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
Hauptverfasser: Carrión Martín, A.I., Derrough, T., Honomou, P., Kolie, N., Diallo, B., Koné, M., Rodier, G., Kpoghomou, C., Jansà, J.M.
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container_end_page 229
container_issue 3
container_start_page 227
container_title International health
container_volume 8
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
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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. 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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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