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Evidence review
Health-Seeking Behaviours in Sofala and Manica in Relation to Cyclone Idai Response
Rapid review question: What are the health-seeking and nutritional practices of the affected populations? How do they frame, understand and engage in prevention of cholera/AWD, malaria, measles/rubella (or vaccine preventable diseases); infant and child feeding and other relevant diseases? What…
Briefing
Social Science in Epidemics: Cholera Lessons Learned (Background Report)
This report is the first instalment of the ‘Social Science in Epidemics’ series, commissioned by the USAID Office of U.S. Foreign Direct Assistance (OFDA). In this series, past outbreaks are reviewed in order to identify social science ‘entry points’ for…
Background report
Quantitative and Qualitative Analysis of the Knowledge, Attitudes and Social Representations of Cholera in the Extreme Northern Region of Cameroon: The Case of Maroua I, Maroua Ii and Mokolo
An effective fight against Cholera requires an in-depth consideration of the knowledge, attitudes and social representations of Cholera within a population. Cholera outbreaks persist in the Extreme North of Cameroon because of the inadequate integration of representations of Cholera, water…
Background report
Perceptions of Oral Cholera Vaccine and Reasons for Full, Partial and Non-Acceptance during a Humanitarian Crisis in South Sudan
Oral Cholera vaccination (OCV) campaigns were conducted from February to April 2014 among internally displaced persons (IDPs) in the midst of a humanitarian crisis in Juba, South Sudan. IDPs were predominantly members of the Nuer ethnic group who had taken…
Background report
Perceptions of Health Communication, Water Treatment and Sanitation in Artibonite Department, Haiti, March-April 2012
The international response to Haiti’s ongoing cholera outbreak has been multifaceted, including health education efforts by community health workers and the distribution of free water treatment products. Artibonite Department was the first region affected by the outbreak. Numerous organizations have…
Background report
Local Perceptions of Cholera and Anticipated Vaccine Acceptance in Katanga Province, Democratic Republic of Congo
In regions where access to clean water and the provision of a sanitary infrastructure has not been sustainable, Cholera continues to pose an important public health burden. Although oral Cholera vaccines (OCV) are effective means to complement classical Cholera control…
Background report
Knowledge of, Attitudes toward, and Preventive Practices relating to Cholera and Oral Cholera Vaccine among Urban High-Risk Groups: Findings of a Cross-Sectional Study in Dhaka, Bangladesh
In endemic countries such as Bangladesh, consequences of cholera place an enormous financial and social burden on patients and their families. Cholera vaccines not only provide health benefits to susceptible populations but also have effects on the earning capabilities and…
Background report
Innovative Vaccine Delivery Strategies in Response to a Cholera Outbreak in the Challenging Context of Lake Chilwa: A Rapid Qualitative Assessment
A reactive campaign using two doses of Shanchol Oral Cholera Vaccine (OCV) was implemented in 2016 in the Lake Chilwa Region (Malawi) targeting fish dependent communities. Three strategies for the second vaccine dose delivery (including delivery by a community leader…
Background report
Improving Community Coverage of Oral Cholera Mass Vaccination Campaigns: Lessons Learned in Zanzibar
Recent research in two Cholera-endemic communities of Zanzibar has shown that a majority (94%) of the adult population was willing to receive free oral Cholera vaccines (OCVs). Since OCV uptake in the 2009 campaign reached only 50% in these communities,…
Background report
Health Seeking Behaviour Among Suspected Cases of Cholera in Cameroonian Health Districts in Lake Chad Basin
Cholera outbreaks are recurrent in Cameroon and despite the efforts put together during epidemics, they are always associated with a high case fatality. Inadequate demand for health care is one of the major factors that might be responsible for the…
Background report
Distinguishing Social and Cultural Features of Cholera in Urban and Rural Areas of Western Kenya: Implications for Public Health
Urban and rural areas have distinctive health problems, which require consideration. To examine sociocultural features of Cholera and its community context, a semi-structured explanatory model interview based on vignettes depicting typical clinical features of Cholera was used to interview 379…
Field notes
Cultural Influences Behind Cholera Transmission in the Far North Region, Republic of Cameroon: A Field Experience and Implications for Operational Level Planning of Interventions
In recent years, the Far North Region of Cameroon has experienced serious and recurrent Cholera outbreaks. Yet, understanding of cultural influences on outbreaks and spread remain poorly understood. This qualitative study explored cultural influences on Cholera exposure in this region.…
Background report
Comparing Sociocultural Features of Cholera in Three Endemic African Settings
Cholera mainly affects developing countries where safe water supply and sanitation infrastructure are often rudimentary. Sub-Saharan Africa is a Cholera hotspot. Effective Cholera control requires not only a professional assessment, but also consideration of community-based priorities. The present work compares…
Background report
Cholera Outbreaks in Malawi in 1998-2012: Social and Cultural Challenges in Prevention and Control
Cholera still remains a significant cause of morbidity and mortality in developing countries, although comprehensive surveillance data to inform policy and strategies are scarce. A desk review of the national Cholera database and zonal and districts reports was conducted. Interviews…
Background report
A Rapid Qualitative Assessment of Oral Cholera Vaccine Anticipated Acceptability in a Context of Resistance Towards Cholera Intervention in Nampula, Mozambique
While planning an immunization campaign in settings where public health interventions are subject to politically motivated resistance, designing context-based social mobilization strategies is critical to ensure community acceptability. in preparation for an Oral Cholera Vaccine campaign implemented in Nampula, Mozambique,…
Evidence review
Briefing
Guidance Note 1: Contextual Factors and Risks to Cholera/AWD Transmission in Somalia and the Somali Region of Ethiopia
The purpose of this guidance note is to support UNICEF staff in understanding the contextual factors (the practices, behaviours, social norms and wider factors) that shape risks of cholera transmission, being able to separate the social and cultural factors from…
Briefing
Guidance Note 2: Seeking Treatment for Cholera in Somalia and the Somali Region of Ethiopia: Contextual Factors
The purpose of this guidance note is to support UNICEF staff in understanding the contextual factors (the practices, behaviours, social norms and wider factors) that shape risks of cholera transmission, being able to separate the social and cultural factors from…
Background report
Field notes
Cholera Fears Rise Following Atlantic Hurricanes
As hurricanes barrel through some of the most impoverished communities in the Western Hemisphere, and as floods ravage Yemen, Sierra Leone, Bangladesh and India, now is the time to rethink and prioritize cholera epidemic prevention and response. In the aftermath…
Evidence review
Contextual Factors Shaping Cholera Transmission and Treatment-Seeking in Somalia and the Somali Region of Ethiopia
The drought in the Horn of Africa and the protracted conflict has created a humanitarian emergency that has led to a declaration of famine in several regions of Somalia and the Somali region of Ethiopia. As a result of depleted…
Evidence review
Challenges of Post-Conflict Recovery!
This document highlights on issues of Peace Recovery Development Plan (PRDP) and health service delivery in northern Uganda.The report reviews an assessment surrounding the recent influx of asylum seekers and refugees from South Sudan to Uganda and summarises its key…
Background report
Historical Parallels, Ebola Virus Disease and Cholera: Understanding Community Distrust and Social Violence with Epidemics
In the three West African countries most affected by the recent Ebola virus disease (EVD) outbreak,resistance to public health measures contributed to the startling speed and persistence of this epidemic in the region. But how do we explain this resistance,…
Background report
Fuzzy Expert Systems and GIS for Cholera Health Risk Prediction in Southern Africa
Cholera (Vibrio cholerae) is endemic in southern Africa and frequently breaks out in epidemics along the eastern seaboard. Extensive resources are directed at combating cholera yet it remains a significant problem. Limited resources could better be directed to prevent outbreaks…
Background report
Addressing Rural Health and Poverty Through Water Sanitation and Hygiene: Gender Perspectives
Women play a crucial role in providing care and support, and also in the use and management of the water resources and sanitation at the household level. In addition, voluntary community care work is done mostly by women, rather than…
Background report
Seasonality of Cholera from 1974 to 2005: A Review of Global Patterns
The seasonality of cholera is described in various study areas throughout the world. However, no study examines how temporal cycles of the disease vary around the world or reviews its hypothesized causes. This paper reviews the literature on the seasonality…
Background report
The Case of Cholera Preparedness, Response and Prevention in the SADC Region: A Need for Proactive and Multi-Level Communication and Co-ordination
In this paper the authors seek to identify the most appropriate model for a regional co-ordination mechanism for cholera preparedness, response and prevention. The qualitative mixed-method data collection approach that was followed revealed the need for alternative solutions, including a…
Background report
Interaction between Climatic, Environmental, and Demographic Factors on Cholera Outbreaks in Kenya
Cholera remains an important public health concern in developing countries including Kenya where 11,769 cases and 274 deaths were reported in 2009 according to the World Health Organization (WHO). This ecological study investigates the impact of various climatic, environmental, and…
Background report
Environmental Determinants of Cholera Outbreaks in Inland Africa: A Systematic Review of Main Transmission Foci and Propagation Routes
Cholera is generally regarded as the prototypical waterborne and environmental disease. In Africa, available studies are scarce, and the relevance of this disease paradigm is questionable. Cholera outbreaks have been repeatedly reported far from the coasts: from 2009 through 2011,…
Article
Hurricane Matthew: Haiti Needs Vaccines to Stop Deadly Cholera Spreading
9,000 people died in Haiti’s last cholera outbreak. We must act fast in disaster-affected hotspots to help prevent history repeating itself.
Background report
Mapping the Risk and Distribution of Epidemics in the WHO African Region: A Technical Report
This WHO Technical Report offers a comprehensive spatially defined database of outbreaks and epidemics, and delineates the ecological zones of diseases classified as Public Health Emergency of International Concern (PHEIC) and malaria.
Evidence review
Cholera Outbreak Guidelines: Preparedness, Prevention and Control
This practical field guide brings together lessons learned from Oxfam’s past interventions in the prevention and control of cholera, and other related guidance. The aim is to provide a quick, step-by-step guide to inform cholera outbreak interventions and ensure public…
Evidence review
Zimbabwe 2008-2009 Cholera Outbreak Crisis Review
This After Action Review (AAR) covered CARE’s responses to the Cholera Crisis in Zimbabwe from 2008 to 2009. The purpose of this AAR is to contribute to CARE’s understanding of the cholera response, and to help promote learning and accountability…
Briefing
Scenario Building in Preparation for or during Humanitarian Crises
The humanitarian community often finds itself unprepared for unfolding humanitarian developments or sudden events: the 2010 cholera outbreak in Haiti and the sudden spread of Islamic State areas of control in 2013 in Syria are just two of the many…
