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      Using Community Feedback to Guide the COVID-19 Response in Sub-Saharan Africa: Red Cross and Red Crescent Approach and Lessons Learned from Ebola

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          Abstract

          Risk communication and community engagement are critical elements of epidemic response. Despite progress made in this area, few examples of regional feedback mechanisms in Africa provide information on community concerns and perceptions in real time. To enable humanitarian responders to move beyond disseminating messages, work in partnership with communities, listen to their ideas, identify community-led solutions, and support implementation of solutions systems need to be in place for documenting, analyzing, and acting on community feedback. This article describes how the International Federation of Red Cross and Red Crescent Societies and its national societies in sub-Saharan Africa have worked to establish and strengthen systems to ensure local intelligence and community insights inform operational decision making. As part of the COVID-19 response, a system was set up to collect, compile, and analyze unstructured community feedback from across the region. We describe how this system was set up based on a system piloted in the response to Ebola in the Democratic Republic of the Congo, which tools were adapted and shared across the region, and how the information gathered was used to shape and adapt the response of the Red Cross and Red Crescent Societies and the broader humanitarian response.

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          Knowledge, attitudes, practices of/towards COVID 19 preventive measures and symptoms: A cross-sectional study during the exponential rise of the outbreak in Cameroon

          Severe Acute Respiratory Syndrome Coronavirus 2 (COVID 19) has plagued the world with about 7,8 million confirmed cases and over 430,000 deaths as of June 13th, 2020. The knowledge, attitude, and practices (KAP) people hold towards this new disease could play a major role in the way they accept measures put in place to curb its spread and their willingness to seek and adhere to care. We sought to understand if: a) demographic variables of Cameroonian residents could influence KAP and symptomatology, and b) KAP could influence the risk of having COVID19.A cross-sectional KAP/symptomatology online survey was conducted between April 20 to May 20. All analyses were performed using SPSS version 23. Of all respondents (1006), 53.1% were female, 26.6% were students, 26.9% interacted face to face and 62.8% were residents in Yaoundé with a median age of 33. The overall high score was 84.19% for knowledge, 69% for attitude, and 60.8% for practice towards COVID 19. Age > 20 years was associated with a high knowledge of COVID 19. Women had lower practice scores compared to men (OR = 0.72; 95%CI 0.56–0.92). 41 respondents had ≥3 symptoms and only 9 (22.95%) of them had called 1510 (emergency number). There was no significant difference between KAP and symptomatology. The presence of ≥ 3 symptoms in 4% of respondents (with 56% of them having co-morbidities) supports the current trend in the number of confirmed cases (8681) in Cameroon. The continuous increase in the number of cases and the overall good KAP warrants further investigation to assess the effectiveness of the measures put in place to curb the spread of the disease. Sensitization is paramount to preclude negative health-seeking behaviors and encourage positive preventive and therapeutic practices, for fear of an increase in mortality.
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            Social Mobilization and Community Engagement Central to the Ebola Response in West Africa: Lessons for Future Public Health Emergencies

            Key lessons for the crucial components of social mobilization and community engagement in this context: Invest in trusted local community members to facilitate community entrance and engagement. Use key communication networks and channels with wide reach and relevance to the community, such as radio in low-resource settings or faith-based organizations. Invest in strategic partnerships to tap relevant capacities and resources. Support a network of communication professionals who can deploy rapidly for lengthy periods. Balance centralized mechanisms to promote consistency and quality with decentralized programming for flexibility and adaptation to local needs. Evolve communication approaches and messaging over time with the changing outbreak patterns, e.g., from halting disease transmission to integration and support of survivors. Establish clear communication indicators and analyze and share data in real time.
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              Community Trust and the Ebola Endgame.

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                Author and article information

                Journal
                Health Secur
                Health Secur
                hs
                Health Security
                Mary Ann Liebert, Inc., publishers (140 Huguenot Street, 3rd Floor New Rochelle, NY 10801 USA )
                2326-5094
                2326-5108
                January/February 2021
                18 February 2021
                18 February 2021
                : 19
                : 1
                : 13-20
                Affiliations
                [1]Eva Erlach, Mag.a iur, is Community Engagement and Accountability (CEA) Delegate and Bronwyn Nichol, MPH, is Community Epidemic and Pandemic Preparedness Delegate, Health and Care Unit; both at the International Federation of Red Cross and Red Crescent Societies (IFRC), Africa Regional Office, Nairobi, Kenya. Sharon Reader, MA, is a Norwegian Capacity (Norwegian Refugee Council) CEA Global Advisor and freelance consultant (previously IFRC Africa CEA Senior Advisor), Glasgow, Scotland. Ombretta Baggio, MA, is Senior Advisor, Community Engagement and Accountability, IFRC, Geneva, Switzerland.
                Author notes
                [*]Address correspondence to: Mag.a iur Eva Erlach, Community Engagement and Accountability Delegate, International Federation of Red Cross and Red Crescent Societies Africa Regional Office, Woodlands Road, Nairobi, Kenya evaelisabeth.erlach@ 123456gmail.com
                Article
                10.1089/hs.2020.0195
                10.1089/hs.2020.0195
                9195486
                33497272
                a988d3ad-1bef-4c1c-af11-b9d6e8773b05
                © Eva Erlach et al., 2021; Published by Mary Ann Liebert, Inc.

                This Open Access article is distributed under the terms of the Creative Commons License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.

                History
                : Manuscript received October 31, 2020
                : revision returned December 19, 2020
                : accepted for publication December 22, 2020
                Page count
                Figures: 2, References: 21, Pages: 8
                Categories
                Special Feature: Infodemics and Health Security

                covid-19,risk communication,community engagement,social mobilization,community feedback,ebola,infodemic

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