Evidence map›Paper›PMID 32214381›Full record

ArticlePloS one2020

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

Megan M Schmidt-Sane, Jannie O Nielsen, Mandi Chikombero, Douglas Lubowa, Miriam Lwanga, Jonathan Gamusi, Richard Kabanda, David Kaawa-Mafigiri

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.4field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 21 citations in OpenAlex.

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  10. Hidden Tales of Ebola: Airing the Forgotten Voices of Ugandan "Ebola Nurses".Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Megan M Schmidt-SaneDepartment of Social Work and Social Administration, Makerere University School of Social Sciences, Kampala, Uganda.ORCID 0000-0003-3669-7527
Jannie O NielsenCenter for Social Science Research on AIDS, Makerere University School of Social Sciences, Kampala, Uganda.
Mandi ChikomberoUNICEF Uganda, Kampala, Uganda.
Douglas LubowaUNICEF Uganda, Kampala, Uganda.
Miriam LwangaUNICEF Uganda, Kampala, Uganda.
Jonathan GamusiUNICEF Uganda, Kampala, Uganda.
Richard KabandaUganda Ministry of Health, Kampala, Uganda.
David Kaawa-MafigiriDepartment of Social Work and Social Administration, Makerere University School of Social Sciences, Kampala, Uganda.
Case Western Reserve University · USMakerere University · UGMinistry of Health · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

TrustAdultCongoDisease OutbreaksFemaleHemorrhagic Fever, EbolaHumansInterviews as TopicLeadershipMalePublic HealthTransients and MigrantsUganda

Identifiers

PMID32214381
PMCPMC7098638
OpenAlexW3013796246

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.