Social and cultural factors behind community resistance during an Ebola outbreak in a village of the Guinean Forest region, February 2015: a field experience
Background 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. Methods Participan...
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Veröffentlicht in: | International health 2016-05, Vol.8 (3), p.227-229 |
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creator | Carrión Martín, A.I. Derrough, T. Honomou, P. Kolie, N. Diallo, B. Koné, M. Rodier, G. Kpoghomou, C. Jansà, J.M. |
description | Background
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.
Methods
Participant observation, interviews and focus group discussions were carried out.
Results
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.
Conclusions
Engaging Ebola virus disease survivors improved community compliance. Understanding the sociocultural context and community perceptions may improve community engagement and prevent Ebola virus transmission. |
doi_str_mv | 10.1093/inthealth/ihw018 |
format | Article |
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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.
Methods
Participant observation, interviews and focus group discussions were carried out.
Results
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.
Conclusions
Engaging Ebola virus disease survivors improved community compliance. Understanding the sociocultural context and community perceptions may improve community engagement and prevent Ebola virus transmission.</description><identifier>ISSN: 1876-3413</identifier><identifier>EISSN: 1876-3405</identifier><identifier>DOI: 10.1093/inthealth/ihw018</identifier><identifier>PMID: 27059272</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Cluster Analysis ; Community Participation - statistics & numerical data ; Cultural Characteristics ; Disease Outbreaks - prevention & control ; Focus Groups ; Forests ; Guinea - epidemiology ; Hemorrhagic Fever, Ebola - epidemiology ; Hemorrhagic Fever, Ebola - prevention & control ; Humans ; Observation ; Qualitative Research ; Sociological Factors</subject><ispartof>International health, 2016-05, Vol.8 (3), p.227-229</ispartof><rights>The Author 2016. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com . 2016</rights><rights>The Author 2016. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c377t-8287d394f9f5b3b7711330ee23e5191a3bf0e800f3b5d151d6c7ade4a16b62f73</citedby><cites>FETCH-LOGICAL-c377t-8287d394f9f5b3b7711330ee23e5191a3bf0e800f3b5d151d6c7ade4a16b62f73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,1599,27905,27906</link.rule.ids><linktorsrc>$$Uhttps://dx.doi.org/10.1093/inthealth/ihw018$$EView_record_in_Oxford_University_Press$$FView_record_in_$$GOxford_University_Press</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27059272$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carrión Martín, A.I.</creatorcontrib><creatorcontrib>Derrough, T.</creatorcontrib><creatorcontrib>Honomou, P.</creatorcontrib><creatorcontrib>Kolie, N.</creatorcontrib><creatorcontrib>Diallo, B.</creatorcontrib><creatorcontrib>Koné, M.</creatorcontrib><creatorcontrib>Rodier, G.</creatorcontrib><creatorcontrib>Kpoghomou, C.</creatorcontrib><creatorcontrib>Jansà, J.M.</creatorcontrib><title>Social and cultural factors behind community resistance during an Ebola outbreak in a village of the Guinean Forest region, February 2015: a field experience</title><title>International health</title><addtitle>Int Health</addtitle><description>Background
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.
Methods
Participant observation, interviews and focus group discussions were carried out.
Results
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.
Conclusions
Engaging Ebola virus disease survivors improved community compliance. Understanding the sociocultural context and community perceptions may improve community engagement and prevent Ebola virus transmission.</description><subject>Cluster Analysis</subject><subject>Community Participation - statistics & numerical data</subject><subject>Cultural Characteristics</subject><subject>Disease Outbreaks - prevention & control</subject><subject>Focus Groups</subject><subject>Forests</subject><subject>Guinea - epidemiology</subject><subject>Hemorrhagic Fever, Ebola - epidemiology</subject><subject>Hemorrhagic Fever, Ebola - prevention & control</subject><subject>Humans</subject><subject>Observation</subject><subject>Qualitative Research</subject><subject>Sociological Factors</subject><issn>1876-3413</issn><issn>1876-3405</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkT9PwzAQxS0EoqWwMyGPSFCw4yZO2FDVAhISAzBHdnJuDYld_Afoh-G7YlToynQ-6_fe3ekhdEzJBSUVu9QmLEF0YXmplx-EljtoSEtejNmE5LvbN2UDdOD9CyFFyYpsHw0yTvIq49kQfT3aRosOC9PiJnYhutQo0QTrPJaw1D__tu-j0WGNHXjtgzAN4DY6bRZJh2fSdgLbGKQD8Yq1wQK_664TC8BW4bQhvonaQELnNjmEZLPQ1pzjOUgXhVvjjND8KsmUhq7F8LkCpyFNOUR7SnQejn7rCD3PZ0_T2_H9w83d9Pp-3DDOw7jMSt6yaqIqlUsmOaeUMQKQMchpRQWTikBJiGIyb2lO26LhooWJoIUsMsXZCJ1ufFfOvsW0Yt1r30C6wYCNvqa8rAhjFS0TSjZo46z3DlS9crpPR9SU1D-h1NtQ6k0oSXLy6x5lD-1W8JdCAs42gI2r_-2-AZ4lnE0</recordid><startdate>201605</startdate><enddate>201605</enddate><creator>Carrión Martín, A.I.</creator><creator>Derrough, T.</creator><creator>Honomou, P.</creator><creator>Kolie, N.</creator><creator>Diallo, B.</creator><creator>Koné, M.</creator><creator>Rodier, G.</creator><creator>Kpoghomou, C.</creator><creator>Jansà, J.M.</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201605</creationdate><title>Social and cultural factors behind community resistance during an Ebola outbreak in a village of the Guinean Forest region, February 2015: a field experience</title><author>Carrión Martín, A.I. ; Derrough, T. ; Honomou, P. ; Kolie, N. ; Diallo, B. ; Koné, M. ; Rodier, G. ; Kpoghomou, C. ; Jansà, J.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-8287d394f9f5b3b7711330ee23e5191a3bf0e800f3b5d151d6c7ade4a16b62f73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Cluster Analysis</topic><topic>Community Participation - statistics & numerical data</topic><topic>Cultural Characteristics</topic><topic>Disease Outbreaks - prevention & control</topic><topic>Focus Groups</topic><topic>Forests</topic><topic>Guinea - epidemiology</topic><topic>Hemorrhagic Fever, Ebola - epidemiology</topic><topic>Hemorrhagic Fever, Ebola - prevention & control</topic><topic>Humans</topic><topic>Observation</topic><topic>Qualitative Research</topic><topic>Sociological Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carrión Martín, A.I.</creatorcontrib><creatorcontrib>Derrough, T.</creatorcontrib><creatorcontrib>Honomou, P.</creatorcontrib><creatorcontrib>Kolie, N.</creatorcontrib><creatorcontrib>Diallo, B.</creatorcontrib><creatorcontrib>Koné, M.</creatorcontrib><creatorcontrib>Rodier, G.</creatorcontrib><creatorcontrib>Kpoghomou, C.</creatorcontrib><creatorcontrib>Jansà, J.M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Carrión Martín, A.I.</au><au>Derrough, T.</au><au>Honomou, P.</au><au>Kolie, N.</au><au>Diallo, B.</au><au>Koné, M.</au><au>Rodier, G.</au><au>Kpoghomou, C.</au><au>Jansà, J.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Social and cultural factors behind community resistance during an Ebola outbreak in a village of the Guinean Forest region, February 2015: a field experience</atitle><jtitle>International health</jtitle><addtitle>Int Health</addtitle><date>2016-05</date><risdate>2016</risdate><volume>8</volume><issue>3</issue><spage>227</spage><epage>229</epage><pages>227-229</pages><issn>1876-3413</issn><eissn>1876-3405</eissn><abstract>Background
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.
Methods
Participant observation, interviews and focus group discussions were carried out.
Results
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.
Conclusions
Engaging Ebola virus disease survivors improved community compliance. Understanding the sociocultural context and community perceptions may improve community engagement and prevent Ebola virus transmission.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>27059272</pmid><doi>10.1093/inthealth/ihw018</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Cluster Analysis Community Participation - statistics & numerical data Cultural Characteristics Disease Outbreaks - prevention & control Focus Groups Forests Guinea - epidemiology Hemorrhagic Fever, Ebola - epidemiology Hemorrhagic Fever, Ebola - prevention & control Humans Observation Qualitative Research Sociological Factors |
title | 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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