WilkinsonFairheadCriticalPublicHealth.pdf (511.75 kB)
Comparison of social resistance to Ebola response in Sierra Leone and Guinea suggests explanations lie in political configurations not culture
journal contribution
posted on 2023-06-09, 03:46 authored by Annie WilkinsonAnnie Wilkinson, James FairheadJames FairheadSierra Leone and Guinea share broadly similar cultural worlds, straddling the societies of the Upper Guinea Coast with Islamic West Africa. There was, however, a notable difference in their reactions to the Ebola epidemic. As the epidemic spread in Guinea, acts of violent or everyday resistance to outbreak control measures repeatedly followed, undermining public health attempts to contain the crisis. In Sierra Leone, defiant resistance was rarer. Instead of looking to ‘culture’ to explain patterns of social resistance (as was common in the media and in the discourse of responding public health authorities) a comparison between Sierra Leone and Guinea suggests that explanations lie in divergent political practice and lived experiences of the state. In particular, the structures of authority in which the government-sanctioned epidemic response was channeled relate very differently to communities of trust in each country. Predicting and addressing social responses to epidemic control measures should assess such political-trust configurations when planning interventions.
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Publication status
- Published
File Version
- Accepted version
Journal
Critical Public HealthISSN
0958-1596Publisher
Taylor & FrancisExternal DOI
Issue
1Volume
27Page range
14-27Department affiliated with
- Anthropology Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2016-10-27First Open Access (FOA) Date
2017-11-10First Compliant Deposit (FCD) Date
2016-10-27Usage metrics
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