Local governance of the 2014 ebola Epidemic: a PhD synthesis : WestminsterResearch

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Title	Local governance of the 2014 ebola Epidemic: a PhD synthesis
Type	Journal article
Authors	Franklin, S.
Abstract	Background The doctoral dissertation examines how local response efforts were integrated into overall emergency management. Objectives It seeks to understand the role and effectiveness of community-based actors in addressing collective action problems Methods Sixty-seven semi-structured interviews were conducted from January to July 2017 in Liberia and Sierra Leone. Key informants include healthcare workers, traditional leaders, and community stakeholders, such as non-governmental organization representatives and volunteers. Results Findings show that traditional and community leaders responded to the public health emergency via rulemaking, quarantine, travel limitation, healthcare referrals, health sensitization, and door-to-door contact tracing. These actions by local leaders helped to change behaviors and improve cooperation. Sierra Leone had 32.3% more Ebola cases than Liberia but 18% fewer deaths. Sierra Leone had integrated traditional and community leaders before the scale up of international aid resources. Conclusion This suggests that actions taken by traditional and community leaders improved overall efforts, and in some areas, before scaled-up humanitarian interventions. Bilateral engagement with local community actors should be integrated in every public health response to improve cooperation, and it should be done before an intervention is conceived and executed.
Article number	2411742
Journal	Global Health Action
Journal citation	17 (1)
ISSN	1654-9716
	1654-9880
Year	2024
Publisher	Taylor & Francis
Accepted author manuscript	File Access Level Open (open metadata and files)
Publisher's version	Local governance of the 2014 ebola Epidemic a PhD synthesis.pdf License CC BY 4.0 File Access Level Open (open metadata and files)
Digital Object Identifier (DOI)	https://doi.org/10.1080/16549716.2024.2411742
PubMed ID	39390974
Published online	11 Oct 2024
Published in print	31 Dec 2024
Funder	University of Westminster
License	http://creativecommons.org/licenses/by/4.0/

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Local governance of the 2014 ebola Epidemic: a PhD synthesis

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