Strengthening Health Systems While Responding to a Health Crisis: Lessons Learned by a Nongovernmental Organization During the Ebola Virus Disease Epidemic in Sierra Leone

被引：63

作者：

Cancedda, Corrado ^{[1
,2
,4
]}

Davis, Sheila M. ^{[1
]}

Dierberg, Kerry L. ^{[1
,2
]}

Lascher, Jonathan ^{[1
]}

Kelly, J. Daniel ^{[2
,7
,10
]}

Barrie, Mohammed Bailor ^{[1
,4
,10
]}

Koroma, Alimamy Philip ^{[13
]}

George, Peter ^{[15
]}

Kamara, Adikali Alpha ^{[14
]}

Marsh, Ronald ^{[11
]}

Sumbuya, Manso S. ^{[12
]}

Nutt, Cameron T. ^{[1
,4
]}

Scott, Kirstin W. ^{[4
]}

Thomas, Edgar ^{[1
]}

Bollbach, Katherine ^{[1
]}

Sesay, Andrew ^{[1
,10
]}

Barrie, Ahmidu ^{[1
,10
]}

Barrera, Elizabeth ^{[1
]}

Barron, Kathryn ^{[1
]}

Welch, John ^{[1
,5
]}

Bhadelia, Nahid ^{[1
,6
]}

Frankfurter, Raphael G. ^{[1
,10
]}

Dahl, Ophelia M. ^{[1
]}

Das, Sarthak ^{[1
]}

Rollins, Rebecca E. ^{[1
]}

Eustis, Bryan ^{[1
]}

Schwartz, Amanda ^{[1
]}

Pertile, Piero ^{[1
]}

Pavlopoulos, Ilias ^{[1
]}

Mayfield, Allan ^{[1
]}

Marsh, Regan H. ^{[1
,3
,4
]}

Dibba, Yusupha ^{[1
,10
]}

Kloepper, Danielle ^{[1
]}

Hall, Andrew ^{[1
]}

Huster, Karin ^{[1
,16
]}

Grady, Michael ^{[1
]}

Spray, Kimberly ^{[1
]}

Walton, David A. ^{[1
,2
]}

Daboh, Fodei ^{[1
,10
]}

Nally, Cora ^{[1
]}

James, Sahr ^{[1
,10
]}

Warren, Gabriel S. ^{[1
]}

Chang, Joyce ^{[1
]}

Drasher, Michael ^{[1
]}

Lamin, Gina ^{[1
,10
]}

Bangura, Sherry ^{[1
,10
]}

Miller, Ann C. ^{[4
]}

Michaelis, Annie P. ^{[1
]}

McBain, Ryan ^{[1
]}

Broadhurst, M. Jana ^{[1
]}

机构：

[1] Brigham & Womens Hosp, Partners Hlth, Boston, MA 02115 USA

[2] Brigham & Womens Hosp, Div Global Hlth Equ, Boston, MA 02115 USA

[3] Brigham & Womens Hosp, Dept Emergency Med, Boston, MA 02115 USA

[4] Harvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA

[5] Boston Childrens Hosp, Dept Anesthesiol Perioperat & Pain Med, Boston, MA USA

[6] Boston Univ, Sch Med, Div Infect Dis, Boston, MA 02215 USA

[7] Univ Calif San Francisco, Sch Med, Dept Med, San Francisco, CA 94143 USA

[8] Stanford Univ, Div Infect Dis, Sch Med, Palo Alto, CA 94304 USA

[9] Stanford Univ, Dept Anthropol, Palo Alto, CA 94304 USA

[10] Wellbody Alliance, Koidu, Sierra Leone

[11] Koidu Govt Hosp, Koidu, Sierra Leone

[12] Dist Hlth Management Team, Koidu, Sierra Leone

[13] Princess Christian Matern Hosp, Freetown, Sierra Leone

[14] Minist Hlth & Sanitat, Freetown, Sierra Leone

[15] Port Loko Govt Hosp, Port Loko, Sierra Leone

[16] Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA

来源：

JOURNAL OF INFECTIOUS DISEASES | 2016年 / 214卷

关键词：

Ebola; Sierra Leone; emergency response; health system strengthening; HEMORRHAGIC-FEVER; SURGICAL CARE; OCTOBER; 2014; WEST-AFRICA; PATIENT; WORKERS; TRANSMISSION; PREVENTION; SURVIVORS; KIKWIT;

D O I：

10.1093/infdis/jiw345

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

An epidemic of Ebola virus disease (EVD) beginning in 2013 has claimed an estimated 11 310 lives in West Africa. As the EVD epidemic subsides, it is important for all who participated in the emergency Ebola response to reflect on strengths and weaknesses of the response. Such reflections should take into account perspectives not usually included in peer-reviewed publications and after-action reports, including those from the public sector, nongovernmental organizations (NGOs), survivors of Ebola, and Ebola-affected households and communities. In this article, we first describe how the international NGO Partners In Health (PIH) partnered with the Government of Sierra Leone and Wellbody Alliance (a local NGO) to respond to the EVD epidemic in 4 of the country's most Ebola-affected districts. We then describe how, in the aftermath of the epidemic, PIH is partnering with the public sector to strengthen the health system and resume delivery of regular health services. PIH's experience in Sierra Leone is one of multiple partnerships with different stakeholders. It is also one of rapid deployment of expatriate clinicians and logistics personnel in health facilities largely deprived of health professionals, medical supplies, and physical infrastructure required to deliver health services effectively and safely. Lessons learned by PIH and its partners in Sierra Leone can contribute to the ongoing discussion within the international community on how to ensure emergency preparedness and build resilient health systems in settings without either.

引用

页码：S153 / S163

页数：11

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