Cholera in the Time of MINUSTAH: Experiences of Community Members Affected by Cholera in Haiti.

Cholera in the Time of MINUSTAH: Experiences of Community Members Affected by Cholera in Haiti.
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DOI:
10.3390/ijerph19094974
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发表时间:
2022-04-20
影响因子:
--
通讯作者:
Lee, Sabine
Lee, Sabine
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Bartels, Susan A.;Fraulin, Georgia;Etienne, Stephanie;Wisner, Sandra C.;Lee, Sabine

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2010年,海地爆发了21世纪最致命的霍乱疫情之一。人们普遍认为是联合国维和人员带来了霍乱,联合国已正式向海地人民道歉并承担责任。当前的分析研究了海地社区成员如何经历这一流行病,并记录了他们对责任的态度。海地研究助理利用 SenseMaker 收集了有关海地 10 个联合国基地的微观叙述。选择了 77 个以霍乱为中心的微观叙事进行定性主题分析。确定了以下五个主题: (1) 霍乱病例和死亡; (2) 获得护理和服务; (三)针对联合国的抗议、骚乱; (四)补偿; (5)反殖民主义。调查结果强调了恐惧、沮丧、愤怒以及霍乱对家庭和社区造成的破坏性影响,有时由于无法获得救生医疗服务而加剧这种影响。大多数与会者认为,联合国应通过直接财政援助来补偿霍乱受害者,但有关联合国的应对措施存在严重错误信息。总之,海地霍乱受害者及其家人应该得到联合国的透明沟通和适当补救。为了重建对联合国和外国援助的信任,必须与受害者协商提供适当的补救措施。
In 2010, Haiti experienced one of the deadliest cholera outbreaks of the 21st century. United Nations (UN) peacekeepers are widely believed to have introduced cholera, and the UN has formally apologized to Haitians and accepted responsibility. The current analysis examines how Haitian community members experienced the epidemic and documents their attitudes around accountability. Using SenseMaker, Haitian research assistants collected micronarratives surrounding 10 UN bases in Haiti. Seventy-seven cholera-focused micronarratives were selected for a qualitative thematic analysis. The five following major themes were identified: (1) Cholera cases and deaths; (2) Accessing care and services; (3) Protests and riots against the UN; (4) Compensation; and (5) Anti-colonialism. Findings highlight fear, frustration, anger, and the devastating impact that cholera had on families and communities, which was sometimes compounded by an inability to access life-saving medical care. Most participants believed that the UN should compensate cholera victims through direct financial assistance but there was significant misinformation about the UN’s response. In conclusion, Haiti’s cholera victims and their families deserve transparent communication and appropriate remedies from the UN. To rebuild trust in the UN and foreign aid, adequate remedies must be provided in consultation with victims.
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