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Briefing
The Pathology of Inequality: Gender and Ebola in West Africa
The international response to Ebola has been decried for being ‘too slow, too little, too late’. As well as racing to respond, we need to consider what has happened over the past decades to leave exposed fault lines that enabled…
Evidence review
Impact and Implications of the Ebola Crisis
Political impact and implications: Initial analysis suggests that governments’ poor management of the Ebola crisis has generated frustrations and exposed citizens’ lack of trust in their governments. The Ebola crisis is likely to play a very political role in the…
Background report
Zoonotic Diseases: Who Gets Sick, and Why? Explorations from Africa
Global risks of zoonotic disease are high on policy agendas. Increasingly, Africa is seen as a 'hotspot', with likely disease spillovers from animals to humans. This paper explores the social dynamics of disease exposure, demonstrating how risks are not generalised,…
Briefing
Community-led Ebola Action (CLEA) and the Social Mobilisation Action Consortium (SMAC)
The Community Led Ebola Action (CLEA) has empowered communities to do their own analysis and take their own action to become Ebola-free in Sierra Leone. CLEA has focused on triggering collective action by inspiring communities to understand the urgency and…
Field notes
Community Led Ebola Management and Eradication (CLEME)
The CLEME (Community Led Ebola Man- agement and Eradication) programme aims at triggering the behavioural change needed by the communities to strengthen community resilience to the outbreak and prevent further resurgence by ensuring real and sustainable improvements through: Providing the communities…
Field notes
Community-Based Ebola Care Centres: A Formative Evaluation
The Ebola outbreak in West Africa differed from others in its unprecedented size and the high proportion of human-to-human transmission occurring in the community. This report presents an analysis of the impact of Community Care Centres (CCCs) on communities in…
Briefing
Africa APPG inquiry: Community led health systems & the Ebola outbreak
The Ebola crisis of 2014-15 has brought questions around the roles of communities and health systems into sharp relief – both in relation to crisis response, and to the challenges of post-crisis recovery and building resilience to future epidemics. The…
Background report
Ebola Crisis Appeal – Response Review
This is the review of the Ebola Crisis Appeal Response in Sierra Leone of the Disasters Emergency Committee (DEC) that unites 13 of the largest UK humanitarian charities to raise funds in response to major international humanitarian crises. The review…
Briefing
Never Again: Building resilient health systems and learning from the Ebola crisis
It took the threat of a global health crisis to illustrate the failings of Africa’s health systems. Resilient health systems, free at the point of use, are evidently a global public good. They are essential for the provision of universal…
Briefing
Policy Briefing on Community-based Ebola Care Centres
A component of the Ebola epidemic control policy in Sierra Leone is triage and isolation in decentralised Community Care Centres (CCCs) or Holding Units, from where transfer to Ebola treatment units (ETUs) is arranged for those diagnosed as positive. The…
Field notes
How Ebola infection spreads and terminates in rural Sierra Leone
Ebola is a new disease in Upper West Africa. Populations have taken time to learn the nature of the risk it poses. Persons carrying infection initially do not know that they have the sickness. They carry out their daily activities,…
Field notes
What causes Ebola Virus disease?
The four villages in this report are found on the edge of the Gola Rainforest National Park, Sierra Leone and have been studied by members of the present team at intervals since 1987. The aim of this long-term study was…
Field notes
Village Responses to Ebola Virus Disease in Rural Eastern Sierra Leone: Second Interim Report
This report provides further output from an anthropological study of 25 villages affected by Ebola Virus Disease in eastern and central Sierra Leone, undertaken as part of the DFID-funded social mobilization initiative for Ebola prevention in Sierra Leone. Eight focus…
Field notes
Village Responses To Ebola Virus Disease In Rural Central Sierra Leone
Bawuya is a small, isolated Kpa-Mende farming village about 3 hours walking time from Taiama, headquarters of Kori chiefdom in Moyamba District, Southern Sierra Leone. Bawuya experienced an Ebola outbreak in September 2014, in which 9 people died and 3…
Research paper
Briefing: Ebola – myths, realities, and structural violence
The scale of West Africa’s Ebola epidemic has been attributed to the weak health systems of affected countries, their lack of resources, the mobility of communities and their inexperience in dealing with Ebola. This briefing for African Affairs argues that…
Research paper
Infectious disease: Tough choices to reduce Ebola transmission
Christopher J. M. Whitty and colleagues explain why the United Kingdom is funding many small community centres to isolate suspected cases in Sierra Leone. The UK government is leading the international response to Ebola in Sierra Leone, providing technical, financial…
Briefing
Increasing early presentation to ECU through improving care
Current Ebola epidemic control policy in Sierra Leone focuses on (a) triage and isolation in decentralised, ideally community-based Ebola Care Units (ECUs), leading to (b) transfer to Ebola treatment units (ETUs) for those diagnosed as positive. Increasing early presentation to ECUs…
Briefing
Mobilising youth for Ebola education: Sierra Leone and Liberia
This brief summarises some key considerations about mobilising youth and youth groups in the Ebola response in Sierra Leone and Liberia. The details have been collated from suggestions and insights provided by networks of anthropologists in the UK and US…
Briefing
Sierra Leone: Gift giving during initial community consultations
This brief summarises appropriate gift giving during initial community consultations in Sierra Leone. It is intended to provide an overview of good practices to support UNICEF, the WHO and other agencies as they interact with Paramount Chiefs prior the implementation…
Policy document
Care and Burial Practices in Urban Sierra Leone
Funeral practices in Freetown are varied with differences between typical Muslim and Christian practices. Muslims typically bury the body the same day, or the day after, the death, whereas Christians might wait for up to several weeks while arrangements are…
Briefing
Local beliefs and behaviour change for preventing Ebola in Sierra Leone
‘The Ebola epidemic ravaging parts of West Africa is the most severe acute public health emergency seen in modern times. Never before in recorded history has a biosafety level four pathogen infected so many people so quickly, over such a…
Research paper
Social Pathways for Ebola Virus Disease in Rural Sierra Leone, and some Implications for Containment
The current outbreak of Ebola Virus Disease in Upper West Africa is the largest ever recorded. Molecular evidence suggests spread has been almost exclusively through human-to-human contact. Social factors are thus clearly important to understand the epidemic and ways in…
Blog
Ebola: failures, flashpoints and focus
As the worst Ebola epidemic on record shows no signs of abating in West Africa, fear and ignorance are increasingly said to be playing a role in its continued spread. Meanwhile, local practices such as the consumption of bushmeat and deforestation are the go-to explanations…
Background report
Leprosy among the Limba: illness and healing in the context of world view
The study analyzes the traditional beliefs and practices concerning leprosy of the Limba people of Sierra Leone. It shows that this dialectally diverse ethnic group has two views of leprosy and its cause, and two varieties of stigma associated with…
Background report
Dying as Transformation to Ancestorhood: The Sherbro Coast of Sierra Leone
People who live in the Sherbro coastal area of Sierra Leone have a social organisation based upon descent from named ancestors and acestresses. Ancestors, the living, and those not yet born constitute a great chain of being. This continuum of…
