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1.
J Int Humanit Action ; 6(1): 10, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-38624820

RESUMO

With no cure and a high mortality rate, Ebola virus disease (EVD) outbreaks require preparedness for the provision of end-of-life palliative care. This qualitative study is part of a larger project on palliative care in humanitarian contexts. Its goal was to document and deepen understanding of experiences and expectations related to end-of-life palliative care for patients infected with Ebola virus disease (EVD) in West African Ebola treatment centres (ETCs) during the 2013-2016 epidemic. It consisted of 15 in-depth semi-structured interviews with individuals impacted by EVD in a Guinean ETC: either as patients in an ETC, healthcare providers, healthcare providers who were also EVD patients at one point, family relations who visited patients who died in an ETC, or providers of spiritual support to patients and family. Analysis was team based and applied an interpretive descriptive approach. Healthcare delivery in humanitarian emergencies must remain respectful of patient preferences but also local and contextual values and norms. Of key importance in the Guinean context is the culturally valued experience of "dying in honour". This involves accompaniment to facilitate a peaceful death, the possibility of passing on final messages to family members, prayer, and particular practices to enact respect for the bodies of the deceased. Participants emphasized several challenges to such death in Ebola treatment centres (ETCs), as well as practices they deemed helpful to alleviating dying patients' suffering. An overarching message in participants' accounts was that ideally more would have been done for the dying in ETCs. Building on participants' accounts, we outline a number of considerations for optimizing end-of-life palliative care during current and future public health emergencies, including for COVID-19.

2.
Trop Doct ; 37(4): 216-7, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17988481

RESUMO

Data from two consecutive rounds of national immunization days were analysed to identify households that harboured zero-dose children after door-to-door immunization campaigns, and to highlight settings and features associated with these households in Chad. The proportion of households harbouring zero-dose children were higher among rural than among urban dwellers and were prevalent among parents who did not know the benefit of polio immunization. These results show the need for more attention to be given to rural dwellers and parent awareness of the benefit of polio immunization.


Assuntos
Características da Família , Programas de Imunização , Imunização/estatística & dados numéricos , Programas Nacionais de Saúde , Poliomielite/prevenção & controle , Vacina Antipólio Oral/administração & dosagem , Chade , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Avaliação de Programas e Projetos de Saúde , População Rural/estatística & dados numéricos , População Urbana/estatística & dados numéricos
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