Community-Based Initiative for Disease Surveillance and Sustainable Development, Monrovia, Liberia.
Youth Exploring Solutions in Liberia, Monrovia, Liberia.
PLoS Negl Trop Dis. 2022 Apr 20;16(4):e0010370. doi: 10.1371/journal.pntd.0010370. eCollection 2022 Apr.
Based on findings from focus groups and key informant interviews conducted at five sites in Liberia between 2018 and 2019, we explore some of the key factors that influenced people's motivation to travel during the 2014-2016 Ebola Virus Disease (EVD). We discuss how these factors led to certain mobility patterns and the implications these had for EVD response. The reasons for individual mobility during the epidemic were multiple and diverse. Some movements were related to relocation efforts as people attempted to extricate themselves from stigmatizing situations. Others were motivated by fear, convinced that other communities would be safer, particularly if extended family members resided there. Individuals also felt compelled to travel during the epidemic to meet other needs and obligations, such as attending burial rites. Some expressed concerns about obtaining food and earning a livelihood. Notably, these latter concerns served as an impetus to travel surreptitiously to evade quarantine directives aimed specifically at restricting mobility. Improvements in future infectious disease response could be made by incorporating contextually-based mobility factors, for example: the personalization of public health messaging through the recruitment of family members and trusted local leaders, to convey information that would help allay fear and combat stigmatization; activating existing traditional community surveillance systems in which entry into the community must first be approved by the community chief; and increased involvement of local leaders and community members in the provision of food and care to those quarantined so that the need to travel for these reasons is removed.
基于 2018 年至 2019 年在利比里亚五个地点进行的焦点小组和关键知情人访谈的结果，我们探讨了一些影响人们在 2014-2016 年埃博拉病毒病（EVD）期间出行动机的关键因素。我们讨论了这些因素如何导致某些流动模式，以及这些模式对 EVD 应对措施的影响。疫情期间个人流动的原因是多方面的。一些流动与重新安置努力有关，因为人们试图摆脱污名化的处境。其他流动则是出于恐惧，他们相信其他社区会更安全，尤其是如果有亲戚居住在那里。个人也感到在疫情期间必须出行以满足其他需求和义务，例如参加葬礼。一些人担心获得食物和谋生。值得注意的是，这些担忧成为了偷偷出行的动力，以逃避专门限制流动的隔离指令。通过纳入基于情境的流动因素，可以改进未来传染病应对措施，例如：通过招募家庭成员和受信任的当地领导人来个性化公共卫生信息传递，以传递有助于减轻恐惧和打击污名化的信息；激活现有的传统社区监测系统，进入社区必须首先得到社区负责人的批准；以及增加当地领导人和社区成员在为被隔离者提供食物和护理方面的参与，以消除因这些原因而需要出行的情况。
