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Critiquing the response to the Ebola epidemic through a Primary Health Care Approach

Overview of attention for article published in BMC Public Health, May 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (98th percentile)

Mentioned by

13 news outlets
2 blogs
24 tweeters


28 Dimensions

Readers on

225 Mendeley
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Critiquing the response to the Ebola epidemic through a Primary Health Care Approach
Published in
BMC Public Health, May 2016
DOI 10.1186/s12889-016-3071-4
Pubmed ID

Vera Scott, Sarah Crawford-Browne, David Sanders


The 2014/2015 West Africa Ebola epidemic has caused the global public health community to engage in difficult self-reflection. First, it must consider the part it played in relation to an important public health question: why did this epidemic take hold and spread in this unprecedented manner? Second, it must use the lessons learnt to answer the subsequent question: what can be done now to prevent further such outbreaks in the future? These questions remain relevant, even as scientists announce that the Guinea Phase III efficacy vaccine trial shows that rVSV-EBOV (Merck, Sharp & Dohme) is highly efficacious in individuals. This is a major breakthrough in the fight against Ebola virus disease (EVD). It does not replace but may be a powerful adjunct to current strategies of EVD management and control. We contribute to the current self-reflection by presenting an analysis using a Primary Health Care (PHC) approach. This approach is appropriate as African countries in the region affected by EVD have recommitted themselves to PHC as a framework for organising health systems and the delivery of health services. The approach suggests that, in an epidemic made complex by weak pre-existing health systems, lack of trust in authorities and mobile populations, a broader approach is required to engage affected communities. In the medium-term health system development with attention to primary level services and community-based programmes to address the major disease burden of malaria, diarrhoeal disease, meningitis, tuberculosis and malnutrition is needed. This requires the development of local management and an investment in human resources for health. Crucially this has to be developed ahead of, and not in parallel with, future outbreaks. In the longer-term a commitment is required to address the underlying social determinants which make these countries so vulnerable, and limit their capacity to respond effectively to, epidemics such as EVD. The PHC approach offers an insightful critique of the global and regional factors which have compromised the response of health systems in Guinea, Liberia and Sierra Leone as well as suggesting what a strengthened EVD response might involve in the short, medium and long-term.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 225 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Kenya 1 <1%
Unknown 223 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 51 23%
Student > Bachelor 31 14%
Researcher 19 8%
Student > Ph. D. Student 19 8%
Student > Doctoral Student 16 7%
Other 37 16%
Unknown 52 23%
Readers by discipline Count As %
Medicine and Dentistry 63 28%
Nursing and Health Professions 36 16%
Social Sciences 27 12%
Agricultural and Biological Sciences 8 4%
Psychology 8 4%
Other 28 12%
Unknown 55 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 132. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 February 2021.
All research outputs
of 18,738,748 outputs
Outputs from BMC Public Health
of 12,417 outputs
Outputs of similar age
of 272,597 outputs
Outputs of similar age from BMC Public Health
of 1 outputs
Altmetric has tracked 18,738,748 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 12,417 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.1. This one has done particularly well, scoring higher than 98% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 272,597 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them