Odinkemelu DS, Sonah AK, Nsereko ET, Dahn BT, Martin MH, Moon TD, Niconchuk JA, Walters CB, Kynes JM. An Assessment of Anesthesia Capacity in Liberia: Opportunities for Rebuilding Post-Ebola. Anesthesia and analgesia. 2021 Dec 1;132(132). 1727-1737. PMID: 33844659 [PubMed]
The health system of Liberia, a low-income country in West Africa, was devastated by a civil war lasting from 1989 to 2003. Gains made in the post-war period were compromised by the 2014-2016 Ebola epidemic. The already fragile health system experienced worsening of health indicators, including an estimated 111% increase in the country's maternal mortality rate post-Ebola. Access to safe surgery is necessary for improvement of these metrics, yet data on surgical and anesthesia capacity in Liberia post-Ebola are sparse. The aim of this study was to describe anesthesia capacity in Liberia post-Ebola as part of the development of a National Surgical, Obstetric, and Anesthesia Plan (NSOAP).