Social and cultural factors behind community resistance during an Ebola outbreak in a village of the Guinean Forest region, February 2015: a field experience
Social and cultural factors behind community resistance during an Ebola outbreak in a village of the Guinean Forest region, February 2015: a field experience
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DOI：
10.1093/inthealth/ihw018
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发表时间：
2016-05-01
影响因子：
2.5
通讯作者：
Jansa, J. M.
中科院分区：
文献类型：
--
作者：
Carrion Martin, A. I.;Derrough, T.;Jansa, J. M.
在几内亚埃博拉疫情期间，社区的抵触阻碍了病例调查和应对工作。我们对一群藏在森林中、拒绝外部帮助的埃博拉病例进行了调查，以确定与社区抵触相关的社会文化决定因素。我们进行了参与式观察、访谈以及焦点小组讨论。大多数村民害怕埃博拉治疗中心（ETC），因为他们认为在治疗中心有人因器官交易而被杀害。四名从治疗中心被送回村庄的幸存者分享了他们的经历，并让邻居们放心。随后，社区对接触者追踪的配合度提高了，从而使病例能够及时被发现。让埃博拉病毒病幸存者参与其中提高了社区的配合度。了解社会文化背景和社区的看法可能会改善社区的参与度，并防止埃博拉病毒的传播。
During the Ebola outbreak in Guinea, community resistance obstructed case investigation and response. We investigated a cluster of Ebola cases that were hiding in the forest, refusing external help, to identify sociocultural determinants related to community resistance.Participant observation, interviews and focus group discussions were carried out.Most villagers feared the Ebola treatment centre (ETC) as there was the belief that people were killed in ETCs for organ trade. Four survivors accompanied back to the village from the ETC shared their experiences and reassured their neighbours. Subsequently, community compliance with contact tracing improved, leading to the timely detection of cases.Engaging Ebola virus disease survivors improved community compliance. Understanding the sociocultural context and community perceptions may improve community engagement and prevent Ebola virus transmission.