Risk Communication and Community Engagement (RCCE) implementations to control cholera outbreak in Oromia region, Ethiopia

被引：0

作者：

Gobena, Dabesa ^{[1
,2
]}

Gudina, Esayas Kebede ^{[3
]}

Fetensa, Getahun ^{[4
,5
]}

Degfie, Tizta Tilahun ^{[6
]}

Debela, Tessema ^{[1
]}

Tamiru, Afework ^{[7
]}

Bayissa, Zenebu Begna ^{[8
]}

Diriba, Dereje ^{[1
]}

Sarbessa, Tarekegn ^{[1
]}

Bekele, Daniel ^{[1
]}

Teferi, Natinel ^{[1
]}

Layesa, Achalu ^{[1
]}

Zewdie, Abate ^{[1
]}

Ayele, Dawit Worku ^{[1
]}

Mersha, Meron Debebe ^{[1
]}

Bafikadu, Chala ^{[1
]}

Wake, Senahara Korsa ^{[9
]}

Abebe, Lemi ^{[8
]}

Kebebew, Tesfaye ^{[1
]}

Goshu, Tefera ^{[8
]}

Kenate, Birhanu ^{[1
]}

Dessie, Yadeta ^{[10
]}

Mekonnen, Zeleke ^{[2
]}

机构：

[1] Oromia Hlth Bur, Publ Hlth Emergency Management & Hlth Res Director, Addis Ababa, Ethiopia

[2] Jimma Univ, Inst Hlth, Sch Med Lab Sci, Jimma, Ethiopia

[3] Jimma Univ, Inst Hlth, Dept Internal Med, Jimma, Ethiopia

[4] Jimma Univ, Fac Publ, Jimm Med Ctr, Dept Hlth Behav, Jimma, Ethiopia

[5] Wollega Univ, Inst Hlth Sci, Sch Nursing & Midwifery, Dept Nursing, Nekemte, Ethiopia

[6] Bahir Dar Univ, Coll Med & Hlth Sci, Dept Reprod Hlth & Populat Studies, Bahir Dar, Ethiopia

[7] Wollega Univ, Coll Med & Hlth Sci, Dept Publ Hlth, Nekemte, Ethiopia

[8] Ambo Univ, Coll Med & Hlth Sci, Dept Publ Hlth, Ambo, Ethiopia

[9] Ambo Univ, Coll Nat & Computat Sci, Dept Stat, Ambo, Ethiopia

[10] Haramaya Univ, Coll Hlth & Med Sci, Sch Publ Hlth, Harar, Ethiopia

来源：

TROPICAL MEDICINE AND HEALTH | 2025年 / 53卷 / 01期

关键词：

Cholera; Community engagement; Ethiopia; Risk communication; Outbreak; Oromia;

D O I：

10.1186/s41182-024-00679-0

中图分类号：

R188.11 [热带医学];

学科分类号：

摘要：

BackgroundOromia regional state experiencing cholera outbreaks in a protracted pattern despite various interventions at local and regional levels. This study aimed to examine the implementation of Risk Communication and Community Engagement (RCCE) activities for cholera outbreak control in the region.MethodsWe conducted a quantitative and qualitative mixed-method study. The study included 422 respondents for quantitative, 22 key informant interviews (KII), and 4 Focus Group Discussions (FGDs) for the qualitative methods. Risk Communication and Community Engagement (RCCE) activities were assessed using standard questionnaires adapted from national cholera guideline later categorized as poor, satisfactory and good. The findings have also been derived qualitatively from three distinct themes or pillars, specifically (coordination and logistics, RCCE, and the Oral Cholera Vaccine). The quantitative data were analyzed using Stata, version 14.0, and ATLAS.ti9 software was used for qualitative data analysis. An ordinal logistic regression model was applied to identify factors associated with the RCCE status, and a thematic content analysis was performed for the qualitative study. Odds Ratios with 95% confidence intervals (CI) were used to present the findings from the quantitative analysis.ResultsOnly 53% (223) of participants had received health information on cholera of whom 22.8% (96) had material for Social Behaviour Change (SBC) in the local language (Afan Oromo). The overall RCCE implementation status was rated as poor by 73% of the respondents, satisfactory by 23%, and only 4% rated it as good. Level of education and occupation of the house are among the factors affecting the implementation of RCCE. The qualitative findings revealed a lack of regular community dialogues, and community engagements were notably minimal during the early phase of the outbreak. Overall, the RCCE implementation activities were characterized by inconsistency, a lack of comprehensiveness, and uniformity across all levels.ConclusionThe RCCE-related intervention activities were found to be minimal, inconsistent and less focused. The RCCE interventions and awareness creation need to begin with the small units of the community structures, including individuals and families and have to happen continuously with the community, and health workers' involvement at all level. Preliminary evaluation of Social and Behaviour Change (SBC) materials before their distribution should be made, and adopting diverse communication modalities to control the outbreak.

引用

页数：12

共 27 条

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