Ebola Virus Disease Sensitization: Community-Driven Efforts in Sierra Leone.
Ebola Virus Disease Sensitization: Community-Driven Efforts in Sierra Leone.
复制标题
埃博拉病毒疾病宣传：塞拉利昂社区驱动的努力。
DOI：
10.1007/s10900-023-01265-x
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发表时间：
2024
影响因子：
5.9
通讯作者：
Crea,ThomasM
中科院分区：
文献类型：
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作者：
Collier,KMegan;Klein,ElizabethK;Sevalie,Stephen;Molleh,Bailah;Kabba,Yusuf;Kargbo,Abdulai;Bangura,Joseph;Gbettu,Henry;Simms,Stewart;O'Leary,Clara;Drury,Stacy;Schieffelin,JohnS;Betancourt,TheresaS;Crea,ThomasM
2014-2016年西非埃博拉疫情是历史上最大的一次，造成约11，000人死亡。尽管疫情最终结束，但国家和国际卫生宣传和遏制工作受到批评。本研究调查了EVD幸存者及其家人的疾病相关知识和信念，以及可信的健康信息来源，强调了社区知情的公共卫生应对措施的重要性。参与者（n= 134）是EVD感染的成年人，受影响的家庭/照顾者或社区领导人。深入访谈和焦点小组探讨EVD相关的经验，包括健康影响，耻辱和社区关系。使用扎根理论和主题内容分析方法，记录被编码为健康敏感性的证据，以及遵守缓解措施和可信的信息来源。参与者对埃博拉病毒病的知识水平很高，并报告遵守了规定的个人预防措施。据报告，健康宣传水平和幸存者随后的重返社会主要是社区努力的结果，而不是自上而下的国家公共卫生对策。可信信息的主要来源包括充当同伴教育者的埃博拉病毒病幸存者、地方领导人以及社区卫生工作者对埃博拉病毒病的宣传。这项研究强调了以社区为基础的应对措施对提高公共卫生运动有效性的重要性。与会者表示，与自上而下的公共卫生运动相比，依靠值得信赖的文化圈内人士的经验可以更深入地了解埃博拉病毒，并帮助受感染和受影响的社区成员重新融入社会。今后的公共卫生工作应纳入以社区为基础的参与性办法，以应对传染病的爆发。
The 2014–2016 West Africa Ebola outbreak was the largest in history, resulting in approximately 11,000 deaths. Despite the outbreak’s eventual end, national and international health sensitization and containment efforts were subject to criticism. This study investigates disease-related knowledge and beliefs, as well as trusted sources of health information among EVD-survivors and their family members, highlighting the importance of community-informed public health responses. Participants (n= 134) were adults who were either EVD-infected, affected families/caregivers, or community leaders. In-depth interviews and focus groups explored EVD-related experiences, including health effects, stigma, and community relationships. Using a grounded theory and thematic content analysis approach, transcripts were coded for evidence of health sensitization, as well as compliance with mitigation measures and trusted sources of information. Participants displayed a high level of knowledge around EVD and reported compliance with mandated and personal prevention measures. Levels of health sensitization and subsequent reintegration of survivors were reported to be largely the products of community-based efforts, rather than the top-down, national public health response. Primary sources of trusted information included EVD survivors acting as peer educators; local leaders; and EVD sensitization by community health workers. This study highlights the importance of a community-based response for increasing the effectiveness of public health campaigns. Participants expressed that relying on the experiences of trusted cultural insiders led to a deeper understanding of Ebola compared to top-down public health campaigns, and helped infected and affected community members reintegrate. Future public health efforts should incorporate community-based participatory approaches to address infectious disease outbreaks.