Evidence map›Paper›PMID 36574985›Full record

ArticleBMJ open2022

Perceptions of COVID-19 among communities of Conakry (Guinea): a qualitative study exploring the context of the ANRS COV33 Coverage-Africa therapeutic trial.

Marie-Hélène Doucet, Christine Timbo Songbono, Mélanie Plazy, Caroline Martin, Camille Fritzell, Mamadou Saliou Sow, Fodé Amara Traoré, Marie Jaspard, Armel Poda, Denis Malvy and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04920838 (Early Treatment of Vulnerable Individuals With Non-Severe SARS-CoV-2 Infection), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 47% 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.

NCT04920838 phase2 / phase3unknown statusnot on this map

Early Treatment of Vulnerable Individuals With Non-Severe SARS-CoV-2 Infection: A Multi-Arm Multi-Stage Randomized Trial (MAMS) to Evaluate the Effectiveness of Several Specific Treatments in Reducing the Risk of Clinical Worsening or Death in Sub-Saharan Africa (COVERAGE-Africa)

TypeinterventionalSponsorANRS, Emerging Infectious DiseasesRan2021 to 2023Enrolled600ConditionsCovid19, Covid19 Drug Treatment, Severe Acute Respiratory Syndrome Coronavirus 2, SARS-CoV2 InfectionArmsNitazoxanide and Ciclésonide, Telmisartan 20Mg Oral Tablet, Paracetamol, Fluoxétine and Budésonide
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

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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

13 authors at 5 institutions in 5 countries.

Marie-Hélène DoucetTeam GHiGS, University of Bordeaux, National Institute for Health and Medical Research (INSERM), Research Institute for Sustainable Development (IRD), Bordeaux Population Health Research Centre, UMR 1219, Bordeaux, France marie-helene.doucet@u-bordeaux.fr.ORCID 0000-0002-7734-6988
Christine Timbo SongbonoAlliance for International Medical Action (ALIMA), Conakry, Guinea.
Mélanie PlazyTeam GHiGS, University of Bordeaux, National Institute for Health and Medical Research (INSERM), Research Institute for Sustainable Development (IRD), Bordeaux Population Health Research Centre, UMR 1219, Bordeaux, France.ORCID 0000-0002-8971-6878
Caroline MartinAlliance for International Medical Action (ALIMA), Conakry, Guinea.
Camille FritzellTeam GHiGS, University of Bordeaux, National Institute for Health and Medical Research (INSERM), Research Institute for Sustainable Development (IRD), Bordeaux Population Health Research Centre, UMR 1219, Bordeaux, France.
Mamadou Saliou SowDepartment of Infectious and Tropical Diseases, Donka National Hospital, Conakry, Guinea.
Fodé Amara TraoréDepartment of Infectious and Tropical Diseases, Donka National Hospital, Conakry, Guinea.
Marie JaspardTeam GHiGS, University of Bordeaux, National Institute for Health and Medical Research (INSERM), Research Institute for Sustainable Development (IRD), Bordeaux Population Health Research Centre, UMR 1219, Bordeaux, France.
Armel PodaDepartment of Infectious Diseases, CHU Sourô Sanou, Bobo-Dioulasso, Burkina Faso.
Denis MalvyDepartment of General Practice, University of Bordeaux, Bordeaux, France.
Olivier MarcyTeam GHiGS, University of Bordeaux, National Institute for Health and Medical Research (INSERM), Research Institute for Sustainable Development (IRD), Bordeaux Population Health Research Centre, UMR 1219, Bordeaux, France.ORCID 0000-0003-3350-112X
Alexandre DelamouAfrica Center of Excellence (CEA-PCMT), University Gamal Abdel Nasser, Conakry, Guinea.ORCID 0000-0002-9397-7106
Joanna Orne-GliemannTeam GHiGS, University of Bordeaux, National Institute for Health and Medical Research (INSERM), Research Institute for Sustainable Development (IRD), Bordeaux Population Health Research Centre, UMR 1219, Bordeaux, France.
Université de Bordeaux · FRAfrica Center · USDonka Hospital · GNAlliance for International Medical Action · SNWest African Health Organisation · BF

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore communities' perceptions about COVID-19 in the context of the ANRS COV33 Coverage-Africa clinical trial evaluating the efficacy of treatments in preventing clinical worsening of COVID-19.

designDescriptive qualitative study using semistructured in-depth individual interviews conducted by telephone in French and Soussou between May and September 2021. Data were transcribed, translated in French when applicable and analysed with the thematic analysis method.

settingThe eight neighbourhoods most affected by COVID-19 in Conakry's urban context, capital of Guinea.

participants4 community leaders acting as key informants-providing insights regarding population's opinions-and six community members, who were exposed to an information session conducted as part of Coverage-Africa.

resultsAccording to participants, community members have heterogeneous viewpoints about COVID-19: it exists and is dangerous; it is benign ('bad cold'); or it is fictitious (eg, government conspiracy). The fear of stigmatisation and social isolation of those sick or cured of COVID-19 was largely reported by participants, with illustrations of distressing situations for the victims. To avoid stigma, many patients seem to adopt strategies of discretion (eg, lying/hiding about the disease). Although community attitudes were reported to have evolved since the beginning of the epidemic, stigma remained a pervasive concern for many people.

conclusionsCommunity perceptions about COVID-19 in Conakry may be partly explained by the Guinean context of Ebola history and of sociopolitical tensions. Stigmatisation of COVID+ people seems to be aimed at protecting others against contamination. However, social avoidance can greatly affect the morale of stigmatised people, especially in collectivist cultures like Guinea. Further investigating stigma, including its role on seeking COVID-19 screening and treatment services, and its consequences on mental health among affected/exposed people, would contribute to identifying improved prevention and care interventions in preparation for future health threats, and to promoting participation in health research. TRIAL REGISTRATION NUMBER: NCT04920838 (Pre-results stage).

Indexed as

COVID-19AfricaGuineaHumansQualitative ResearchSocial StigmaCOVID-19MENTAL HEALTHPublic healthQUALITATIVE RESEARCHSOCIAL MEDICINE

Identifiers

PMID36574985
PMCPMC9805824
OpenAlexW4313250910

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.