Evaluation of Community Perceptions and Prevention Practices Related to Ebola Virus as Part of Outbreak Preparedness in Uganda, 2020.

Autor:	Musaazi J; Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda. musaazijoseph7@gmail.com., Namageyo-Funa A; Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA., Carter VM; National Center for Emerging and Zoonotic Infectious Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA., Carter RJ; Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA., Lamorde M; Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda., Apondi R; Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA., Bakyaita T; Uganda Ministry of Health, Kampala, Uganda., Boore AL; Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA., Brown VR; Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA., Homsy J; Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA.; Institute for Global Health Sciences, University of California San Francisco, California, USA., Kigozi J; Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda., Koyuncu A; Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA., Nabaggala MS; Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda., Nakate V; Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda., Nkurunziza E; Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda., Stowell DF; Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA., Walwema R; Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda., Olowo A; Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda., Jalloh MF; Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jazyk:	angličtina
Zdroj:	Global health, science and practice [Glob Health Sci Pract] 2022 Jun 29; Vol. 10 (3). Date of Electronic Publication: 2022 Jun 29 (Print Publication: 2022).
DOI:	10.9745/GHSP-D-21-00661
Abstrakt:	Introduction: During the 2018-2020 Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo, risk communication and community engagement (RCCE) were prioritized in geographic areas in Uganda considered at high risk of introduction of EVD. To inform EVD preparedness in Uganda, we evaluated community perceptions and prevention practices related to EVD in 6 districts in Uganda. Methods: In March 2020, we conducted a population-based survey in 6 purposively selected districts in Uganda using multistage cluster sampling. We examined differences between districts classified as high- versus low risk for EVD in terms of their message exposure from RCCE; risk perception; and EVD knowledge, attitudes, and prevention practices. Results: A total of 3,485 respondents were interviewed (91% response rate). EVD message exposure was more common in the high- versus low-risk districts. EVD risk perceptions were low overall but greater in the high- versus low-risk districts. Comprehensive knowledge was significantly greater in the high- versus low-risk districts (adjusted prevalence ratio [aPR] 1.61, 95% confidence interval [CI]=1.35, 1.93). Respondents' engagement in all 3 EVD prevention practices (frequent handwashing with soap, avoiding physical contact with suspected Ebola patients, and avoiding burials involving contact with a corpse) was very low (4%). However, respondents with comprehensive knowledge were more likely to engage in all 3 EVD prevention practices compared to respondents without comprehensive knowledge (aPR 1.87, 95% CI=1.08, 3.25). Conclusion: Our findings suggest that while RCCE efforts as part of EVD outbreak preparedness may have contributed to higher EVD knowledge in the targeted high-risk districts, uptake of prevention behaviors was similarly low across districts. In a non-outbreak setting, implementing targeted RCCE strategies may not be sufficient to motivate people to adopt protective behaviors in the absence of a high threshold of perceived threat such as in an active outbreak. (© Musaazi et al.)
Databáze:	MEDLINE
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