Desclaux Alice, Bila Blandine, Egrot Marc, Sow Khoudia
TransVIHMI, Université de Montpellier, IRD, INSERM, Montpellier, France.
Institut de recherche en sciences de la santé, Ouagadougou, Burkina Faso.
Med Trop Sante Int. 2023 Oct 30;3(4). doi: 10.48327/mtsi.v3i4.2023.440. eCollection 2023 Dec 31.
The Covid pandemic was a reminder of the need to be prepared for epidemics and pandemics and to take into account their socio-political dimensions by developing socioanthropological and interdisciplinary approaches. In the post-crisis era, the challenge is one of operationality. How can these dimensions be made more visible? How can we develop analyses that can help to humanize institutional responses, make inequalities visible to limit them during the crisis, reveal structural determinants of transmission, and define interventions that are scientifically sound, ethically just and respectful of diversity?Three strategies are relevant to meet these challenges: (1) more social scientists in Frenchspeaking Africa must get expertise on epidemics to investigate associated issues before, during and after epidemic crisis; (2) public health professionals, health and social workers must get informed about social, historical, economic and political aspects of epidemics that shape risk, care and control; (3) collaborations between researchers and those involved in responding to epidemics on the basis of shared knowledge must develop.This article presents a capacity-building initiative developed in French-speaking West Africa by the Anthropology of Emerging Epidemics Network (RAAE), in conjunction with other networks (Sonar-Global) and institutions (CRCF, IRD). It describes and analyzes a program that combines a working method, a scientific content and teaching tools. This program benefited from previous training experiences and gathered expertise from about 25 social scientists, mainly medical anthropologists, who have worked on various epidemics and pandemics such as AIDS, Ebola, plague, Covid and dengue in West Africa and beyond. The process to develop the course was based on workshops followed by redaction periods, then testings for content and tools during training sessions.The course focuses on two audiences: social science researchers (with a Master degree level and above) and social and health workers (public health, community health, NGOs, social workers). For the former, the course aims at reinforcing theoretical and methodological skills through the presentation of issues, key concepts, selected theoretical developments, themes and bibliographical references. For the latter, the course is based on modules about operational issues that can be taken separately, to better adapt the content of trainings to local teams' needs. For both, a glossary includes 100 definitions of public health, medical and social science vocabulary, relevant to epidemics. The content in terms of skills to be acquired (knowledge, know-how) is presented briefly in the article. Both the scientific content and learning methods and tools are presented in a manual (Desclaux et al., Anthropologie appliquée aux épidémies émergentes, 2022 [5]) as well as on Sonar-Global (English) and RAEE (French) websites (www.sonar-global.eu, www.raee.fr).The knowledge to be imparted is organized into 13 modules: introduction; the framework for responding to epidemics; emergence and One Health; antimicrobial resistance; infectious risk (inequalities, stigmatization and prevention); knowledge (circulation and interpretation); health services (places of risk and care); public health measures (lockdown and distancing); experiences (suffering of the sick and mobilization); death (meaning and rituals); vaccination (innovation, equity and hesitation); epidemic cycles (preparation, response and recovery); challenges, methods, ethics and governance; and conclusion.The first training courses held in Senegal and Burkina Faso for university researchers and young scholars from Africa and France were positively evaluated by the participants. They report that they have acquired knowledge in epidemic social science, but also in public health, which has given them the necessary basis for communicating and developing collaborations (in research and intervention) with social and health actors. The model could be duplicated with adaptation for new training sessions organized by other institutions, for which a manual is available.
新冠疫情提醒人们,有必要为流行病和大流行做好准备,并通过发展社会人类学和跨学科方法来考虑其社会政治层面。在危机后时代,挑战在于如何将这些层面付诸实践。如何使这些层面更加明显?如何开展分析,以帮助使机构应对措施更加人性化,在危机期间发现不平等现象并加以限制,揭示传播的结构决定因素,并确定科学合理、符合道德且尊重多样性的干预措施?有三种策略与应对这些挑战相关:(1)在非洲法语地区,更多社会科学家必须掌握流行病方面的专业知识,以便在疫情危机之前、期间和之后调查相关问题;(2)公共卫生专业人员、卫生和社会工作者必须了解影响风险、护理和控制的流行病的社会、历史、经济和政治方面;(3)研究人员与参与应对疫情的人员必须在共享知识的基础上开展合作。本文介绍了新兴流行病人类学网络(RAAE)与其他网络(Sonar-Global)和机构(CRCF、IRD)在非洲法语地区开展的一项能力建设倡议。它描述并分析了一个结合了工作方法、科学内容和教学工具的项目。该项目受益于以往的培训经验,并汇集了约25位社会科学家的专业知识,这些社会科学家主要是医学人类学家,他们在西非及其他地区研究了艾滋病、埃博拉、鼠疫、新冠和登革热等各种流行病和大流行。课程开发过程基于研讨会,随后是编写阶段,然后在培训课程中对内容和工具进行测试。该课程面向两类受众:社会科学研究人员(硕士及以上学历)和社会与卫生工作者(公共卫生、社区卫生、非政府组织、社会工作者)。对于前者,课程旨在通过介绍问题、关键概念、选定的理论发展、主题和参考书目来强化理论和方法技能。对于后者,课程基于关于操作问题的模块,这些模块可以单独学习,以便更好地使培训内容适应当地团队的需求。对于两者而言,一本词汇表包含了100个与流行病相关的公共卫生、医学和社会科学词汇的定义。本文简要介绍了在技能获取方面(知识、技能)的内容。科学内容以及学习方法和工具在一本手册(Desclaux等人,《应用人类学应对新兴流行病》,2022年[5])以及Sonar-Global(英文)和RAEE(法文)网站(www.sonar-global.eu,www.raee.fr)上呈现。要传授的知识分为13个模块:引言;应对疫情的框架;出现与“同一健康”;抗菌药物耐药性;感染风险(不平等、污名化和预防);知识(传播与解读);卫生服务(风险与护理场所);公共卫生措施(封锁与社交距离);经历(患者的痛苦与动员);死亡(意义与仪式);疫苗接种(创新、公平与犹豫);疫情周期(准备、应对与恢复);挑战、方法、伦理与治理;以及结论。在塞内加尔和布基纳法索为来自非洲和法国的大学研究人员和青年学者举办的首批培训课程得到了参与者的积极评价。他们报告说,他们不仅获得了流行病社会科学方面的知识,还获得了公共卫生方面的知识,这为他们与社会和卫生行为者进行交流以及开展合作(在研究和干预方面)奠定了必要的基础。该模式可以进行调整后复制,供其他机构组织新的培训课程使用,为此有一本手册可供参考。