Interval: -26.5%, -9.5%). The observed declines in health care utilization were largest in settings affected by higher levels of EVD incidence (>2.5 cases per 100 000 per week) whereas utilization did not change in settings with EVD incidence less than 0.5 cases per 100 000 per week. Declines in utilization were greater for inpatient care and for deliveries than for outpatient care. They were also larger in studies based on small samples of health facilities, suggestive of publication bias. However, several studies based on larger samples of facilities also observed declines in health care utilization.
conclusionsDuring the West African EVD outbreak, the utilization of health services declined significantly. During outbreaks of EVD, attention needs to be paid to the disruption of the health services, which can have large indirect health impacts.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.