Ebola infection control in Sierra Leonean health clinics: A large cross-agency cooperative project

Levy, Benjamin; Rao, Carol Y.; Miller, Laura; Kennedy, Ngozi; Adams, Monica; Davis, Rosemary; Hastings, Laura A.; Kabano, Augustin; Bennett, Sarah; Sesay, Momodu

doi:10.1016/j.ajic.2015.03.011

Cited by 18 publications

(19 citation statements)

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“…Except for "OH (152)", "HCW (85)" and "health personal (17)", the most frequently appeared keywords were "TB (20)", "infection control (18)", "HIV (16)", "vaccination (13)", "influenza (11)" and "epidemiology (8)", which indicates the impact of infectious diseases on HCWs. Besides, "occupational injury (14)", "occupational exposure (13)", "stress (12)", "mental health (8)", "back pain (7)", "musculoskeletal disorders (7)", and "working conditions (7)" also presented in the top 22 most frequently used keywords. BibExcel was used to process the high frequency vocabulary to generate a 51 × 51 keyword co-occurrence matrix.…”

Section: Abstract Co-occurrence Frequency Analysismentioning

confidence: 99%

Mapping the Scientific Research on Healthcare Workers’ Occupational Health: A Bibliometric and Social Network Analysis

Zhu

Fan

Xie

et al. 2020

IJERPH

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In the last few years, the occupational health (OH) of healthcare workers (HCWs) has been shown increasing concern by both health departments and researchers. This study aims to provide academics with quantitative and qualitative analysis of healthcare workers’ occupational health (HCWs+OH) field in a joint way. Based on 402 papers published from 1992 to 2019, we adopted the approaches of bibliometric and social network analysis (SNA) to map and quantify publication years, research area distribution, international collaboration, keyword co-occurrence frequency, hierarchical clustering, highly cited articles and cluster timeline visualization. In view of the results, several hotspot clusters were identified, namely: physical injuries, workplace, mental health; occupational hazards and diseases, infectious factors; community health workers and occupational exposure. As for citations, we employed document co-citation analysis to detect trends and identify seven clusters, namely tuberculosis (TB), strength training, influenza, healthcare worker (HCW), occupational exposure, epidemiology and psychological. With the visualization of cluster timeline, we detected that the earliest research cluster was occupational exposure, then followed by epidemiology and psychological; however, TB, strength training and influenza appeared to gain more attention in recent years. These findings are presumed to offer researchers, public health practitioners a comprehensive understanding of HCWs+OH research.

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Section: Abstract Co-occurrence Frequency Analysismentioning

confidence: 99%

Mapping the Scientific Research on Healthcare Workers’ Occupational Health: A Bibliometric and Social Network Analysis

Zhu

Fan

Xie

et al. 2020

IJERPH

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“…4 This is an important message for educating and training health care staff that have to work in circumstances where fullbody PPE may not always be available. 5 Reply to letter on our article:…”

Section: More Ppe Protects Better Against Ebolamentioning

confidence: 99%

More PPE protects better against Ebola

Verbeek

Mihalache

2016

American Journal of Infection Control

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“…Concerned that these PHUs lacked the training and equipment to properly isolate and care for Ebola patients, PHU staff were rapidly trained on infection prevention and control and outfitted with personal protective equipment. By early December 2014, 81 percent of healthcare workers in Sierra Leone had received training (see Table E.2); by early January, training had reached 98 percent (Levy et al 2015). In addition to screening and providing "no-touch" treatment for dehydration and fever, a case study in Kenema District found that PHU staff (specifically, community health workers) were also engaged in social mobilization, contact tracing, and community-based surveillance (Vandi et al 2017).…”

Section: Introductionmentioning

confidence: 99%

Building Resilient Health Systems: Experimental Evidence from Sierra Leone and the 2014 Ebola Outbreak

Christensen¹,

Dube

Haushofer

et al. 2020

SSRN Journal

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Developing countries are characterized by high rates of mortality and morbidity. A potential contributing factor is the low utilization of health systems, stemming from the low perceived quality of care delivered by health personnel. This factor may be especially critical during crises, when individuals choose whether to cooperate with response efforts and frontline health personnel. We experimentally examine efforts aimed at improving health worker performance in the context of the 2014-15 West African Ebola crisis. Roughly two years before the outbreak in Sierra Leone, we randomly assigned two accountability interventions to government-run health clinics -one focused on community monitoring and the other gave status awards to clinic staff. We find that over the medium run, prior to the Ebola crisis, both interventions led to improvements in utilization of clinics and patient satisfaction with the health system. In addition, child health outcomes improved substantially in the catchment areas of community monitoring clinics. During the crisis, the interventions also led to higher reported Ebola cases, as well as lower mortality from Ebola -particularly in areas with community monitoring clinics. We explore three potential mechanisms: the interventions (1) increased the likelihood that patients reported Ebola symptoms and sought care; (2) unintentionally increased Ebola incidence; or (3) improved surveillance efforts. We find evidence consistent with the first: by building trust and confidence in health workers, and improving the perceived quality of care provided by clinics prior to the outbreak, the interventions encouraged patients to report and receive treatment. Our results suggest that accountability interventions not only have the power to improve health systems during normal times, but can additionally make health systems resilient to crises that may emerge over the longer run.

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Ebola infection control in Sierra Leonean health clinics: A large cross-agency cooperative project

Cited by 18 publications

References 0 publications

Mapping the Scientific Research on Healthcare Workers’ Occupational Health: A Bibliometric and Social Network Analysis

Mapping the Scientific Research on Healthcare Workers’ Occupational Health: A Bibliometric and Social Network Analysis

More PPE protects better against Ebola

Building Resilient Health Systems: Experimental Evidence from Sierra Leone and the 2014 Ebola Outbreak

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