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感知埃博拉病毒疾病:塞拉利昂社区驱动的努力

K Megan Collier¹, Elizabeth K Klein², Stephen Sevalie³

¹School of Social Work, Boston College, Chestnut Hill, MA, USA. k.megan.collier@gmail.com.

Journal of community health

|August 2, 2023

概括

社区主导的健康宣传和可靠的信息来源是管理西非埃博拉病毒病 (EVD) 爆发的关键. 当地的努力比自上而下的方法更有效地解决了幸存者重返社会和公共卫生问题.

科学领域:

公共卫生公共卫生
流行病学流行病学
社会学社会学社会学

背景情况:

2014-2016年西非埃博拉病毒病 (EVD) 爆发强调了公共卫生应对方面的挑战.
国家和国际制努力面临着关于其有效性和社区参与的批评.

研究的目的:

调查埃博拉幸存者及其家属的疾病知识,信仰和可信的信息来源.
突出社区知情策略在公共卫生应对传染病爆发方面的重要性.

主要方法:

定性研究涉及134名参与者 (感染埃博拉病毒的人,家庭,社区领导人) 的深入访谈和焦点小组.
记录的基础理论和主题内容分析,以确定健康敏感性,合规性和信息来源的模式.
探索EVD经验,包括健康影响,耻辱和社区重新融入.

主要成果:

参与者表现出高度的EBD知识和遵守预防措施.
基于社区的努力,而不是自上而下的国家反应,是健康意识和幸存者重返社会的主要驱动力.
值得信赖的信息来源包括EVD幸存者作为同行教育者,当地领导人和社区卫生工作者.

结论:

在传染病爆发期间,以社区为基础的参与性方法对于提高公共卫生活动的有效性至关重要.
利用值得信赖的文化内部人士改善理解,并促进与标准化,自上而下的信息相比,重新融入社会.
未来的公共卫生战略应优先考虑社区参与和地方主导的倡议.

关键词:

社区健康社区健康埃博拉病毒疾病埃博拉病毒疾病公共卫生公共卫生质量上的质量.塞拉利昂塞拉利昂

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