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Trust, and distrust, of Ebola Treatment Centers : A case-study from Sierra Leone

Titelangaben

Richards, Paul ; Mokuwa, Esther ; Maat, Harro ; Welmers, Pleun ; Beisel, Uli:
Trust, and distrust, of Ebola Treatment Centers : A case-study from Sierra Leone.
In: PLoS One. Bd. 14 (2019) Heft 12 . - No. e0224511.
ISSN 1932-6203
DOI: https://doi.org/10.1371/journal.pone.0224511

Angaben zu Projekten

Projekttitel:
Offizieller Projekttitel
Projekt-ID
Trust in medicine after the EVD epidemic: Street-level health bureaucrats, the institutionalization of care, and the creation of preparedness in Sierra Leone, Uganda, and Ghana
Ohne Angabe

Projektfinanzierung: Deutsche Forschungsgemeinschaft

Abstract

The paper considers local responses to the introduction of an Ebola Treatment Centre in eastern Sierra Leone during the West African epidemic of 2014–15. Our study used qualitative methods consisting of focus groups and interviews, to gather responses from patients, members of the families of survivors and deceased victims of the disease, social liaison
workers from the centre, and members of the general public. The data indicate that scepticism and resistance were widespread at the outset, but that misconceptions were replaced, in the minds of those directly affected by the disease, by more positive later assessments.
Social workers, and social contacts of families with workers in the centre, helped reshape these perceptions, but a major factor was direct experience of the disease. This is apparent in the positive endorsements by survivors and families who had members taken to the facility. Even relatives of deceased victims agreed that the case-handling centre was valuable. However, we also present evidence of continuing scepticism in the minds of members of the general public, who continue to suspect that Ebola was a crisis manufactured for external benefit. Our conclusions stress the importance of better connectivity between communities and Ebola facilities to facilitate experiential learning. There is also a need to address the wider cognitive shock caused by a well-funded Ebola health initiative arriving in communities with a long history of inadequate health care. Restoring trust in medicine requires Ebola Virus Disease to be recontextualized within a broader framework of concern for the health of all citizens.

Weitere Angaben

Publikationsform: Artikel in einer Zeitschrift
Begutachteter Beitrag: Ja
Institutionen der Universität: Fakultäten > Kulturwissenschaftliche Fakultät > Ehemalige Professoren > Lehrstuhl Kultur und Technik in Afrika - Univ.-Prof. Dr. Ulrike Beisel
Fakultäten
Fakultäten > Kulturwissenschaftliche Fakultät
Fakultäten > Kulturwissenschaftliche Fakultät > Lehrstuhl Kultur und Technik in Afrika
Fakultäten > Kulturwissenschaftliche Fakultät > Ehemalige Professoren
Titel an der UBT entstanden: Ja
Themengebiete aus DDC: 300 Sozialwissenschaften > 300 Sozialwissenschaften, Soziologie
600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
Eingestellt am: 09 Jan 2020 10:48
Letzte Änderung: 01 Sep 2022 10:20
URI: https://eref.uni-bayreuth.de/id/eprint/53693