Women's groups;
Ebola;
COVID-19;
Feminist political economy of health;
Containment strategies;
Liberia;
SERVICES;
WOMEN;
D O I:
10.1016/j.socscimed.2024.117609
中图分类号:
R1 [预防医学、卫生学];
学科分类号:
1004 ;
120402 ;
摘要:
Liberia, in the face of two consecutive health emergencies - the Ebola epidemic in 2014 and COVID in 2019 - offers a unique, comparative perspective on health crisis management within a fractured healthcare system. In dialogue with a feminist-informed political economy of health in the African context, this paper has two central objectives. First, it examines the strategies employed by community-based women's organisations - many of whom remain invested in peacebuilding after a 14-year civil war (1989-2003)) - to contain the Ebola and COVID-19 disease outbreaks. Second, it explores the implementation strategies under two political administrations, Sirleaf (Ebola) and Weah (COVID-19), at two distinct political moments. Results from five focus group discussions (n = 27) and seven in-depth interviews (n = 7) suggest that, while there was a relative collective effort from the Liberian government, grassroots women's organisations and community members to contain the Ebola epidemic response, the COVID-19 response witnessed an individualistic approach. Overall, participants suggested that lessons learned from the Ebola epidemic did not seem to be transferred to managing the COVID-19 pandemic in Liberia. The study suggests that while local-government-international partnerships are instrumental in ending health emergencies, grassroots community organisations require economic and social resources and sustained political will to effectively build and maintain various health infrastructures in post-conflict countries. This is relevant not just for managing disease outbreaks and health emergencies but also for entrenching public health services to support population health. Here, lessons from Ebola and COVID-19 rooted in everyday experiences of women's reproductive labour can provide an educational foundation for responding to future disease outbreaks in Liberia and other post-conflict contexts.
机构:
Anhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Anhui Med Univ, Sch Mental Hlth & Psychol Sci, Dept Med Psychol, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Wang, Yaqing
Zhuang, Dongmei
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Dept Otolaryngol, Suzhou Hosp, Suzhou, Anhui, Peoples R ChinaAnhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Zhuang, Dongmei
Xuan, Mingjie
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Sch Mental Hlth & Psychol Sci, Dept Med Psychol, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Xuan, Mingjie
Wei, Wenzhuo
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Sch Mental Hlth & Psychol Sci, Dept Med Psychol, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Wei, Wenzhuo
Yu, Tong
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Med Lab Technol, Clin Coll Med 1, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Yu, Tong
Liu, Cheng
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Sch Mental Hlth & Psychol Sci, Dept Med Psychol, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Liu, Cheng
Lv, Jingyu
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Sch Mental Hlth & Psychol Sci, Dept Med Psychol, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Lv, Jingyu
Fu, Jinzi
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Sch Mental Hlth & Psychol Sci, Dept Med Psychol, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Fu, Jinzi
Zhang, Tao
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Sch Mental Hlth & Psychol Sci, Dept Med Psychol, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Zhang, Tao
Li, Jingwen
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Sch Mental Hlth & Psychol Sci, Dept Med Psychol, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Li, Jingwen
Cao, Zhengning
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Sch Mental Hlth & Psychol Sci, Dept Med Psychol, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Cao, Zhengning
Li, Xiaoming
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
Anhui Med Univ, Sch Mental Hlth & Psychol Sci, Dept Med Psychol, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Dept Psychiat, Chaohu Hosp, Hefei 230032, Anhui, Peoples R China
机构:
Univ Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Univ Macau, Fac Hlth Sci, Inst Translat Med Fac, Macao Sar, Peoples R China
Univ Macau, Ctr Cognit & Brain Sci, Macao Sar, Peoples R China
Univ Macau, Inst Adv Studies Humanities & Social Sci, Macao Sar, Peoples R ChinaUniv Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Zhao, Yan-Jie
Xing, Xiaomeng
论文数: 0引用数: 0
h-index: 0
机构:
Capital Med Univ, Natl Clin Res Ctr Mental Disorders, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Beijing Key Lab Mental Disorders, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Adv Innovat Ctr Human Brain Protect, Beijing, Peoples R ChinaUniv Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Xing, Xiaomeng
Tian, Tengfei
论文数: 0引用数: 0
h-index: 0
机构:
Capital Med Univ, Natl Clin Res Ctr Mental Disorders, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Beijing Key Lab Mental Disorders, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Adv Innovat Ctr Human Brain Protect, Beijing, Peoples R ChinaUniv Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Tian, Tengfei
Wang, Qian
论文数: 0引用数: 0
h-index: 0
机构:
Capital Med Univ, Natl Clin Res Ctr Mental Disorders, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Beijing Key Lab Mental Disorders, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Adv Innovat Ctr Human Brain Protect, Beijing, Peoples R ChinaUniv Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Wang, Qian
Liang, Sixiang
论文数: 0引用数: 0
h-index: 0
机构:
Capital Med Univ, Natl Clin Res Ctr Mental Disorders, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Beijing Key Lab Mental Disorders, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Adv Innovat Ctr Human Brain Protect, Beijing, Peoples R ChinaUniv Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Liang, Sixiang
Wang, Zhe
论文数: 0引用数: 0
h-index: 0
机构:
Capital Med Univ, Natl Clin Res Ctr Mental Disorders, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Beijing Key Lab Mental Disorders, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Adv Innovat Ctr Human Brain Protect, Beijing, Peoples R ChinaUniv Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Wang, Zhe
Cheung, Teris
论文数: 0引用数: 0
h-index: 0
机构:
Hong Kong Polytech Univ, Sch Nursing, Hong Kong, Peoples R ChinaUniv Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Cheung, Teris
Su, Zhaohui
论文数: 0引用数: 0
h-index: 0
机构:
UT Hlth San Antonio, Mays Canc Ctr, Sch Nursing, Ctr Smart & Connected Hlth Technol, San Antonio, TX USAUniv Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Su, Zhaohui
Tang, Yi-Lang
论文数: 0引用数: 0
h-index: 0
机构:
Emory Univ, Dept Psychiat & Behav Sci, 12 Execut Pk Dr NE,Suite 150, Atlanta, GA 30322 USA
Atlanta VA Med Ctr, 1670 Clairmt Rd, Decatur, GA USAUniv Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Tang, Yi-Lang
Ng, Chee H.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Melbourne, Dept Psychiat, Melbourne Clin, Richmond, Vic, Australia
Univ Melbourne, St Vincents Hosp, Richmond, Vic, AustraliaUniv Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Ng, Chee H.
Sha, Sha
论文数: 0引用数: 0
h-index: 0
机构:
Capital Med Univ, Natl Clin Res Ctr Mental Disorders, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Beijing Key Lab Mental Disorders, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Adv Innovat Ctr Human Brain Protect, Beijing, Peoples R ChinaUniv Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Sha, Sha
Xiang, Yu-Tao
论文数: 0引用数: 0
h-index: 0
机构:
Univ Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
Univ Macau, Fac Hlth Sci, Inst Translat Med Fac, Macao Sar, Peoples R China
Univ Macau, Ctr Cognit & Brain Sci, Macao Sar, Peoples R China
Univ Macau, Inst Adv Studies Humanities & Social Sci, Macao Sar, Peoples R ChinaUniv Macau, Fac Hlth Sci, Unit Psychiat, Dept Publ Hlth & Med Adm, Macao Sar, Peoples R China
机构:University of Macau,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences
Yan-Jie Zhao
Xiaomeng Xing
论文数: 0引用数: 0
h-index: 0
机构:University of Macau,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences
Xiaomeng Xing
Tengfei Tian
论文数: 0引用数: 0
h-index: 0
机构:University of Macau,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences
Tengfei Tian
Qian Wang
论文数: 0引用数: 0
h-index: 0
机构:University of Macau,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences
Qian Wang
Sixiang Liang
论文数: 0引用数: 0
h-index: 0
机构:University of Macau,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences
Sixiang Liang
Zhe Wang
论文数: 0引用数: 0
h-index: 0
机构:University of Macau,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences
Zhe Wang
Teris Cheung
论文数: 0引用数: 0
h-index: 0
机构:University of Macau,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences
Teris Cheung
Zhaohui Su
论文数: 0引用数: 0
h-index: 0
机构:University of Macau,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences
Zhaohui Su
Yi-Lang Tang
论文数: 0引用数: 0
h-index: 0
机构:University of Macau,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences
Yi-Lang Tang
Chee H. Ng
论文数: 0引用数: 0
h-index: 0
机构:University of Macau,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences
Chee H. Ng
Sha Sha
论文数: 0引用数: 0
h-index: 0
机构:University of Macau,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences
Sha Sha
Yu-Tao Xiang
论文数: 0引用数: 0
h-index: 0
机构:University of Macau,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences
机构:
Pfizer Inc, Asia Med Affairs, New York, NY USA
Pfizer Inc, Off 80 Pasir Panjang Rd 16-81-82, Singapore 117372, SingaporePfizer Inc, Asia Med Affairs, New York, NY USA
Thakkar, Karan
Spinardi, Julia
论文数: 0引用数: 0
h-index: 0
机构:
Pfizer Inc, Med & Sci Affairs, New York, NY USAPfizer Inc, Asia Med Affairs, New York, NY USA
Spinardi, Julia
Kyaw, Moe H.
论文数: 0引用数: 0
h-index: 0
机构:
Pfizer Inc, Med & Sci Affairs, New York, NY USAPfizer Inc, Asia Med Affairs, New York, NY USA
Kyaw, Moe H.
Yang, Jingyan
论文数: 0引用数: 0
h-index: 0
机构:
Pfizer Inc, Value & Evidence, New York, NY USAPfizer Inc, Asia Med Affairs, New York, NY USA
Yang, Jingyan
Mendoza, Carlos Fernando
论文数: 0引用数: 0
h-index: 0
机构:
Pfizer Inc, Value & Evidence, New York, NY USAPfizer Inc, Asia Med Affairs, New York, NY USA
Mendoza, Carlos Fernando
Ozbilgili, Egemen
论文数: 0引用数: 0
h-index: 0
机构:
Pfizer Inc, Asia Med Affairs, New York, NY USAPfizer Inc, Asia Med Affairs, New York, NY USA
Ozbilgili, Egemen
Taysi, Bulent
论文数: 0引用数: 0
h-index: 0
机构:
Pfizer Inc, Asia Med Affairs, New York, NY USAPfizer Inc, Asia Med Affairs, New York, NY USA
Taysi, Bulent
Dodd, Josie
论文数: 0引用数: 0
h-index: 0
机构:
Evidera Inc, Modeling & Simulat, Bethesda, MD USAPfizer Inc, Asia Med Affairs, New York, NY USA
Dodd, Josie
Yarnoff, Ben
论文数: 0引用数: 0
h-index: 0
机构:
Evidera Inc, Modeling & Simulat, Bethesda, MD USAPfizer Inc, Asia Med Affairs, New York, NY USA
Yarnoff, Ben
Oh, Helen M.
论文数: 0引用数: 0
h-index: 0
机构:
Changi Gen Hosp, Dept Infect Dis, Singapore, SingaporePfizer Inc, Asia Med Affairs, New York, NY USA