Assessment of health care workers preparedness to epidemics: A case of Ebola virus disease preparedness in private hospitals in Kampala, Uganda

Introduction: Unrecognized Ebola Virus Disease (EVD) can lead to multiple chains of transmissions if the first caretakers are not trained and prepared. This study aimed to assess healthcare workers (HCWs) preparedness in private hospitals located in Kampala, to detect, respond and prevent EVD. Me...

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Main Authors: Collins Ankunda, Stuart Martin Kanyesigye, Susan Nakubulwa, Brendah Kyomuhangi, Jakob Cramer, Enrique Chacon-Cruz, Sue Ann Costa Clemens, Ralf Clemens
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2024-04-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/17642
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author Collins Ankunda
Stuart Martin Kanyesigye
Susan Nakubulwa
Brendah Kyomuhangi
Jakob Cramer
Enrique Chacon-Cruz
Sue Ann Costa Clemens
Ralf Clemens
author_facet Collins Ankunda
Stuart Martin Kanyesigye
Susan Nakubulwa
Brendah Kyomuhangi
Jakob Cramer
Enrique Chacon-Cruz
Sue Ann Costa Clemens
Ralf Clemens
author_sort Collins Ankunda
collection DOAJ
description Introduction: Unrecognized Ebola Virus Disease (EVD) can lead to multiple chains of transmissions if the first caretakers are not trained and prepared. This study aimed to assess healthcare workers (HCWs) preparedness in private hospitals located in Kampala, to detect, respond and prevent EVD. Methodology: A descriptive cross-sectional study was carried out among HCWs in direct clinical care provision in four private hospitals, and in one Ebola Treatment Unit (ETU) using a self-administered questionnaire from March to June 2020. Results: 222 HCWs agreed to participate aged from 19 to 64 years and with 6 months to 38 years of practice where most were nurses (44%). 3/5 hospitals did not have written protocols on EVD case management, and only one (ETU) had an exclusive emergency team. 59% were not sure whether contact tracing was taking place. Private hospitals were not included in EVD trainings organized by the Ministry of Health (MoH). In addition, HCWs in private hospitals were not empowered by the MoH to take part in EVD case management. Despite these shortcomings, only 66% of HCWs showed an interest to be immunized. Knowledge about potential Ebola vaccines was generally poor. Conclusions: In Kampala, Uganda, establishment of a more comprehensive preparedness and response strategy for EVD outbreaks is imperative for HCWs in private facilities, including a wide vaccination educational program on Ebola vaccination. The findings from this study if addressed will likely improve the preparedness and management of future Ebola outbreaks in Uganda.
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spelling doaj-art-d7144d86575f4c2f8c8f402037e08dc62025-08-20T03:52:42ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802024-04-01180410.3855/jidc.17642Assessment of health care workers preparedness to epidemics: A case of Ebola virus disease preparedness in private hospitals in Kampala, UgandaCollins Ankunda0Stuart Martin Kanyesigye1Susan Nakubulwa2Brendah Kyomuhangi3Jakob Cramer4Enrique Chacon-Cruz5Sue Ann Costa Clemens6Ralf Clemens7Mildmay Research Centre Uganda, Entebbe Rd, Naziba Hill, Kampala, UgandaDivencha Systems, Nakawa, Kampala, UgandaMildmay Research Centre Uganda, Entebbe Rd, Naziba Hill, Kampala, UgandaLe Memorial Medical Services, Kigo Rd, Kampala, UgandaCoalition for Epidemic Preparedness (CEPI), London, United KingdomInstitute for Global Health, University of Siena, ItalyInstitute for Global Health, University of Siena, ItalyInternational Vaccine Institute (IVI), Seoul, Republic of Korea Introduction: Unrecognized Ebola Virus Disease (EVD) can lead to multiple chains of transmissions if the first caretakers are not trained and prepared. This study aimed to assess healthcare workers (HCWs) preparedness in private hospitals located in Kampala, to detect, respond and prevent EVD. Methodology: A descriptive cross-sectional study was carried out among HCWs in direct clinical care provision in four private hospitals, and in one Ebola Treatment Unit (ETU) using a self-administered questionnaire from March to June 2020. Results: 222 HCWs agreed to participate aged from 19 to 64 years and with 6 months to 38 years of practice where most were nurses (44%). 3/5 hospitals did not have written protocols on EVD case management, and only one (ETU) had an exclusive emergency team. 59% were not sure whether contact tracing was taking place. Private hospitals were not included in EVD trainings organized by the Ministry of Health (MoH). In addition, HCWs in private hospitals were not empowered by the MoH to take part in EVD case management. Despite these shortcomings, only 66% of HCWs showed an interest to be immunized. Knowledge about potential Ebola vaccines was generally poor. Conclusions: In Kampala, Uganda, establishment of a more comprehensive preparedness and response strategy for EVD outbreaks is imperative for HCWs in private facilities, including a wide vaccination educational program on Ebola vaccination. The findings from this study if addressed will likely improve the preparedness and management of future Ebola outbreaks in Uganda. https://jidc.org/index.php/journal/article/view/17642Ebola virus diseaseepidemic preparednessebola vaccinehealthcare workers
spellingShingle Collins Ankunda
Stuart Martin Kanyesigye
Susan Nakubulwa
Brendah Kyomuhangi
Jakob Cramer
Enrique Chacon-Cruz
Sue Ann Costa Clemens
Ralf Clemens
Assessment of health care workers preparedness to epidemics: A case of Ebola virus disease preparedness in private hospitals in Kampala, Uganda
Journal of Infection in Developing Countries
Ebola virus disease
epidemic preparedness
ebola vaccine
healthcare workers
title Assessment of health care workers preparedness to epidemics: A case of Ebola virus disease preparedness in private hospitals in Kampala, Uganda
title_full Assessment of health care workers preparedness to epidemics: A case of Ebola virus disease preparedness in private hospitals in Kampala, Uganda
title_fullStr Assessment of health care workers preparedness to epidemics: A case of Ebola virus disease preparedness in private hospitals in Kampala, Uganda
title_full_unstemmed Assessment of health care workers preparedness to epidemics: A case of Ebola virus disease preparedness in private hospitals in Kampala, Uganda
title_short Assessment of health care workers preparedness to epidemics: A case of Ebola virus disease preparedness in private hospitals in Kampala, Uganda
title_sort assessment of health care workers preparedness to epidemics a case of ebola virus disease preparedness in private hospitals in kampala uganda
topic Ebola virus disease
epidemic preparedness
ebola vaccine
healthcare workers
url https://jidc.org/index.php/journal/article/view/17642
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