Publications by authors named "Macoura Oulare"

Article Synopsis
  • The study investigates how to define and measure community healthcare (CHC) resilience during crises by analyzing recent shocks in four countries: Nepal, Ethiopia, Sierra Leone, and Liberia.
  • Through focus group discussions and interviews with 486 participants, several themes emerged, emphasizing community involvement, health system features, and the importance of preparedness and learning from past crises.
  • Participants identified 193 indicators of resilience across five domains, suggesting that a community-centered approach is essential for enhancing resilience, and more research is needed to align these findings with other contexts to improve health system evaluation.
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Background: Ethiopia's exposure to the El Niño drought (2015-2016) resulted in high malnutrition, internally displaced people, and epidemics of communicable diseases, all of which strained the health system. The drought was especially challenging for mothers and children. We aimed to identify salient factors that can improve health system resilience by exploring the successes and challenges experienced by a community-based health system during the drought response.

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Maternal and newborn death is common in Sierra Leone; significant reductions in both maternal and newborn mortality require universal access to a skilled attendant during labor and delivery. When too few women use health facilities MDGs 4 and 5 targets will not be met. Our objectives were to identify why women use services provided by TBAs as compared to health facilities; and to suggest strategies to improve utilization of health facilities for maternity and newborn care services.

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