Challenges to Ebola preparedness during an ongoing outbreak: An analysis of borderland livelihoods and trust in Uganda

Autor: Richard Kabanda, Douglas Lubowa, David Kaawa-Mafigiri, Megan M. Schmidt-Sane, Jannie Nielsen, Mandi Chikombero, Jonathan Gamusi, Miriam Lwanga
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
RNA viruses
Viral Diseases
Economic growth
Economics
Culture
Opposition (politics)
Social Sciences
Transportation
Pathology and Laboratory Medicine
medicine.disease_cause
Disease Outbreaks
Cultural Anthropology
Geographical Locations
0302 clinical medicine
Sociology
Medicine and Health Sciences
Ethnicities
Uganda
0601 history and archaeology
030212 general & internal medicine
media_common
Transients and Migrants
Multidisciplinary
Distrust
06 humanities and the arts
Livelihood
Democracy
Religion
Infectious Diseases
Congo
Medical Microbiology
Filoviruses
Viral Pathogens
Preparedness
Viruses
Engineering and Technology
Medicine
Female
Public Health
Pathogens
Ebola Virus
Research Article
Neglected Tropical Diseases
Adult
media_common.quotation_subject
Science
Kongo People
Trust
Microbiology
Ebola Hemorrhagic Fever
Interviews as Topic
03 medical and health sciences
Politics
Health Economics
Political science
medicine
Humans
Microbial Pathogens
African People
Viral Hemorrhagic Fevers
060101 anthropology
Ebola virus
Biology and life sciences
Hemorrhagic Fever Viruses
Organisms
Hemorrhagic Fever
Ebola
Tropical Diseases
Boats
Health Care
Leadership
Anthropology
People and Places
Africa
Population Groupings
Zdroj: PLoS ONE, Vol 15, Iss 3, p e0230683 (2020)
PLoS ONE
ISSN: 1932-6203
Popis: Ebola Virus Disease in the Democratic Republic of Congo (DRC) was declared a public health emergency of international concern on July 17, 2019. The first case to cross the border into Uganda in June 2019 demonstrates the importance of better understanding border dynamics in a context of Ebola. This paper adopts a political economy approach to contextualize epidemic response programs conducted in moderate- and high-risk border districts in Uganda, through a qualitative study with 287 participants. To that end, our aim was to describe the historical underpinnings of the borderlands context; the role of livelihood strategies in constraining risk avoidance decisions; and the dynamics of trust in authority figures, including health workers. This paper reports that border communities are highly connected, for a variety of social and economic reasons. These daily realities are in direct opposition to guidance to limit travel during an active Ebola epidemic. We argue that an ability to limit movement is constrained by the economic need to seek livelihood strategies wherever that may be. Moreover, border regions are populated by communities with long-standing distrust in authority figures, particularly in fishing areas. This distrust spills over with consequences for Ebola prevention and control activities. This research indexes the importance of tailoring Ebola programming and policies to consider the political and economic dynamics of borderlands.
Databáze: OpenAIRE
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