Global theme | Key findings |
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1. Pre-Ebola community context and respondent activities | • HMCs were active: regular meetings, some fundraising, promotion of health-related behaviors, and engagement with health workers |
2. Respondent activities during Ebola | • Manual labour (e.g. building walls for the clinic, cleaning facilities, digging graves, manning checkpoints) • Administration or outreach (e.g. maintaining records, contact tracing, conducting screenings) • Some tasks involved navigating tense interactions with other community members |
3. Respondent role providing social mediation between health system and community during Ebola | • Explained community concerns and fears to health care workers (e.g. personal protective equipment (PPE) and burial) • Asked health workers delicate or embarrassing questions on behalf of the community (e.g. whether Ebola could be sexually transmitted) • Explained the value of practices promoted by health workers to the community (e.g. the need for screening and isolation) • Sought to build community trust in the health system |
4. Respondent sources of motivation and facilitators of action during Ebola | • Intrinsic sources of motivation included a desire to serve and lead, fear of Ebola, and pride/trust in one’s health facility and health providers • Extrinsic sources included compensation, recognition of the government’s limited capacity, recognition of Ebola’s severity, and NGO support |
5. Respondent sources of discouragement and barriers to action during Ebola | • Intrinsic sources of discouragement included sadness, grief, and loneliness, fear of contracting Ebola, concern that the government had forgotten them • Extrinsic sources included community misconceptions about their payment and community anger at them for “collaborating” with the health system |