Squire James Sylvester, Hann Katrina, Denisiuk Olga, Zachariah Rony
Directorate of Health Security and Emergencies, Ministry of Health and Sanitation, Freetown, Sierra Leone.
Sustainable Health Systems, Freetown, Sierra Leone.
F1000Res. 2019 Jun 6;8:793. doi: 10.12688/f1000research.18566.2. eCollection 2019.
The 2014-2015 Ebola outbreak in Sierra Leone led the Ministry of Health and Sanitation to set minimum standards of staffing (medical/non-medical) at the district level for the provision of basic essential health services (BPEHS). In one of the worst Ebola affected districts in Sierra Leone, we assessed staffing levels measured against these stipulated standards before, during, and 16 months after the Ebola outbreak. The study population included all health workers in 83 health facilities. We assessed staffing levels at three points in time: pre-Ebola (April 2014); the end of the outbreak (November 2015); and 16 months post-Ebola (March 2017). April 2014 was immediately prior to the Ebola outbreak and thus representative of the human resource situation before the outbreak. November 2015 was the month when Sierra Leone was declared Ebola-free, and thus reflects the end-situation after Ebola. March 2017 was two years since the launch of the BPEHS, and some progress should be expected. Against recommended medical staff numbers during pre-, intra- and post-Ebola periods, deficits were 67%, 65% and 60% respectively. Similarly, against recommended non-medical staff numbers during pre-, intra- and post-Ebola periods, the deficit remained at 92% throughout. In the post-Ebola period, there was a deficit of 73% against 1,389 recommended health worker positions. in the state of human resources for health, and urgent measures are needed to rectify the situation and prevent a in the advent of a new Ebola outbreak.
2014 - 2015年在塞拉利昂爆发的埃博拉疫情促使卫生与环境卫生部制定了地区层面提供基本必需卫生服务（BPEHS）的最低人员配备标准（医疗/非医疗）。在塞拉利昂受埃博拉疫情影响最严重的一个地区，我们评估了在埃博拉疫情爆发前、爆发期间以及爆发后16个月，对照这些规定标准衡量的人员配备水平。研究对象包括83个卫生设施中的所有卫生工作者。我们在三个时间点评估人员配备水平：埃博拉疫情爆发前（2014年4月）；疫情结束时（2015年11月）；以及埃博拉疫情爆发后16个月（2017年3月）。2014年4月紧接在埃博拉疫情爆发之前，因此代表了疫情爆发前的人力资源状况。2015年11月是塞拉利昂宣布摆脱埃博拉疫情的月份，因此反映了埃博拉疫情后的最终状况。2017年3月是BPEHS启动两年后，应该会有一些进展。与埃博拉疫情爆发前、爆发期间和爆发后推荐的医务人员数量相比，短缺率分别为67%、65%和60%。同样地，与埃博拉疫情爆发前、爆发期间和爆发后推荐的非医务人员数量相比，短缺率始终保持在92%。在埃博拉疫情爆发后时期，相对于1389个推荐的卫生工作者岗位，短缺率为73%。卫生人力资源状况堪忧，需要采取紧急措施来纠正这一局面，并防止在新的埃博拉疫情爆发时出现（问题）。
