Treatment Seeking and Ebola Community Care Centers in Sierra Leone: A Qualitative Study
Treatment Seeking and Ebola Community Care Centers in Sierra Leone: A Qualitative Study
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DOI：
10.1080/10810730.2016.1216204
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发表时间：
2017-01-01
影响因子：
4.4
通讯作者：
Niederberger, Eva
中科院分区：
文献类型：
--
作者：
Carter, Simone E.;O'Reilly, Marion;Niederberger, Eva
埃博拉治疗单位只能提供塞拉利昂60%的必要治疗床位。因此，塞拉利昂政府决定建造社区护理中心。这些措施旨在增加寻求治疗的行为，并通过促进更接近社区的护理来减少埃博拉的社区传播。通过在3个地区的定性数据收集，本研究旨在了解感知的影响，接近这样的中心寻求治疗的行为。社区成员和社区卫生志愿者的反馈表明，接近治疗减少了恐惧，特别是那些因使用救护车、不熟悉医疗中心以及与接受治疗的家庭成员失去联系而产生的恐惧。参与者报告说，有一个中心靠近他们的家，使他们能够步行到治疗和见证幸存者出院。居住在中心附近也使社区能够参与其设计和日常运作，有助于建立对它们作为可接受的治疗设施的信任。需要进一步的研究来了解中心的适当设计、运作和流行病学影响。进一步的调查应包括疫情的严重程度和疫情的阶段（持续时间）对中心可能接受的影响。
Ebola Treatment Units were able to provide only 60% of necessary treatment beds in Sierra Leone. As a result, the Government of Sierra Leone decided to construct Community Care Centers. These were intended to increase treatment-seeking behavior and reduce the community-level spread of Ebola by facilitating access to care closer to communities. Through qualitative data collection in 3 districts, this study seeks to understand the perceived impact that proximity to such Centers had on treatment-seeking behavior. Feedback from community members and Community Health Volunteers indicates that proximity to treatment reduced fears, especially those arising from the use of ambulances, lack of familiarity with medical Centers, and loss of contact with family members taken for treatment. Participants report that having a Center close to their home enables them to walk to treatment and witness survivors being discharged. Living close to Centers also enables communities to be involved in their design and daily operation, helping to build trust in them as acceptable treatment facilities. Further research is required to understand the appropriate design, operation, and epidemiological impact of Centers. Further investigation should incorporate the effect of an outbreak's severity and the stage (duration) of the outbreak on potential acceptance of Centers.