2016
DOI: 10.1016/s0140-6736(16)31895-5
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The post-Ebola baby boom: time to strengthen health systems

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Cited by 16 publications
(12 citation statements)
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“…However, more precise estimates of the birth rates are unknown because previous studies of epidemics suggest a range from 0.25 to 2 births being added per each death toll in the course of 1 to 5 years after an epidemic. The reduction of 1 birth in 1918 during Spanish flu, was followed by an increase of 1.5 conception 1 year later and resulted in a baby boom (32,37). This suggests that the COVID-19 pandemic is also very likely to influence the global fertility rate significantly.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…However, more precise estimates of the birth rates are unknown because previous studies of epidemics suggest a range from 0.25 to 2 births being added per each death toll in the course of 1 to 5 years after an epidemic. The reduction of 1 birth in 1918 during Spanish flu, was followed by an increase of 1.5 conception 1 year later and resulted in a baby boom (32,37). This suggests that the COVID-19 pandemic is also very likely to influence the global fertility rate significantly.…”
Section: Discussionmentioning
confidence: 99%
“…During and after the Ebola epidemic, the birth rate declined, but after the announcement of several countries as being Ebola-free, the birth rate temporarily rose. For instance, in Liberia, a sharp decline in birth rates was observed during the first 6 months from the beginning of the Ebola outbreak, whereas a 33% rise was reported for 5 months in the 17 months preceding the outbreak (37,37,38).…”
Section: Correspondence Between Covid-19 and Other Preceding Epidemicsmentioning
confidence: 99%
“…The loss of medroxyprogesterone acetate doses may have lasting negative impacts on MCH across Liberia as unintended pregnancies are linked to elevated risks of low birth weight, child malnutrition and mortality, and maternal mortality [ 36 ]. The disruption of access to long-acting reversible contraception during the EVD outbreak could also partially explain the observed increases in recorded births post-EVD [ 37 ]. The slow recovery of first ANC visits and PNC visits to pre-EVD levels may warrant targeted interventions, especially considering the persistent gaps in PNC coverage pre-EVD [ 32 ], as well as the essential role that first ANC visits play in the health of mother and child.…”
Section: Discussionmentioning
confidence: 99%
“…Experiencing a disaster can trigger the desire to ‘rebuild’ communities, reducing the need for family planning methods,36 or communities may prefer traditional methods of contraception 37. However, the reduction in family planning use in Pujehun district did not translate into an increase in institutional deliveries as occurred in neighbouring Liberia 38. Although no further transmissions of Ebola took place in the Pujehun district after November 2015, the awareness of the ongoing transmission elsewhere in Sierra Leone, in Guinea and Liberia might have influenced health seeking behaviours 39 40.…”
Section: Discussionmentioning
confidence: 99%