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Preparedness of health care systems for Ebola outbreak response in Kasese and Rubirizi districts, Western Uganda

BACKGROUND: The level of preparedness of the health care workers, the health facility and the entire health system determines the magnitude of the impact of an Ebola Virus Disease (EVD) outbreak as demonstrated by the West African Ebola outbreak. The objective of the study was to assess preparedness...

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Autores principales: Kibuule, Michael, Sekimpi, Deogratias, Agaba, Aggrey, Halage, Abdullah Ali, Jonga, Michael, Manirakiza, Leonard, Kansiime, Catherine, Travis, Dominic, Pelican, Katharine, Rwego, Innocent B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7844941/
https://www.ncbi.nlm.nih.gov/pubmed/33509138
http://dx.doi.org/10.1186/s12889-021-10273-2
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author Kibuule, Michael
Sekimpi, Deogratias
Agaba, Aggrey
Halage, Abdullah Ali
Jonga, Michael
Manirakiza, Leonard
Kansiime, Catherine
Travis, Dominic
Pelican, Katharine
Rwego, Innocent B.
author_facet Kibuule, Michael
Sekimpi, Deogratias
Agaba, Aggrey
Halage, Abdullah Ali
Jonga, Michael
Manirakiza, Leonard
Kansiime, Catherine
Travis, Dominic
Pelican, Katharine
Rwego, Innocent B.
author_sort Kibuule, Michael
collection PubMed
description BACKGROUND: The level of preparedness of the health care workers, the health facility and the entire health system determines the magnitude of the impact of an Ebola Virus Disease (EVD) outbreak as demonstrated by the West African Ebola outbreak. The objective of the study was to assess preparedness of the health care facilities and identify appropriate preparedness measures for Ebola outbreak response in Kasese and Rubirizi districts in western Uganda. METHODS: A cross sectional descriptive study was conducted by interviewing 189 health care workers using a structured questionnaire and visits to 22 health facilities to determine the level of health care system preparedness to EVD outbreak. District level infrastructure capabilities, existence of health facility logistics and supplies, and health care workers’ knowledge of EVD was assessed. EVD Preparedness was assessed on infrastructure and logistical capabilities and the level of knowledge of an individual health work about the etiology, control and prevention of EVD. RESULTS: Twelve out of the 22 of the health facilities, especially health center III’s and IV’s, did not have a line budget to respond to EVD when there was a threat of EVD in a nearby country. The majority (n = 13) of the facilities did not have the following: case definition books, rapid response teams and/or committees, burial teams, and simulation drills. There were no personal protective equipment that could be used within 8 h in case of an EVD outbreak in fourteen of the 22 health facilities. All facilities did not have Viral Hemorrhagic Fever (VHF) incident management centers, isolation units, guidelines for burial, and one-meter distance between a health care worker and a patient during triage. Overall, 54% (n = 102) of health care workers (HCWs) did not know the incubation period of EVD. HCWs who had tertiary education (aOR = 5.79; CI = 1.79–18.70; p = 0.003), and were Christian (aOR = 10.47; CI = 1.94–56.4; p = 0.006) were more likely to know about the biology, incubation period, causes and prevention of EVD. CONCLUSIONS: Feedback on the level of preparedness for the rural districts helps inform strategies for building capacity of these health centers in terms of infrastructure, logistics and improving knowledge of health care workers. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-10273-2.
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spelling pubmed-78449412021-02-01 Preparedness of health care systems for Ebola outbreak response in Kasese and Rubirizi districts, Western Uganda Kibuule, Michael Sekimpi, Deogratias Agaba, Aggrey Halage, Abdullah Ali Jonga, Michael Manirakiza, Leonard Kansiime, Catherine Travis, Dominic Pelican, Katharine Rwego, Innocent B. BMC Public Health Research Article BACKGROUND: The level of preparedness of the health care workers, the health facility and the entire health system determines the magnitude of the impact of an Ebola Virus Disease (EVD) outbreak as demonstrated by the West African Ebola outbreak. The objective of the study was to assess preparedness of the health care facilities and identify appropriate preparedness measures for Ebola outbreak response in Kasese and Rubirizi districts in western Uganda. METHODS: A cross sectional descriptive study was conducted by interviewing 189 health care workers using a structured questionnaire and visits to 22 health facilities to determine the level of health care system preparedness to EVD outbreak. District level infrastructure capabilities, existence of health facility logistics and supplies, and health care workers’ knowledge of EVD was assessed. EVD Preparedness was assessed on infrastructure and logistical capabilities and the level of knowledge of an individual health work about the etiology, control and prevention of EVD. RESULTS: Twelve out of the 22 of the health facilities, especially health center III’s and IV’s, did not have a line budget to respond to EVD when there was a threat of EVD in a nearby country. The majority (n = 13) of the facilities did not have the following: case definition books, rapid response teams and/or committees, burial teams, and simulation drills. There were no personal protective equipment that could be used within 8 h in case of an EVD outbreak in fourteen of the 22 health facilities. All facilities did not have Viral Hemorrhagic Fever (VHF) incident management centers, isolation units, guidelines for burial, and one-meter distance between a health care worker and a patient during triage. Overall, 54% (n = 102) of health care workers (HCWs) did not know the incubation period of EVD. HCWs who had tertiary education (aOR = 5.79; CI = 1.79–18.70; p = 0.003), and were Christian (aOR = 10.47; CI = 1.94–56.4; p = 0.006) were more likely to know about the biology, incubation period, causes and prevention of EVD. CONCLUSIONS: Feedback on the level of preparedness for the rural districts helps inform strategies for building capacity of these health centers in terms of infrastructure, logistics and improving knowledge of health care workers. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-10273-2. BioMed Central 2021-01-28 /pmc/articles/PMC7844941/ /pubmed/33509138 http://dx.doi.org/10.1186/s12889-021-10273-2 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Kibuule, Michael
Sekimpi, Deogratias
Agaba, Aggrey
Halage, Abdullah Ali
Jonga, Michael
Manirakiza, Leonard
Kansiime, Catherine
Travis, Dominic
Pelican, Katharine
Rwego, Innocent B.
Preparedness of health care systems for Ebola outbreak response in Kasese and Rubirizi districts, Western Uganda
title Preparedness of health care systems for Ebola outbreak response in Kasese and Rubirizi districts, Western Uganda
title_full Preparedness of health care systems for Ebola outbreak response in Kasese and Rubirizi districts, Western Uganda
title_fullStr Preparedness of health care systems for Ebola outbreak response in Kasese and Rubirizi districts, Western Uganda
title_full_unstemmed Preparedness of health care systems for Ebola outbreak response in Kasese and Rubirizi districts, Western Uganda
title_short Preparedness of health care systems for Ebola outbreak response in Kasese and Rubirizi districts, Western Uganda
title_sort preparedness of health care systems for ebola outbreak response in kasese and rubirizi districts, western uganda
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7844941/
https://www.ncbi.nlm.nih.gov/pubmed/33509138
http://dx.doi.org/10.1186/s12889-021-10273-2
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