Health workers perceptions and attitude about Ghana’s preparedness towards preventing, containing, and managing Ebola Virus Disease
Identifieur interne : 000068 ( Main/Exploration ); précédent : 000067; suivant : 000069Health workers perceptions and attitude about Ghana’s preparedness towards preventing, containing, and managing Ebola Virus Disease
Auteurs : Philip Baba Adongo [Ghana] ; Philip Teg-Nefaah Tabong [Ghana] ; Emmanuel Asampong [Ghana] ; Joana Ansong [Ghana] ; Magda Robalo [Ghana] ; Richard M. Adanu [Ghana]Source :
- BMC Health Services Research [ 1472-6963 ] ; 2017.
Abstract
Ebola virus is highly infectious and the disease can be very fatal. The World Health Organization has declared the 2014–2015 Ebola Virus Disease outbreak a Public Health Emergency of International Concern. In response to this, preparations were made in various health facilities and entry points across Ghana. This study explored health workers perceptions, and attitude about Ghana’s preparedness towards preventing and containing Ebola Virus Disease.
We conducted a qualitative study in five (5) of the ten (10) regions in Ghana. Five focus group discussions (
The results of this study showed that Ghanaian health workers perceived the screening at various ports as important and ongoing but felt that the screenings at in-land ports were being undermined by the use of unapproved routes. Training of health workers was also being carried out in all the regions, however, there was a general perception among 33 out of 44 nurses that majority of health workers have not received training on Ebola Virus Disease prevention and management. Logistical challenges were also reported as some health facilities did not have adequate Personal Protective Equipment. In facilities where equipment was available, they were stored in places which are not easily accessible to health workers at all times of the day. Human resource preparation was also perceived to be a challenge as health workers (38/44 of nurses) generally expressed fear and unwillingness to work in Ebola treatment centres in the event of an outbreak in Ghana.
Our study concludes that preparatory work for Ebola Virus Disease prevention and containment in Ghana is perceived as inadequate by health workers. Ghana needs to strengthen preparation in the area of training of health workers, provision and accessibility of Personal Protective Equipment and incentives for health workers to better position her to contain and manage any Ebola Virus Disease outbreak.
Url:
DOI: 10.1186/s12913-017-2225-0
PubMed: 28403852
PubMed Central: 5389014
Affiliations:
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Box M.B.142, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>World Health Organization Country Office for Ghana, P.O. Box M.B.142, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Robalo, Magda" sort="Robalo, Magda" uniqKey="Robalo M" first="Magda" last="Robalo">Magda Robalo</name><affiliation wicri:level="3"><nlm:aff id="Aff2">World Health Organization Country Office for Ghana, P.O. Box M.B.142, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>World Health Organization Country Office for Ghana, P.O. Box M.B.142, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Adanu, Richard M" sort="Adanu, Richard M" uniqKey="Adanu R" first="Richard M." last="Adanu">Richard M. Adanu</name><affiliation wicri:level="3"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.8652.9</institution-id><institution>Department of Population, Family and Reproductive Health, School of Public Health,</institution><institution>University of Ghana,</institution></institution-wrap>Box LG 13, Legon, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Box LG 13, Legon, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author></analytic><series><title level="j">BMC Health Services Research</title><idno type="eISSN">1472-6963</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Ebola virus is highly infectious and the disease can be very fatal. The World Health Organization has declared the 2014–2015 Ebola Virus Disease outbreak a Public Health Emergency of International Concern. In response to this, preparations were made in various health facilities and entry points across Ghana. This study explored health workers perceptions, and attitude about Ghana’s preparedness towards preventing and containing Ebola Virus Disease.</p></sec><sec><title>Methods</title><p>We conducted a qualitative study in five (5) of the ten (10) regions in Ghana. Five focus group discussions (<italic>N</italic> = 44) were conducted among nurses; one in each region. In addition, ten (10) health workers (2 in each region) who are members of regional Ebola Virus Disease task force were recruited and interviewed. In the Greater Accra, Volta and Western regions that have ports, six (6) port health officials: two in each of these regions were also interviewed. The interviews were recorded digitally and transcribed verbatim. Thematic content analysis was used to analyze the transcripts with the aid of NVivo 10 software.</p></sec><sec><title>Results</title><p>The results of this study showed that Ghanaian health workers perceived the screening at various ports as important and ongoing but felt that the screenings at in-land ports were being undermined by the use of unapproved routes. Training of health workers was also being carried out in all the regions, however, there was a general perception among 33 out of 44 nurses that majority of health workers have not received training on Ebola Virus Disease prevention and management. Logistical challenges were also reported as some health facilities did not have adequate Personal Protective Equipment. In facilities where equipment was available, they were stored in places which are not easily accessible to health workers at all times of the day. Human resource preparation was also perceived to be a challenge as health workers (38/44 of nurses) generally expressed fear and unwillingness to work in Ebola treatment centres in the event of an outbreak in Ghana.</p></sec><sec><title>Conclusions</title><p>Our study concludes that preparatory work for Ebola Virus Disease prevention and containment in Ghana is perceived as inadequate by health workers. Ghana needs to strengthen preparation in the area of training of health workers, provision and accessibility of Personal Protective Equipment and incentives for health workers to better position her to contain and manage any Ebola Virus Disease outbreak.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Agyepong, Ia" uniqKey="Agyepong I">IA Agyepong</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Gomersall, Cd" uniqKey="Gomersall C">CD Gomersall</name></author><author><name sortKey="Joynt, Gm" uniqKey="Joynt G">GM Joynt</name></author><author><name sortKey="Ho, Om" uniqKey="Ho O">OM Ho</name></author><author><name 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sortKey="Salmasi, Am" uniqKey="Salmasi A">AM Salmasi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Walker, N" uniqKey="Walker N">N Walker</name></author><author><name sortKey="Gupta, R" uniqKey="Gupta R">R Gupta</name></author><author><name sortKey="Cheesbrough, J" uniqKey="Cheesbrough J">J Cheesbrough</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Narasimhulu, Dm" uniqKey="Narasimhulu D">DM Narasimhulu</name></author><author><name sortKey="Edwards, V" uniqKey="Edwards V">V Edwards</name></author><author><name sortKey="Chazotte, C" uniqKey="Chazotte C">C Chazotte</name></author><author><name sortKey="Bhatt, D" uniqKey="Bhatt D">D Bhatt</name></author><author><name sortKey="Weedon, J" uniqKey="Weedon J">J Weedon</name></author><author><name sortKey="Minkoff, H" uniqKey="Minkoff H">H Minkoff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guimard, Y" uniqKey="Guimard Y">Y Guimard</name></author><author><name sortKey="Bwaka, Ma" uniqKey="Bwaka M">MA Bwaka</name></author><author><name sortKey="Colebunders, R" uniqKey="Colebunders R">R Colebunders</name></author><author><name sortKey="Calain, P" uniqKey="Calain P">P Calain</name></author><author><name sortKey="Massamba, M" uniqKey="Massamba M">M Massamba</name></author><author><name sortKey="De Roo, A" uniqKey="De Roo A">A De Roo</name></author><author><name sortKey="Mupapa, Kd" uniqKey="Mupapa K">KD Mupapa</name></author><author><name sortKey="Kibadi, K" uniqKey="Kibadi K">K Kibadi</name></author><author><name sortKey="Kuvula, Kj" uniqKey="Kuvula K">KJ Kuvula</name></author><author><name sortKey="Ndaberey, De" uniqKey="Ndaberey D">DE Ndaberey</name></author><author><name sortKey="Katwiki, Kr" uniqKey="Katwiki K">KR Katwiki</name></author><author><name sortKey="Mapanda, Bb" uniqKey="Mapanda B">BB Mapanda</name></author><author><name sortKey="Nkuku, Ob" uniqKey="Nkuku O">OB Nkuku</name></author><author><name sortKey="Fleerackers, Y" uniqKey="Fleerackers Y">Y Fleerackers</name></author><author><name sortKey="Van Den Enden, E" uniqKey="Van Den Enden E">E Van den Enden</name></author><author><name sortKey="Kipasa, Ma" uniqKey="Kipasa M">MA Kipasa</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chowell, G" uniqKey="Chowell G">G Chowell</name></author><author><name sortKey="Hengartner, Nw" uniqKey="Hengartner N">NW Hengartner</name></author><author><name sortKey="Castillo Chavez, C" uniqKey="Castillo Chavez C">C Castillo-Chavez</name></author><author><name sortKey="Fenimore, Pw" uniqKey="Fenimore P">PW Fenimore</name></author><author><name sortKey="Hyman, Jm" uniqKey="Hyman J">JM Hyman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Legrand, J" uniqKey="Legrand J">J Legrand</name></author><author><name sortKey="Grais, Rf" uniqKey="Grais R">RF Grais</name></author><author><name sortKey="Boelle, Py" uniqKey="Boelle P">PY Boelle</name></author><author><name sortKey="Valleron, Aj" uniqKey="Valleron A">AJ Valleron</name></author><author><name sortKey="Flahault, A" uniqKey="Flahault A">A Flahault</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement></list><tree><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Adongo, Philip Baba" sort="Adongo, Philip Baba" uniqKey="Adongo P" first="Philip Baba" last="Adongo">Philip Baba Adongo</name></region><name sortKey="Adanu, Richard M" sort="Adanu, Richard M" uniqKey="Adanu R" first="Richard M." last="Adanu">Richard M. Adanu</name><name sortKey="Ansong, Joana" sort="Ansong, Joana" uniqKey="Ansong J" first="Joana" last="Ansong">Joana Ansong</name><name sortKey="Asampong, Emmanuel" sort="Asampong, Emmanuel" uniqKey="Asampong E" first="Emmanuel" last="Asampong">Emmanuel Asampong</name><name sortKey="Robalo, Magda" sort="Robalo, Magda" uniqKey="Robalo M" first="Magda" last="Robalo">Magda Robalo</name><name sortKey="Tabong, Philip Teg Nefaah" sort="Tabong, Philip Teg Nefaah" uniqKey="Tabong P" first="Philip Teg-Nefaah" last="Tabong">Philip Teg-Nefaah Tabong</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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