Volume 103, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Globally, healthcare systems are facing the enormous challenge of the COVID-19 pandemic. Ethiopia is currently implementing different preventive measures to interrupt the transmission of SARS-CoV-2. The early effect of these preventive measures on essential healthcare service delivery is unknown. In this study, we looked at the number of essential healthcare visits over 8 weeks, 4 weeks before and 4 weeks after the implementation of preventive measures. During the implementation of these measures, patient flow decreased in all elements of essential healthcare service. The decline was dramatic for family planning (98%), emergency surgery (77%), and follow-up of chronic surgical conditions (70%). An understanding of the reasons behind the decrease in patient flow is urgently needed to design ways of sustaining essential care.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution (CC-BY) License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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  1. Word Health Organization, 2019. Coronavirus Disease. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019. Accessed May 8, 2020.
    [Google Scholar]
  2. Johns Hopkins Coronavirus Resource Center, 2020. COVID-19 Map. Available at: https://coronavirus.jhu.edu/map.html. Accessed April 27, 2020.
    [Google Scholar]
  3. Elston JW, Cartwright C, Ndumbi P, Wright J, 2017. The health impact of the 2014–15 Ebola outbreak. Public Health 143: 6070.
    [Google Scholar]
  4. Konwloh PK, Cambell CL, Ade S, Bhat P, Harries AD, Wilkinson E, 2017. Influence of Ebola on tuberculosis case finding and treatment outcomes in Liberia. Public Health Action 7: S62S69.
    [Google Scholar]
  5. Gamanga AH, Owiti P, Bhat P, Harries AD, Kargbo-Labour I, Koroma M, 2017. The Ebola outbreak: effects on HIV reporting, testing and care in Bonthe district, rural Sierra Leone. Public Health Action 7 (Suppl 1): S10S15.
    [Google Scholar]
  6. Samba T, Bhat P, Owiti P, Samuels L, Kanneh PJ, Paul R, Kargbo B, Harries AD, 2017. Non-communicable diseases in the western area district, Sierra Leone, before and during the Ebola outbreak. Public Health Action 7 (Suppl 1): S16S21.
    [Google Scholar]
  7. Nagel E, Blackowicz MJ, Sahr F, Jarrett OD, 2019. Impact of the Ebola epidemic on clinical outcomes of HIV-infected soldiers and their dependents in Sierra Leone. Int J STD AIDS 30: 106112.
    [Google Scholar]
  8. Leuenberger D, Hebelamou J, Strahm S, De Rekeneire N, Balestre E, Wandeler G, Dabis F, 2015. Impact of the Ebola epidemic on general and HIV care in Macenta, Forest Guinea, 2014. AIDS 29: 18831887.
    [Google Scholar]
  9. Word Health Organization, 2020. Operational Guidance for Maintaining Essential Health Services during an Outbreak. Available at: https://www.who.int/publications-detail/covid-19-operational-guidance-for-maintaining-essential-health-services-during-an-outbreak. Accessed April 26, 2020.
    [Google Scholar]
  10. Federal Ministry of Health, 2019. Essential Health Services Package of Ethiopia. Available at: https://www.hfgproject.org/essential-package-of-health-services-country-snapshot-ethiopia/. Accessed April 26, 2020.
    [Google Scholar]

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  • Received : 12 May 2020
  • Accepted : 28 Jul 2020
  • Published online : 05 Aug 2020
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