The West African Ebola outbreak of 2013–2016 had the potential to devastate family planning programs in affected countries, which had made great progress in years prior. We examine monthly provision of family planning service statistics from government sources for Liberia and Sierra Leone from 6 months before the first Ebola case to 24 months after the last Ebola case to measure the impact during and after the epidemic. By calculating the couple‐years of protection from service statistics, we find that family planning distribution declined by 65 percent in Liberia and 23 percent in Sierra Leone at the peak of the epidemic. Two years after Ebola, Liberia's average monthly contraception distribution is 39 percent above precrisis levels, while distribution in Sierra Leone increased by 27 percent, findings echoed in data from the Demographic and Health Survey and Multiple Indicator Cluster Survey. Increased contraceptive use comes from implants in both countries, and injectables in Liberia. This study indicates that the family planning sector can recover, and continue to improve, following a significant disruption and is a lesson in resilience.

中文翻译：

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西非埃博拉危机期间和之后的计划生育

2013 年至 2016 年的西非埃博拉疫情有可能破坏受影响国家的计划生育计划，这些计划在前几年取得了巨大进展。我们检查了利比里亚和塞拉利昂政府提供的从第一例埃博​​拉病例前 6 个月到最后一例埃博拉病例后 24 个月的月度计划生育服务统计数据，以衡量疫情期间和之后的影响。通过从服务统计中计算保护的夫妇年数，我们发现在流行高峰期，利比里亚和塞拉利昂的计划生育分配下降了 65% 和 23%。埃博拉疫情发生两年后，利比里亚的平均每月避孕药具分发量比危机前水平高出 39%，而塞拉利昂的分发量增加了 27%，人口与健康调查和多指标类集调查的数据与调查结果相呼应。避孕药具的使用增加来自这两个国家的植入物和利比里亚的注射剂。这项研究表明，计划生育部门可以在遭受重大破坏后恢复并继续改善，这是一个关于韧性的教训。