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加强利比里亚埃博拉疫情期间及疫情后的医疗人力能力:一种创新且有效的疫情防范与应对方法。

Strengthening healthcare workforce capacity during and post Ebola outbreaks in Liberia: an innovative and effective approach to epidemic preparedness and response.

作者信息

Bemah Philip, Baller April, Cooper Catherine, Massaquoi Moses, Skrip Laura, Rude Julius Monday, Twyman Anthony, Moses Phiona, Seifeldin Redda, Udhayashankar Kanagasabai, Enrique Kayla, Niescierenko Michelle, Owen Chantelle, Brown Lauren, Boukaré Bonkoungou, Williams Desmond, Nyenswah Tolbert, Kateh Francis, Dahn Bernice, Gasasira Alex, Fall Ibrahima Socé

机构信息

National Public Health Institute of Liberia.

World Health Organization, Monrovia, Liberia.

出版信息

Pan Afr Med J. 2019 May 31;33(Suppl 2):9. doi: 10.11604/pamj.supp.2019.33.2.17619. eCollection 2019.

DOI:10.11604/pamj.supp.2019.33.2.17619
PMID:31402967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6675930/
Abstract

INTRODUCTION

The 2014-2016 Ebola virus disease (EVD) outbreak in Liberia highlighted the importance of robust preparedness measures for a well-coordinated response; the initially delayed response contributed to the steep incidence of cases, infections among health care workers, and a collapse of the health care system. To strengthen local capacity and combat disease transmission, various healthcare worker (HCW) trainings, including the Ebola treatment unit (ETU) training, safe & quality services (SQS) training and rapid response team (RRT), were developed and implemented between 2014 and 2017.

METHODS

Data from the ETU, SQS and RRT trainings were analyzed to determine knowledge and confidence gained.

RESULTS

The ETU, SQS and RRT training were completed by a total of 21,248 participants. There were improvements in knowledge and confidence, an associated reduction in HCWs infection and reduced response time to subsequent public health events.

CONCLUSION

No infections were reported by healthcare workers in Liberia since the completion of these training programs. HCW training programmes initiated during and post disease outbreak can boost public trust in the health system while providing an entry point for establishing an Epidemic Preparedness and Response (EPR) framework in resource-limited settings.

摘要

引言

2014 - 2016年利比里亚爆发的埃博拉病毒病(EVD)凸显了强有力的防范措施对于协调一致应对的重要性;最初的延迟应对导致病例急剧增加、医护人员感染以及医疗系统崩溃。为加强当地能力并抗击疾病传播,2014年至2017年期间开展并实施了各种医护人员培训,包括埃博拉治疗单元(ETU)培训、安全与优质服务(SQS)培训以及快速反应小组(RRT)培训。

方法

对埃博拉治疗单元、安全与优质服务以及快速反应小组培训的数据进行分析,以确定所获得的知识和信心。

结果

共有21248名参与者完成了埃博拉治疗单元、安全与优质服务以及快速反应小组培训。知识和信心有所提高,医护人员感染相关情况减少,对后续公共卫生事件的反应时间缩短。

结论

自这些培训项目完成以来,利比里亚未报告医护人员感染情况。在疾病爆发期间及之后启动的医护人员培训项目可以增强公众对卫生系统的信任,同时为在资源有限的环境中建立疫情防范和应对(EPR)框架提供切入点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/8d0bf3e71d53/PAMJ-SUPP-33-2-09-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/fe46dc4e3836/PAMJ-SUPP-33-2-09-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/4ee478579691/PAMJ-SUPP-33-2-09-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/7bfc617f6593/PAMJ-SUPP-33-2-09-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/61e093c55508/PAMJ-SUPP-33-2-09-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/da652985bc0c/PAMJ-SUPP-33-2-09-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/8d0bf3e71d53/PAMJ-SUPP-33-2-09-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/fe46dc4e3836/PAMJ-SUPP-33-2-09-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/4ee478579691/PAMJ-SUPP-33-2-09-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/7bfc617f6593/PAMJ-SUPP-33-2-09-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/61e093c55508/PAMJ-SUPP-33-2-09-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/da652985bc0c/PAMJ-SUPP-33-2-09-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71b/6675930/8d0bf3e71d53/PAMJ-SUPP-33-2-09-g006.jpg

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