Ebola Virus Disease (EVD) occurs in the first time in the East of DRC and in a complex setting; the war and insecurity. Also, the DRC people are experiencing a worst social crisis, and truly tired by an additional burden challenge of EVD epidemic.
In untrusted life context, I believe the humanitarian workers are threatened by mistake because of lack of reliable communication about the current epidemic, the potential spreading risks and behavior and social norms change needed. So, the burial method used is not what people are doing, communicational deficit between humanitarian workers and communities can be mentioned here as a trigger factor of local communities angry.
But, from what we know, no one people in the DRC can refuse the humanitarian assistance, especially in the case of DRC current Ebola outbreak. We know that the insecurity is a strong barrier to reach remote people with inclusive services including the communication coverage, because no everybody has a radio set or mobile phone.
But, we can also try to compare the west Africa Ebola outbreak reported in 2015 and the current eastern DRC outbreak, the last one seems less considered despite the high risk of spreading in neighborhood countries. Of public health intervention point of view, there is a framework containing ten points that need to be considered by stakeholders as management key once on ground
(1). Monitor health status to identify & solve community health problems
(2). Diagnose & investigate health problems & health hazards in the community
(3). Inform, educate & empower people about health issues
(4). Mobilize community partners hip & actors to identify and solve health problems
(5). Develop policies and plans that support individual and community health efforts
(6). Enforce laws and regulations that protect health and ensure security
(7). Link people to needed personal health services and ensure the provision of health care when otherwise unavailable
(8). Assure competent public and personal health care workforce
(9). Evaluate effectiveness, accessibility and quality of personal and population based health services
(10). Research for new insights and innovative solutions to health problems
Can we share responsibilities of Ebola Responders and local people disharmonious in the Democratic Republic of Congo between local organization failure and stakeholders less commitment?
Andre Shongo Diamba
HIFA profile: Andre Shongo Diamba is a medical doctor, he got a Master of Public Health international health degree from school of health and tropical medicine, Tulane University, USA in 2016 and is flexible to job opportunities. Previously, Andre worked as coordinator at PISRF- Programme Intégré de santé de reproduction et familial (Integrated program of reproductive health and Family), a Democratic Republic of Congo (DRC) participative NGO of Family Planning and Reproductive Health, committed in awareness and care providing in favor of women and children of low social area, and toward this group to whole community. PISRF undertakes sociological, public health and biomedical researches in the family planning and reproductive health (education, sexuality without risk, safe motherhood, HIV/AIDS prevention), it encourages the humanitarian and research projects and ensures results dissemination to all. Andre has along experience in providing community reproductive health projects such information, communication - education; care services and research leading. He has participated at numerous international conferences in the field of reproductive health and population, health, environment. Andre is interested topromote the Social Development Goal (SDGs) in the DRC and very engaged, Hepledges for public private partnership and the improving of use of mobile phoneas a network able to raise the awareness of reproductive health and support thecountry commitment to do progress in this field. He received the HIFA CountryRepresentatives certificate of achievement in 2013.
Andre can be contacted at pisrfrdcATyahoo.fr , drashongoATyahoo.fr