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Background report
Use of SMS-Based Surveys in the Rapid Response to the Ebola Outbreak in Liberia: Opening Community Dialogue
During an emerging health crisis like the 2014 Ebola outbreak inWest Africa, communicating with communities to learn from them and to provide timely information can be a challenge. Insight into community thinking, however, is crucial for developing appropriate communication content…
Briefings
Strengthening Health Systems for Resilience
In countries with high levels of poverty or instability and with poor health system management and governance, people are highly vulnerable to shocks associated with ill health, including major epidemics. An effective health system can help build their resilience by…
Briefings
Social Mobilization and Community Engagement Central to the Ebola Response in West Africa: Lessons for Future Public Health Emergencies.
Following the World Health Organization (WHO) declaration of a Public Health Emergency of International Concern regarding the Ebola outbreak in West Africa in July 2014, UNICEF was asked to co-lead, in coordination with WHO and the ministries of health of…
Background report
Missing Bodies and Secret Funerals: The Production of “Safe and Dignified Burials” in the Liberian Ebola Crisis
During the height of the Ebola crisis in West Africa, public health responders and the international media focused on dead bodies as sites of disease transmission when early contact tracing discovered the relationship between attendance at funerals and emerging clusters…
Briefings
Implementation of an Ebola Virus Disease Vaccine Clinical Trial during the Ebola Epidemic in Liberia: Design, Procedures, and Challenge
The index case of the Ebola virus disease epidemic in West Africa is believed to have originated in Guinea. By June 2014, Guinea, Liberia, and Sierra Leone were in the midst of a full-blown and complex global health emergency. The…
Background report
Engaging ‘Communities’: Anthropological Insights from the West African Ebola Epidemic
The recent Ebola epidemic in West Africa highlights how engaging with the sociocultural dimensions of epidemics is critical to mounting an effective outbreak response. Community engagement was pivotal to ending the epidemic and will be to post-Ebola recovery, health system…
Background report
Ebola and Lessons for Development
As the Ebola crisis continues to unfold across West Africa and the international community belatedly responds, broader questions arise beyond the immediate challenges on the ground. These fundamentally challenge our understanding of ‘development’ as framed and practised in past decades.…
Beating the Odds: Successful Establishment of a Phase II/III Clinical Research Trial in Resource-Poor Liberia during the Largest-Ever Ebola Outbreak
It has been argued that a country such as Liberia, not fully recovered from the devastation of decades of civil unrest, lacked the appropriate ethical and regulatory framework, basic human and health care services, and infrastructure to carry out clinical…
Briefings
Young People Played a Game-Changing Role in the Battle Against Ebola in Liberia
An Ebola survivor reports on a pioneering community initiative in Monrovia that could save lives in the fight against other infectious diseases.
Evidence review
The Opposite of Denial: Social Learning at the Onset of the Ebola Emergency in Liberia
This working paper reports on a study to identify the pace of Ebola-related social learning in urban and peri-urban areas around Monrovia, Liberia during August 2014, at the onset of the emergency phase of the epidemic. The research demonstrates how…
Evidence review
Community-Centered Responses to Ebola in Urban Liberia: The View from Below
This working paper reports on a study to identify epidemic control priorities among 15 communities in Monrovia and Montserrado County, Liberia. Data were collected in September 2014 on the following topics: prevention, surveillance, care-giving, community-based treatment and support, networking/hotlines/calling response…
Evidence review
Community Perceptions of Ebola Response Efforts in Liberia: Montserrado and Nimba Counties
This study aimed to support Oxfam’s Public Health Promotion (PHP) strategy through a rapid qualitative assessment of the remaining social barriers to compliance with Ebola prevention and treatment messages. At the time of the study, most Liberians had a high…