Response of Healthcare Service Providers, to the Ebola Virus Disease Epidemic in the Democratic Republic of Congo's North Kivu and Ituri Provinces.

Tieman Diarra, Nkechi Onyeneho, Joseph Okeibunor, Bailo Diallo, Michel N'da Konan Yao, Mamoudou Harouna Djingarey, Soce Fall, Dick Chamla, Abdou Salam Gueye
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Abstract

Healthcare service providers are crucial for effective responses to disease outbreaks. However, their performance is dependent on the level of system inputs, people's perception of the system, and their willingness to use health services. This study investigated the functionality of health services and healthcare providers in the Democratic Republic of Congo during the tenth Ebola virus disease outbreak. It employed qualitative methods, including 24 in-depth interviews of healthcare providers and community leaders, and 12 focus-group discussions with community members. The responses showed that the staff did not desert the health centers and remained at their jobs. Throughout this research, only one case of abandonment of duty by a nurse was reported. The healthcare system thus played a major role in responding to the COVID-19 pandemic. However, the healthcare service providers faced several challenges. Suggestions are made to enhance the contributions of healthcare service and its providers to health emergencies in the future.

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医疗服务提供者对刚果民主共和国北基伍省和伊图里省埃博拉病毒疫情的反应。
医疗保健服务提供者对于有效应对疾病爆发至关重要。然而,他们的表现取决于系统投入的水平、人们对系统的看法以及使用医疗服务的意愿。本研究调查了第十次埃博拉病毒疾病爆发期间刚果民主共和国医疗服务和医疗服务提供者的功能。研究采用了定性方法,包括对医疗服务提供者和社区领袖进行的 24 次深入访谈,以及与社区成员进行的 12 次焦点小组讨论。访谈结果显示,医疗中心的工作人员并没有离开医疗中心,而是继续坚守岗位。在整个研究过程中,只报告了一例护士擅离职守的情况。因此,医疗保健系统在应对 COVID-19 大流行中发挥了重要作用。然而,医疗保健服务提供者也面临着一些挑战。本研究提出了一些建议,以提高医疗保健服务及其提供者在未来突发卫生事件中的贡献。
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Commentary: Early-in-life Isoflurane Exposure Alters Resting-State Functional Connectivity in Juvenile Non-human Primates - a Role for Neuroinflammation? Community Involvement in Response to Ebola Virus Disease Epidemic in North Kivu and Ituri, Democratic Republic of Congo: A Mixed-Methods Study. Epidemic Response amidst Insecurity: Addressing the Ebola Virus Epidemic in the Provinces of North Kivu and Ituri. Exploring Alternative Care Platforms for Symptomatic People in the Fight against the Ebola Virus Disease Outbreak. Perceptions and Rumors About the Ebola Virus Disease Vaccine in the Ituri and Kivu Provinces of the Democratic Republic of Congo.
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