Association between EVD epidemic and facility MMR overall and by district disaggregated by level of healthcare (CEmOC or BEmOC)
| MMR (maternal deaths/100 000 live births) | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Facility providing CEmOC | Facility providing BEmOC | Comparison of CEmOC vs BEmOC | Comparison of Ebola vs no Ebola | ||||||||
| Type of facility or district | Number of months with Ebola cases | Number of maternal deaths | Number of live births | No Ebola (n=201) | Ebola (n=78) | No Ebola (n=1034) | Ebola (n=390) | IRR (95% CI) | p Value | IRR (95% CI) | p Value |
| All facilities | 1962 | 3097 | 59 | 55 | 42 (26 to 69) | <0.001 | 1.34 (1.07 to 1.69) | 0.01 | |||
| BEmOCs | 0.64 (0.18 to 2.24) | 0.53 | |||||||||
| CEmOCs | 1.48 (1.21 to 1.81) | <0.001 | |||||||||
| Bo (n=132) | 7 | 54 | 4389 | 2638 | 5519 | 53 | 0 | 93 (13 to 673) | <0.001 | 2.2 (1.3 to 3.8) | 0.004 |
| Bombali (n=22) | 7 | 51 | 4812 | 1634 | 1850 | 0 | 0 | ND | 1.2 (0.6 to 2.2) | 0.58 | |
| Bonthe (n=0) | 4 | 1 | 1429 | 0 | 0 | 0 | 455 | Only 1 event in this district | |||
| Kailahun (n=131) | 8 | 13 | 4233 | 1687 | 1266 | 0 | 122 | 43 (6 to 331) | <0.001 | 1.1 (0.3 to 3.6) | 0.86 |
| Kambia (n=132) | 4 | 38 | 3384 | 2800 | 11 935 | 58 | 0 | 68 (9 to 495) | <0.0001 | 2.1 (0.8 to 5.3) | 0.17 |
| Kenema (n=22) | 7 | 48 | 5431 | 1839 | 1324 | 0 | 0 | ND | 0.7 (0.4 to 1.5) | 0.37 | |
| Koinadugu (n=132) | 4 | 35 | 3258 | 2120 | 2323 | 141 | 0 | 17 (4 to 70) | <0.001 | 1.1 (0.4 to 2.6) | 0.87 |
| Kono (n=131) | 7 | 8 | 2620 | 708 | 332 | 142 | 0 | 5.5 (1.1 to 27) | 0.05 | 0.3 (0.04 to 2.6) | 0.23 |
| Moyamba (n=132) | 7 | 16 | 3227 | 2987 | 1242 | 191 | 220 | 24 (7 to 85) | <0.001 | 0.7 (0.2 to 2.5) | 0.57 |
| Port Loko (n=22) | 7 | 13 | 2774 | 3709 | 2857 | 0 | 0 | ND | 1.1 (0.2 to 4.9) | 0.91 | |
| Pujehun (n=21) | 5 | 14 | 3462 | 2480 | 4.697 | 0 | 0 | ND | 1.9 (0.6 to 5.5) | 0.29 | |
| Tonkolili (n=126) | 5 | 29 | 3221 | 1122 | 8796 | 102 | 0 | 38 (8.9 to 160) | <0.001 | 4.5 (2.0 to 10.0) | <0.001 |
| Western area (n=130) | 7 | 143 | 12 855 | 1550 | 2500 | 78 | 0 | 22 (8 to 60) | <0.001 | 1.5 (1.0 to 2.0) | 0.03 |
BEmOC, basic emergency obstetric care; CEmOC, comprehensive emergency obstetric care; EVD, Ebola virus disease; IRR, incidence rate ratio; MMR, maternal mortality ratio; n, number of facility–month combinations; ND, no deaths reported for one level.