Author: Drevin, Gustaf; Mölsted Alvesson, Helle; van Duinen, Alex; Bolkan, Håkon A; Koroma, Alimamy P; Von Schreeb, Johan
Title: ”For this one, let me take the risk”: why surgical staff continued to perform caesarean sections during the 2014–2016 Ebola epidemic in Sierra Leone Document date: 2019_7_19
ID: yfai0izm_62
Snippet: Our interviews found that the continued CS provision during the EVD outbreak in Sierra Leone depended on individual providers. Public hospitals relied on resourceful and motivated individual surgical champions that prioritised obstetric emergencies. A resilient health system may withstand shocks such as an EVD outbreak for a short period if it has local healthcare heroes that are willing to take risks. However, individuals cannot compensate for h.....
Document: Our interviews found that the continued CS provision during the EVD outbreak in Sierra Leone depended on individual providers. Public hospitals relied on resourceful and motivated individual surgical champions that prioritised obstetric emergencies. A resilient health system may withstand shocks such as an EVD outbreak for a short period if it has local healthcare heroes that are willing to take risks. However, individuals cannot compensate for health system shortcomings without support. Such support must be prepared and ready to be implemented and include protection of and support for healthworkers at significant risk. This might both improve routine healthcare provision and build health systems resilience against the shocks of future epidemics.
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