{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T12:55:10Z","timestamp":1785156910069,"version":"3.55.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T00:00:00Z","timestamp":1625875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T00:00:00Z","timestamp":1625875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Confl Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The recent Ebola virus disease (EVD) outbreaks in 2021 exemplify how sexual and reproductive health services are too often considered unessential during health emergencies. Bleeding for reasons other than EVD, such as pregnancy complications or rape, can be construed as EVD symptoms, reinforcing fear and stigmatisation, and delaying timely access to adequate care. In this commentary, we urgently call on all humanitarian actors to integrate the Minimum Initial Services Package for Sexual and Reproductive Health in Crisis Situations into current and future EVD preparedness and response efforts.<\/jats:p>","DOI":"10.1186\/s13031-021-00392-3","type":"journal-article","created":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T10:02:44Z","timestamp":1625911364000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A call to safeguard sexual and reproductive health information and services during Ebola outbreaks"],"prefix":"10.1186","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7134-7878","authenticated-orcid":false,"given":"Nguyen Toan","family":"Tran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u00e9sir\u00e9e","family":"Lichtenstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Black","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Rosmini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catrin","family":"Schulte-Hillen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,7,10]]},"reference":[{"key":"392_CR1","volume-title":"Maternal mortality: levels and trends 2000\u20132017; Estimates from WHO, UNICEF, UNFPA, World Bank Group and the United Nations population division","author":"World Health Organization","year":"2017","unstructured":"World Health Organization. Maternal mortality: levels and trends 2000\u20132017; Estimates from WHO, UNICEF, UNFPA, World Bank Group and the United Nations population division. Geneva: World Health Organization; 2017."},{"issue":"3","key":"392_CR2","doi-asserted-by":"publisher","first-page":"931","DOI":"10.4269\/ajtmh.16-0702","volume":"97","author":"PA McQuilkin","year":"2017","unstructured":"McQuilkin PA, Udhayashankar K, Niescierenko M, Maranda L. Health-care access during the Ebola virus epidemic in Liberia. Am J Trop Med Hygiene. 2017;97(3):931\u20136.","journal-title":"Am J Trop Med Hygiene"},{"issue":"suppl_3","key":"392_CR3","doi-asserted-by":"publisher","first-page":"iii32","DOI":"10.1093\/heapol\/czx108","volume":"32","author":"L Sochas","year":"2017","unstructured":"Sochas L, Channon AA, Nam S. Counting indirect crisis-related deaths in the context of a low-resilience health system: the case of maternal and neonatal health during the Ebola epidemic in Sierra Leone. Health Policy Plan. 2017;32(suppl_3):iii32\u20139.","journal-title":"Health Policy Plan"},{"key":"392_CR4","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1007\/978-3-319-97637-2_8","volume-title":"Pregnant in the Time of Ebola","author":"MA Onyango","year":"2019","unstructured":"Onyango MA, Resnick K, Davis A, Shah RR. Gender-based violence among adolescent girls and young women: a neglected consequence of the West African Ebola outbreak. In: Pregnant in the Time of Ebola: Springer; 2019. p. 121\u201332."},{"key":"392_CR5","doi-asserted-by":"publisher","first-page":"e149","DOI":"10.1016\/S1473-3099(20)30194-8","volume":"20","author":"ME Foeller","year":"2020","unstructured":"Foeller ME, do Valle CCR, Foeller TM, Oladapo OT, Roos E, Thorson AE. Pregnancy and breastfeeding in the context of Ebola: A systematic review. Lancet Infect Dis. 2020;20:e149.","journal-title":"Lancet Infect Dis"},{"issue":"5","key":"392_CR6","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1002\/bdra.23558","volume":"109","author":"LM Bebell","year":"2017","unstructured":"Bebell LM, Oduyebo T, Riley LE. Ebola virus disease and pregnancy: a review of the current knowledge of Ebola virus pathogenesis, maternal, and neonatal outcomes. Birth Defects Res. 2017;109(5):353\u201362.","journal-title":"Birth Defects Res"},{"key":"392_CR7","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1016\/j.ijid.2020.05.064","volume":"97","author":"BI Pavlin","year":"2020","unstructured":"Pavlin BI, Hall A, Hajek J, Raja MA, Sharma V, Ramadan OP, et al. Atypical clinical presentation of Ebola virus disease in pregnancy: implications for clinical and public health management. Int J Infect Dis. 2020;97:167\u201373.","journal-title":"Int J Infect Dis"},{"key":"392_CR8","volume-title":"Not all that bleeds is Ebola: how has the DRC Ebola outbreak impacted sexual and reproductive health in north-Kivu","author":"G McKay","year":"2019","unstructured":"McKay G, Black B, Mbambu Kahamba S, Wheeler E, Mearns S, Janvrin A. Not all that bleeds is Ebola: how has the DRC Ebola outbreak impacted sexual and reproductive health in north-Kivu. New York: The International Rescue Committee; 2019."},{"key":"392_CR9","volume-title":"Ebola Virus Disease (EVD) & Sexual and Reproductive Health (SRH): Operational Guidance","author":"Inter-Agency Working Group on Reproductive Health in Crises (IAWG)","year":"2021","unstructured":"Inter-Agency Working Group on Reproductive Health in Crises (IAWG). Ebola Virus Disease (EVD) & Sexual and Reproductive Health (SRH): Operational Guidance. New York: IAWG; 2021. 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Interim infection prevention and control guidance for care of patients with suspected or confirmed filovirus haemorrhagic fever in health-care settings, with focus on Ebola. Geneva: World Health Organization; 2014."}],"container-title":["Conflict and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13031-021-00392-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13031-021-00392-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13031-021-00392-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T10:06:57Z","timestamp":1625911617000},"score":1,"resource":{"primary":{"URL":"https:\/\/conflictandhealth.biomedcentral.com\/articles\/10.1186\/s13031-021-00392-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,10]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["392"],"URL":"https:\/\/doi.org\/10.1186\/s13031-021-00392-3","relation":{},"ISSN":["1752-1505"],"issn-type":[{"value":"1752-1505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,10]]},"assertion":[{"value":"21 June 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 June 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 July 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors have no competing interests to declare.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"57"}}