Contextualizing mobility during the Ebola epidemic in Liberia

Based on findings from focus groups and key informant interviews conducted at five sites in Liberia between 2018 and 2019, we explore some of the key factors that influenced people's motivation to travel during the 2014-2016 Ebola Virus Disease (EVD). We discuss how these factors led to certain...

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Bibliographic Details
Published in:	PLoS neglected tropical diseases Vol. 16; no. 4; p. e0010370
Main Authors:	Fallah, Mosoka, Lavalah, Stephen, Gbelia, Tina, Zondo, Myers, Kromah, Morris, Tantum, Lucy, Nallo, Gartee, Boakai, Joseph, Sheriff, Kemoh, Skrip, Laura, Ali, S Harris
Format:	Journal Article
Language:	English
Published:	United States Public Library of Science 01-04-2022 Public Library of Science (PLoS)
Subjects:	Care and treatment Community Control Disease Outbreaks Earth Sciences Ebola virus Ebolavirus Epidemics Epidemics - prevention & control Ethics Evaluation Fear Food Foods Health Hemorrhagic Fever, Ebola - epidemiology Hemorrhagic Fever, Ebola - prevention & control Humanitarianism Humans Infectious diseases Liberia Liberia - epidemiology Medicine and Health Sciences Mobility Motivation People and Places Public health Public health administration Quarantine Relocation Rural areas Social Sciences Surveillance Surveillance systems Travel Tropical diseases Viral diseases Viruses Liberia West Africa Sierra Leone
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Summary:	Based on findings from focus groups and key informant interviews conducted at five sites in Liberia between 2018 and 2019, we explore some of the key factors that influenced people's motivation to travel during the 2014-2016 Ebola Virus Disease (EVD). We discuss how these factors led to certain mobility patterns and the implications these had for EVD response. The reasons for individual mobility during the epidemic were multiple and diverse. Some movements were related to relocation efforts as people attempted to extricate themselves from stigmatizing situations. Others were motivated by fear, convinced that other communities would be safer, particularly if extended family members resided there. Individuals also felt compelled to travel during the epidemic to meet other needs and obligations, such as attending burial rites. Some expressed concerns about obtaining food and earning a livelihood. Notably, these latter concerns served as an impetus to travel surreptitiously to evade quarantine directives aimed specifically at restricting mobility. Improvements in future infectious disease response could be made by incorporating contextually-based mobility factors, for example: the personalization of public health messaging through the recruitment of family members and trusted local leaders, to convey information that would help allay fear and combat stigmatization; activating existing traditional community surveillance systems in which entry into the community must first be approved by the community chief; and increased involvement of local leaders and community members in the provision of food and care to those quarantined so that the need to travel for these reasons is removed.
Bibliography:	new_version ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 The authors have declared that no competing interests exist. Author Myers Zondo, Morris Kromah and Joseph Boakai were unavailable to confirm their authorship contributions. On their behalf, the corresponding author has reported their contributions to the best of their knowledge.
ISSN:	1935-2735 1935-2727 1935-2735
DOI:	10.1371/journal.pntd.0010370