ID 61423
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Muzembo, Basilua Andre Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University ORCID Kaken ID researchmap
Ntontolo, Ngangu Patrick Department of Family Medicine and Primary health, Protestant University of Congo
Ngatu, Nlandu Roger Department of Public Health, Kagawa University Faculty of Medicine
Khatiwada, Januka Department of Public Health, School of Medicine, International University of Health and Welfare
Ngombe, Kabamba Leon Department of Public Health, University of Kamina
Numbi, Oscar Luboya School of Public Health, University of Lubumbashi
Nzaji, Kabamba Michel School of Public Health, University of Lubumbashi
Maotela, Kabinda Jeff Centre National de Transfusion Sanguine
Ngoyi, Mukonkole Jean Research Unit, ISTM-Lubumbashi
Suzuki, Tomoko Department of Public Health, School of Medicine, International University of Health and Welfare
Wada, Koji Department of Public Health, School of Medicine, International University of Health and Welfare
Ikeda, Shunya Department of Public Health, School of Medicine, International University of Health and Welfare
Abstract
Background
The Democratic Republic of Congo (DR Congo) struggled to end the tenth outbreak of Ebola virus disease (Ebola), which appeared in North Kivu in 2018. It was reported that rumors were hampering the response effort. We sought to identify any rumors that could have influenced outbreak containment and affected prevention in unaffected areas of DR Congo.
Methods
We conducted a qualitative study in DR Congo over a period of 2 months (from August 1 to September 30, 2019) using in-depth interviews (IDIs) and focus group discussions (FGDs). The participants were recruited from five regional blocks using purposeful sampling. Both areas currently undergoing outbreaks and presently unaffected areas were included. We collected participants’ opinions, views, and beliefs about the Ebola virus. The IDIs (n = 60) were performed with key influencers (schoolteachers, religious and political leaders/analysts, and Ebola-frontline workers), following a semi-structured interview guide. FGDs (n = 10) were conducted with community members. Interviews were recorded with a digital voice recorder and simultaneous note-taking. Participant responses were categorized in terms of their themes and subthemes.
Results
We identified 3 high-level themes and 15 subthemes (given here in parentheses): (1) inadequate knowledge of the origin or cause of Ebola (belief in a metaphysical origin, insufficient awareness of Ebola transmission via an infected corpse, interpretation of disease as God’s punishment, belief in nosocomial Ebola, poor hygiene, and bathing in the Congo River). Ebola was interpreted as (2) a plot by multinational corporations (fears of genocide, Ebola understood as a biological weapon, concerns over organ trafficking, and Ebola was taken to be the result of business actions). Finally Ebola was rumored to be subject to (3) politicization (political authorities seen as ambivalent, exclusion of some community leaders from response efforts, distrust of political authorities, and distrust in the healthcare system).
Conclusions
Due to the skepticism against Ebola countermeasures, it is critical to understand widespread beliefs about the disease to implement actions that will be effective, including integrating response with the unmet needs of the population.
Published Date
2021-10-22
Publication Title
PLoS ONE
Volume
volume15
Issue
issue10
Publisher
Public Library of Science
Start Page
e0241120
ISSN
1932-6203
Content Type
Journal Article
language
英語
OAI-PMH Set
岡山大学
Copyright Holders
© 2020 Muzembo et al.
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PubMed ID
DOI
Web of Science KeyUT
Related Url
isVersionOf https://doi.org/10.1371/journal.pone.0241120
License
https://creativecommons.org/licenses/by/4.0/
Funder Name
Japan Society for the Promotion of Science
助成番号
19K19467