The Ebola-effect in Guinea 2014-15: tangled trends of malaria care in children under-five

Delphin Kolie, Bienvenu S. Camara, Alexandre Delamou, Abdoul H. Beavogul, Veerle Hermans, Jeffrey K. Edwards, Guido Benedetti, Claude P. Muller, Johan van Griensven, Rony Zachariah

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The 2014-15 Ebola outbreak in West Africa was disruptive for the general health services in the affected countries. This study assessed the impact of the outbreak on the reported number and management of malaria in children under-five in rural Guinea.

Materials and methods

A retrospective cross-sectional study was conducted in nineteen health centres in two rural, malaria-endemic health districts, one at the epicentre of the outbreak (Gueckedou) and one (Koubia) spared by Ebola. Routine surveillance data at health facility level were compared over similar periods of high malaria transmission in both districts before, during and after the outbreak.


There were significant declines in the number of visits during the Ebola outbreak (3,700) in Gueckedou compared to before (4,616) and after it (4,195), while this trend remained more stable within the three periods for Koubia. Differences were nonetheless significant in both districts (p


The Ebola outbreak of 2014-15 in Guinea had a significant impact on the admission and management of malaria in children under-five. This study identifies potential challenges in the delivery of care for those at highest risk for malaria mortality during an Ebola outbreak and the need to improve preparedness strategies pre-Ebola and health systems recovery post-Ebola.

Original languageEnglish
Article number0192798
JournalPLoS ONE
Issue number2
Number of pages11
Publication statusPublished - 2018



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