Key Considerations: Socio-Behavioural Insight For Community-Centred Cholera Preparedness And Response In Mozambique, 2023

Abstract

The current cholera outbreak in Mozambique started on 14 September 2022, when the first case was reported in Niassa Province. As of March 2023, 30 districts from six provinces had reported cases. This brief explores socio-behavioural determinants including local knowledge, perceptions, practices, and structural factors influencing cholera transmission dynamics. The brief has been developed to support response actors develop prevention and control strategies to rapidly contain the outbreak and prepare for a potential scaling up of the response in view of the imminent rainy season. It emphasises the vital importance of these strategies being community-centred and identifies gaps in knowledge and evidence. This brief draws on socio-behavioural and epidemiological information from published and grey literature and consultations with cholera response experts and partners in Mozambique. It was requested by UNICEF’s country office in Mozambique. It was written by Eva Niederberger, Leah Tanner and Soha Karam (Anthrologica) and edited by Leslie Jones and Olivia Tulloch (Anthrologica). Contributions and reviews were made by colleagues at the WHO, UNICEF and UNHCR in Mozambique, IFRC and WHO. This brief is the responsibility of SSHAP.