Evidence of behaviour change during an Ebola virus disease outbreak, Sierra Leone

被引:10
作者
Jalloh, Mohamed F. [1 ]
Sengeh, Paul [2 ]
Bunnell, Rebecca E. [3 ]
Jalloh, Mohammad B. [2 ]
Monasch, Roeland [4 ]
Li, Wenshu [3 ]
Mermin, Jonathan [3 ]
Deluca, Nickolas [3 ]
Brown, Vance [3 ]
Nur, Sophia A. [3 ]
August, Euna M. [3 ]
Ransom, Ray L. [3 ]
Namageyo-Funa, Apophia [3 ]
Clements, Sara A. [3 ]
Dyson, Meredith [5 ]
Hageman, Kathy [3 ]
Abu Pratt, Samuel [2 ]
Nuriddin, Azizeh [3 ]
Carroll, Dianna D. [3 ]
Hawk, Nicole [3 ]
Manning, Craig [3 ]
Hersey, Sara [3 ]
Marston, Barbara J. [3 ]
Kilmarx, Peter H. [3 ]
Conteh, Lansana [6 ]
Ekstrom, Anna Mia [1 ]
Zeebari, Zangin [1 ]
Redd, John T. [3 ]
Nordenstedt, Helena [1 ]
Morgan, Oliver [3 ]
机构
[1] Karolinska Inst, Dept Global Publ Hlth, Tomtebodavagen 18B, Solna 17165, Sweden
[2] FOCUS 1000, Freetown, Sierra Leone
[3] Ctr Dis Control & Prevent, Atlanta, GA USA
[4] United Nations Childrens Fund, Freetown, Sierra Leone
[5] Catholic Relief Serv, Freetown, Sierra Leone
[6] Sierra Leone Minist Hlth & Sanitat, Freetown, Sierra Leone
关键词
KNOWLEDGE; ATTITUDES; LIBERIA;
D O I
10.2471/BLT.19.245803
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective To evaluate changes in Ebola-related knowledge, attitudes and prevention practices during the Sierra Leone outbreak between 2014 and 2015. Methods Four cluster surveys were conducted: two before the outbreak peak (3499 participants) and two after (7104 participants). We assessed the effect of temporal and geographical factors on 16 knowledge, attitude and practice outcomes. Findings Fourteen of 16 knowledge, attitude and prevention practice outcomes improved across all regions from before to after the outbreak peak. The proportion of respondents willing to: (i) welcome Ebola survivors back into the community increased from 60.0% to 89.4% (adjusted odds ratio, aOR: 6.0; 95% confidence interval, CI: 3.9-9.1); and (ii) wait for a burial team following a relative's death increased from 86.0% to 95.9% (aOR: 4.4; 95% CI: 3.2-6.0). The proportion avoiding unsafe traditional burials increased from 27.3% to 48.2% (aOR: 3.1; 95% CI: 2.4-4.2) and the proportion believing spiritual healers can treat Ebola decreased from 159% to 5.0% (aOR: 0.2; 95% CI: 0.1-03). The likelihood respondents would wait for burial teams increased more in high-transmission (aOR: 6.2; 95% CI: 4.2-9.1) than low-transmission (aOR: 2.3; 95% CI: 1.4-3.8) regions. Self-reported avoidance of physical contact with corpses increased in high but not low-transmission regions, aOR: 1.9 (95% CI: 1.4-2.5) and aOR: 0.8 (95% CI: 0.6-1.2), respectively. Conclusion Ebola knowledge, attitudes and prevention practices improved during the Sierra Leone outbreak, especially in high-transmission regions. Behaviourally-targeted community engagement should be prioritized early during outbreaks.
引用
收藏
页码:330 / +
页数:13
相关论文
共 50 条
[41]   Ebola virus disease outbreak; the role of field epidemiology training programme in the fight against the epidemic, Liberia, 2014 [J].
Lubogo, Mutaawe ;
Donewell, Bangure ;
Godbless, Lucas ;
Shabani, Sasita ;
Maeda, Justin ;
Temba, Herilinda ;
Malibiche, Theophil C. ;
Berhanu, Naod .
PAN AFRICAN MEDICAL JOURNAL, 2015, 22 :5
[42]   Strengthening acute flaccid paralysis surveillance post Ebola virus disease outbreak 2015 - 2017: the Liberia experience [J].
Clarke, Adolphus ;
Blidi, Nicholas ;
Dahn, Bernice ;
Agbo, Chukwuemeka ;
Tuopileyi, Roland ;
Rude, Monday Julius ;
Williams, George Sie ;
Seid, Mohammed ;
Gasasira, Alex ;
Wambai, Zakari ;
Skrip, Laura ;
Nagbe, Thomas ;
Nyenswah, Tolbert ;
Chukwudi, Joseph Okeibunor ;
Johnson, Ticha ;
Talisuna, Ambrose ;
Yahaya, Ali Ahmed ;
Rajatonirina, Soatiana ;
Fall, Ibrahima Soce .
PAN AFRICAN MEDICAL JOURNAL, 2019, 33
[43]   Public health and public trust: Survey evidence from the Ebola Virus Disease epidemic in Liberia [J].
Blair, Robert A. ;
Morse, Benjamin S. ;
Tsai, Lily L. .
SOCIAL SCIENCE & MEDICINE, 2017, 172 :89-97
[44]   Quality improvement of health systems in an epidemic context: A framework based on lessons from the Ebola virus disease outbreak in West Africa [J].
Brugnara, Lucia ;
Pervilhac, Cyril ;
Kohler, Francois ;
Drame, Mohamed Lamine ;
Sax, Sylvia ;
Marx, Michael .
INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, 2020, 35 (01) :52-67
[45]   Public Health Program for Decreasing Risk for Ebola Virus Disease Resurgence from Survivors of the 2013-2016 Outbreak, Guinea [J].
Keita, Mory ;
Keita, Sakoba ;
Diallo, Boubacar ;
Camara, Momo ;
Mesfin, Samuel ;
Nebie, Koumpingnin Yacouba ;
Magassouba, N'Faly ;
Coulibaly, Seydou ;
Barry, Boubacar ;
Balde, Mamadou Oury ;
Pallawo, Raymond ;
Sow, Sadou ;
Diallo, Amadou Bailo ;
Formenty, Pierre ;
Djingarey, Mamoudou Harouna ;
Fall, Ibrahima Soce ;
Subissi, Lorenzo .
EMERGING INFECTIOUS DISEASES, 2020, 26 (02) :206-211
[46]   Risk communication during disease outbreak response in post-Ebola Liberia: experiences in Sinoe and Grand Kru counties [J].
Sumo, John ;
George, Geraldine ;
Weah, Vera ;
Skrip, Laura ;
Rude, Julius Monday ;
Clement, Peter ;
Naiene, Jeremias Domingos ;
Luwaga, Liliane ;
Okeibunor, Joseph Chukwudi ;
Talisuna, Ambrose ;
Yahaya, Ali Ahmed ;
Rajatonirina, Soatiana ;
Fallah, Musoka ;
Nyenswah, Tolbert ;
Dahn, Bernice ;
Gasasira, Alex ;
Fall, Ibrahima Soce .
PAN AFRICAN MEDICAL JOURNAL, 2019, 33
[47]   Understanding Risk Information Seeking and Processing during an Infectious Disease Outbreak: The Case of Zika Virus [J].
Hubner, Austin Y. ;
Hovick, Shelly R. .
RISK ANALYSIS, 2020, 40 (06) :1212-1225
[48]   Heterogeneity in District-Level Transmission of Ebola Virus Disease during the 2013-2015 Epidemic in West Africa [J].
Krauer, Fabienne ;
Gsteiger, Sandro ;
Low, Nicola ;
Hansen, Christian H. ;
Althaus, Christian L. .
PLOS NEGLECTED TROPICAL DISEASES, 2016, 10 (07)
[49]   Strategies Utilized During Sudan Virus Disease Outbreak Response in Kampala City, Uganda, 2022-2023 [J].
Ninsiima, Mackline ;
Migisha, Richard ;
Ndyabakira, Alex ;
Katana, Elizabeth ;
Aanyu, Dorothy ;
Kabami, Zainah ;
Zalwango, Jane Frances ;
Naiga, Hellen Nelly ;
Kiggundu, Thomas ;
Agaba, Brian ;
Zavuga, Robert ;
Kizito, Saudah Namubiru ;
Zalwango, Marie Goretti ;
King, Patrick ;
Wanyana, Mercy Wendy ;
Simbwa, Brenda Nakafeero ;
Kawungezi, Peter Chris ;
Akunzirwe, Rebecca ;
Nakamya, Petranilla ;
Nansikombi, Hildah Tendo ;
Mwine, Patience ;
Angiro, Irene ;
Rutogire, Tracy Maureen ;
Bua, Douglas Akii ;
Okong, Doreen ;
Walyomo, Richard ;
Chebrot, Isaiah ;
Oundo, Christopher ;
Buluma, Dennis ;
Ochien, Emmanuel ;
Okware, Solome ;
Nanyunja, Miriam ;
Kwesiga, Benon ;
Kadobera, Daniel ;
Bulage, Lillian ;
Zalwango, Sarah ;
Ayen, Daniel Okello ;
Ario, Alex Riolexus .
JOURNAL OF EPIDEMIOLOGY AND GLOBAL HEALTH, 2025, 15 (01)
[50]   Potential for broad-scale transmission of Ebola virus disease during the West Africa crisis: lessons for the Global Health security agenda [J].
Undurraga Eduardo A. ;
Carias Cristina ;
Meltzer Martin I. ;
Kahn Emily B. .
贫困所致传染病(英文), 2017, 6 (06) :79-80-81-82-83-84-85-86-87-88-89