Évolution de l’implication des communautés dans la riposte à Ebola

Abstract

These results demonstrate that, as during other epidemics and in other contexts, communities are not passive stakeholders in the fight against Ebola. They can be actively involved based on their knowledge, but also the attitudes of other actors involved in the fight against VME.

Community engagement for COVID-19 prevention and control: a rapid evidence synthesis

“…Broad contextual concerns preceding the outbreak refer to poverty, unemployment or economic crisis, 38 49 health system failure, lack of development infrastructure, 49 50 colonial/postcolonial factors, ethnic and political conflicts, 38 39 lack of trust in government and international agencies, 42 traditional practices and rituals that are resistant to change, 15 51 geographical challenges 52 and mobile populations. 53…”

“…For example, Skrip et al detail the Community-Led Ebola Action efforts implemented by the SMAC, which involved local radio stations to provide a platform for engagement with trusted community leaders, survivors and responders; community champions and mobilisers recruited from an existing cohort of CHWs, youth volunteers and people nominated by their communities; and religious leaders to promote key messages and role model behaviours to support community surveillance through standardised monitoring forms and a structured participatory dialogue to identify and address community needs targeting areas of trust building, risk communication and SBCC 54 ; McMahon et al detail health management committees, made up of leaders and key stakeholders, and their efforts in SBCC and risk communication, and also supporting health facilities by conducting screening and administrative duties in relation to Ebola 55 ; Ho and colleagues highlight how resident committees, grassroot leaders and volunteers conducted risk communication and source reduction for Zika 45 ; and Mbaye and colleagues highlight how community groups, faith organisations and key stakeholders (youth, women and elderly) conducted trust building, surveillance and SBCC. 38 …”

“…Specific make-up of community engagement approaches was often not detailed or did not include diversity and representation, though several reported community engagement structures, including representation from Ebola survivors, 56 women within reproductive age and students, 46 women representatives 39 and youth. 38 54 56 …”

“…All articles were in English except for one, which was in French. 38 Thirty-two articles were included, but two articles report three 39 and four 40 distinct community engagement initiatives. As such, the remainder of the review will focus on 37 initiatives.…”

“…McMahon et al detail health management committees, made up of leaders and key stakeholders, and their efforts in SBCC and risk communication, and also supporting health facilities by conducting screening and administrative duties in relation to Ebola 55 ; Ho and colleagues highlight how resident committees, grassroot leaders and volunteers conducted risk communication and source reduction for Zika 45 ; and Mbaye and colleagues highlight how community groups, faith organisations and key stakeholders (youth, women and elderly) conducted trust building, surveillance and SBCC. 38 The majority of the community engagement activities were not reported as a component of a larger programme, with the exception of surveillance systems which included community engagement for monitoring at the community level linked to a structured contract tracing system. Online supplemental file 2 includes the extraction data for each article.…”