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Challenges to Ebola preparedness during an ongoing outbreak

Version
V0
Resource Type
Dataset : text
Creator
  • Kaawa-Mafigiri, David (Makerere University)
  • Schmidt-Sane, Megan (Makerere University)
Publication Date
2020-01-03
Funding Reference
  • UNICEF Uganda
Free Keywords
Ebola; Uganda; Borderlands
Description
  • 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 Ebola programming and policies to be tailored to consider the political and economic dynamics of borderlands.
Temporal Coverage
  • 2019-01-25 / 2019-04-15
    Time Period: Fri Jan 25 00:00:00 EST 2019--Mon Apr 15 00:00:00 EDT 2019
  • 2019-02-01 / 2019-04-01
    Collection Date(s): Fri Feb 01 00:00:00 EST 2019--Mon Apr 01 00:00:00 EDT 2019
Geographic Coverage
  • Uganda
Sampled Universe
The study population (N = 287) included youth and adults, sampled from various sectors of the community.
Sampling
A total of 25 focus group discussions (n = 200 participants), key informant interviews (n = 87), and field notes were gathered from the 17 moderate- and high-risk districts in Uganda. Participants were sampled using a non-probability strategy, purposively selected based on cultural grouping and time spent in the community, with variable ages, gender, types of work, education levels and religion.
Collection Mode
  • face-to-face interview~~

Availability
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Update Metadata: 2020-02-21 | Issue Number: 1 | Registration Date: 2020-02-21

Kaawa-Mafigiri, David; Schmidt-Sane, Megan (2020): Challenges to Ebola preparedness during an ongoing outbreak. Version: V0. ICPSR - Interuniversity Consortium for Political and Social Research. Dataset. https://doi.org/10.3886/E117869