Evidence map›Paper›PMID 34819095›Full record

ArticleInternational journal for equity in health2021

The Ebola crisis and people with disabilities' access to healthcare and government services in Liberia.

Maria Kett, Ellie Cole, Lucila Beato, Mark Carew, Richard Ngafuan, Sekkoh Konneh, Tim Colbourn

Open access · goldAbstract read
In one paragraph

Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Maria KettUCL Institute of Epidemiology and Healthcare, London, UK. m.kett@ucl.ac.uk.ORCID 0000-0002-1975-7674
Ellie ColeUCL Institute of Epidemiology and Healthcare, London, UK.
Lucila BeatoUniversity of Witwatersrand, Johannesburg, South Africa.
Mark CarewLeonard Cheshire, London, UK.
Richard NgafuanUniversity of Liberia, Monrovia, Liberia.
Sekkoh KonnehUniversity of Liberia, Monrovia, Liberia.
Tim ColbournUCL Institute for Global Health, London, UK.
University College London · GBUniversity of Liberia · LRCancer Research UK · GBLeonard Cheshire · GBUniversity of the Witwatersrand · ZA

Funding

Economic and Social Research Council ES/L005719/1
6 · The paper itself

Abstract

backgroundThere has been little research on the impact of the 2014-2015 West African Ebola crisis on people with disabilities. This paper outlines the way in which the Ebola Virus Disease (EVD) outbreak in Liberia in 2015 highlighted existing inequalities and exclusion of people with disabilities and their households.

methodsThe results presented here are part of a larger ESRC/DFID-funded mixed methods research project in Liberia (2014-2017) which included a quantitative household survey undertaken in five counties, complemented by qualitative focus group discussions and interviews with people with disabilities and other key stakeholders. Uniquely, this research gathered information about people with disabilities' experience of the EVD outbreak, as well as additional socioeconomic and inclusion data, that compared their experience with non-disabled community members.

resultsReflections by people with disabilities themselves show knowledge, preparation, and responses to the EVD epidemic was often markedly different among people with disabilities due to limited resources, lack of inclusion by many mainstream public health and medical interventions and pre-existing discrimination, marginalisation and exclusion. Interviews with other key stakeholder revealed a lack of awareness of disability issues or sufficient training to include this population systematically in both Ebola response activities and general health services. Key findings include the need to understand and mitigate direct and indirect health consequences of unequal responses to the epidemic, as well as the limited capacity of healthcare and social services to respond to people with disabilities.

conclusionThere are lessons to be learned from Ebola outbreak around inclusion of people with disabilities, relevant to the current COVID-19 pandemic. Now is the time to undertake measures to ensure that people with disabilities do not continue to be marginalised and excluded during global public health emergencies.

Indexed as

COVID-19Hemorrhagic Fever, EbolaPersons with DisabilitiesDelivery of Health CareDisease OutbreaksGovernmentHumansLiberiaPandemicsSARS-CoV-2Ebolainclusioninfectious diseasesLiberiapeople with disabilities

Identifiers

PMID34819095
PMCPMC8611399
OpenAlexW3216652824

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.