The effect of the Ebola pandemic on Immunization service

 

Topic: A review of the effect of Ebola Pandemic on immunization service delivery in Liberia

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Ebola is a disease that is very rare and is fatal in both human and primates (CDC).  A case of Ebolareported is consider an outbreak. There have been several Ebola Virus Disease outbreaks reported mainly in sub-Sahara Africa. The Ebola epidemic which started in 2014 was the first in west Africa and the largest outbreak ever recorded of the Ebola virus disease. The Ebola Epidemic from 2014 to2016 ravaged three countries namely: Guinea, Liberia and Sierra Leone with few outbreaks reported outside due to spread from infected persons from within these countries. The Ebola Outbreak crippled the existing fragile health systems in the affected countries and to end the outbreak required the collective efforts from the community and government. Up to today, these under developed countries are dealing with the aftermath of Ebola while also using the experience to counter the recent Coronavirus 2019 (COVID-19) pandemic. The immunization program of Liberia is task with the responsibility of delivering potent and efficacy vaccine to women of Child bearing age and child below the age of 2 years. At the time of the Ebola outbreak, the program was offering vaccines against 9 diseases (tuberculosis, poliomyelitis, diphtheria, pertussis, Hepatitis B, Hemophilus type B, whooping cough, tetanus, diarrhea, measles, pneumonia and yellow fever) for children and Tetanus for women of childbearing age. Most of the vaccination are delivered through health workers through fixed (Health facility) and outreach (community and designated sites) services. With the Ebola outbreak affecting every sector including health, most services ceased and created avacuum to vaccine

In this view, I chose to write on the effect of Ebola outbreak on the immunization service delivery. The Ebola epidemic in Liberia affected so many areas of the health care system including the service delivery and impact to the health work force (many health workers died as a result of being infected). As a result, immunization service delivery was affected greatly and immunization coverages and indicators dropped drastically. I have worked in the immunization program for over 10 years and this will be a useful paper for Governmental and health partners with interest in immunization. I will conduct a secondary study by extended review of the Ebola epidemic effect on the immunization service delivery by review existing literature, analyzing immunization data (Pre-Ebola, during Ebola and post-Ebola) at the National level. There will be no human subject used since this will be secondary data consisting of no identifiers.

 

Competencies selected for this capstone include:

  1. Evaluate the origins of a current public health issue, including social, political and corporate determinants of health.
  2. Analyze quantitative and qualitative data using biostatistics, informatics, computer-based programming and software as appropriate
  3. Interpret results of data analysis for public health research, policy or practice
  4. Compare the organization, structure and function of health care, public health and regulatory systems across national and international settings

 

 

Reference

CDC (09/03/2020). Ebola (Ebola Virus Disease). Retrieved from https://www.cdc.gov/vhf/ebola/index.html

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