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Background

As Sierra Leone celebrates the end of the Ebola Virus Disease (EVD) outbreak, we can begin to fully grasp its impact on already weak health systems. The EVD outbreak in West Africa forced many hospitals to close down or reduce their activity, either to prevent nosocomial transmission or because of staff shortages. The aim of this study is to assess the potential impact of EVD on nationwide access to obstetric care in Sierra Leone.

Methods and Findings

When the Ebola outbreak was confirmed in Guinea two years ago, one of the reasons the virus spread so quickly was due to the high amount of people traffic across the borders of Guinea, Liberia, and Sierra Leone. To mitigate the introduction of new Ebola cases or other diseases by cross border travellers, the Red Cross has introduced a community event-based surveillance system. It is successful, in large part, due to the engagement of community members.

The Ebola outbreak in Sierra Leone had an adverse effect on the health sector, with gains achieved in the implementation of the Campaign on Accelerated Reduction of Maternal Mortality (CARMMA) suffering a set-back as most women were afraid of accessing reproductive health care services.

Restoring such gains made over the years in maternal and infant mortality reduction initiatives is therefore a key post-Ebola objective in the three Ebola-affected countries of Liberia, Guinea and Sierra Leone.

Dear Listeners and Viewers,

I am pleased to announce that, the Government of Sierra Leone, through the Ministry of Health and Sanitation, has been informed by the World Public Health Governing body, the Health Organization that the second outbreak of Ebola virus disease which was announced on the 2nd January 2016 has ended today Thursday 17th March 2016.