Table 2

Association between the EVD epidemic and numbers and cadres of healthcare providers in post in Sierra Leone at healthcare facilities designated to provide BEmOC or CEmOC

Mean number of healthcare providers per healthcare facilityEVD epidemic*
Facility providing BEmOCFacility providing CEmOC
Cadre of staffNo Ebola (n=1035)Ebola (n=395)No Ebola (n=207)Ebola (n=79)Ratio of means (95% CI)p Value
Specialist doctor000.340.391.00 (0.67 to 1.51)0.99
Medical doctor‡0.0020.0181.611.901.12 (0.93 to 1.36)0.24
CHO1. (0.93 to 1.14)0.54
Registered midwives1.041.022.632.710.97 (0.88 to 1.06)0.52
Registered nurses000.550.600.98 (0.71 to 1.37)0.92
Nurse anaesthetist2.102.401.01 (0.86 to 1.22)0.87
State enrolled community nurses1.561.859.9611.331.06 (1.00 to 1.12)0.06
Maternal and child health aides1.822.041.521.511.02 (0.94 to 1.10)0.65
Nurse aide0.350.422.572.691.03 (0.91 to 1.16)0.62
Total of cadre above5.826.4624.026.21.03 (1.00 to 1.07)0.09
Traditional birth attendant3.854.351.190.981.03 (0.97 to 1.09)0.33
Student§1.860.345.283.390.33 (0.29 to 0.37)<0.001
Total11.4911.1129.229.90.92 (0.90 to 0.95)<0.001
  • *Ebola cases were confirmed in the district in the previous month.

  • ‡Data missing at one CEmOC facility from March 2014, treated as 0 in derivation of totals, but missing in analysis of this cadre.

  • §Data missing throughout at five facilities, and on four other occasions in April and May 2013, treated as 0 in derivation of totals, but missing in analysis of this cadre.

  • BEmOC, basic emergency obstetric care; CEmOC, comprehensive emergency obstetric care; CHO, Community Health Worker; EVD, Ebola virus disease.