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Table 2 Summary of key findings for each global theme

From: “We and the nurses are now working with one voice”: How community leaders and health committee members describe their role in Sierra Leone’s Ebola response

Global theme Key findings
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