ArticleInfectious diseases of poverty2016
A practical community-based response strategy to interrupt Ebola transmission in sierra Leone, 2014-2015.
Article in Infectious diseases of poverty, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Implementing Public Health Strategies-The Need for Educational Initiatives: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- The practice of evaluating epidemic response in humanitarian and low-income settings: a systematic review.BMC medicine · 2020Pooled it
- Pandemic ready or playing catch-up? A scoping review of public health training programs for pandemic preparedness and response efforts.BMC public health · 2026Article
- Social innovation in health and community-driven engagement as a key strategy for addressing COVID-19 crisis challenges: insights and reflections from the multicultural society of Iran.Frontiers in public health · 2023Review
- Indirect Effects of Ebola Virus Disease Epidemics on Health Systems in the Democratic Republic of the Congo, Guinea, Sierra Leone and Liberia: A Scoping Review Supplemented with Expert Interviews.International journal of environmental research and public health · 2022Article
- New Mixed Methods Approach for Monitoring Community Perceptions of Ebola and Response Efforts in the Democratic Republic of the Congo.Global health, science and practice · 2021Article
- Community engagement in the prevention and control of COVID-19: Insights from Vietnam.PloS one · 2021Article
- Community engagement for COVID-19 prevention and control: a rapid evidence synthesis.BMJ global health · 2020Review
- [Outbreak of Ébola in Lunsar. Effectiveness of a socio-sanitary intervention].Revista espanola de salud publica · 2018Article
- The design and implementation of the re-vitalised integrated disease surveillance and response (IDSR) in Uganda, 2013-2016.BMC public health · 2018Article
- Fighting the Coronavirus disease (Covid-19) pandemic: Employing lessons from the Ebola virus disease response.Ethics, medicine, and public healthArticle
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Authors and funding
56 authors at 20 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Ebola virus disease spread rapidly in West Africa in 2014, leading to the loss of thousands of lives. Community engagement was one of the key strategies to interrupt Ebola transmission, and practical community level measures needed to be explored in the field and tailored to the specific context of communities.
methodsFirst, community-level education on Ebola virus disease (EVD) prevention was launched for the community's social mobilizers in six districts in Sierra Leone beginning in November 2014. Then, from January to May of 2015, in three pilot communities, local trained community members were organized to engage in implementation of EVD prevention and transmission interruption measures, by involving them in alert case report, contact tracing, and social mobilization. The epidemiological indicators of transmission interruption in three study communities were evaluated.
resultsA total of 6 016 community social mobilizers from 185 wards were trained by holding 279 workshops in the six districts, and EVD message reached an estimated 631 680 residents. In three pilot communities, 72 EVD alert cases were reported, with 70.8 % of them detected by trained local community members, and 14 EVD cases were finally identified. Contact tracing detected 64.3 % of EVD cases. The median duration of community infectivity for the cases was 1 day. The secondary attack rate was 4.2 %, and no third generation of infection was triggered. No health worker was infected, and no unsafe burial and noncompliance to EVD control measures were recorded. The community-based measures were modeled to reduce 77 EVD cases, and the EVD-free goal was achieved four months earlier in study communities than whole country of Sierra Leone.
conclusionsThe community-based strategy of social mobilization and community engagement was effective in case detection and reducing the extent of Ebola transmission in a country with weak health system. The successfully practical experience to reduce the risk of Ebola transmission in the community with poor resources would potentially be helpful for the global community to fight against the EVD and the other diseases in the future.
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