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About the Authors:
Bradley H. Wagenaar
Roles Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing - original draft, Writing - review & editing
* E-mail: [email protected]
Affiliations Department of Global Health, University of Washington, Seattle, Washington, United States of America, Partners in Health, Monrovia, Liberia, Health Alliance International, Seattle, Washington, United States of America
ORCID http://orcid.org/0000-0002-3351-7175
Orvalho Augusto
Roles Data curation, Formal analysis, Investigation, Methodology, Software, Writing - review & editing
Affiliations Department of Global Health, University of Washington, Seattle, Washington, United States of America, Health Alliance International, Seattle, Washington, United States of America, Universidade Eduardo Mondlane, Maputo, Mozambique
ORCID http://orcid.org/0000-0002-0005-3968
Jason Beste
Roles Investigation, Methodology, Resources, Supervision, Validation, Writing - review & editing
Affiliations Partners in Health, Monrovia, Liberia, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America, Harvard Medical School, Boston, Massachusetts, United States of America
Stephen J. Toomay
Roles Data curation, Investigation, Methodology, Writing - review & editing
Affiliation: Partners in Health, Monrovia, Liberia
Eugene Wickett
Roles Data curation, Formal analysis, Investigation, Methodology, Project administration, Resources, Writing - review & editing
Affiliation: Partners in Health, Monrovia, Liberia
ORCID http://orcid.org/0000-0002-9223-532X
Nelson Dunbar
Roles Data curation, Formal analysis, Methodology, Supervision, Validation, Visualization, Writing - review & editing
Affiliation: Ministry of Health, Monrovia, Liberia
Luke Bawo
Roles Data curation, Investigation, Methodology, Supervision, Validation, Visualization, Writing - review & editing
Affiliation: Ministry of Health, Monrovia, Liberia
Chea Sanford Wesseh
Roles Data curation, Investigation, Methodology, Supervision, Validation, Visualization, Writing - review & editing
Affiliation: Ministry of Health, Monrovia, LiberiaAbstract
Background
The aim of this study is to estimate the immediate and lasting effects of the 2014-2015 Ebola virus disease (EVD) outbreak on public-sector primary healthcare delivery in Liberia using 7 years of comprehensive routine health information system data.
Methods and findings
We analyzed 10 key primary healthcare indicators before, during, and after the EVD outbreak using 31,836 facility-month service outputs from 1 January 2010 to 31 December 2016 across a census of 379 public-sector health facilities in Liberia (excluding Montserrado County). All indicators had statistically significant decreases during the first 4 months of the EVD outbreak, with all indicators having their lowest raw mean outputs in August 2014. Decreases in outputs comparing the end of the initial...