scholarly journals Non-communicable diseases in the Western Area District, Sierra Leone, following the Ebola outbreak

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 795 ◽  
Author(s):  
Ibrahim Baimba Koroma ◽  
Dena Javadi ◽  
Katrina Hann ◽  
Anthony D Harries ◽  
Francis Smart ◽  
...  
Keyword(s):  
Health System ◽  
Sierra Leone ◽  
Ebola Virus ◽  
Health Workers ◽  
Virus Disease ◽  
Secondary Data ◽  
Communicable Diseases ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Western Area

Background: Non-communicable diseases (NCDs) are the leading causes of morbidity and mortality in the world. During infectious disease outbreaks, such as the Ebola virus disease outbreak in West Africa from 2014-2015, the health system is often strained, and diagnosis, management and care of NCDs may be compromised. This study assessed numbers and distribution of NCDs in all health facilities in the Western-Area District, Sierra Leone, in the post-Ebola period (June–December 2015) comparing findings with the pre-Ebola (June–December 2013) and Ebola outbreak (June–December 2014) periods. Methods: This was a cross-sectional study using secondary data from routine records of aggregate monthly NCD reports. Data were analysed using Open EPI and comparisons were made between the post-Ebola and pre-Ebola/Ebola periods using the chi-square test. Results: There were 10,011 people reported with NCDs during the three six-month periods, with 6194 (62%) presenting at peripheral health units (PHU). Reported NCDs decreased during Ebola and increased post-Ebola, but did not recover to pre-Ebola levels. Hypertension cases remained fairly constant throughout being mainly managed at PHU. Numbers with diabetes mellitus generally stayed the same except for a significant post-Ebola increase in tertiary hospitals. Small numbers were reported with mental health disorders across all facilities in all time periods. Conclusion: NCD reporting is recovering in the immediate post-Ebola period. Decentralization of NCD care is welcome and is an effective strategy for management as evidenced by hypertension. To be successful, this must be supported by strengthening other elements of the health system such as training of health workers, robust information and referral systems and reliable medicine supply chains.

scholarly journals Non-communicable diseases in the Western Area District, Sierra Leone, following the Ebola outbreak

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 795
Author(s):  
Ibrahim Baimba Koroma ◽  
Dena Javadi ◽  
Katrina Hann ◽  
Anthony D Harries ◽  
Francis Smart ◽  
...  
Keyword(s):  
Health System ◽  
Sierra Leone ◽  
Ebola Virus ◽  
Health Workers ◽  
Virus Disease ◽  
Secondary Data ◽  
Communicable Diseases ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Western Area

Background: Non-communicable diseases (NCDs) are the leading causes of morbidity and mortality in the world. During infectious disease outbreaks, such as the Ebola virus disease outbreak in West Africa from 2014-2015, the health system is often strained, and diagnosis, management and care of NCDs may be compromised. This study assessed numbers and distribution of NCDs in all health facilities in the Western-Area District, Sierra Leone, in the post-Ebola period (June–December 2015) comparing findings with the pre-Ebola (June–December 2013) and Ebola outbreak (June–December 2014) periods. Methods: This was a cross-sectional study using secondary data from routine records of aggregate monthly NCD reports. Data were analysed using Open EPI and comparisons were made between the post-Ebola and pre-Ebola/Ebola periods using the chi square test. Results: There were 10,011 people reported with NCDs during the three six-month periods, with 6194 (62%) presenting at peripheral health units (PHU). Reported NCDs decreased during Ebola and increased post-Ebola, but did not recover to pre-Ebola levels. Hypertension cases remained fairly constant throughout being mainly managed at PHU. Numbers with diabetes mellitus generally stayed the same except for a significant post-Ebola increase in tertiary hospitals. Small numbers were reported with mental health disorders across all facilities in all time periods. Conclusion: NCD reporting is recovering in the immediate post-Ebola period. Decentralization of NCD care is welcome and is an effective strategy for management as evidenced by hypertension. To be successful, this must be supported by strengthening other elements of the health system such as training of health workers, robust information and referral systems and reliable medicine supply chains.

scholarly journals Priorities, Barriers, and Facilitators towards International Guidelines for the Delivery of Supportive Clinical Care during an Ebola Outbreak: A Cross-Sectional Survey

Viruses ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 194 ◽  
Author(s):  
Marie-Claude Battista ◽  
Christine Loignon ◽  
Lynda Benhadj ◽  
Elysee Nouvet ◽  
Srinivas Murthy ◽  
...  
Keyword(s):  
Supportive Care ◽  
Ebola Virus ◽  
Health Workers ◽  
Virus Disease ◽  
Clinical Care ◽  
Barriers And Facilitators ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Treatment Protocols ◽  
Key Stakeholders

During the Ebola outbreak, mortality reduction was attributed to multiple improvements in supportive care delivered in Ebola treatment units (ETUs). We aimed to identify high-priority supportive care measures, as well as perceived barriers and facilitators to their implementation, for patients with Ebola Virus Disease (EVD). We conducted a cross-sectional survey of key stakeholders involved in the response to the 2014–2016 West African EVD outbreak. Out of 57 email invitations, 44 responses were received, and 29 respondents completed the survey. The respondents listed insufficient numbers of health workers (23/29, 79%), improper tools for the documentation of clinical data (n = 22/28, 79%), insufficient material resources (n = 22/29, 76%), and unadapted personal protective equipment (n = 20/28, 71%) as the main barriers to the provision of supportive care in ETUs. Facilitators to the provision of supportive care included team camaraderie (n in agreement = 25/28, 89%), ability to speak the local language (22/28, 79%), and having treatment protocols in place (22/28, 79%). This survey highlights a consensus across various stakeholders involved in the response to the 2014–2016 EVD outbreak on a limited number of high-priority supportive care interventions for clinical practice guidelines. Identified barriers and facilitators further inform the application of guidelines.

scholarly journals Early clinical sequelae of Ebola virus disease in Sierra Leone: a cross-sectional study

2016 ◽  
Vol 16 (3) ◽  
pp. 331-338 ◽  
Author(s):  
John G Mattia ◽  
Mathew J Vandy ◽  
Joyce C Chang ◽  
Devin E Platt ◽  
Kerry Dierberg ◽  
...  
Keyword(s):  
Sierra Leone ◽  
Ebola Virus ◽  
Virus Disease ◽  
Cross Sectional Study ◽  
Ebola Virus Disease ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Combating non-communicable diseases in rural Lucknow: Are the skills and knowledge of female health workers adequate?

2020 ◽  
Vol 7 (9) ◽  
pp. 3480
Author(s):  
Arunima Saini ◽  
Monika Agarwal
Keyword(s):  
Health Workers ◽  
Uttar Pradesh ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Grass Root ◽  
Grass Root Level ◽  
The Government ◽  
Essential Knowledge

Background: India is facing the surging trend of non-communicable diseases (NCD). Forecasting the burden for NCDs, the Government of India (GOI) initiated a program in 2010 across the country, i.e., National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke. The GOI has envisaged the female health workers (FHW) for the last mile delivery of health services under the programme. Available literature shows that FHWs lack essential knowledge regarding chronic diseases. This study attempts to fill these gaps by studying knowledge and skills regarding NCDs among FHWs in rural Lucknow. Objectives were to explore the knowledge about NCDs among ASHAs and ANMs in rural Lucknow and to assess of skills related to NCD screening among ANMs in rural Lucknow.Methods: It was a cross-sectional study conducted among FHWs of Lucknow, Uttar Pradesh from June 2019 to August 2019.Results: Among the FHWs, knowledge about NCDs was found to be higher for those with the age more than 40 years, with the education of higher secondary and above and also amongst those who had received previous training for NCDs.Conclusions: Majority of the respondents were found to have poor knowledge regarding NCDs. Additionally, older age, training and higher education are found to be associated with good knowledge; there is a need of training of grass root level workers for them to correctly identify the symptoms and risk factors of various NCDs.

scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI PEMANFAATAN POSBINDU PTM OLEH MASYARAKAT DI WILAYAH KERJA PUSKESMAS MARTAPURA 2

2020 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Eka Supriyatna ◽  
Endang Pertiwiwati ◽  
Herry Setiawan
Keyword(s):  
Health Service ◽  
Family Support ◽  
Peer Support ◽  
Health Workers ◽  
Communicable Diseases ◽  
Utilization Rate ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Non Communicable Diseases

ABSTRAKPos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu PTM) merupakan usaha pemerintah dalam menanggulangi penyakit tidak menular. Rendahnya angka pemanfaatan Posbindu oleh masyarakat dalam memanfaatkan pelayanan posbindu dilihat dari data kunjungan Posbindu PTM tiga bulan terakhir tahun 2018 untuk kunjungan lama yaitu pada bulan Oktober 365 kunjungan, kemudian bulan November menurun ke angka 348 kunjungan dan pada Bulan Desember mengalami penurunan sebanyak 297 kunjungan. Secara teoritis, seseorang dikatakan memanfaatkan suatu pelayanan kesehatan jika mendatangi pelayanan kesehatan itu teratur dalam tiga bulan terakhir tanpa menyebabkan terganggunya kegiatan harian. Tujuan dari penelitian adalah menjelaskan hubungan faktor-faktor yang mempengaruhi pemanfaatan Posbindu PTM oleh masyarakat di Wilayah Kerja UPT Puskesmas Martapura 2. Penelitian ini menggunakan desain cross sectional dengan teknik purposive sampling pada 85 orang masyarakat di wilayah kerja UPT Puskesmas Martapura 2. Penelitian ini dilaksanakan pada periode Bulan Maret-April tahun 2019. Pada penelitian ini menggunakan Uji chi square analisis menunjukkan nilai p-value <0,05 yaitu pendidikan (p-value= 0,029), pekerjaan (p-value= 0,022) PR= 4,295 (95% CI 1,315-14,036), dukungan keluarga (p-value= 0,001) PR=7,714 (95% CI 2,698-22,057) , dukungan petugas kesehatan (p-value= 0,001) PR= 8,273 (95% CI 2,795-24,488), dukungan kader kesehatan (p-value= 0,001) PR= 7,071 (95% CI 2,227-22,454), dan dukungan teman sebaya (p-value= 0,001) PR= 5,844 (95% CI 2,114-16,151). Hal ini menunjukkan bahwa pendidikan, pekerjaan, dukungan keluarga, dukungan petugas kesehatan, dukungan kader kesehatan dan dukungan teman sebaya memiliki hubungan pada pemanfaatan Posbindu PTM.Kata-kata kunci: posbindu, pemanfaatan, penyakit tidak menularABSTRACTIntegrated Post Training of Non-Communicable Diseases (Posbindu PTM) is a government effort in tackling non-communicable diseases. The low utilization rate of Posbindu by the community in utilizing posbindu services can be seen from the PTM Posbindu visit data for the last three months of 2018 for long visits namely in October 365 visits, then in November it decreased to 348 visits and in December it decreased by 297 visits. Theoretically, a person is said to utilize a health service if attending the health service regularly in the last three months without causing disruption to daily activities. The purpose of this research is to explain the relationship between the factors that influence the utilization of Posbindu PTM by the community in the Work Area of Martapura Public Health Center 2.1,315-14,036), family support (p-value= 0.001) PR= 7,714 (95% CI2,698-22,057), support of health workers (p-value 0.001) PR= 8.273 (95% CI 2,795-24,488), support for health cadres (p-value= 0.001) PR= 7.071 (95% CI 2,227-22,454), and peer support (p-value= 0.001) PR= 5.844 (95% CI2,114-16,151. This shows that education, employment, family support, health worker support, health cadre support and peer support have a relationship to the use of Posbindu PTM.Keywords : posbindu, utilization, non-communicable diseases

scholarly journals Non-communicable diseases in the Western Area District, Sierra Leone, before and during the Ebola outbreak

2017 ◽  
Vol 7 (1) ◽  
pp. 16-21 ◽  
Author(s):  
T. Samba ◽  
P. Bhat ◽  
P. Owiti ◽  
L. Samuels ◽  
P. J. Kanneh ◽  
...  
Keyword(s):  
Sierra Leone ◽  
Communicable Diseases ◽  
Non Communicable Diseases ◽  
Western Area

scholarly journals Mental health among Ebola survivors in Liberia, Sierra Leone and Guinea: results from a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e035217 ◽  
Author(s):  
Andrew Secor ◽  
Rose Macauley ◽  
Laurentiu Stan ◽  
Meba Kagone ◽  
Sidibe Sidikiba ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Sierra Leone ◽  
Ebola Virus ◽  
Virus Disease ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Secondary Outcome ◽  
Depression And Anxiety ◽  
Cross Sectional

ObjectivesTo describe the prevalence and correlates of depression and anxiety among adult Ebola virus disease (EVD) survivors in Liberia, Sierra Leone and Guinea.DesignCross-sectional.SettingOne-on-one surveys were conducted in EVD-affected communities in Liberia, Sierra Leone and Guinea in early 2018.Participants1495 adult EVD survivors (726 male, 769 female).Primary and secondary outcome measuresPatient Health Questionnaire-9 (PHQ-9) depression scores and Generalised Anxiety Disorder-7 (GAD-7) scores.ResultsPrevalence and severity of depression and anxiety varied across the three countries. Sierra Leone had the highest prevalence of depression, with 22.0% of participants meeting the criteria for a tentative diagnosis of depression, compared with 20.2% in Liberia and 13.0% in Guinea. Sierra Leone also showed the highest prevalence of anxiety, with 10.7% of participants meeting criteria for generalized anxiety disorder (GAD-7 score ≥10), compared with 9.9% in Liberia and 4.2% in Guinea. Between one-third and one-half of respondents reported little interest or pleasure in doing things in the previous 2 weeks (range: 47.0% in Liberia to 37.6% in Sierra Leone), and more than 1 in 10 respondents reported ideation of self-harm or suicide (range: 19.4% in Sierra Leone to 10.4% in Guinea). Higher depression and anxiety scores were statistically significantly associated with each other and with experiences of health facility-based stigma in all three countries. Other associations between mental health scores and respondent characteristics varied across countries.ConclusionsOur results indicate that both depression and anxiety are common among EVD survivors in Liberia, Sierra Leone and Guinea, but that there is country-level heterogeneity in prevalence, severity and correlates of these conditions. All three countries should work to make mental health services available for survivors, and governments and organisations should consider the intersection between EVD-related stigma and mental health when designing programmes and training healthcare providers.

scholarly journals Epidemiology of Ebola Virus Disease in the Western Area Region of Sierra Leone, 2014–2015

2017 ◽  
Vol 5 ◽  
Author(s):  
Margaret Lamunu ◽  
Olushayo Oluseun Olu ◽  
James Bangura ◽  
Zabulon Yoti ◽  
Thomas Takpau Samba ◽  
...  
Keyword(s):  
Sierra Leone ◽  
Ebola Virus ◽  
Virus Disease ◽  
Ebola Virus Disease ◽  
Western Area

scholarly journals Analyses of the performance of the Ebola virus disease alert management system in South Sudan: August 2018 to November 2019

2020 ◽  
Vol 14 (11) ◽  
pp. e0008872
Author(s):  
Olushayo Oluseun Olu ◽  
Richard Lako ◽  
Sudhir Bunga ◽  
Kibebu Berta ◽  
Matthew Kol ◽  
...  
Keyword(s):  
Management System ◽  
Ebola Virus ◽  
Health Workers ◽  
Virus Disease ◽  
South Sudan ◽  
Case Definition ◽  
Rapid Response ◽  
Ebola Virus Disease ◽  
Rapid Response Teams ◽  
Cross Sectional

South Sudan implemented Ebola virus disease preparedness interventions aiming at preventing and rapidly containing any importation of the virus from the Democratic Republic of Congo starting from August 2018. One of these interventions was a surveillance system which included an Ebola alert management system. This study analyzed the performance of this system. A descriptive cross-sectional study of the Ebola virus disease alerts which were reported in South Sudan from August 2018 to November 2019 was conducted using both quantitative and qualitative methods. As of 30 November 2019, a total of 107 alerts had been detected in the country out of which 51 (47.7%) met the case definition and were investigated with blood samples collected for laboratory confirmation. Most (81%) of the investigated alerts were South Sudanese nationals. The alerts were identified by health workers (53.1%) at health facilities, at the community (20.4%) and by screeners at the points of entry (12.2%). Most of the investigated alerts were detected from the high-risk states of Gbudwe (46.9%), Jubek (16.3%) and Torit (10.2%). The investigated alerts commonly presented with fever, bleeding, headache and vomiting. The median timeliness for deployment of Rapid Response Team was less than one day and significantly different between the 6-month time periods (K-W = 7.7567; df = 2; p = 0.0024) from 2018 to 2019. Strengths of the alert management system included existence of a dedicated national alert hotline, case definition for alerts and rapid response teams while the weaknesses were occasional inability to access the alert toll-free hotline and lack of transport for deployment of the rapid response teams which often constrain quick response. This study demonstrates that the Ebola virus disease alert management system in South Sudan was fully functional despite the associated challenges and provides evidence to further improve Ebola preparedness in the country.

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