Incident Management Systems Are Essential for Effective Coordination of Large Disease Outbreaks: Perspectives from the Coordination of the Ebola Outbreak Response in Sierra Leone
| العنوان: | Incident Management Systems Are Essential for Effective Coordination of Large Disease Outbreaks: Perspectives from the Coordination of the Ebola Outbreak Response in Sierra Leone |
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| المؤلفون: | Kande-Bure Kamara, Foday Dafae, Ayotunde A. Adegboyega, Noah Sempiira, Ngoy Nsenga, Ishata Conteh, Alexander Chimbaru, Olushayo Olu, Margaret Lamunu |
| المصدر: | Frontiers in Public Health, Vol 4 (2016) Frontiers in Public Health |
| بيانات النشر: | Frontiers Media SA, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Resource mobilization, coordination, Operations research, outbreak response, 030231 tropical medicine, Ebola virus disease, Incident Management System, Disease, medicine.disease_cause, Decentralization, Sierra Leone, Sierra leone, 03 medical and health sciences, 0302 clinical medicine, medicine, Incident management (ITSM), 030212 general & internal medicine, Environmental planning, Government, Ebola virus, lcsh:Public aspects of medicine, Public Health, Environmental and Occupational Health, Outbreak, lcsh:RA1-1270, Perspective, Public Health, Business |
| الوصف: | Background: Response to the 2014–2015 Ebola Virus Disease (EVD) outbreak in Sierra Leone overwhelmed the national capacity to contain it and necessitated a massive international response and strong coordination platform. Consequently, the Sierra Leone Government, with support of the international humanitarian community, established and implemented various models for national coordination of the outbreak. In this article we review the strengths and limitations of the EVD outbreak response coordination systems in Sierra Leone and propose recommendations for improving coordination of similar outbreaks in the future. Conclusions: There were two main frameworks used for the coordination of the outbreak; the Emergency Operation Center (EOC) and the National Ebola Response Center (NERC). We observed an improvement in outbreak coordination as the management mechanism evolved from the EOC to the NERC. Both coordination systems had their advantages and disadvantages; however the NERC coordination mechanism appeared to be more robust. We identified challenges, such as competition and duplication of efforts between the numerous coordination groups, slow resource mobilization, inadequate capacity of NERC/EOC staff for health coordination and an overtly centralized coordination and decision making system as the main coordination challenges during the outbreak. Recommendations: We recommend the establishment of emergency operation centers with simple incident management system-based coordination prior to outbreaks, strong government leadership, decentralization of coordination systems and functions to the epicenter of outbreaks, with clear demarcation of roles and responsibilities between different levels, regular training of key coordination leaders and better community participation as methods to improve coordination of future disease outbreaks. |
| تدمد: | 2296-2565 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5c483d4e3e8bde58bfa09f57f3801fc5 https://doi.org/10.3389/fpubh.2016.00254 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....5c483d4e3e8bde58bfa09f57f3801fc5 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22962565 |
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