Field Notes : Management of the Dead

Community Led Ebola Management and Eradication (CLEME)

The CLEME (Community Led Ebola Man- agement and Eradication) programme aims at triggering the behavioural change needed by the communities to strengthen community resilience to the outbreak and prevent further resurgence by ensuring real and sustainable improvements through: Providing the communities with the means to conduct their own appraisal and analysis of the Ebola outbreak, their safety regarding the disease and its con- sequence if nothing is done; Instilling a feeling of urgency in engaging in community actions that will prevent the community experiencing infections; Supporting Continue reading →

A year on, Guineans finally lay Ebola souls to rest

GUECKEDOU, 28 April 2015 (IRIN) – Forty-six-year-old Maurice Ouendeno stares silently at the arm of his blue plastic lawn chair. He waits a few minutes before beginning his story. “They said we did not have the right to bury him,” he says, finally looking up. Sadness, mixed with a bit of anger, flashes briefly across his face. “We understood why, but it was painful. It was so painful not to be able to give him the send-off he deserved.” His father, Tamba Lamine Ouendeno, died Continue reading →

How Ebola infection spreads and terminates in rural Sierra Leone

Ebola is a new disease in Upper West Africa. Populations have taken time to learn the nature of the risk it poses. Persons carrying infection initially do not know that they have the sickness. They carry out their daily activities, and seek help from their families and traditional remedies when and where they become symptomatic. Nearly all infection, so far as is known, is associated with the “wet” phase of the illness and handling the corpse of a deceased victim. This period of major infection 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 →

Do traditions spread Ebola?

In a recent interesting contribution to this platform, Paul Richards rightly questioned the mainstream perception that funerals per se are source of contamination in countries affected by ebola. The author argues that funerals are phenomena which are extremely interrelated to other different aspects of social life, like the overall care of sickness, the concept of authority, and the logic of parenthood. Yet, his brief paper has another value: by stressing the complexity of this social phenomenon, it tunes down the journalistic emphasis that in past Continue reading →

Village Responses To Ebola Virus Disease In Rural Central Sierra Leone

Bawuya is a small, isolated Kpa-Mende farming village about 3 hours walking time from Taiama, headquarters of Kori chiefdom in Moyamba District, Southern Sierra Leone. Bawuya experienced an Ebola outbreak in September 2014, in which 9 people died and 3 infected persons survived, connected to a prior outbreak in a neighboring village, Fogbo. No further cases have since occurred. Bawuya serves as a representative example of how an isolated rural community becomes infected, and how such outbreaks end, where outside intervention or assistance is limited. Continue reading →

Community-based reports of co-morbidity, co-mortality, and health-seeking behaviors in four Monrovia communities during the West African Ebola epidemic

This working paper reports on a study to collect data on co-morbidity and co-mortality among urban Liberian populations during the Ebola epidemic from September to October 2014. Particular attention is paid to how local communities defined their symptoms and sicknesses, the patterns of healthcare-seeking that they pursued in a context of highly restricted health care access, the types of treatment regimens that they deployed to support home based care within their communities, and their perceptions of the causes of disease.  

Community-Centered Responses to Ebola in Urban Liberia: The View from Below

This working paper reports on a study to identify epidemic control priorities among 15 communities in Monrovia and Montserrado County, Liberia. Data were collected in September 2014 on the following topics: prevention, surveillance, care-giving, community-based treatment and support, networking/hotlines/calling response teams and referrals, management of corpses, quarantine and isolation, orphans, memorialization, and the need for community-based training and education. The study also reviewed issues of fear and stigma towards Ebola victims and survivors, and support for those who have been affected by Ebola. The findings Continue reading →