Rural populations exposed to Ebola Virus Disease respond positively to localised case handling: Evidence from Sierra Leone.
At the height of the Ebola epidemic in Sierra Leone in November 2014, a new decentralized approach to ending infection chains was adopted. This approach was based on building local, small-scale Community Care Centres (CCC) intended to serve as triage units for safe handling of patients waiting for t...
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ftdoajarticles:oai:doaj.org/article:970d0b743cd1445487eff3dc69fc7778 2023-05-15T15:08:18+02:00 Rural populations exposed to Ebola Virus Disease respond positively to localised case handling: Evidence from Sierra Leone. Esther Yei Mokuwa Harro Maat 2020-01-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0007666 https://doaj.org/article/970d0b743cd1445487eff3dc69fc7778 EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0007666 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0007666 https://doaj.org/article/970d0b743cd1445487eff3dc69fc7778 PLoS Neglected Tropical Diseases, Vol 14, Iss 1, p e0007666 (2020) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2020 ftdoajarticles https://doi.org/10.1371/journal.pntd.0007666 2022-12-31T13:25:27Z At the height of the Ebola epidemic in Sierra Leone in November 2014, a new decentralized approach to ending infection chains was adopted. This approach was based on building local, small-scale Community Care Centres (CCC) intended to serve as triage units for safe handling of patients waiting for test results, with subsequent transfer to Ebola Treatment Centers (ETC) for those who tested positive for Ebola. This paper deals with local response to the CCC, and explains, through qualitative analysis of focus group data sets, why this development was seen in a positive light. The responses of 562 focus group participants in seven villages with CCC and seven neighbouring referral villages without CCC are assessed. These data confirm that CCC are compatible with community values concerning access to, and family care for, the sick. Mixed reactions are reported in the case of "safe burial", a process that directly challenged ritual activity seen as vital to maintaining good relations between socially-enclaved rural families. Land acquisitions to build CCC prompted divided responses. This reflects problems about land ownership unresolved since colonial times between communities and government. The study provides insights into how gaps in understanding between international Ebola responders and local communities can be bridged. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 14 1 e0007666 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Esther Yei Mokuwa Harro Maat Rural populations exposed to Ebola Virus Disease respond positively to localised case handling: Evidence from Sierra Leone. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
At the height of the Ebola epidemic in Sierra Leone in November 2014, a new decentralized approach to ending infection chains was adopted. This approach was based on building local, small-scale Community Care Centres (CCC) intended to serve as triage units for safe handling of patients waiting for test results, with subsequent transfer to Ebola Treatment Centers (ETC) for those who tested positive for Ebola. This paper deals with local response to the CCC, and explains, through qualitative analysis of focus group data sets, why this development was seen in a positive light. The responses of 562 focus group participants in seven villages with CCC and seven neighbouring referral villages without CCC are assessed. These data confirm that CCC are compatible with community values concerning access to, and family care for, the sick. Mixed reactions are reported in the case of "safe burial", a process that directly challenged ritual activity seen as vital to maintaining good relations between socially-enclaved rural families. Land acquisitions to build CCC prompted divided responses. This reflects problems about land ownership unresolved since colonial times between communities and government. The study provides insights into how gaps in understanding between international Ebola responders and local communities can be bridged. |
format |
Article in Journal/Newspaper |
author |
Esther Yei Mokuwa Harro Maat |
author_facet |
Esther Yei Mokuwa Harro Maat |
author_sort |
Esther Yei Mokuwa |
title |
Rural populations exposed to Ebola Virus Disease respond positively to localised case handling: Evidence from Sierra Leone. |
title_short |
Rural populations exposed to Ebola Virus Disease respond positively to localised case handling: Evidence from Sierra Leone. |
title_full |
Rural populations exposed to Ebola Virus Disease respond positively to localised case handling: Evidence from Sierra Leone. |
title_fullStr |
Rural populations exposed to Ebola Virus Disease respond positively to localised case handling: Evidence from Sierra Leone. |
title_full_unstemmed |
Rural populations exposed to Ebola Virus Disease respond positively to localised case handling: Evidence from Sierra Leone. |
title_sort |
rural populations exposed to ebola virus disease respond positively to localised case handling: evidence from sierra leone. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2020 |
url |
https://doi.org/10.1371/journal.pntd.0007666 https://doaj.org/article/970d0b743cd1445487eff3dc69fc7778 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 14, Iss 1, p e0007666 (2020) |
op_relation |
https://doi.org/10.1371/journal.pntd.0007666 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0007666 https://doaj.org/article/970d0b743cd1445487eff3dc69fc7778 |
op_doi |
https://doi.org/10.1371/journal.pntd.0007666 |
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PLOS Neglected Tropical Diseases |
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14 |
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1 |
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e0007666 |
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