Implementation of the first dedicated Ebola screening and isolation for
                        maternity patients in Sierra Leone

Garde, Diana; Hall, Andy; Marsh, Regan H.; Barron, Kathryn; Dierberg, Kerry; Koroma, Alimamy P.

doi:10.1016/j.aogh.2016.04.164

Cited by 6 publications

(5 citation statements)

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“…Different types of learning interventions are described across the studies. The majority of the studies used in-person training as an intervention [ 13 , 15 , 19 – 23 , 31 , 34 , 35 , 38 – 43 , 47 , 49 – 51 , 53 , 56 , 62 , 67 , 68 , 71 , 73 , 74 , 76 – 79 , 81 – 83 , 88 , 94 , 98 – 101 , 105 , 109 , 110 , 112 , 119 , 121 , 123 – 127 , 129 – 132 , 134 , 136 , 137 , 139 – 142 , 144 , 145 , 147 – 152 , 154 – 160 , 162 , 166 , 173 , 175 , 179 –…”

Section: Resultsmentioning

confidence: 99%

“…27 studies analyzed how training during a health emergency impacted on the quality of life of healthcare workers, citizens and volunteers. The endpoints included: acceptability [ 296 ], anxiety [ 210 ], confidence [ 194 ], mental health [ 46 , 200 , 221 , 223 , 277 , 314 ], preparedness [ 136 , 140 , 143 , 144 , 154 , 160 , 258 , 270 , 278 , 328 ], satisfaction [ 31 , 171 , 199 , 329 – 331 ], community cohesion [ 270 ] and social adaptation [ 292 ]. Most of the learning interventions were given after health emergencies occurred.…”

Section: Prominent Topic Areasmentioning

confidence: 99%

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Learning interventions and training methods in health emergencies: A scoping review

Utunen,

Balaciano,

Arabi

et al. 2024

PLoS ONE

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Background Keeping the health workforce and the public informed about the latest evolving health information during a health emergency is critical to preventing, detecting and responding to infectious disease outbreaks or other health emergencies. Having a well-informed, ready, willing, and skilled workforce and an informed public can help save lives, reduce diseases and suffering, and minimize socio-economic loss in affected communities and countries. Providing “just in time” support and opportunities for learning in health emergencies is much needed for capacity building. In this paper, ‘learning intervention’ refers to the provision of ad-hoc, focused, or personalized training sessions with the goal of preparing the health workers for emergencies or filling specific knowledge or skill gaps. We refer to ‘training methods’ as instructional design strategies used to teach someone the necessary knowledge and skills to perform a task. Methods We conducted a scoping review to map and better understand what learning interventions and training methods have been used in different types of health emergencies and by whom. Studies were identified using six databases (Pubmed/Medline, Embase, Hinari, WorldCat, CABI and Web of Science) and by consulting with experts. Characteristics of studies were mapped and displayed and major topic areas were identified. Results Of the 319 records that were included, contexts most frequently covered were COVID-19, disasters in general, Ebola and wars. Four prominent topic areas were identified: 1) Knowledge acquisition, 2) Emergency plans, 3) Impact of the learning intervention, and 4) Training methods. Much of the evidence was based on observational methods with few trials, which likely reflects the unique context of each health emergency. Evolution of methods was apparent, particularly in virtual learning. Learning during health emergencies appeared to improve knowledge, general management of the situation, quality of life of both trainers and affected population, satisfaction and clinical outcomes. Conclusion This is the first scoping review to map the evidence, which serves as a first step in developing urgently needed global guidance to further improve the quality and reach of learning interventions and training methods in this context.

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Section: Resultsmentioning

confidence: 99%

Section: Prominent Topic Areasmentioning

confidence: 99%

Learning interventions and training methods in health emergencies: A scoping review

Utunen,

Balaciano,

Arabi

et al. 2024

PLoS ONE

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“…Triage and isolation protocol implementation and mobile health clinics were found to be effective in Sierra Leone [ 50 , 51 ]. In addition, despite being at a very high risk of contracting Ebola during the outbreak, nurses and midwives continued to provide care in Sierra Leone due to various motivations, including professional duty, responsibility to the community, and religious beliefs [ 52 ].…”

Section: Resultsmentioning

confidence: 99%

“…A free-of-cost availability of effective contraception resulted in better uptake and utilization during the Zika outbreak in Puerto Rico [ 28 ]. During the EVD outbreak in Sierra Leone, policies to improve screening accuracy, nursing skills, IPC, and quality of care resulted in increased efficiency and quality of system depicted by the enhanced patient flow [ 50 ]. Similarly, the communities received mobile health clinics in Sierra Leone enthusiastically, particularly in remote areas [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Scoping Review on the Impact of Outbreaks on Sexual and Reproductive Health Services: Proposed Frameworks for Pre-, Intra-, and Postoutbreak Situations

Azmat

Ali

Siddiqui

et al. 2021

BioMed Research International

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Introduction. Recent experiences from global outbreaks have highlighted the severe disruptions in sexual and reproductive health services that expose women and girls to preventable health risks. Yet, to date, there is no review studying the possible impact of outbreaks on sexual and reproductive health (SRH). Methodology. Studies reporting outbreaks impacting sexual and reproductive health and pregnancy outcomes were identified using MEDLINE, Embase, and ISI-WoS. Reported impacts were reviewed at systems, community, and legislative levels. Results. The initial run listed 4423 studies; the 37 studies that met all inclusion criteria were mainly from Latin America and Africa. Studies on outbreaks of diseases like Zika and Ebola have documented declines in facility-based deliveries, contraceptive use, and antenatal and institutional care due to burdened healthcare system. Service usage was also impacted by a lack of trust in the healthcare system and system shocks, including workforce capacity and availability. At the community level, poverty and lack of awareness were critical contributors to poor access to SRH services. Assessing the target population’s knowledge, attitude, beliefs, and behavior and using health literacy principles for communication were fundamental for designing service delivery. Online resources for SRH services were an acceptable medium of information among young adults. In outbreak situations, SRH and pregnancy outcomes were improved by implementing laboratory surveillance, free-of-cost contraceptive services, improved screening through professional training, and quality of care. In addition, mobile health clinics were reported to be effective in remote areas. Knowledge Contribution. In outbreaks, the interventions are categorized into preoutbreak, during, and postoutbreak periods. The proposed steps can help to improve and do course correction in emergencies. Though conducted before the COVID-19 crisis, the authors believe that lessons can be drawn from the paper to understand and mitigate the impact of the pandemic on sexual and reproductive health services.

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“…27 studies analyzed how training during a health emergency impacted on the quality of life of healthcare workers, citizens and volunteers. The endpoints included: acceptability (295), anxiety (209), confidence (193), mental health (45,199,220,222,276,313), preparedness (135,139,142,143,153,159,257,269,277,327), satisfaction (30,170,198,(328)(329)(330), community cohesion (269) and social adaptation (291). Most of the learning interventions were given after health emergencies occurred.…”

Section: Impact Of Learning Interventionsmentioning

confidence: 99%

Learning interventions and training methods in health emergencies: A scoping review

Utunen,

Balaciano,

Arabi

et al. 2023

Preprint

View full text Add to dashboard Cite

BackgroundKeeping the health workforce and the public informed with the latest evolving knowledge is critical to preventing, detecting and responding to infectious disease outbreaks or other health emergencies. Having a well informed, ready, willing, and skilled workforce and an informed public can help save lives, reduce diseases and suffering, and minimize socio-economic loss in affected communities and countries. Providing support and opportunities for learning in health emergencies is much needed for capacity building. In this paper, ‘learning intervention’ refers to the provision of ad-hoc, focused, or personalized training sessions with the goal of preparing the health workers for emergencies or filling specific knowledge or skill gaps. We refer to ‘training methods’ as instructional design strategies used to teach someone the necessary knowledge and skills to perform a task.MethodsWe conducted a scoping review to map and better understand what learning interventions and training methods have been used in the different types of health emergencies and with whom. Studies were identified by searching Pubmed/Medline, Embase and consulting with experts.ResultsOf the 319 records that were included, contexts related to COVID-19, disasters in general, Ebola and wars were most frequently covered. Four topic areas were identified: Knowledge evaluation, Emergency Plans, Impact of the learning intervention, and training methods. Much of the evidence was based on observational methods with few trials, which likely reflects the unique context of each health emergency. Evolution of methods was apparent, particularly in virtual learning. Learning during health emergencies appeared to improve knowledge, management, quality of life, satisfaction and clinical outcomes.ConclusionThis is the first scoping review to map the evidence, which serves as a first step to develop urgently needed global guidance to further improve the quality and reach of learning interventions and training methods in this context.

show abstract

Implementation of the first dedicated Ebola screening and isolation for maternity patients in Sierra Leone

Cited by 6 publications

References 0 publications

Learning interventions and training methods in health emergencies: A scoping review

Learning interventions and training methods in health emergencies: A scoping review

Scoping Review on the Impact of Outbreaks on Sexual and Reproductive Health Services: Proposed Frameworks for Pre-, Intra-, and Postoutbreak Situations

Learning interventions and training methods in health emergencies: A scoping review

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