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The objective of the study was to assess preparedness of the health care facilities and identify appropriate preparedness measures for Ebola outbreak response in Kasese and Rubirizi districts in western Uganda.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross sectional descriptive study was conducted by interviewing 189 health care workers using a structured questionnaire and visits to 22 health facilities to determine the level of health care system preparedness to EVD outbreak. District level infrastructure capabilities, existence of health facility logistics and supplies, and health care workers\u2019 knowledge of EVD was assessed. EVD Preparedness was assessed on infrastructure and logistical capabilities and the level of knowledge of an individual health work about the etiology, control and prevention of EVD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twelve out of the 22 of the health facilities, especially health center III\u2019s and IV\u2019s, did not have a line budget to respond to EVD when there was a threat of EVD in a\u00a0nearby country. The majority (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913) of the facilities did not have the following: case definition books, rapid response teams and\/or committees, burial teams, and\u00a0simulation drills. There were no personal protective equipment that could be used within 8\u2009h in case of an EVD outbreak in\u00a0fourteen of the 22\u00a0health facilities. All facilities did not have Viral Hemorrhagic Fever (VHF) incident management centers, isolation units, guidelines for burial, and one-meter distance between a\u00a0health care worker and a\u00a0patient during triage. Overall, 54% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009102) of health care workers (HCWs) did not know the incubation period of EVD. HCWs who had tertiary education (aOR\u2009=\u20095.79; CI\u2009=\u20091.79\u201318.70;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), and were Christian (aOR\u2009=\u200910.47; CI\u2009=\u20091.94\u201356.4;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006) were more likely to know about the biology, incubation period, causes and prevention of EVD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Feedback on the level of preparedness for the rural districts helps inform strategies for building capacity of these health centers in terms of infrastructure, logistics and improving knowledge of health care workers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-021-10273-2","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T08:06:26Z","timestamp":1611821186000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Preparedness of health care systems for Ebola outbreak response in Kasese and Rubirizi districts, Western Uganda"],"prefix":"10.1186","volume":"21","author":[{"given":"Michael","family":"Kibuule","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deogratias","family":"Sekimpi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aggrey","family":"Agaba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah Ali","family":"Halage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Jonga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonard","family":"Manirakiza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Kansiime","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominic","family":"Travis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharine","family":"Pelican","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1274-7788","authenticated-orcid":false,"given":"Innocent B.","family":"Rwego","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"key":"10273_CR1","volume-title":"The Ebola Virus Disease Consolidated Preparedness Checklist Revision 1","author":"WHO","year":"2015","unstructured":"WHO. 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The proposal and the sample collection protocol were then submitted to Uganda National Science and Technology (UNCST) for final approval. A written informed consent was obtained from each of the participant. Permission to go the health facilities was sought from the District health offices and respective in-charges of hospitals and the health facilities.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"236"}}