2018
DOI: 10.1186/s12889-018-5158-6
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The factors affecting household transmission dynamics and community compliance with Ebola control measures: a mixed-methods study in a rural village in Sierra Leone

Abstract: BackgroundLittle is understood of Ebola virus disease (EVD) transmission dynamics and community compliance with control measures over time. Understanding these interactions is essential if interventions are to be effective in future outbreaks. We conducted a mixed-methods study to explore these factors in a rural village that experienced sustained EVD transmission in Kailahun District, Sierra Leone.MethodsWe reconstructed transmission dynamics using a cross-sectional survey conducted in April 2015, and cross-r… Show more

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Cited by 120 publications
(163 citation statements)
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“…Few reported positive feelings: 5% (48) reported feelings of happiness and 4% (43) reported feelings of relief. Qualitative studies also iden tified a range of other psy chological responses to quar antine, such as confusion, [11][12][13]23 fear, [12][13][14][15]23,24 anger, 12,13 grief, 29 numbness, 23 and anxietyinduced insomnia. 14,15 One study compared undergraduates who had been quarantined with those not quarantined immediately after the quarantine period and found no significant difference between the groups in terms of posttraumatic stress symptoms or general mental health problems.…”
Section: The Psychological Impact Of Quarantinementioning
confidence: 95%
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“…Few reported positive feelings: 5% (48) reported feelings of happiness and 4% (43) reported feelings of relief. Qualitative studies also iden tified a range of other psy chological responses to quar antine, such as confusion, [11][12][13]23 fear, [12][13][14][15]23,24 anger, 12,13 grief, 29 numbness, 23 and anxietyinduced insomnia. 14,15 One study compared undergraduates who had been quarantined with those not quarantined immediately after the quarantine period and found no significant difference between the groups in terms of posttraumatic stress symptoms or general mental health problems.…”
Section: The Psychological Impact Of Quarantinementioning
confidence: 95%
“…Participants reported receiving their masks and thermometers late or not at all; 13 food, water, and other items were only intermittently distributed; 24 and food supplies took a long time to arrive. 12 Although those quarantined during the Toronto SARS outbreak praised public health authorities for delivering kits of medical supplies at the beginning of the quarantine period, they did not receive groceries or other routine supplies needed for daily living. 15…”
Section: Inadequate Suppliesmentioning
confidence: 99%
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“…A possible way to incentivise or create demand for new interventions is to change perceptions around 'experimenting' e.g. using methods that have already gained traction such as 'social learning' methods [61], or approaches that involve working more closely with communities [62][63][64]. Small scale pilots of different approaches are needed to generate more evidence of what works in emergencies and outbreaks.…”
Section: Limited Attention To Behavioural Determinantsmentioning
confidence: 99%
“…Amongst these measures, entry-screening in the countries of Guinea, Liberia, Sierra Leone and ring vaccination in Guinea were implemented, but their impact in containing the disease remained mitigated [53,59]. Therefore, intensive contact tracing took place as an additional control strategy as it is known to be the most efficient measure applied so far to curtain almost all EVD outbreaks [23,25,30,65]. Hence, the main purpose of this manuscript.…”
Section: Introductionmentioning
confidence: 99%