The potential risk components and prevention measures of the Ebola virus disease outbreak in Liberia: An in-depth interview with the health workers and stakeholders
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Keywords

Ebola virus disease
risk components
prevention measure
Liberia
public health

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Stephens, M. T., Juniastuti, Sulistiawati, & Dossen, P. C. (2024). The potential risk components and prevention measures of the Ebola virus disease outbreak in Liberia: An in-depth interview with the health workers and stakeholders. Belitung Nursing Journal, 10(1), 67–77. https://doi.org/10.33546/bnj.3069
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Accepted for publication: 2024-01-13
Peer reviewed: Yes

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Abstract

Background: The Ebola virus, a highly infectious and deadly pathogen, has posed a significant public health threat in West Africa for several decades. Liberia is one of the most severely affected countries. Healthcare personnel, including nurses, are on the front lines of patient care, and their perspectives are invaluable in understanding the challenges that arise during outbreaks, especially in implementing prevention measures.

Objective: This study aimed to explore the potential risk components and prevention measures of the Ebola virus disease (EVD).

Methods: This study used an exploratory descriptive qualitative design. Five stakeholders, ten doctors and five nurses who had suffered from EVD during the outbreak in Liberia participated in semi-structured interviews to provide their experience and comprehensive perspectives on EVD. Data were collected from February 2022-August 2023. NVivo 12 plus was used for inductive thematic analysis.

Results: Six themes and several subthemes emerged: 1) transmission modes (body contact, body fluid, sexual intercourse, traditional burial), 2) funeral attendance (traditional practices and crowded gatherings), 3) community-led prevention (promoting good hygiene practices, increasing awareness, contact tracing, and surveillance), 4) Ebola virus vaccine (false sense of security, potential side effects, and limited data), 5) challenges in implementing prevention measures (inadequate health infrastructures, difficulty of tracing infected people, lack of resources, and cultural-social barriers), 6) Liberia’s health systems (a weak, underfunded, fragile health infrastructure, lack of health facilities and shortage of health workers).

Conclusion: Several potential risk components contributing to the EVD outbreak should be a public concern. Strengthening the current healthcare system supported by local community and international aid providers (multidisciplinary teams) is needed to anticipate behavioral problems and to improve the efficacy of the prevention measures appropriate to the conditions in Liberia. Accordingly, the nurses’ compliance with the recommended prevention practices is necessary.

https://doi.org/10.33546/bnj.3069
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Copyright (c) 2024 Moses Tende Stephens, Juniastuti, Sulistiawati, Peter Chilaque Dossen

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

There are no conflicts of interest to disclose.

Funding

Self-funded.

Acknowledgment

We thank the participants for their cooperation and support during data collection, as well as thank the Rector of Universitas Airlangga, Mohammad Nasih, for his prestigious global scholarship (Airlangga Development Scholarship) and the directors of JFK Hospital and Redemption Hospital, Monrovia, Liberia, for giving permission to obtain the data of samples.

Authors’ Contributions

Conceptualization and design: Moses Tende Stephens, Junistuti, Sulistiawati, Peter Chalaqual Dossen.

Data curation: Moses Tende Stephens, Juniastuti.

Formal analysis: Moses Tende Stephens, Juniastuti, Sulistiawati, Peter Chalaqual Dossen.

Investigation: Moses Tende Stephens and Peter Chalaqual Dossen.

Methodology: Moses Tende Stephens, Juniastuti, Sulistiawati, Peter Chilaque Dossen.

Writing – original draft: Moses Tende Stephens, Juniastuti.

Writing – review & editing: Juniastuti, Sulistiawati.

Supervision: Juniastuti, Sulistiwati.

Data Availability

Due to the nature of this research, participants of this study did not provide consent for their data to be shared publicly, so supporting data is not available.

Declaration of Use of AI in Scientific Writing

There is nothing to declare.


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