After Ebola, Understanding Healthcare Needs Among Rural Liberians

Article

As Liberia rebuilds a healthcare system decimated by the 2014 Ebola outbreak, understanding precisely how far citizens live from health facilities and its impact on seeking care can help shape new strategies to improve healthcare delivery and reduce geographic disparities.

A new examination of remoteness as a barrier to healthcare, published online today in the Journal of Global Health, notes that most surveys and policy documents categorize families as living either in an urban or rural setting, and this dichotomy can mask disparities of the most remote families.

"It's no surprise that those who live in rural areas are less likely to seek essential care from a healthcare facility, but for those at the farthest distances the disparity in maternal and child services is staggering," says John Kraemer, JD, MPH, assistant professor in the health systems administration department at Georgetown University School of Nursing & Health Studies. "Our study illuminates new opportunities for the health system to close this gap."

Kraemer and his colleagues, including members of Last Mile Health, an organization focused on health in rural Liberia, suggest a number of strategies to better serve those in the most rural settings. These include shifting care to the lowest level provider possible; community health worker-based service delivery; training, formalization, or partnership with traditional or informal providers; mobile clinics and clinical outreach; or reimbursing families for healthcare seeking and/or transportation costs.

"It is critical that international partners continue supporting Liberia's government after headlines about Ebola fade, and that rural health systems be rebuilt," says Kraemer, also a Scholar with the O'Neill Institute for National and Global Health Law at Georgetown Law. "International human rights law and ethical norms oblige health ministries and their development partners to promote equal access to essential health services."

In addition to Kraemer, study authors include Avi Kenny, Gaurab Basu, Madeleine Ballard, Thomas Griffiths, Katherine Kentoffio, Jean Bosco Niyonzima, G. Andrew Sechler, Stephen Selinsky, Rajesh R. Panjabi and Mark J. Siedner.

Source: Georgetown University Medical Center

Related Videos
Andrea Flinchum, 2024 president of the Certification Board of Infection Control and Epidemiology, Inc (CBIC) explains the AL-CIP Certification at APIC24
Association for Professionals in Infection Control and Epidemiology  (Image credit: APIC)
Lila Price, CRCST, CER, CHL, the interim manager for HealthTrust Workforce Solutions; and Dannie O. Smith III, BSc, CSPDT, CRCST, CHL, CIS, CER, founder of Surgicaltrey, LLC, and a central processing educator for Valley Health System
Jill Holdsworth, MS, CIC, FAPIC, CRCST, NREMT, CHL
Jill Holdsworth, MS, CIC, FAPIC, CRCSR, NREMT, CHL, and Katie Belski, BSHCA, CRCST, CHL, CIS
Baby visiting a pediatric facility  (Adobe Stock 448959249 by Rawpixel.com)
Antimicrobial Resistance (Adobe Stock unknown)
Anne Meneghetti, MD, speaking with Infection Control Today
Patient Safety: Infection Control Today's Trending Topic for March
Related Content