Impact of Ebola outbreak on reproductive health services in a rural district of Sierra Leone: a prospective observational study.

Objectives: To assess the trends concerning utilisation of maternal and child health (MCH) services before, during and after the Ebola outbreak, quantifying the contribution of a reorganised referral system (RS).

Design: A prospective observational study of MCH services.

Setting: Pujehun district in Sierra Leone, 77 community health facilities and 1 hospital from 2012 to 2017.

Maintaining Maternal and Child Health Services During the Ebola Outbreak: Experience from Pujehun, Sierra Leone.

Background: During the Ebola outbreak the overall confidence of the population in the national health system declined in Sierra Leone, with a reduction in the use of health services. The objective of this study is to provide information on understanding of how Ebola impacted maternal and child health services in Sierra Leone. Data come from an operational setting which is representative of the communities affected by the outbreak.