控制冠状病毒病(COVID - 19)和产生病耻的策略:以科特迪瓦科科迪-宾格维尔卫生区为例

Kambe Kambe Yves, Ouattara Kalilou, Hyda Jules, O. Amadou
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摘要

在各种(重新)出现的疾病的历史上,人们注意到,对检测呈阳性的人产生了耻辱。这些消极的态度和行为在各大洲都可见到。因此,本研究的目的是建立冠状病毒疾病(covid - 19)卫生应对计划与病耻感产生之间的联系。事实上,世界卫生组织(2020年)宣布covid-19为“国际关注的突发公共卫生事件(USPPI)”,其特点是传播强劲而迅速。为了减少这种传播,实施了卫生应对计划,并得到广泛宣传运动的支持。然而,在科特迪瓦,对文献审查所得数据的分析、使用电子问卷对310人的访谈以及对四名卫生官员的访谈指南表明,所采取的不同战略助长和加强了对这种疾病及其可能导致的死亡的恐惧。结果,他们导致了拒绝和侮辱积极的人及其亲人的态度。因此,与以往新出现的疾病一样,covid-19在人群中也取得了同样的结果。因此,我们认为,应对新出现疾病的不同战略在很大程度上促成了这种社会反应的产生,这是一种基于埋藏在每个人身上的生存本能的合理反应。
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Strategies for the Control of Coronavirus Disease (COVID 19) and Production of Stigma: Case of the Health District of Cocody-Bingerville in Cote D’Ivoire
In the history of the various (re) emerging diseases, it has been noted that the stigma of people tested positive has been produced. These negative attitudes and behaviors have been observed on all continents. Thus, the objective of this study was to establish a link between health response plans for coronavirus disease (covid 19) and the production of stigma. Indeed, declared a "public health emergency of international concern (USPPI)" by the World Health Organization (2020), covid-19 is characterized by a strong and rapid spread. To reduce this diffusion, health response plans have been implemented and supported by extensive communication campaign. However, in Cote d’Ivoire, the analysis of data from a literature review, interviews with 310 people using an electronic questionnaire and an interview guide with four health officials, showed that the different strategies adopted are fueling and reinforcing the fear of this disease and the death that can result from it. As a result, they have led to attitudes that reject and stigmatize positive people and their loved ones. As a result, like previous emerging diseases, covid-19 has achieved the same result in populations. Thus, we consider that the different strategies for responding to emerging diseases contribute in large part to the production of this social reaction, which is a legitimate response based on the survival instinct buried in each individual.
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