‘Even when you are afraid, you stay’: Provision of maternity care during the Ebola virus epidemic: A qualitative study

Susan Jones, Betty Sam, Florence Bull, Steven Bagie Pieh, Jaki Lambert, Florence Mgwadere, Somasundari Gopalakrishnan, Charles A. Ameh, Nynke van den Broek

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

OBJECTIVE:
to explore nurse-midwives understanding of their role in and ability to continue to provide routine and emergency maternity services during the time of the Ebola virus disease epidemic in Sierra Leone.

DESIGN:
a hermenuetic phenomenological approach was used to discover the lived experiences of nurse-midwives through 66 face to face interviews. Following verbatim transcription, an iterative approach to data analysis was adopted using framework analysis to discover the essence of the lived experience.

SETTING:
health facilities designated to provide maternity care across all 14 districts of Sierra Leone.

PARTICIPANTS:
nurses, midwives, medical staff and managers providing maternal and newborn care during the Ebola epidemic in facilities designated to provide basic or emergency obstetric care.

FINDINGS:
the healthcare system in Sierra Leone was ill prepared to cope with the epidemic. Fear of Ebola and mistrust kept women from accessing care at a health facility. Healthcare providers continued to provide maternity care because of professional duty, responsibility to the community and religious beliefs.

KEY CONCLUSIONS:
nurse-midwives faced increased risks of catching Ebola compared to other health workers but continued to provide essential maternity care.

IMPLICATIONS FOR PRACTICE:
future preparedness plans must take into account the impact that epidemics have on the ability of the health system to continue to provide vital routine and emergency maternal and newborn health care. Healthcare providers need to have a stronger voice in health system rebuilding and planning and management to ensure that health service can continue to provide vital maternal and newborn care during epidemics.
LanguageEnglish
Pages19-26
Number of pages8
JournalMidwifery
Volume52
Early online date22 May 2017
DOIs
Publication statusPublished - Sep 2017
Externally publishedYes

Fingerprint

Ebolavirus
Nurse Midwives
Sierra Leone
Aptitude
Health Facilities
Health Personnel
Ebola Hemorrhagic Fever
Health
Emergencies
Mothers
Newborn Infant
Delivery of Health Care
Medical Staff
Religion
Emergency Medical Services
Obstetrics
Health Services
Fear
Interviews

Cite this

Jones, Susan ; Sam, Betty ; Bull, Florence ; Bagie Pieh, Steven ; Lambert, Jaki ; Mgwadere, Florence ; Gopalakrishnan, Somasundari ; Ameh, Charles A. ; van den Broek, Nynke. / ‘Even when you are afraid, you stay’: Provision of maternity care during the Ebola virus epidemic : A qualitative study. In: Midwifery. 2017 ; Vol. 52. pp. 19-26.
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Jones, S, Sam, B, Bull, F, Bagie Pieh, S, Lambert, J, Mgwadere, F, Gopalakrishnan, S, Ameh, CA & van den Broek, N 2017, '‘Even when you are afraid, you stay’: Provision of maternity care during the Ebola virus epidemic: A qualitative study', Midwifery, vol. 52, pp. 19-26. https://doi.org/10.1016/j.midw.2017.05.009

‘Even when you are afraid, you stay’: Provision of maternity care during the Ebola virus epidemic : A qualitative study. / Jones, Susan; Sam, Betty; Bull, Florence; Bagie Pieh, Steven; Lambert, Jaki; Mgwadere, Florence; Gopalakrishnan, Somasundari; Ameh, Charles A.; van den Broek, Nynke.

In: Midwifery, Vol. 52, 09.2017, p. 19-26.

Research output: Contribution to journalArticle

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T2 - Midwifery

AU - Jones, Susan

AU - Sam, Betty

AU - Bull, Florence

AU - Bagie Pieh, Steven

AU - Lambert, Jaki

AU - Mgwadere, Florence

AU - Gopalakrishnan, Somasundari

AU - Ameh, Charles A.

AU - van den Broek, Nynke

PY - 2017/9

Y1 - 2017/9

N2 - OBJECTIVE:to explore nurse-midwives understanding of their role in and ability to continue to provide routine and emergency maternity services during the time of the Ebola virus disease epidemic in Sierra Leone.DESIGN:a hermenuetic phenomenological approach was used to discover the lived experiences of nurse-midwives through 66 face to face interviews. Following verbatim transcription, an iterative approach to data analysis was adopted using framework analysis to discover the essence of the lived experience.SETTING:health facilities designated to provide maternity care across all 14 districts of Sierra Leone.PARTICIPANTS:nurses, midwives, medical staff and managers providing maternal and newborn care during the Ebola epidemic in facilities designated to provide basic or emergency obstetric care.FINDINGS:the healthcare system in Sierra Leone was ill prepared to cope with the epidemic. Fear of Ebola and mistrust kept women from accessing care at a health facility. Healthcare providers continued to provide maternity care because of professional duty, responsibility to the community and religious beliefs.KEY CONCLUSIONS:nurse-midwives faced increased risks of catching Ebola compared to other health workers but continued to provide essential maternity care.IMPLICATIONS FOR PRACTICE:future preparedness plans must take into account the impact that epidemics have on the ability of the health system to continue to provide vital routine and emergency maternal and newborn health care. Healthcare providers need to have a stronger voice in health system rebuilding and planning and management to ensure that health service can continue to provide vital maternal and newborn care during epidemics.

AB - OBJECTIVE:to explore nurse-midwives understanding of their role in and ability to continue to provide routine and emergency maternity services during the time of the Ebola virus disease epidemic in Sierra Leone.DESIGN:a hermenuetic phenomenological approach was used to discover the lived experiences of nurse-midwives through 66 face to face interviews. Following verbatim transcription, an iterative approach to data analysis was adopted using framework analysis to discover the essence of the lived experience.SETTING:health facilities designated to provide maternity care across all 14 districts of Sierra Leone.PARTICIPANTS:nurses, midwives, medical staff and managers providing maternal and newborn care during the Ebola epidemic in facilities designated to provide basic or emergency obstetric care.FINDINGS:the healthcare system in Sierra Leone was ill prepared to cope with the epidemic. Fear of Ebola and mistrust kept women from accessing care at a health facility. Healthcare providers continued to provide maternity care because of professional duty, responsibility to the community and religious beliefs.KEY CONCLUSIONS:nurse-midwives faced increased risks of catching Ebola compared to other health workers but continued to provide essential maternity care.IMPLICATIONS FOR PRACTICE:future preparedness plans must take into account the impact that epidemics have on the ability of the health system to continue to provide vital routine and emergency maternal and newborn health care. Healthcare providers need to have a stronger voice in health system rebuilding and planning and management to ensure that health service can continue to provide vital maternal and newborn care during epidemics.

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KW - Epidemic

KW - Ebola virus

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