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Knockdown and recovery of malaria diagnosis and treatment in Liberia during and after the 2014 Ebola outbreak | Journal Article / Research | MSF Science Portal
Journal Article
|Research

Knockdown and recovery of malaria diagnosis and treatment in Liberia during and after the 2014 Ebola outbreak

Dunbar NK, Richards EE, Woldeyohannes D, Van der Bergh R, Wilkinson E, Tamang D, Owiti P
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Abstract
Setting: The malaria-endemic country of Liberia, before, during and after the 2014 Ebola outbreak. Objective: To describe the consequences of the Ebola outbreak on Liberia's National Malaria Programme and its post-Ebola recovery. Design: A retrospective cross-sectional study using routine countrywide programme data. Results: Malaria caseloads decreased by 47% during the Ebola outbreak and by 11% after, compared to the pre-Ebola period. In those counties most affected by Ebola, a caseload reduction of >20% was sustained for 12 consecutive months, while this lasted for only 4 consecutive months in the counties least affected by Ebola. Linear regression of monthly proportions of confirmed malaria cases-as a proxy indicator of programme performance-over the pre- and post-Ebola periods indicated that the malaria programme could require 26 months after the end of the acute phase of the Ebola outbreak to recover to pre-Ebola levels. Conclusions: The differential persistence of reduced caseloads in the least- and most-affected counties, all of which experienced similar emergency measures, suggest that factors other than Ebola-related security measures played a key role in the programme's reduced performance. Clear guidance on when to abandon the emergency measures after an outbreak may be needed to ensure faster recovery of malaria programme performance.

Countries

Liberia

Subject Area

EbolamalariaSORT-IToutbreaks

Languages

English
DOI
10.5588/pha.16.0100
Published Date
21 Jun 2017
PubMed ID
28744443
Journal
Public Health Action
Volume | Issue | Pages
Volume 7, Issue 1
Issue Date
2017-06-21
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