Paper short abstract:

Local acceptance and adoption of control measures has proved a challenge in stopping the spread of Ebola. A qualitative study is underway to ensure an in-depth understanding of community perceptions and practices with regards to control measures in order to inform current and future Ebola response.

Paper long abstract:

In order to provide a better understanding of community interaction with the Ebola response in Sierra Leone and inform intervention strategies. A description of community and local-level perspectives and attitudes on control measures used during the Ebola outbreak was intended. The study used a flexible participatory method to gather data by means of field notes and in-depth interviews, 25 Survivors, 24 community members 16 health workers, from rural and urban settings participated. Results focus on a practice of Ebola denial throughout the outbreak up to the point until it is experienced directly. Mass media and communication is only of tributary value in this context with sensitisation deemed as more effective if given by those with first-hand exposure or surviving the disease. Use of control measures by the population is motivated by how the rules for controls and resources are valued or appreciated. The availability of resources were viewed better if good care was experienced and human reactions in terms of expressions of dignity, respect and compassion were a key attribute to positive engagement with mechanisms implemented for disease control. To achieve effective control for the Ebola outbreak there must be reliable community leadership and governance, with proximity and collective understanding as integral to the approach.