{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T20:52:33Z","timestamp":1790110353323,"version":"4.0.1"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2018,12,17]],"date-time":"2018-12-17T00:00:00Z","timestamp":1545004800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>During the 2014\u20132016 Ebola outbreak, health services in Liberia collapsed. Health care facilities could not support effective infection prevention and control (IPC) practices to prevent Ebola virus disease (EVD) transmission necessitating their closure. This report describes the process by which health services and infrastructure were recovered in the public hospital in Monrovia, Liberia. The authors conducted an assessment of the existing capacity for health care provision, including qualitative interviews with community members, record reviews in Ebola treatment units, and phone calls to health facilities. Assessment information was used to determine necessary actions to re-establish services, including building and environmental renovations, acquiring IPC supplies, changing health care practices, hiring additional staff, developing and using an EVD screening tool, and implementing psychosocial supports. On-site monitoring was continued for 2 years to assess what changes were sustained. Described in the report are 2 cases that highlight the challenge of safely re-establishing services with only a symptom-based screening tool and no laboratory tests available on-site. Despite fears among the public, health workers, and the international community, the actions taken enabled basic health care services to be provided during EVD transmission and led to sustainable improvements. This experience suggests that providing routine medical needs helps limit the morbidity and mortality during times of disease outbreak. (<jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>. 2018;13:767\u2013773)<\/jats:p>","DOI":"10.1017\/dmp.2018.124","type":"journal-article","created":{"date-parts":[[2018,12,17]],"date-time":"2018-12-17T13:22:06Z","timestamp":1545052926000},"page":"767-773","source":"Crossref","is-referenced-by-count":6,"title":["Health Services and Infrastructure Recovery of a Major Public Hospital in Liberia During the 2014\u20132016 Ebola Epidemic"],"prefix":"10.1017","volume":"13","author":[{"given":"Paul Ochieng","family":"Ndede","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jude Kimbowa","family":"Senkungu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John K.","family":"Shakpeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa E.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Sky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"McDonnell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2018,12,17]]},"reference":[{"key":"S1935789318001246_ref14","unstructured":"14. World Bank. After Ebola, Liberia\u2019s health system on path to recovery. Published June 7, 2017. http:\/\/www.worldbank.org\/en\/news\/feature\/2017\/06\/07\/after-ebola-liberias-health-system-on-path-to-recovery. Accessed November 9, 2018."},{"key":"S1935789318001246_ref12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0003706"},{"key":"S1935789318001246_ref3","doi-asserted-by":"publisher","DOI":"10.1126\/science.aaa3438"},{"key":"S1935789318001246_ref11","unstructured":"11. Fink S , Gladstone R . Liberia reports first Ebola case in weeks. New York Times. Published March 20, 2015, Sect. A:4. http:\/\/www.nytimes.com\/2015\/03\/21\/world\/africa\/liberia-reports-first-ebola-case-in-weeks.html?_r=0_. Accessed November 9, 2018."},{"key":"S1935789318001246_ref9","first-page":"1072","article-title":"Evidence for declining numbers of Ebola cases: Montserrado County, Liberia, June\u2013October 2014","volume":"63","author":"Nyenswah","year":"2014","journal-title":"Morb Mortal Wkly Rep"},{"key":"S1935789318001246_ref7","volume-title":"Ebola Situation Reports"},{"key":"S1935789318001246_ref6","first-page":"1082","article-title":"Ebola epidemic \u2013 Liberia, March to October 2014","volume":"63","author":"Nyenswah","year":"2014","journal-title":"Morb Mortal Wkly Rep"},{"key":"S1935789318001246_ref8","volume-title":"Ebola Situation Reports"},{"key":"S1935789318001246_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2014.117"},{"key":"S1935789318001246_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)00032-7"},{"key":"S1935789318001246_ref1","unstructured":"1. Centers for Disease Control and Prevention. State and local readiness. Published April 25, 2017. https:\/\/www.cdc.gov\/phpr\/readiness\/healthcare\/essentialhc.htm. Accessed November 9, 2018."},{"key":"S1935789318001246_ref10","unstructured":"10. WHO and Christian Medical Society of Liberia. Keep safe keep serving. Published October 3, 2014. https:\/\/www.medbox.org\/ebola-training-material\/keep-safe-keep-serving-standard-safety-measures-for-health-worker\/preview. Accessed December 30, 2017."},{"key":"S1935789318001246_ref5","doi-asserted-by":"publisher","DOI":"10.3201\/eid2202.151456"},{"key":"S1935789318001246_ref4","doi-asserted-by":"publisher","DOI":"10.3201\/eid2104.141940"},{"key":"S1935789318001246_ref13","first-page":"144","article-title":"Ebola check: delivering molecular diagnostics at the point of need","volume":"18","author":"Moschos","year":"2015","journal-title":"Hell J Nucl Med"},{"key":"S1935789318001246_ref2","unstructured":"2. The United Nations. Protecting Humanity from Future Health Crises. Report of the High-level Panel on the global response to health crisis. Published January 26, 2016. http:\/\/www.un.org\/News\/dh\/infocus\/HLP\/2016-02-05_Final_Report_Global_Response_to_Health_Crises.pdf. Accessed November 9, 2018."}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789318001246","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,20]],"date-time":"2020-01-20T10:31:06Z","timestamp":1579516266000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789318001246\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,17]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["S1935789318001246"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2018.124","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,17]]}}}