Local governance of the 2014 ebola Epidemic: a PhD synthesis.

IF 2.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global Health Action Pub Date : 2024-12-31 Epub Date: 2024-10-11 DOI:10.1080/16549716.2024.2411742
Sabine Iva Franklin
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Abstract

Background: The doctoral dissertation examines how local response efforts were integrated into overall emergency management.

Objectives: It seeks to understand the role and effectiveness of community-based actors in addressing collective action problems.

Methods: Sixty-seven semi-structured interviews were conducted from January to July 2017 in Liberia and Sierra Leone. Key informants include healthcare workers, traditional leaders, and community stakeholders, such as non-governmental organization representatives and volunteers.

Results: Findings show that traditional and community leaders responded to the public health emergency via rulemaking, quarantine, travel limitation, healthcare referrals, health sensitization, and door-to-door contact tracing. These actions by local leaders helped to change behaviors and improve cooperation. Sierra Leone had 32.3% more Ebola cases than Liberia but 18% fewer deaths. Sierra Leone had integrated traditional and community leaders before the scale up of international aid resources.

Conclusion: This suggests that actions taken by traditional and community leaders improved overall efforts, and in some areas, before scaled-up humanitarian interventions. Bilateral engagement with local community actors should be integrated in every public health response to improve cooperation, and it should be done before an intervention is conceived and executed.

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2014 年埃博拉疫情的地方治理:博士论文综述。
背景:这篇博士论文探讨了如何将地方应急工作纳入整体应急管理:这篇博士论文探讨了如何将地方应对工作纳入整体应急管理:方法:2017 年 1 月至 7 月在利比里亚和塞拉利昂进行了 67 次半结构式访谈:2017 年 1 月至 7 月,在利比里亚和塞拉利昂进行了 67 次半结构化访谈。主要信息提供者包括医疗工作者、传统领袖以及非政府组织代表和志愿者等社区利益相关者:调查结果显示,传统领袖和社区领袖通过制定规则、隔离、旅行限制、医疗转诊、健康宣传和挨家挨户追踪接触者等方式应对突发公共卫生事件。地方领导人的这些行动有助于改变行为和加强合作。塞拉利昂的埃博拉病例比利比里亚多 32.3%,但死亡人数却比利比里亚少 18%。在国际援助资源扩大规模之前,塞拉利昂已经整合了传统领袖和社区领袖:这表明,在扩大人道主义干预规模之前,传统领袖和社区领袖采取的行动改善了整体工作,并在某些领域有所改善。应将与当地社区行动者的双边接触纳入每项公共卫生应对措施,以加强合作,而且应在构思和实施干预措施之前就这样做。
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来源期刊
Global Health Action
Global Health Action PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.10
自引率
3.80%
发文量
108
审稿时长
16 weeks
期刊介绍: Global Health Action is an international peer-reviewed Open Access journal affiliated with the Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine at Umeå University, Sweden. The Unit hosts the Umeå International School of Public Health and the Umeå Centre for Global Health Research. Vision: Our vision is to be a leading journal in the global health field, narrowing health information gaps and contributing to the implementation of policies and actions that lead to improved global health. Aim: The widening gap between the winners and losers of globalisation presents major public health challenges. To meet these challenges, it is crucial to generate new knowledge and evidence in the field and in settings where the evidence is lacking, as well as to bridge the gaps between existing knowledge and implementation of relevant findings. Thus, the aim of Global Health Action is to contribute to fuelling a more concrete, hands-on approach to addressing global health challenges. Manuscripts suggesting strategies for practical interventions and research implementations where none already exist are specifically welcomed. Further, the journal encourages articles from low- and middle-income countries, while also welcoming articles originated from South-South and South-North collaborations. All articles are expected to address a global agenda and include a strong implementation or policy component.
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