Background An Ebola Virus Disease(EVD)outbreak occurred in North Kivu between 2018 and 2020.This eastern province of the Democratic Republic of Congo was also grappling with insecurity caused by several armed groups.T...Background An Ebola Virus Disease(EVD)outbreak occurred in North Kivu between 2018 and 2020.This eastern province of the Democratic Republic of Congo was also grappling with insecurity caused by several armed groups.This study aimed to explore the barriers and facilitators to utilizing Healthcare Facilities(HCFs)by non-Ebola patients during the crisis.Methods A qualitative case study was conducted in Beni and Butembo with 24 relatives of 15 deceased non-EVD patients,47 key informants from healthcare workers(HCWs),as well as community leaders.Semi-structured interviews were conducted to explore three key areas:(i)the participants’illness history,care pathway,care,and social support;(ii)their perceptions of how EVD affected the care outcome;and(iii)their opinions on the preparedness,supply,use,and quality of healthcare before and during the outbreak.All interviews were recorded,transcribed verbatim,and the-matically analysed using Atlas-ti 8.0.Results Nine of the 15 deaths were female and their ages ranged from 7 to 79 years.The causes of death were non-communicable(13)or infectious(2)diseases.Conspiracy theories,failure to establish security,and the concept of the"Ebola business"were associated with misinformation and lower levels of trust in government and HCFs.The negative perceptions,fear of being identified as an Ebola case,apprehension about the triage unit,and inadequacy of personal protective equipment resulted in a preference for private or informal HCFs.For half of the deceased’s relatives,the Ebola outbreak hastened their death.Conversely,community involvement,employing familiar,neutral,and credible HCWs,and implementing a free care policy increased the number of visits.These results were observable despite a lack of funds,overstretched HCWs,and long waiting time.Conclusions Our findings can inform policies before and during future outbreaks to enhance the resilience of rou-tine HCFs by maintaining dialogue between HCWs and patients,and rebuilding confidence in HCFs.Quantitative studies including context analysis are essential to identify the determinants of care-seeking during such a crisis.展开更多
针对人工绘制露天矿设备调度图表存在的费时费力、效率低、缺乏纠错手段等问题,以规范化、模块化、智能化、可视化为目标,确定了系统功能和新的故障处理业务流程,设计了数据库、图表绘制、故障指标统计与可视化展示等技术方案,并以Visua...针对人工绘制露天矿设备调度图表存在的费时费力、效率低、缺乏纠错手段等问题,以规范化、模块化、智能化、可视化为目标,确定了系统功能和新的故障处理业务流程,设计了数据库、图表绘制、故障指标统计与可视化展示等技术方案,并以Visual C#2013为集成开发平台、以SQL Server 2008为后台数据库,开发了扩展性和实用性较强的露天矿设备调度图表绘制与管理系统,实现了调度图表的智能可视化,提高了统计信息的实时性和准确性。经抚顺西露天矿数据检验,取得了较为满意的效果。展开更多
基金No direct funding was provided for this paper.However,to collect data,the principal investigator jumped on the opportunity to be in the field with a larger research project funded by the Rapid Research Fund for Ebola which was supported by the International Development Research Centre(IDRC),Grant number,108966-002,KAG and SMM.
文摘Background An Ebola Virus Disease(EVD)outbreak occurred in North Kivu between 2018 and 2020.This eastern province of the Democratic Republic of Congo was also grappling with insecurity caused by several armed groups.This study aimed to explore the barriers and facilitators to utilizing Healthcare Facilities(HCFs)by non-Ebola patients during the crisis.Methods A qualitative case study was conducted in Beni and Butembo with 24 relatives of 15 deceased non-EVD patients,47 key informants from healthcare workers(HCWs),as well as community leaders.Semi-structured interviews were conducted to explore three key areas:(i)the participants’illness history,care pathway,care,and social support;(ii)their perceptions of how EVD affected the care outcome;and(iii)their opinions on the preparedness,supply,use,and quality of healthcare before and during the outbreak.All interviews were recorded,transcribed verbatim,and the-matically analysed using Atlas-ti 8.0.Results Nine of the 15 deaths were female and their ages ranged from 7 to 79 years.The causes of death were non-communicable(13)or infectious(2)diseases.Conspiracy theories,failure to establish security,and the concept of the"Ebola business"were associated with misinformation and lower levels of trust in government and HCFs.The negative perceptions,fear of being identified as an Ebola case,apprehension about the triage unit,and inadequacy of personal protective equipment resulted in a preference for private or informal HCFs.For half of the deceased’s relatives,the Ebola outbreak hastened their death.Conversely,community involvement,employing familiar,neutral,and credible HCWs,and implementing a free care policy increased the number of visits.These results were observable despite a lack of funds,overstretched HCWs,and long waiting time.Conclusions Our findings can inform policies before and during future outbreaks to enhance the resilience of rou-tine HCFs by maintaining dialogue between HCWs and patients,and rebuilding confidence in HCFs.Quantitative studies including context analysis are essential to identify the determinants of care-seeking during such a crisis.
文摘针对人工绘制露天矿设备调度图表存在的费时费力、效率低、缺乏纠错手段等问题,以规范化、模块化、智能化、可视化为目标,确定了系统功能和新的故障处理业务流程,设计了数据库、图表绘制、故障指标统计与可视化展示等技术方案,并以Visual C#2013为集成开发平台、以SQL Server 2008为后台数据库,开发了扩展性和实用性较强的露天矿设备调度图表绘制与管理系统,实现了调度图表的智能可视化,提高了统计信息的实时性和准确性。经抚顺西露天矿数据检验,取得了较为满意的效果。
