Maternal and Child Health Services in the Context of the Ebola Virus Disease: Health Care Workers’ Knowledge, Attitudes and Practices in Rural Guinea

Alexandre Delamou, Sidikiba Sidibé, Alison M. El Ayadi, Bienvenu S. Camara, Thérèse Delvaux, Bettina Utz, Abdoulaye II Toure, Sah D. Sandouno, Alioune Camara, Abdoul H. Beavogui, Asm Shahabuddin, Karen Van der Veken, Bouchra Assarag, Junko Okumura, Vincent De Brouwere

Abstract

The objective of this study was to document maternal and child health care workers‘ knowledge, attitudes and practices on service delivery before, during and after the 2014 EVD outbreak in rural Guinea. We conducted a descriptive cross-sectional study in ten health districts between October and December 2015, using a standardized self-administered questionnaire. Overall 299 CHWs (94% response rate) participated in the study, including nurses/health technicians (49%), midwives (23%), managers (16%) and physicians (12%). Prior to the EVD outbreak, 87% of CHWs directly engaged in managing febrile cases within the facility, while the majority (89% and 63%) referred such cases to another facility and/or EVD treatment centre during and after the EVD outbreak, respectively. Compared to the period before the EVD outbreak when approximately half of CHWs (49%) reported systematically measuring body temperature prior to providing any care to patients, most CHWs reported doing so during (98%) and after the EVD outbreak (88%). The main challenges encountered were the lack of capacity to screen for EVD cases within the facility (39%) and the lack of relevant equipment (10%). The majority (91%) of HCWs reported a decrease in the use of services during the EVD outbreak while an increase was reported by 72% of respondents in the period following the EVD outbreak. Infection prevention and control measures established during the EVD outbreak have substantially improved self-reported provider practices for maternal and child health services in rural Guinea. However, more efforts are needed to maintain and sustain the gain achieved. (Afr J Reprod Health 2017; 21[1]: 104-113).

Full Text:

PDF

References

Ebola virus disease (EVD) in West Africa: an

extraordinary epidemic. Wkly Epidemiol Rec 2015; 90(10):89-96.

WHO. Ebola response roadmap - Situation report, 2016 ;

accessed 17 March 2016. Available at: http://apps.who.int/ebola/current-situation/ebola-situation-report-16-march-2016

Coordination Nationale Ebola, Guinée and OMS.

Rapport de la Situation Epidémiologique, Maladie à Virus Ebola en Guinée du 14 Février 2016. Sit_Rep_no 670. Conakry: Coordination Ebola, Guinée, OMS 2016; Available at: http://guinea-ebov.github.io/

Toure A, Traore FA, Sako FB, Delamou A, Tonguino

FS, Sylla D, Bagoura M, Barry M, Cisse M, Vanhems P. Knowledge, attitudes, and practices of health care workers on Ebola virus disease in Conakry, Guinea: A cross-sectional study. academicJournal, 2016; 8(2), pp. 12-16.

Thiam S, Delamou A, Camara S, Carter J, Lama EK,

Ndiaye B, Nyagero J, Nduba J, Ngom M. Challenges in controlling the Ebola outbreak in two prefectures in Guinea: why did communities continue to resist? Pan Afr Med J, 2015; 2015 Oct 11;22.

Oladimeji AM, Gidado S, Nguku P, Nwangwu IG, Patil

ND, Oladosu F, Roberts AA, Waziri NE, Shuaib F, Oguntimehin O, Musa E, Nasidi A, Adewuyi P, Olayinka A, Odubanjo O; N-FELTP Residents, Poggensee G. Ebola virus disease - gaps in knowledge and practice among healthcare workers in Lagos, August 2014. Trop Med Int Health, 2015; 20(9):1162-1170.

Présidence de la République de Guinée. Troisième

recensement général de la population et de l’habitat

Décret D/2015/225/PRG/SGG. Conakry, Guinée : Institut National des Statistiques, 2015.

Institut National des Statistiques G. Enquête

Démographique et de Santé et à Indicateurs Multiples, Guinée 2012. Claverton, Maryland, USA : INS & Macro, 2014.

Ministère de la Santé. Plan national de développement

sanitaire 2015-2024. Conakry, République de Guinée : Ministère de la santé, 2015.

Centers for Disease Control and Prevention. Preparing

Healthcare Workers to Work in Ebola Treatment Units (ETUs) in Africa, 2015; accessed 15 March 2016. Available at: http://www.cdc.gov/vhf/ebola/hcp/safety-training-course/

Delamou A, Hammonds RM, Caluwaerts S, Utz B,

Delvaux T. Ebola in Africa: beyond epidemics, reproductive health in crisis. Lancet, 2014 ; 384(9960) : 2015.

Evans DK, Goldstein M, Popova A. Health-care worker

mortality and the legacy of the Ebola epidemic. Lancet Glob Health, 2015 3(8): e439-40.4.

Delamou A, Beavogui AH, Kondé MK, van Griensven J,

De Brouwere V. Ebola: better protection needed for Guinean health-care workers. Lancet, 2015; 7;385(9967):503-4.

Barry M, Traoré FA, Sako FB, Kpamy DO, Bah EI,

Poncin M, et al. Ebola outbreak in Conakry, Guinea: epidemiological, clinical, and outcome features. Med Mal Infect, 2014; 44(11-12):491-4.

Plucinski MM, Guilavogui T, Sidikiba S, Diakité N,

Diakité S, Dioubaté M, Bah I, Hennessee I, Butts JK, Halsey ES, McElroy PD, Kachur SP, Aboulhab J, James R, Keita M. Effect of the Ebola-virus-disease epidemic on malaria case management in Guinea, 2014: a cross-sectional survey of health facilities. Lancet Infect Dis, 2015; 15(9):1017-23.

Barden-O'Fallon J, Barry MA, Brodish P, Hazerjian J.

Rapid Assessment of Ebola-Related Implications for Reproductive, Maternal, Newborn and Child Health Service Delivery and Utilization in Guinea. PLoS Curr. 2015; 4;7. pii: ecurrents.outbreaks.

Lori JR, Rominski SD, Perosky JE, Munro ML,

Williams G, Bell SA, Nyanplu AB, Amarah PN, Boyd CJ. A case series study on the effect of Ebola on facility-based deliveries in rural Liberia. BMC Pregnancy Childbirth, 2015. 12; 15:254.

Brolin Ribacke KJ, van Duinen AJ, Nordenstedt H,

Höijer J, Molnes R, Froseth TW, Koroma AP, Darj E, Bolkan HA, Ekström A.. The Impact of the West Africa Ebola Outbreak on Obstetric Health Care in Sierra Leone. PLoS One, 2016; 24;11(2): e0150080.

Kurosaki Y, Magassouba N, Oloniniyi OK, Cherif MS,

Sakabe S, Takada A, Hirayama K, Yasuda J. Development and Evaluation of Reverse Transcription-Loop-Mediated Isothermal Amplification (RT-LAMP) Assay Coupled with a Portable Device for Rapid Diagnosis of Ebola Virus Disease in Guinea. PLoS Negl Trop Dis, 2016; 22;10(2): e0004472.

WHO. Hand hygiene in health care in the context of

Filovirus disease outbreak response Rapid advice guideline, 2014; accessed 29 May 2016. Available at: http://www.who.int/csr/resources/publications/ebola/hand-hygiene/en/

Senga M, Pringle K, Ramsay A, Brett-Major DM,

Fowler RA, French I, Vandi M, Sellu J, Pratt C, Saidu J, Shindo N, Bausch DG; Sierra Leone Kenema District Task Force and Kenema Government Hospital. Factors Underlying Ebola

Virus Infection Among Health Workers, Kenema, Sierra Leone, 2014-2015. Clin Infect Dis. 2016 Aug

;63(4):454-9

Cooper C, Fisher D, Gupta N, MaCauley R, Pessoa-Silva

CL. Infection prevention and control of the Ebola outbreak in Liberia, 2014-2015: key challenges and successes. BMC Med, 2016; 5;14:2. doi: 10.1186/s12916-015-0548-4.

Refbacks

  • There are currently no refbacks.