The Opposite of Denial: Social Learning at the Onset of the Ebola Emergency in Liberia

摘要: This study analyzes findings from a rapid-response community-based qualitative research initiative to the content of Ebola-related communications and transmission behaviors practices through mass media social learning in Monrovia, Liberia during August-September 2014. Thirteen neighborhoods common Monrovia market were studied appraise reach health outreach regarding Ebola prevention response measures. A World Health Organization (WHO) team collected data on knowledge, attitudes, focus group-based discussions key informant interviews over 14-day period assess spread information rapidly escalating crisis. Findings show that 2-week period, neighborhood residents demonstrated rapid changes beliefs about source Ebola, modes contagion, infection control (IPC) practices, discarding incorrect information. Changes tended lag behind acquisition learning. also many continued support conspiracy theories even as correct was acquired. The implications for community engagement are substantial: (1) Under conditions accelerating mortality, communities assimilate abandon information; (2) Behavior change is likely due local physical, structural, sociocultural, institutional constraints; (3) Reports "resistance" overstated based limited number incidents, failed account specific constraints.