Trust, fear, stigma and disruptions: community perceptions and experiences during periods of low but ongoing transmission of Ebola virus disease in Sierra Leone, 2015.
Trust, fear, stigma and disruptions: community perceptions and experiences during periods of low but ongoing transmission of Ebola virus disease in Sierra Leone, 2015.
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DOI：
10.1136/bmjgh-2017-000410
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发表时间：
2018
影响因子：
8.1
通讯作者：
Morgan O
中科院分区：
文献类型：
--
作者：
Nuriddin A;Jalloh MF;Meyer E;Bunnell R;Bio FA;Jalloh MB;Sengeh P;Hageman KM;Carroll DD;Conteh L;Morgan O
社会动员和风险沟通对于2014-2015年西非埃博拉应对至关重要。截至2015年3月，塞拉利昂确诊了超过8500例埃博拉病例和3370例埃博拉死亡病例。应对工作的重点是“归零和保持在零”。该计划的一个关键组成部分是深化和维持社区参与。在此期间进行的几项国家定量研究显示，随着疫情的减弱，埃博拉知识，个人预防措施和传统埋葬程序有所改善，但也注意到医疗保健系统的挑战。很少有定性研究考察这些综合因素，沿着幸存者在持续传播期间的耻辱感。为了深入了解人们对埃博拉病毒传播风险的看法、态度和行为，2015年4月至5月期间，与塞拉利昂成年社区成员进行了27个焦点小组讨论：对医疗保健系统的信任，与埃博拉幸存者的互动，埃博拉对生活和生计的影响，以及结束疫情的障碍和促进因素。参与者认为，随着医疗实践和设施的改善，社区信任也在改善。资源管理仍然是一个值得注意的问题。对幸存者的看法从同情和同情到恐惧和污名化。障碍包括持续否认埃博拉病毒正在传播、秘密埋葬和跨越漏洞百出的边界。调解人采取了个人保护行动、一致的信息传递以及将妇女和幸存者纳入应对措施。了解社区在毁灭性的埃博拉疫情期间的经验，为类似社区在未来疫情爆发和公共卫生紧急情况下参与风险沟通和社会动员提供了实践经验。
Social mobilisation and risk communication were essential to the 2014–2015 West African Ebola response. By March 2015, >8500 Ebola cases and 3370 Ebola deaths were confirmed in Sierra Leone. Response efforts were focused on ‘getting to zero and staying at zero’. A critical component of this plan was to deepen and sustain community engagement. Several national quantitative studies conducted during this time revealed Ebola knowledge, personal prevention practices and traditional burial procedures improved as the outbreak waned, but healthcare system challenges were also noted. Few qualitative studies have examined these combined factors, along with survivor stigma during periods of ongoing transmission. To obtain an in-depth understanding of people’s perceptions, attitudes and behaviours associated with Ebola transmission risks, 27 focus groups were conducted between April and May 2015 with adult Sierra Leonean community members on: trust in the healthcare system, interactions with Ebola survivors, impact of Ebola on lives and livelihood, and barriers and facilitators to ending the outbreak. Participants perceived that as healthcare practices and facilities improved, so did community trust. Resource management remained a noted concern. Perceptions of survivors ranged from sympathy and empathy to fear and stigmatisation. Barriers included persistent denial of ongoing Ebola transmission, secret burials and movement across porous borders. Facilitators included personal protective actions, consistent messaging and the inclusion of women and survivors in the response. Understanding community experiences during the devastating Ebola epidemic provides practical lessons for engaging similar communities in risk communication and social mobilisation during future outbreaks and public health emergencies.
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影响因子：
2.5
作者：
Pieterse, Pieternella;Lodge, Tom
通讯作者：
Lodge, Tom
解决与埃博拉相关的污名：从艾滋病毒/艾滋病中学到的教训。
影响因子：
2.6
作者：
Davtyan M;Brown B;Folayan MO
通讯作者：
Folayan MO
DOI：
10.1056/nejmoa1511410
发表时间：
2017-10-12
期刊：
The New England journal of medicine
影响因子：
--
作者：
Deen GF;Broutet N;Xu W;Knust B;Sesay FR;McDonald SLR;Ervin E;Marrinan JE;Gaillard P;Habib N;Liu H;Liu W;Thorson AE;Yamba F;Massaquoi TA;James F;Ariyarajah A;Ross C;Bernstein K;Coursier A;Klena J;Carino M;Wurie AH;Zhang Y;Dumbuya MS;Abad N;Idriss B;Wi T;Bennett SD;Davies T;Ebrahim FK;Meites E;Naidoo D;Smith SJ;Ongpin P;Malik T;Banerjee A;Erickson BR;Liu Y;Liu Y;Xu K;Brault A;Durski KN;Winter J;Sealy T;Nichol ST;Lamunu M;Bangura J;Landoulsi S;Jambai A;Morgan O;Wu G;Liang M;Su Q;Lan Y;Hao Y;Formenty P;Ströher U;Sahr F
通讯作者：
Sahr F
DOI：
10.1098/rstb.2016.0302
发表时间：
2017-05-26
期刊：
Philosophical transactions of the Royal Society of London. Series B, Biological sciences
影响因子：
--
作者：
Funk S;Ciglenecki I;Tiffany A;Gignoux E;Camacho A;Eggo RM;Kucharski AJ;Edmunds WJ;Bolongei J;Azuma P;Clement P;Alpha TS;Sterk E;Telfer B;Engel G;Parker LA;Suzuki M;Heijenberg N;Reeder B
通讯作者：
Reeder B
影响因子：
11.8
作者：
Frieden TR;Damon IK
通讯作者：
Damon IK