Tag: Behaviour

Special Report: Why Sierra Leone Can’t Get Rid of Ebola

Dr. Ernest Bai Koroma, the president of the Republic of Sierra Leone, was having trouble “getting to zero,” and his underlings were getting antsy. “We need one more push,” said Major Palo Conteh, the commander of Sierra Leone’s National Ebola Response Centre (NERC) and a former Olympic quarter miler. “It’s like in the 400 meters when you’re 20 meters from the finish line, that’s the time to kick hard.” Brigadier General David Taluva, a jovial officer with the physique of a shot putter, had other Continue reading →

Ebola can be transmitted sexually for weeks after recovery – education is crucial

Conflicting messages on the length of time that Ebola remains in semen after recovery make education and prevention confusing. We need to avoid mixed messages and focus on girls’ rights, says anthropologist Pauline Oosterhoff. When I met members of a women’s secret society in Sierra Leone this February, they proposed drastic measures to stop Ebola from spreading through sexual contact. All survivors should be quarantined for three months, they said. Male survivors need to be locked up because they cannot control their urge to have sex. Women Continue reading →

Community perceptions of Ebola response efforts in Liberia: Montserrado and Nimba Counties

This study aimed to support Oxfam’s Public Health Promotion (PHP) strategy through a rapid qualitative assessment of the remaining social barriers to compliance with Ebola prevention and treatment messages. At the time of the study, most Liberians had a high awareness of Ebola prevention and treatment information. However, new infections continued to occur in “hot spots” around the country. A preliminary assessment suggested that negative perceptions and fear of Ebola response efforts contributed to non-compliance and resistance in some areas. Research activities assessed the sources Continue reading →

Village Responses to Ebola Virus Disease in Rural Eastern Sierra Leone: Second Interim Report

This report provides further output from an anthropological study of 25 villages affected by Ebola Virus Disease in eastern and central Sierra Leone, undertaken as part of the DFID-funded social mobilization initiative for Ebola prevention in Sierra Leone. Eight focus group transcripts for 3 villages in Kenema District are presented, covering local responses to health issues, and Ebola in particular. Supporting material from a matching questionnaire-based study of health behavior and perceived causes of Ebola is also provided. Of particular relevance are two summary tables Continue reading →

Ebola in Liberia: An Epidemic of Rumors

In December 2013, the West African Ebola epidemic began in a village near Guéckédou, a trading town in rural Guinea, but the disease wasn’t identified until February. The Guineans promptly notified health officials in neighboring countries, and in Liberia a team of researchers immediately set out for Lofa County, just over the border from Guéckédou, where a number of mysterious deaths had recently occurred. The Liberians at first assumed the deaths were caused by Lassa fever, a far less deadly disease with symptoms similar to Continue reading →

Social Pathways for Ebola Virus Disease in Rural Sierra Leone, and some Implications for Containment

The current outbreak of Ebola Virus Disease in Upper West Africa is the largest ever recorded.  Molecular evidence suggests spread has been almost exclusively through human-to-human contact.  Social factors are thus clearly important to understand the epidemic and ways in which it might be stopped, but these factors have so far been little analyzed.  The present paper focuses on Sierra Leone, and provides data on the least understood part of the epidemic – the largely undocumented spread of Ebola in rural areas.  Various forms of Continue reading →