Kadio Kadidiatou, Ly Antarou, Ouédraogo Adidjata, Ahmed Mohamed Ali Ag, Yaya Sanni, Gagnon Marie-Pierre
Centre national de la recherche scientifique et technologique (CNRST)/Institut de recherche en sciences de la santé (IRSS), 03 BP 7047, Ouagadougou, Burkina Faso.
Fellow Pilote African Postdoctrorat Academy - PAPA, Université Goethe de Francfort, Francfort, Hesse, Allemagne.
Confl Health. 2024 Mar 1;18(1):17. doi: 10.1186/s13031-024-00579-4.
The triple political, security, and health crisis in Burkina Faso has impacted the lives of Burkinabè people, resulting in massive internal displacement. These internally displaced persons (IDPs) are very vulnerable to epidemic diseases, which was exacerbated by the recent COVID-19 pandemic., The implementation of public health measures to curb the spread of COVID-19 represented a major concern among IDPs. The objective of this study was to document knowledge, difficulties, adjustments, and challenges faced by IDPs and humanitarian authorities/actors during implementation of lockdown, quarantine, and isolation measures in response to COVID-19.
The study was conducted in Burkina Faso, in the north-central region Kaya, a commune which hosts the largest number of IDPs in the country. Qualitative research using semi-structured interviews collected discursive data from 18 authorities and/or humanitarian actors and 29 IDPs in June 2021. The transcribed interviews were coded with N'vivo 11 software and analyzed thematically.
Although respondents had a good knowledge of lockdown, isolation, and quarantine measures, the difference between these three concepts was not easily understood by either authorities/humanitarian actors or IDPs. Communication was one of the biggest challenges for humanitarian actors. The difficulties encountered by IDPs were economic (lack of financial resources), infrastructural (limited housing), and socio-cultural in the application of lockdown, isolation, and quarantine measures. As for adjustment measures, the health authorities developed a strategy for isolation and quarantine for the management of positive and suspected cases. The IDPs mentioned their commitment to compliance and awareness of lockdown measures as the main adjustment.
Although there were no known cases of COVID-19 among the IDPs at the time of the study, tailored response plans were developed to facilitate the application of these measures in emergencies. The involvement of IDPs in the communication and sensitization process was necessary to facilitate their adherence to these different measures.
布基纳法索面临的政治、安全和健康三重危机影响了布基纳法索人民的生活，导致大规模国内流离失所。这些境内流离失所者极易感染流行病，近期的新冠疫情使情况更加恶化。实施公共卫生措施以遏制新冠疫情的传播是境内流离失所者的一大担忧。本研究的目的是记录境内流离失所者以及人道主义当局/行为体在实施应对新冠疫情的封锁、隔离和检疫措施过程中所面临的知识、困难、调整和挑战。
该研究在布基纳法索中北部的卡亚地区进行，该地区是该国境内流离失所者人数最多的一个市镇。2021年6月，采用半结构化访谈的定性研究方法，收集了来自18名当局和/或人道主义行为体以及29名境内流离失所者的话语数据。转录后的访谈内容使用N'vivo 11软件进行编码，并进行主题分析。
尽管受访者对封锁、隔离和检疫措施有一定了解，但当局/人道主义行为体和境内流离失所者都不容易理解这三个概念之间的差异。沟通是人道主义行为体面临的最大挑战之一。境内流离失所者在实施封锁、隔离和检疫措施时遇到的困难包括经济方面（缺乏财政资源）、基础设施方面（住房有限）以及社会文化方面。至于调整措施，卫生当局制定了一项针对阳性和疑似病例管理的隔离和检疫策略。境内流离失所者提到他们遵守并认识到封锁措施是主要的调整方式。
尽管在研究时境内流离失所者中没有已知的新冠病例，但仍制定了量身定制的应对计划，以促进这些措施在紧急情况下的应用。境内流离失所者参与沟通和宣传过程对于促使他们遵守这些不同措施是必要的。
