Understanding the role of the Districts in the response to the Ebola outbreak

Ahmed Vandi and Lawrence Babawo of Njala University presented research of the Ebola Gbalo Research Group on the role of the Districts in responding to the Ebola crisis at the 2018 Liverpool Global Health System Research Symposium.

Against widespread assumptions about rapid and early collapse of the health system, the authors find that before the arrival of international actors, local involvements at district and community levels can be of great help in initial epidemic interventions.

However, overall many District health systems are fragile and benefit from continued central support including for training of middle level health workers to recognise and investigate eminent disease outbreaks at the lower levels of the health system.

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