The link between the West African Ebola outbreak and health systems in Guinea, Liberia and Sierra Leone: a systematic review

by Haitham Shoman, Emilie Karafillakis and Salman Rawaf
Globalization and Health,2017,13:1 – Published: 4 January 2017

22 pp. 918 kB
http://globalizationandhealth.biomedcentral.com/track/pdf/10.1186/s12992-016-0224-
2?site=globalizationandhealth.biomedcentral.com

The aim of this study was to determine the effects of health systems’ organisation and performance on the West African Ebola outbreak in Guinea, Liberia and Sierra Leone and lessons learned. The WHO health system building blocks were used to evaluate the performance of the health systems in these countries. The authors conclude that ensuring an adequate and efficient health workforce is of the utmost importance to ensure a strong health system and a quick response to new outbreaks. Adequate service delivery results from a collective success of the other blocks. Health financing and its management is crucial to ensure availability of medical products, fund payments to staff and purchase necessary equipment. However, leadership and governance needs to be rigorously explored on their main defects to control the outbreak.

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