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埃博拉疫情后利比里亚疾病爆发应对期间的风险沟通:锡诺州和大吉德县的经验

Risk communication during disease outbreak response in post-Ebola Liberia: experiences in Sinoe and Grand Kru counties.

作者信息

Sumo John, George Geraldine, Weah Vera, Skrip Laura, Rude Julius Monday, Clement Peter, Naiene Jeremias Domingos, Luwaga Liliane, Okeibunor Joseph Chukwudi, Talisuna Ambrose, Yahaya Ali Ahmed, Rajatonirina Soatiana, Fallah Musoka, Nyenswah Tolbert, Dahn Bernice, Gasasira Alex, Fall Ibrahima Socé

机构信息

Health Promotion Division, Ministry of Health, Monrovia, Liberia.

National Public Health Institute, Monrovia, Liberia.

出版信息

Pan Afr Med J. 2019 May 28;33(Suppl 2):4. doi: 10.11604/pamj.supp.2019.33.2.16877. eCollection 2019.

Abstract

INTRODUCTION

Lessons learned from the Ebola virus disease (EVD) outbreak enabled Liberia to develop a health plan for strengthening public health capacity against potential public health threats. risk communication is one of the core pillars that provide life-saving information and knowledge for the public to take preventive and proactive actions against public health threats. These were applied in response to the post-ebola meningococcal septicemia and meningitis outbreaks in Sinoe and Grand Kru counties. This paper documents risk communication experiences in these post-ebola outbreaks in Liberia.

METHODS

Risk Communication and health promotion strategies were deployed in developing response plans and promptly disseminating key messages to affected communities to mitigate the risks. Other strategies included engagement of community leaders, partnership with the media and dissemination of messages through the community radios, active monitoring community risk perceptions and compliance, rumor management, mobile stage and interpersonal communication (IPC) during the Meningococcal disease outbreaks in Sinoe and Grand Kru counties.

RESULTS

In Sinoe, about 36,891 households or families in 10 health districts were reached through IPC and dialogue. Circulating rumors such as "Ebola" was the cause of deaths was timely and promptly mitigated. There was increased trust and adherence to health advice including prompt reporting of sick people to the nearest health facility in the two counties.

CONCLUSION

Risk communication and health promotion encouraged community support and involvement in any response to public threats and events. No doubt, risk communication and health promotion play an important role in preparedness and response to public health emergencies.

摘要

引言

从埃博拉病毒病(EVD)疫情中吸取的经验教训使利比里亚能够制定一项加强公共卫生能力以应对潜在公共卫生威胁的卫生计划。风险沟通是核心支柱之一,它为公众提供挽救生命的信息和知识,以便公众针对公共卫生威胁采取预防和积极行动。这些措施被应用于应对锡诺州和大吉德县埃博拉后脑膜炎球菌败血症和脑膜炎疫情。本文记录了利比里亚这些埃博拉后疫情中的风险沟通经验。

方法

在制定应对计划以及迅速向受影响社区传播关键信息以降低风险的过程中,部署了风险沟通和健康促进策略。其他策略包括社区领袖的参与、与媒体的合作以及通过社区广播传播信息、在锡诺州和大吉德县脑膜炎球菌病疫情期间积极监测社区风险认知和合规情况、谣言管理、流动舞台和人际沟通(IPC)。

结果

在锡诺州,通过人际沟通和对话覆盖了10个卫生区的约36,891户家庭。诸如“埃博拉”是死亡原因之类的流传谣言得到了及时且迅速的缓解。在这两个县,人们对健康建议的信任和遵守有所增加,包括及时将病人报告给最近的医疗机构。

结论

风险沟通和健康促进鼓励社区支持并参与应对任何公共威胁和事件。毫无疑问,风险沟通和健康促进在公共卫生突发事件的防范和应对中发挥着重要作用。

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