Evolution of resources and study of factors associated with the quality of care for epidemic-prone diseases in Guinea.

Objective: This study aimed to describe the evolution of resources and to identify the factors associated with the quality of care for epidemic-prone diseases in Guinea. Method: A descriptive cross-sectional study focused on the management systems for epidemic-prone diseases in Guinea. Data were collected using structured questionnaires. The analysis of factors associated with the quality of care was conducted using logistic regression. Results: The evolution of management systems varied across regions. Overall, at the national level, before the Ebola outbreak, the evolution of management systems was low, with an overall score of 12%. During the Ebola virus crisis, the evolution of the systems was average, reaching 73%, and after the outbreak, it remained average at 77%. The quality of care was predominantly rated as good, accounting for 62.5%. The main factors associated with better quality of care included the presence of a patient diagnostic mechanism (aOR = 8; 95% CI [2.02-19.45]; p = 0.000), the availability of treatment protocols (aOR = 9.44; 95% CI [1.02-12.02]; p = 0.000), the presence of isolation sites (aOR = 4.23; 95% CI [1.61-9.66]; p = 0.000), the coordination of care (aOR = 8.5; 95% CI [1.22-12.00]; p = 0.002), and the availability of care teams (aOR = 8.5; 95% CI [1.22-12.00]; p = 0.001). Conclusion: This study highlights significant progress in resources for the management of epidemic-prone diseases in Guinea during and after the Ebola crisis. Key factors such as diagnostic tools, treatment protocols, the availability of isolation sites, care coordination, and the presence of care teams were essential for success. The overall improvement reflects strengthened capacity and preparedness in Guinea, although challenges remain, particularly in terms of financial resources.