[ Gestion de la douzième épidémie de la maladie à Virus Ebola: Perceptions des acteurs de la province du Nord-Kivu, République démocratique du Congo ]
Volume 36, Issue 4, July 2022, Pages 1090–1102
Jean-Bosco Kahindo Mbeva1, Mitangala Ndeba Prudence2, Edgar Tsongo Musubao3, Bives Mutume4, Cyrille Ngadjo5, Valentin Kisambi6, Pablo Paluku7, Mbusa Maliro8, Elizabeth Kahindo9, Guy Makele Kiusa10, Janvier Kubuya Bonane11, Nzanzu Syalita Eugène12, Aimé Kambale Saruti13, Kasereka Kalondero Jimmy14, Katembo Kalondero Philemon15, Mughanda Muhindo16, and Jean-Roger Syayipuma Kambere17
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, PADISS, Bureau de Goma, RD Congo
3 ULB Coopération, PADISS, Bureau de Goma, RD Congo
4 Kampala International University, Ishaka, Bushenyi, Uganda
5 Division Provinciale de la santé du Nord-Kivu, Goma, RD Congo
6 Zone de santé du Nord-Kivu, RD Congo
7 Division Provinciale de la santé du Nord-Kivu, Goma, RD Congo
8 Zone de santé du Nord-Kivu, RD Congo
9 Zone de santé du Nord-Kivu, RD Congo
10 Division Provinciale de la santé du Nord-Kivu, Goma, RD Congo
11 Division Provinciale de la santé du Nord-Kivu, Goma, RD Congo
12 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
13 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
14 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
15 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
16 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
17 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
Original language: French
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Introduction: This study aims to describe the perceptions of stakeholders involved in the management of the twelfth Ebola virus disease outbreak in North Kivu; in order to identify the contributing factors of its containment and management in less than 3 months. Methods: This descriptive and cross-sectional study used interviews guided by comprehensive questionnaire among all the stakeholders involved in the management of the twelfth Ebola virus disease, including health managers, healthcare providers, community leaders, heath partners and any other actors involved in the emergency response to outbreaks. Data analysis was performed using IBM SPSS version 23.0 for both coding and statistical analyses of collected data. Results: Based on the perceptions of different stakeholders who compared the tenth and twelfth outbreaks, the management of the latter was characterized by fewer funding and training of staff; a better understanding of local socio-cultural variations and needs (97.2%, versus 9.1%; p<0,001), a clear tracking and follow-up of contacted and/or suspected cases (91.5% versus 66.7%; p<0,001), a greater community involvement and application of standard operating measures implemented by the emergency team (80.3% versus 66.7%; p<0,001); and a proper management of cases of Ebola virus disease (both confirmed, suspected or contacted) (94.1% versus 66.7%; p<0,001). Conclusions: Our findings reveal that the integrative approach response into the local health system, which strengthened community engagement and trust in the emergency response ‘teams, enabled the rapid containment of the twelfth Ebola virus disease outbreak in North Kivu, in Democratic Republic of Congo. This approach is part of a new paradigm compatible with the health system resilience.
Author Keywords: Ebola virus, Epidemic, health system, North-Kivu, Democratic Republic of Congo.
Volume 36, Issue 4, July 2022, Pages 1090–1102
Jean-Bosco Kahindo Mbeva1, Mitangala Ndeba Prudence2, Edgar Tsongo Musubao3, Bives Mutume4, Cyrille Ngadjo5, Valentin Kisambi6, Pablo Paluku7, Mbusa Maliro8, Elizabeth Kahindo9, Guy Makele Kiusa10, Janvier Kubuya Bonane11, Nzanzu Syalita Eugène12, Aimé Kambale Saruti13, Kasereka Kalondero Jimmy14, Katembo Kalondero Philemon15, Mughanda Muhindo16, and Jean-Roger Syayipuma Kambere17
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, PADISS, Bureau de Goma, RD Congo
3 ULB Coopération, PADISS, Bureau de Goma, RD Congo
4 Kampala International University, Ishaka, Bushenyi, Uganda
5 Division Provinciale de la santé du Nord-Kivu, Goma, RD Congo
6 Zone de santé du Nord-Kivu, RD Congo
7 Division Provinciale de la santé du Nord-Kivu, Goma, RD Congo
8 Zone de santé du Nord-Kivu, RD Congo
9 Zone de santé du Nord-Kivu, RD Congo
10 Division Provinciale de la santé du Nord-Kivu, Goma, RD Congo
11 Division Provinciale de la santé du Nord-Kivu, Goma, RD Congo
12 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
13 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
14 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
15 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
16 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
17 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
Original language: French
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction: This study aims to describe the perceptions of stakeholders involved in the management of the twelfth Ebola virus disease outbreak in North Kivu; in order to identify the contributing factors of its containment and management in less than 3 months. Methods: This descriptive and cross-sectional study used interviews guided by comprehensive questionnaire among all the stakeholders involved in the management of the twelfth Ebola virus disease, including health managers, healthcare providers, community leaders, heath partners and any other actors involved in the emergency response to outbreaks. Data analysis was performed using IBM SPSS version 23.0 for both coding and statistical analyses of collected data. Results: Based on the perceptions of different stakeholders who compared the tenth and twelfth outbreaks, the management of the latter was characterized by fewer funding and training of staff; a better understanding of local socio-cultural variations and needs (97.2%, versus 9.1%; p<0,001), a clear tracking and follow-up of contacted and/or suspected cases (91.5% versus 66.7%; p<0,001), a greater community involvement and application of standard operating measures implemented by the emergency team (80.3% versus 66.7%; p<0,001); and a proper management of cases of Ebola virus disease (both confirmed, suspected or contacted) (94.1% versus 66.7%; p<0,001). Conclusions: Our findings reveal that the integrative approach response into the local health system, which strengthened community engagement and trust in the emergency response ‘teams, enabled the rapid containment of the twelfth Ebola virus disease outbreak in North Kivu, in Democratic Republic of Congo. This approach is part of a new paradigm compatible with the health system resilience.
Author Keywords: Ebola virus, Epidemic, health system, North-Kivu, Democratic Republic of Congo.
Abstract: (french)
Introduction: Cette étude décrit les perceptions des acteurs impliqués dans la gestion de la douzième épidémie de la maladie à Virus Ebola au Nord-Kivu, en République Démocratique du Congo, en vue d’identifier les facteurs ayant permis son endiguement en moins de 3 mois. Méthodes: Cette étude descriptive et transversale, a procédé par des entretiens. Le questionnaire a été administré auprès des acteurs cadres, professionnels de santé, communautaires, autorités et leaders locaux, partenaires et d’autres acteurs impliqués dans la riposte contre l’épidémie. L'encodage et l'analyse des données quantitatives ont été réalisés avec le logiciel SPSS version 23. Résultats: D’après les perceptions des acteurs, la gestion de la douzième épidémie, comparée à la dixième épidémie, a été caractérisée par moins de financements et de formations des personnels. En revanche, il a été perçu une meilleure prise en compte des sensibilités socioculturelles locales (97,2 %, versus 9,1%; P<0,001), une meilleure surveillance épidémiologique et suivi des personnes suspectes (91,5% versus 66,7%; P<0,001), une plus grande collaboration des populations aux mesures instaurées (80,3% versus 66,7%; P<0,001) et une meilleure prise en charge des cas suspects et des patients (94,1% versus 66,7%; P<0,001). Conclusions: L’approche inclusive et intégrative de la riposte dans le système de santé local, ayant renforcé la confiance des communautés vis-à-vis des équipes de riposte, a permis l’endiguement rapide de la douzième épidémie de maladie à Virus Ebola au Nord-Kivu. Cette approche s’inscrit dans un nouveau paradigme compatible avec la résilience du système sanitaire.
Author Keywords: Virus Ebola, Epidémie, système de santé, Nord-Kivu, République Démocratique du Congo.
How to Cite this Article
Jean-Bosco Kahindo Mbeva, Mitangala Ndeba Prudence, Edgar Tsongo Musubao, Bives Mutume, Cyrille Ngadjo, Valentin Kisambi, Pablo Paluku, Mbusa Maliro, Elizabeth Kahindo, Guy Makele Kiusa, Janvier Kubuya Bonane, Nzanzu Syalita Eugène, Aimé Kambale Saruti, Kasereka Kalondero Jimmy, Katembo Kalondero Philemon, Mughanda Muhindo, and Jean-Roger Syayipuma Kambere, “Management of the twelfth Ebola virus disease outbreak: Actor’s perceptions in North Kivu province, Democratic Republic of Congo,” International Journal of Innovation and Applied Studies, vol. 36, no. 4, pp. 1090–1102, July 2022.
