Ebola in the context of conflict affected states and health systems: case studies of Northern Uganda and Sierra Leone

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dc.contributor.authorMcPake, Barbara
dc.contributor.authorWitter, Sophie
dc.contributor.authorSsali, Sarah
dc.contributor.authorWurie, Haja
dc.contributor.authorNamakula, Justine
dc.contributor.authorSsengooba, Freddie
dc.date.accessioned2021-12-12T14:39:54Z
dc.date.available2021-12-12T14:39:54Z
dc.date.issued2015
dc.description.abstractEbola seems to be a particular risk in conflict affected contexts. All three of the countries most affected by the 2014-15 outbreak have a complex conflict-affected recent history. Other major outbreaks in the recent past, in Northern Uganda and in the Democratic Republic of Congo are similarly afflicted although outbreaks have also occurred in stable settings. Although the 2014-15 outbreak in West Africa has received more attention than almost any other public health issue in recent months, very little of that attention has focused on the complex interaction between conflict and its aftermath and its implications for health systems, the emergence of the disease and the success or failure in controlling it. The health systems of conflict-affected states are characterized by a series of weaknesses, some common to other low and even middle income countries, others specifically conflict-related. Added to this is the burden placed on health systems by the aggravated health problems associated with conflict. Other features of post conflict health systems are a consequence of the global institutional response. Comparing the experience of Northern Uganda and Sierra Leone in the emergence and management of Ebola outbreaks in 2000-1 and in 2014-15 respectively highlights how the various elements of these conflict affected societies came together with international agencies responses to permit the outbreak of the disease and then to successfully contain it (in Northern Uganda) or to fail to do so before a catastrophic cost had been incurred (in Sierra Leone). These case studies have implications for the types of investments in health systems that are needed to enable effective response to Ebola and other zoonotic diseases where they arise in conflict- affected settings.en_US
dc.identifier.citationMcPake, B., Witter, S., Ssali, S., Wurie, H., Namakula, J., & Ssengooba, F. (2015). Ebola in the context of conflict affected states and health systems: case studies of Northern Uganda and Sierra Leone. Conflict and health, 9(1), 1-9. DOI 10.1186/s13031-015-0052-7en_US
dc.identifier.other10.1186/s13031-015-0052-7
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/353
dc.language.isoenen_US
dc.publisherConflict and healthen_US
dc.subjectEbolaen_US
dc.subjectSierra Leoneen_US
dc.subjectNorthern Ugandaen_US
dc.subjectHealth Systemen_US
dc.titleEbola in the context of conflict affected states and health systems: case studies of Northern Uganda and Sierra Leoneen_US
dc.typeArticleen_US
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