Do memories of the Ebola virus disease outbreak influence post-Ebola health seeking behaviour in Gueckedou district (epicentre) in Guinea? A cross-sectional study of children with febrile illness
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BACKGROUND: The 2013-2015 Ebola Virus Disease (EVD) outbreak in Guinea resulted in community mistrust that influenced health
care service utilization. This study aimed to assess whether EVD-related memories affect post-outbreak health-seeking behaviours for children under 5 years of age with febrile illnesses in Gueckedou district, Guinea. METHODS: This cross-sectional study was conducted by surveying caregivers of children under 5 years of age in the sub-district most affected by the EVD outbreak(Guendembou) and the least affected sub-district (Bolodou) in Gueckedou district. Memories of the outbreak were referred to as EVD-related fears in the post-EVD period, which was based on a series of questions regarding current feelings.
RESULTS: While the majority of caregivers sought care for their children with febrile illness in both districts, a statistically
significantly higher proportion of caregivers in Guendembou sought care, compared to caregivers in Bolodou..
More caregivers in Guendembou (19.9%; n?=?39) reported the death of family members or friends due to EVD compared to Bolodou
(6.9%; n?=?14; P?<?0.001). The mean EVD fear score of caregivers was significantly higher in Guendembou (3.0; SD: 3.0) than
in Bolodou (2.0; SD: 1.1) (p?<?0.001). Caregivers with a fear score above the median were 1.68 times more likely to seek care than those whose fear score was equal to or below the median; however, this difference was not statistically significant. Caregivers who reported family members' or friends' death due to EVD were also more likely to seek care (AOR?=?2.12; 95%CI: 0.91-4.91), however, with no statistical significance. Only residing in the EVD-most
affected sub-district of Guendembou (AOR?=?1.74; 95%CI: 1・09-2.79) was positively associated with seeking care. CONCLUSIONS: This study reveals that community members in the rural district of Gueckedou still live with fear related to EVD nearly 2 years after the outbreak. It calls for more efforts in the health domain to preserve communities' key values
and address the psychosocial effect of EVD in rural Guinea.
雑誌名
BMC Public Health
巻
20
号
1
ページ
1298
発行年
2020-08-27
出版者
BioMed Central Ltd
EISSN
14712458
DOI
10.1186/s12889-020-09359-0
権利
c The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License,which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Do memories of the Ebola virus disease outbreak influence post-Ebola health seeking behaviour in Gueckedou district (epicentre) in Guinea? A cross-sectional study of children with febrile illness
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