Pregnant women in the Democratic Republic of Congo are avoiding hospitals due to fears of contracting Ebola or being placed in quarantine [1].
This trend creates a critical public health risk, as the lack of professional prenatal and delivery care increases the likelihood of complications for both mothers and newborns [1].
The situation is particularly acute in eastern cities, including Bunia [1, 6]. In these areas, the ongoing Ebola outbreak has fostered a climate of fear that outweighs the perceived benefit of seeking medical assistance [1, 3].
Women have reported concerns that entering a healthcare facility may lead to accidental exposure to the virus [1, 4]. Additionally, the prospect of being isolated in a quarantine center, separated from their families and support systems, has deterred many from seeking essential services [1, 3].
Health officials said that this avoidance of clinical care may lead to a spike in preventable maternal and infant deaths [1]. While hospitals are designed to provide safe environments for childbirth, the psychological impact of the epidemic has shifted the perceived safety of these institutions [1, 5].
Local authorities and health workers are facing the challenge of restoring trust in the medical system while simultaneously managing the outbreak [1, 6]. The intersection of a viral epidemic and maternal health needs has created a secondary crisis where the fear of one disease leads to the neglect of other life-threatening conditions [1].
“Pregnant women in the Democratic Republic of Congo are avoiding hospitals due to fears of contracting Ebola.”
This situation illustrates the 'collateral damage' of epidemics, where the fear of a high-profile virus disrupts the delivery of routine, life-saving healthcare. When trust in medical infrastructure collapses, the resulting increase in maternal and infant mortality can potentially exceed the direct death toll of the virus itself, necessitating a communication strategy that addresses psychological fear alongside clinical treatment.



