Accepted monitoring or endured quarantine Ebola contacts perceptions in Senegal.pdfVIP

Accepted monitoring or endured quarantine Ebola contacts perceptions in Senegal.pdf

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Accepted monitoring or endured quarantine Ebola contacts perceptions in Senegal.pdf

Social Science Medicine 178 (2017) 38e45 Contents lists available at ScienceDirect Social Science Medicine journal homepage: /locate/socscimed Accepted monitoring or endured quarantine? Ebola contacts perceptions in Senegal Alice Desclaux a, *, Dioumel Badji b, Albert Gautier Ndione b, Khoudia Sow b a TransVIHMI (UMI 233 IRD, U 1175 INSERM), Institut de Recherche pour le Developpement, Montpellier, France b Centre Regional de Recherche et de Formation a la prise en charge de Fann, Dakar, Senegal article info Article history: Received 12 August 2016 Received in revised form 2 February 2017 Accepted 6 February 2017 Available online 7 February 2017 Keywords: Senegal Africa Ebola Contact tracing Social distancing Ethics Quarantine abstract During the 2014e2016 West Africa Ebola epidemic, transmission chains were controlled through contact tracing, i.e., identi?cation and follow-up of people exposed to Ebola cases. WHO recommendations for daily check-ups of physical symptoms with social distancing for 21 days were unevenly applied and sometimes interpreted as quarantine. Criticisms arose regarding the use of coercion and questioned contact tracing on ethical grounds. This article aims to analyze contact cases perceptions and acceptance of contact monitoring at the ?eld level. In Senegal, an imported case of Ebola virus disease in September 2014 resulted in placing 74 contact cases in home containment with daily visits by volunteers. An ethnographic study based on in-depth interviews with all stakeholders performed in September eOctober 2014 showed four main perceptions of monitoring: a biosecurity preventive measure, suspension of professional activity, stigma attached to Ebola, and a social obligation. Contacts demonstrated diverse attitudes. Initially, most contacts agreed to comply because they feared being infected. They adhered to the national Ebola response measures and appreciated the empathy shown by volunteers. Later, acceptance was improved by the provisio

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