Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea

Delphin Kolie; Bienvenu Salim Camara; Karifa Kourouma; Fassou Mathias Grovogui; Alexandre Delamou; Abdoul Habib Beavogui; Veerle Hermans; Claude Pierre Muller; Jeffrey Karl Edwards; Johan Van Griensven; Rony Zachariah

doi:doi:10.11648/j.cajph.20190504.13

Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea

Delphin Kolie, Bienvenu Salim Camara, Karifa Kourouma, Fassou Mathias Grovogui, Alexandre Delamou, Abdoul Habib Beavogui, Veerle Hermans, Claude Pierre Muller, Jeffrey Karl Edwards, Johan Van Griensven, Rony Zachariah

Published in Central African Journal of Public Health (Volume 5, Issue 4)

Received: 15 May 2019 Accepted: 14 June 2019 Published: 29 June 2019

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Abstract

This study aimed to measure the effects of Ebola outbreak on antenatal care attendance and malaria management in pregnant women in Guinea. A retrospective cross-sectional study was conducted in two rural malaria-endemic health districts: on the epicentre of the West African Ebola outbreak (Guéckédou) and the other spared by Ebola (Koubia). Data were compared over similar periods of high malaria transmission before, during and after the Ebola outbreak. There were substantial declines in antenatal care visits in Guéckédou, from a monthly average number of 7,208 before the outbreak to 3,151 (57% decrease) during and 2,843 visits (61% decrease) after it while this indicator increased across the same periods in Koubia. In Guéckédou, the number of SP first doses provided dropped from 2,566 before the outbreak to 1,263 (51% decrease) during and 1,010 (61% decrease) after the Ebola outbreak (P < 0.001) while in Koubia, the decline was by 13% and 24% during and after the outbreak from an average number of 499 doses before it (P < 0.001). Fever cases increased by 43% and 38% during and after the outbreak respectively in Guéckédou and by 28% during and 11% after the outbreak in Koubia. Untreated malaria cases represented 11% and 12% of confirmed malaria cases during and after the outbreak respectively compared to 3% before it in Guéckédou, while in Koubia no untreated case was seen across these periods. There is need to uphold malaria services during future outbreaks.

Published in	Central African Journal of Public Health (Volume 5, Issue 4)
DOI	10.11648/j.cajph.20190504.13
Page(s)	149-155
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Malaria, Ebola, Intermittent Preventive Treatment, Guinea, Operational Research

References

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APA Style

Delphin Kolie, Bienvenu Salim Camara, Karifa Kourouma, Fassou Mathias Grovogui, Alexandre Delamou, et al. (2019). Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea. Central African Journal of Public Health, 5(4), 149-155. https://doi.org/10.11648/j.cajph.20190504.13

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ACS Style

Delphin Kolie; Bienvenu Salim Camara; Karifa Kourouma; Fassou Mathias Grovogui; Alexandre Delamou, et al. Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea. Cent. Afr. J. Public Health 2019, 5(4), 149-155. doi: 10.11648/j.cajph.20190504.13

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AMA Style

Delphin Kolie, Bienvenu Salim Camara, Karifa Kourouma, Fassou Mathias Grovogui, Alexandre Delamou, et al. Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea. Cent Afr J Public Health. 2019;5(4):149-155. doi: 10.11648/j.cajph.20190504.13

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@article{10.11648/j.cajph.20190504.13,
  author = {Delphin Kolie and Bienvenu Salim Camara and Karifa Kourouma and Fassou Mathias Grovogui and Alexandre Delamou and Abdoul Habib Beavogui and Veerle Hermans and Claude Pierre Muller and Jeffrey Karl Edwards and Johan Van Griensven and Rony Zachariah},
  title = {Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea},
  journal = {Central African Journal of Public Health},
  volume = {5},
  number = {4},
  pages = {149-155},
  doi = {10.11648/j.cajph.20190504.13},
  url = {https://doi.org/10.11648/j.cajph.20190504.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20190504.13},
  abstract = {This study aimed to measure the effects of Ebola outbreak on antenatal care attendance and malaria management in pregnant women in Guinea. A retrospective cross-sectional study was conducted in two rural malaria-endemic health districts: on the epicentre of the West African Ebola outbreak (Guéckédou) and the other spared by Ebola (Koubia). Data were compared over similar periods of high malaria transmission before, during and after the Ebola outbreak. There were substantial declines in antenatal care visits in Guéckédou, from a monthly average number of 7,208 before the outbreak to 3,151 (57% decrease) during and 2,843 visits (61% decrease) after it while this indicator increased across the same periods in Koubia. In Guéckédou, the number of SP first doses provided dropped from 2,566 before the outbreak to 1,263 (51% decrease) during and 1,010 (61% decrease) after the Ebola outbreak (P < 0.001) while in Koubia, the decline was by 13% and 24% during and after the outbreak from an average number of 499 doses before it (P < 0.001). Fever cases increased by 43% and 38% during and after the outbreak respectively in Guéckédou and by 28% during and 11% after the outbreak in Koubia. Untreated malaria cases represented 11% and 12% of confirmed malaria cases during and after the outbreak respectively compared to 3% before it in Guéckédou, while in Koubia no untreated case was seen across these periods. There is need to uphold malaria services during future outbreaks.},
 year = {2019}
}

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TY  - JOUR
T1  - Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea
AU  - Delphin Kolie
AU  - Bienvenu Salim Camara
AU  - Karifa Kourouma
AU  - Fassou Mathias Grovogui
AU  - Alexandre Delamou
AU  - Abdoul Habib Beavogui
AU  - Veerle Hermans
AU  - Claude Pierre Muller
AU  - Jeffrey Karl Edwards
AU  - Johan Van Griensven
AU  - Rony Zachariah
Y1  - 2019/06/29
PY  - 2019
N1  - https://doi.org/10.11648/j.cajph.20190504.13
DO  - 10.11648/j.cajph.20190504.13
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 149
EP  - 155
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20190504.13
AB  - This study aimed to measure the effects of Ebola outbreak on antenatal care attendance and malaria management in pregnant women in Guinea. A retrospective cross-sectional study was conducted in two rural malaria-endemic health districts: on the epicentre of the West African Ebola outbreak (Guéckédou) and the other spared by Ebola (Koubia). Data were compared over similar periods of high malaria transmission before, during and after the Ebola outbreak. There were substantial declines in antenatal care visits in Guéckédou, from a monthly average number of 7,208 before the outbreak to 3,151 (57% decrease) during and 2,843 visits (61% decrease) after it while this indicator increased across the same periods in Koubia. In Guéckédou, the number of SP first doses provided dropped from 2,566 before the outbreak to 1,263 (51% decrease) during and 1,010 (61% decrease) after the Ebola outbreak (P < 0.001) while in Koubia, the decline was by 13% and 24% during and after the outbreak from an average number of 499 doses before it (P < 0.001). Fever cases increased by 43% and 38% during and after the outbreak respectively in Guéckédou and by 28% during and 11% after the outbreak in Koubia. Untreated malaria cases represented 11% and 12% of confirmed malaria cases during and after the outbreak respectively compared to 3% before it in Guéckédou, while in Koubia no untreated case was seen across these periods. There is need to uphold malaria services during future outbreaks.
VL  - 5
IS  - 4
ER  -

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Author Information

Delphin Kolie

Research Unit, National Training and Research Centre in Rural Health of Maferinyah, Forécariah, Guinea
Bienvenu Salim Camara

Research Unit, National Training and Research Centre in Rural Health of Maferinyah, Forécariah, Guinea
Karifa Kourouma

Research Unit, National Training and Research Centre in Rural Health of Maferinyah, Forécariah, Guinea
Fassou Mathias Grovogui

Research Unit, National Training and Research Centre in Rural Health of Maferinyah, Forécariah, Guinea
Alexandre Delamou

Research Unit, National Training and Research Centre in Rural Health of Maferinyah, Forécariah, Guinea
Abdoul Habib Beavogui

Research Unit, National Training and Research Centre in Rural Health of Maferinyah, Forécariah, Guinea
Veerle Hermans

Medical Department, Doctors Without Borders Brusels, Luxembourg, Luxembourg
Claude Pierre Muller

Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg
Jeffrey Karl Edwards

Medical Department, Doctors Without Borders Brusels, Luxembourg, Luxembourg
Johan Van Griensven

Clinical Sciences Department, Institute of Tropical Medicine, Antwerp, Belgium
Rony Zachariah

Medical Department, Doctors Without Borders Brusels, Luxembourg, Luxembourg

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APA Style

Delphin Kolie, Bienvenu Salim Camara, Karifa Kourouma, Fassou Mathias Grovogui, Alexandre Delamou, et al. (2019). Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea. Central African Journal of Public Health, 5(4), 149-155. https://doi.org/10.11648/j.cajph.20190504.13

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Delphin Kolie; Bienvenu Salim Camara; Karifa Kourouma; Fassou Mathias Grovogui; Alexandre Delamou, et al. Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea. Cent. Afr. J. Public Health 2019, 5(4), 149-155. doi: 10.11648/j.cajph.20190504.13

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AMA Style

Delphin Kolie, Bienvenu Salim Camara, Karifa Kourouma, Fassou Mathias Grovogui, Alexandre Delamou, et al. Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea. Cent Afr J Public Health. 2019;5(4):149-155. doi: 10.11648/j.cajph.20190504.13

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@article{10.11648/j.cajph.20190504.13,
  author = {Delphin Kolie and Bienvenu Salim Camara and Karifa Kourouma and Fassou Mathias Grovogui and Alexandre Delamou and Abdoul Habib Beavogui and Veerle Hermans and Claude Pierre Muller and Jeffrey Karl Edwards and Johan Van Griensven and Rony Zachariah},
  title = {Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea},
  journal = {Central African Journal of Public Health},
  volume = {5},
  number = {4},
  pages = {149-155},
  doi = {10.11648/j.cajph.20190504.13},
  url = {https://doi.org/10.11648/j.cajph.20190504.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20190504.13},
  abstract = {This study aimed to measure the effects of Ebola outbreak on antenatal care attendance and malaria management in pregnant women in Guinea. A retrospective cross-sectional study was conducted in two rural malaria-endemic health districts: on the epicentre of the West African Ebola outbreak (Guéckédou) and the other spared by Ebola (Koubia). Data were compared over similar periods of high malaria transmission before, during and after the Ebola outbreak. There were substantial declines in antenatal care visits in Guéckédou, from a monthly average number of 7,208 before the outbreak to 3,151 (57% decrease) during and 2,843 visits (61% decrease) after it while this indicator increased across the same periods in Koubia. In Guéckédou, the number of SP first doses provided dropped from 2,566 before the outbreak to 1,263 (51% decrease) during and 1,010 (61% decrease) after the Ebola outbreak (P < 0.001) while in Koubia, the decline was by 13% and 24% during and after the outbreak from an average number of 499 doses before it (P < 0.001). Fever cases increased by 43% and 38% during and after the outbreak respectively in Guéckédou and by 28% during and 11% after the outbreak in Koubia. Untreated malaria cases represented 11% and 12% of confirmed malaria cases during and after the outbreak respectively compared to 3% before it in Guéckédou, while in Koubia no untreated case was seen across these periods. There is need to uphold malaria services during future outbreaks.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea
AU  - Delphin Kolie
AU  - Bienvenu Salim Camara
AU  - Karifa Kourouma
AU  - Fassou Mathias Grovogui
AU  - Alexandre Delamou
AU  - Abdoul Habib Beavogui
AU  - Veerle Hermans
AU  - Claude Pierre Muller
AU  - Jeffrey Karl Edwards
AU  - Johan Van Griensven
AU  - Rony Zachariah
Y1  - 2019/06/29
PY  - 2019
N1  - https://doi.org/10.11648/j.cajph.20190504.13
DO  - 10.11648/j.cajph.20190504.13
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 149
EP  - 155
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20190504.13
AB  - This study aimed to measure the effects of Ebola outbreak on antenatal care attendance and malaria management in pregnant women in Guinea. A retrospective cross-sectional study was conducted in two rural malaria-endemic health districts: on the epicentre of the West African Ebola outbreak (Guéckédou) and the other spared by Ebola (Koubia). Data were compared over similar periods of high malaria transmission before, during and after the Ebola outbreak. There were substantial declines in antenatal care visits in Guéckédou, from a monthly average number of 7,208 before the outbreak to 3,151 (57% decrease) during and 2,843 visits (61% decrease) after it while this indicator increased across the same periods in Koubia. In Guéckédou, the number of SP first doses provided dropped from 2,566 before the outbreak to 1,263 (51% decrease) during and 1,010 (61% decrease) after the Ebola outbreak (P < 0.001) while in Koubia, the decline was by 13% and 24% during and after the outbreak from an average number of 499 doses before it (P < 0.001). Fever cases increased by 43% and 38% during and after the outbreak respectively in Guéckédou and by 28% during and 11% after the outbreak in Koubia. Untreated malaria cases represented 11% and 12% of confirmed malaria cases during and after the outbreak respectively compared to 3% before it in Guéckédou, while in Koubia no untreated case was seen across these periods. There is need to uphold malaria services during future outbreaks.
VL  - 5
IS  - 4
ER  -

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