{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T04:44:45Z","timestamp":1790052285463,"version":"4.0.1"},"reference-count":0,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"Supplement 1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["public health action"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    The 82 public health facilities of rural Kailahun District, Sierra Leone.\n                    <jats:bold>Objective:<\/jats:bold>\n                    The 2014\u20132015 Ebola virus disease outbreak in Sierra Leone led the Ministry of Health and Sanitation and stakeholders to set minimum standards of staffing (medical\/non-medical) for a basic package of essential health services (BPEHS). No district-level information exists on staffing levels in relation to the Ebola outbreak. We examined the staffing levels before the Ebola outbreak, during the last month of the outbreak and 4 months after the outbreak, as well as Ebola-related deaths among health care workers (HCWs).\n                    <jats:bold>Design:<\/jats:bold>\n                    This was a retrospective cross-sectional study.\n                    <jats:bold>Results:<\/jats:bold>\n                    Of 805 recommended medical staff (the minimum requirement for 82 health facilities), there were deficits of 539 (67%) pre-Ebola, 528 (65%) during the Ebola outbreak and 501 (62%) post-Ebola, hovering at staff shortages of &gt;50% at all levels of health facilities. Of the 569 requisite non-medical staff, the gap remained consistent, at 92%, in the three time periods. Of the 1374 overall HCWs recommended by the BPEHS, the current staff shortage is 1026 (75%). Of 321 facility-based HCWs present during Ebola, there were 15 (14 medical and one non-medical staff) Ebola-related and three non-Ebola related deaths among HCWs.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The post-Ebola health-related human resource deficit is alarmingly high, with very few staff available to work. We call for urgent political will, resources and international collaboration to address this situation.\n                  <\/jats:p>","DOI":"10.5588\/pha.16.0089","type":"journal-article","created":{"date-parts":[[2017,7,18]],"date-time":"2017-07-18T23:11:03Z","timestamp":1500419463000},"page":"S47-S54","source":"Crossref","is-referenced-by-count":15,"title":["The Ebola outbreak and staffing in public health facilities in rural Sierra Leone: who is left to do the job?"],"prefix":"10.5588","volume":"7","author":[{"given":"J.","family":"Sylvester Squire","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Hann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Denisiuk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kamara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Tamang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Zachariah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3554","published-online":{"date-parts":[[2017,6,1]]},"container-title":["Public Health Action"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.5588\/pha.16.0089","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T17:26:23Z","timestamp":1768411583000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.theunion.org\/lookup\/doi\/10.5588\/pha.16.0089"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":0,"journal-issue":{"issue":"Supplement 1","published-online":{"date-parts":[[2017,6,1]]},"published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.5588\/pha.16.0089"],"URL":"https:\/\/doi.org\/10.5588\/pha.16.0089","relation":{},"ISSN":["2220-8372"],"issn-type":[{"value":"2220-8372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6]]}}}