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Pregnant women in Congo avoid hospitals due to Ebola fears, increasing maternal deaths

Created at 3 Aug · 5:26 AM1 source↑ Market-relevant
IN SHORT

Pregnant women in eastern Congo are avoiding hospitals due to fears of contracting Ebola or being isolated, leading to a doubling of maternal mortality rates in the region. Aid groups warn that this avoidance of essential care is a growing crisis.

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Key Numbers

5.8average maternal deaths per week
3.1average maternal deaths per week before outbreak
17.4%deaths outside health centers post-outbreak
9.1%deaths outside health centers pre-outbreak
10women registered for prenatal care monthly
60women registered for prenatal care monthly pre-outbreak
44health workers infected with Ebola
12attacks on health facilities and teams
1,600confirmed Ebola deaths
19,000women died from pregnancy complications in Congo in 2023

Who's Involved

Esther Lutula
26-year-old pregnant woman avoiding prenatal checkups
Noemi Dalmonte
Deputy country representative of the United Nations Population Fund in Congo
Dr. Sonny Mwembo
Medical director at Bénédicte Clinic in Bunia
Elodie Yabiri
Bunia resident avoiding hospitals due to Ebola fears
Dr. Ghislain Maneba
Epidemiologist and community investigator in Ituri's Rwampara health zone

↳ Why This Matters

The Ebola outbreak in Congo is creating a secondary crisis by deterring pregnant women from seeking essential medical care, significantly increasing maternal mortality rates and highlighting the devastating impact of public health emergencies on vulnerable populations.

Key facts

  • Maternal mortality rates have doubled in Ituri province, Congo, amid an Ebola outbreak.
  • Pregnant women are avoiding hospitals due to fears of Ebola infection and isolation.
  • The number of weekly maternal deaths increased from 3.1 to 5.8.
  • Deaths occurring outside health centers have risen significantly.
  • Healthcare facilities are diverting resources to the Ebola response, impacting maternal care.

In eastern Congo, an Ebola outbreak has led to a significant increase in maternal mortality as pregnant women avoid hospitals due to fear of infection and misinformation. The number of weekly maternal deaths in Ituri province has nearly doubled, with a sharp rise in deaths occurring outside of health facilities.

Health and aid workers report that pregnant women are skipping prenatal checkups and hospital visits, fearing they will be isolated if they present with a fever, a common symptom. This avoidance of care, coupled with the strain on the healthcare system due to the Ebola response, has left women with less access to essential maternal services. Facilities are redirecting staff and supplies, and some healthcare workers have protested a lack of payment and safety concerns, leading to reduced services.

Ebola is highly contagious and can pose increased risks to pregnant women, including miscarriage. However, aid groups warn that many women are now at greater risk of dying from preventable childbirth complications because the care they need is no longer accessible, trusted, or perceived as safe. The region's already high maternal mortality rate is exacerbated by the outbreak, with Congo recording approximately 19,000 maternal deaths in 2023.

Frequently asked questions

An Ebola outbreak was declared in eastern Congo on May 15, and has resulted in over 1,600 confirmed deaths.

Maternal mortality rates in Ituri province have nearly doubled, with an increase in deaths occurring outside of health centers, as pregnant women avoid seeking care.

They fear contracting Ebola, being placed in isolation for common symptoms like fever, and general safety concerns due to the outbreak and associated violence.

Healthcare facilities are diverting resources to the Ebola response, reducing access to essential maternal care, and some health workers have stopped working due to safety and payment issues.

What Happens Next

01Efforts are underway to combat misinformation about the Ebola outbreak.
02Aid groups are working to ensure continued access to essential maternal care services.

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Cadence

How It Developed

An Ebola outbreak was declared in eastern Congo on May 15.
Maternal mortality rates in Ituri province doubled following the outbreak declaration.
The number of weekly maternal deaths rose from an average of 3.1 to 5.8.
Deaths outside health centers increased from 9.1% to 17.4% of total maternal deaths.
Prenatal care registrations at Bénédicte Clinic dropped from 60 to 10 per month.
Health facilities are redirecting staff and supplies to Ebola response, reducing maternal care access.
Attacks on health facilities and teams have been recorded since the outbreak began.

Sources

T1
More pregnant women are dying in Congo as they avoid hospitals over EbolaAP News

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