Avenir Health, Glastonbury, CT, USA.
Stud Fam Plann. 2020 Mar;51(1):71-86. doi: 10.1111/sifp.12110. Epub 2020 Mar 16.
The West African Ebola outbreak of 2013-2016 had the potential to devastate family planning programs in affected countries, which had made great progress in years prior. We examine monthly provision of family planning service statistics from government sources for Liberia and Sierra Leone from 6 months before the first Ebola case to 24 months after the last Ebola case to measure the impact during and after the epidemic. By calculating the couple-years of protection from service statistics, we find that family planning distribution declined by 65 percent in Liberia and 23 percent in Sierra Leone at the peak of the epidemic. Two years after Ebola, Liberia's average monthly contraception distribution is 39 percent above precrisis levels, while distribution in Sierra Leone increased by 27 percent, findings echoed in data from the Demographic and Health Survey and Multiple Indicator Cluster Survey. Increased contraceptive use comes from implants in both countries, and injectables in Liberia. This study indicates that the family planning sector can recover, and continue to improve, following a significant disruption and is a lesson in resilience.
2013-2016 年西非埃博拉疫情有可能破坏受疫情影响国家的计划生育项目，而这些国家在之前几年已经取得了重大进展。我们从政府来源审查了利比里亚和塞拉利昂在首例埃博拉病例发生前 6 个月至最后一例埃博拉病例发生后 24 个月的每月计划生育服务统计数据，以衡量疫情期间和之后的影响。通过计算服务统计数据的保护夫妻年数，我们发现，在疫情高峰期，利比里亚的计划生育发放量下降了 65%，塞拉利昂下降了 23%。埃博拉疫情两年后，利比里亚每月避孕用品的平均发放量比危机前水平高出 39%，而塞拉利昂的发放量增加了 27%，这一发现与人口与健康调查和多指标类集调查的数据相呼应。两国的避孕措施使用率都有所增加，其中包括塞拉利昂的注射剂和利比里亚的植入剂。这项研究表明，计划生育部门在经历重大中断后可以恢复并继续改进，这是一个具有弹性的教训。
