ArticleBMJ global health2019
Technologies of trust in epidemic response: openness, reflexivity and accountability during the 2014-2016 Ebola outbreak in West Africa.
Article in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- How mistrust emerged in real time in the Bundibugyo virus disease outbreak: 'Ebola business', social media and the history of mistrust in Ebola epidemics in eastern Congo.BMJ global health · 2026Article
- PEARLES challenges and solutions to the implementation of clinical research responses to epidemics and pandemics: a scoping review.EClinicalMedicine · 2025Review
- Responding to fluctuations in public and community trust and health seeking behaviour during the COVID-19 pandemic: a qualitative study of national decision-makers' perspectives in Guinea and Sierra Leone.BMC public health · 2024Article
- Conditions for health system resilience in the response to the COVID-19 pandemic in Mauritania.BMJ global health · 2023Review
- Evolving Face Mask Guidance During a Pandemic and Potential Harm to Public Perception: Infodemiology Study of Sentiment and Emotion on Twitter.Journal of medical Internet research · 2023Article
- Public health communication in Canada during the COVID-19 pandemic.Canadian journal of public health = Revue canadienne de sante publique · 2022Article
- Does pro-sociality or trust better predict staying home behavior during the Covid-19?Journal of behavioral and experimental economics · 2022Article
- Rapid development of a COVID-19 care planning decision-aid for family carers of people living with dementia.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- The Prevention Behaviors and Impact Mechanisms Among Different Chinese Social Classes at the Early Stage of COVID-19 Pandemic.Psychology research and behavior management · 2022Article
- Different roles of interpersonal trust and institutional trust in COVID-19 pandemic control.Social science & medicine (1982) · 2022Article
- Negotiating Safety and Wellbeing: The Collaboration Between Faith-Based Communities and Public Health During the COVID-19 Pandemic.Journal of religion and health · 2021Article
- National health governance, science and the media: drivers of COVID-19 responses in Germany, Sweden and the UK in 2020.BMJ global health · 2021Review
- Article
- Individual health behaviours to combat the COVID-19 pandemic: lessons from HIV socio-behavioural science.Journal of the International AIDS Society · 2021Article
- 'Good' and 'Bad' deaths during the COVID-19 pandemic: insights from a rapid qualitative study.BMJ global health · 2021Review
- Fears Related to COVID-19 among Rural Older People in Japan.Healthcare (Basel, Switzerland) · 2021Article
- Article
- Responding to the 2018-2020 Ebola Virus Outbreak in the Democratic Republic of the Congo: Rethinking Humanitarian Approaches.Risk management and healthcare policy · 2021Review
- What Was the Starting Date of the COVID-19 Epidemic in Iran? Rumors against Management of Public Health Emergencies.Iranian journal of public health · 2020Article
- A public health timeline to prepare for COVID-19 vaccines in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Trust is an essential component of successful cooperative endeavours. The global health response to the 2014-2016 West Africa Ebola outbreak confronted historically tenuous regional relationships of trust. Challenging sociopolitical contexts and initially inappropriate communication strategies impeded trustworthy relationships between communities and responders during the epidemic. Social scientists affiliated with the Ebola 100-Institut Pasteur project interviewed approximately 160 local, national and international responders holding a wide variety of roles during the epidemic. Focusing on responder's experiences of communities' trust during the epidemic, this qualitative study identifies and explores social techniques for effective emergency response. The response required individuals with diverse knowledges and experiences. Responders' included on-the-ground social mobilisers, health workers and clinicians, government officials, ambulance drivers, contact tracers and many more. We find that trust was fostered through open, transparent and reflexive communication that was adaptive and accountable to community-led response efforts and to real-time priorities. We expand on these findings to identify 'technologies of trust' that can be used to promote actively legitimate trustworthy relationships. Responders engaged the social technologies of openness (a willingness and genuine effort to incorporate multiple perspectives), reflexivity (flexibly responsive to context and ongoing dialogue) and accountability (taking responsibility for local contexts and consequences) to facilitate relations of trust. Technologies of trust contribute to the development of a framework of practical techniques to improve the acceptance and effectiveness of future emergency response strategies.
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