The Next Wave of Deaths from Ebola?

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dc.creatorPopova, Anna
dc.creatorEvans, David K.
dc.creatorGoldstein, Markus
dc.date2015-07-13T18:40:46Z
dc.date2015-07-13T18:40:46Z
dc.date2015-07
dc.date.accessioned2026-07-01T00:50:47Z
dc.descriptionThe ongoing Ebola outbreak in West Africa has put a huge strain on already weak health systems. Ebola deaths have been disproportionately concentrated among health care workers, exacerbating existing skill shortages in Guinea, Liberia, and Sierra Leone in a way that will negatively affect the health of the populations even after Ebola has been eliminated. This paper combines data on cumulative health care worker deaths from Ebola, the stock of health care workers and mortality rates pre-Ebola, and coefficients that summarize the relationship between health care workers in a given country and rates of maternal, infant, and under-five mortality. The paper estimates how the loss of health care workers to Ebola will likely affect non-Ebola mortality even after the disease is eliminated. It then estimates the size of the resource gap that needs to be filled to avoid these deaths, and to reach the minimum thresholds of health coverage described in the Millennium Development Goals. Maternal mortality could increase by 38 percent in Guinea, 74 percent in Sierra Leone, and 111 percent in Liberia due to the reduction in health personnel caused by the epidemic. This translates to an additional 4,022 women dying per year across the three most affected countries. To avoid these deaths, 240 doctors, nurses, and midwives would need to be immediately hired across the three countries. This is a small fraction of the 43,565 doctors, nurses, and midwives that would need to be hired to achieve the adequate health coverage implied by the Millennium Development Goals. Substantial investment in health systems is urgently required not only to improve future epidemic preparedness, but also to limit the secondary health effects of the current epidemic owing to the depletion of the health workforce.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2015/07/24652897/next-wave-deaths-ebola-impact-health-care-worker-mortality
dc.identifierhttps://hdl.handle.net/10986/22147
dc.identifierhttps://doi.org/10.1596/1813-9450-7344
dc.identifier.urihttp://hdl.handle.net/123456789/411869
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationPolicy Research Working Paper;No. 7344
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectBIRTH
dc.subjectWORKFORCE
dc.subjectPEOPLE
dc.subjectVACCINATION
dc.subjectINCOME
dc.subjectDEATHS
dc.subjectUNDER-FIVE MORTALITY
dc.subjectDOCTORS
dc.subjectMATERNAL MORTALITY DATA
dc.subjectHEALTH ECONOMICS
dc.subjectDYING
dc.subjectLIVE BIRTHS
dc.subjectCOMMUNITY HEALTH
dc.subjectMORTALITY RATES
dc.subjectVACCINE COVERAGE
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE WORKERS
dc.subjectHEALTH
dc.subjectPOLICY DISCUSSIONS
dc.subjectHEALTH WORKERS
dc.subjectEPIDEMIC
dc.subjectDEVELOPMENT GOALS
dc.subjectNUMBER OF PEOPLE
dc.subjectCATALYST
dc.subjectLIFE EXPECTANCY
dc.subjectMATERNAL MORTALITY
dc.subjectHEALTH SECTOR
dc.subjectTRAINING
dc.subjectINTERVENTION
dc.subjectHEALTH SYSTEMS
dc.subjectMIGRATION
dc.subjectNURSES
dc.subjectMORTALITY RATE
dc.subjectHEALTH WORKFORCE
dc.subjectVICIOUS CYCLE
dc.subjectHEALTH ORGANIZATION
dc.subjectGLOBAL HEALTH
dc.subjectEPIDEMICS
dc.subjectMORTALITY
dc.subjectPROGRESS
dc.subjectCHILDBIRTH
dc.subjectINFANT MORTALITY
dc.subjectINFANT
dc.subjectWORKERS
dc.subjectAGED
dc.subjectDOCTOR
dc.subjectHIV
dc.subjectBASIC NEEDS
dc.subjectNATAL CARE
dc.subjectNURSE
dc.subjectPOLICY RESEARCH WORKING PAPER
dc.subjectCARE
dc.subjectCHILDHOOD
dc.subjectHEALTH EFFECTS
dc.subjectBIRTHS
dc.subjectHEALTH OUTCOMES
dc.subjectMEASUREMENT
dc.subjectMEASLES
dc.subjectPOPULATIONS
dc.subjectCARE SYSTEMS
dc.subjectMALARIA
dc.subjectHEALTH COVERAGE
dc.subjectPOLICY
dc.subjectBURDEN OF DISEASE
dc.subjectPRIMARY HEALTH CARE
dc.subjectFEMALE LITERACY
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectMATERNAL MORTALITY RATIO
dc.subjectHEALTH SYSTEM
dc.subjectGENERAL HEALTH SYSTEM
dc.subjectCHILDREN
dc.subjectMORTALITY RATIO
dc.subjectDISEASE
dc.subjectRISK
dc.subjectHUMAN RESOURCES
dc.subjectMIDWIVES
dc.subjectPOVERTY
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH-SYSTEM
dc.subjectINFANTS
dc.subjectPOPULATION
dc.subjectSTUDENTS
dc.subjectPOLICY RESEARCH
dc.subjectPOPULATION DATA
dc.subjectWOMEN
dc.subjectHOSPITALS
dc.subjectHEALTH INTERVENTIONS
dc.subjectMATERNAL MORTALITY RATES
dc.subjectMILLENNIUM DEVELOPMENT GOALS
dc.subjectHEALTH CARE SYSTEMS
dc.subjectHEALTH SERVICE
dc.subjectINFANT MORTALITY RATE
dc.subjectFEMALE
dc.subjectINFANT DEATHS
dc.subjectNURSING
dc.subjectSKILLED ATTENDANTS
dc.subjectDEVELOPMENT POLICY
dc.titleThe Next Wave of Deaths from Ebola?
dc.titleThe Impact of Health Care Worker Mortality
dc.typeWorking Paper
dc.typeDocument de travail
dc.typeDocumento de trabajo

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