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The Institute for Global Health and Development

Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/9

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    Social Sciences in Emerging Infectious Disease: The Ebola Disease Response
    (Springer International Publishing, 2023-01-01) James, Peter Bai; Lane, Rashon; Bah, Abdulai Jawo
    Emerging infectious disease outbreaks are increasingly prevalent, and the need to develop or strengthen existing health systems to effectively respond to a global health threat has become more apparent. Moreover, it has become clear the critical role social science research plays in exploring human behavior, cultural, social, and political economic forces that are equally important to inform emerging infectious disease response and recovery. This chapter discusses the role of social science research in infectious disease outbreaks, looking at benefits and current barriers. It further considers Ebola as a e study to illustrate how social science research approaches are used to explain the cultural, social, and political economic forces that explain community response and inform public health response to recent Ebola outbreaks in Western and Eastern Africa. Specifically, it discusses issues surrounding the origin of the Ebola virus, community beliefs and understanding of Ebola virus disease, surveillance, burial practices, the influence of politics and conflict on Ebola response efforts, vaccine hesitancy and Ebola survivorship relating to community stigma, as well as discrimination and health-seeking behavior. © Springer Nature Switzerland AG 2023.
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    Providing healthcare to Ebola survivors: A qualitative exploratory investigation of healthcare providers' views and experiences in Sierra Leone
    (Taylor & Francis, 2020-05-07) James, Peter Bai; Wardle, Jon; Steel, Amie; Adams, Jon; Bah, Abdulai Jawo; Sevalie, Stephen
    Although the experiences of healthcare workers regarding caring for Ebola patients during the West African Ebola outbreak have been explored, little is known about healthcare workers' experiences in providing care to Ebola survivors. We employed a qualitative design to address this gap in the literature. Healthcare providers described the health complaints of Ebola survivors as similar to those of ordinary patients, but disproportionately frequent and severe. During the Ebola outbreak, fear of infection with the Ebola virus affected healthcare providers' confidence to provide care to survivors leading to the provision of symptomatic or no treatment. At the close of the Ebola outbreak, healthcare providers cited previous experience in providing care to Ebola patients, being more knowledgeable, peer support, commitment to professional duty and the implementation of the CPES programme as motivators that helped boost their confidence to providing care. However, healthcare providers described the unavailability of medicines, the inability to undertake laboratory investigations, the lack of access to specialised care and uncoordinated referrals from peripheral health units as their current challenges to providing care. Such enablers and barriers need to be prioritised within the Sierra Leone health system to further strengthen initiatives aimed at improving healthcare delivery to Ebola survivors.