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Consensus building around nutrition lessons from the 2014-16 Ebola virus disease outbreak in Guinea and Sierra Leone

机译：从几内亚和塞拉利昂爆发的2014-16埃博拉病毒疾病爆发营养课程的共识

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There are important lessons learned from the 2014-16 Ebola virus disease outbreak in West Africa. However, there has not been a systematic documentation of nutrition lessons specifically. Therefore, this study sought to generate multiple stakeholder perspectives for understanding the nutrition challenges faced during the Ebola virus disease outbreak, as well as for consensus building around improved response strategies. Participatory workshops with 17 and 19 participants in Guinea and Sierra Leone, respectively, were conducted in February 2017. Workshops followed the Nominal Group Technique, which is a methodological approach for idea generation and consensus building among diverse participants. Those findings were triangulated with qualitative interview data from participants representing government, United Nations bodies, civil society, non-governmental organizations and local communities in both Guinea (n = 27) and Sierra Leone (n = 42). (1) Reduced health system access and utilization, Poor caretaking and infant and young child feeding practices, Implementation challenges during nutrition response, Household food insecurity and Changing breastfeeding practices were five nutrition challenges identified in both Guinea and Sierra Leone. (2) Between settings, 14 distinct and 11 shared organizational factors emerged as facilitators to this response. In Sierra Leone, participants identified the Use of Standard Operating Procedures and Psychosocial counselling, whereas in Guinea, Hygiene assistance was distinctly important. Political will, Increased funding, Food assistance and to a lesser extent, Enhanced coordination, were deemed 'most important' response factors. (3) The top nutrition lessons learned were diverse, reflecting those of nutrition policy, programme implementation, community activity and household behaviours. Disease outbreaks pose widespread nutrition challenges to populations in resource-constrained settings where global health security is not a guarantee. These findings should be considered for emergency nutrition preparedness and inform evidence-based priority setting in the post-Ebola virus context of Guinea and Sierra Leone.
机译：从西非的2014-16埃博拉病毒疾病爆发有重要的经验教训。但是，特别是营养课程的系统文档。因此，本研究寻求产生多种利益相关者的观点，以了解埃博拉病毒疾病爆发期间面临的营养挑战，以及围绕改善的反应策略建立建设。 2017年2月，分别于几内亚和塞拉利昂参加了17岁和19名参与者的参与式研讨会。讲习班遵循了名义群体技术，这是一个不同参与者之间的想法生成和共识建设的方法论方法。这些调查结果与来自代表政府，联合国机构，民间社会，非政府组织和几内亚的地方社区的与会者的定性访谈数据进行三角化，在几内亚（n = 27）和塞拉利昂（n = 42）。 （1）减少卫生系统获取和利用，孕产不当，婴儿饲养良好，营养响应期间的实施挑战，家庭食品不安全和变化的母乳喂养实践是几内亚和塞拉利昂均确定了五项营养挑战。 （2）在设置之间，14个不同的和11个共享组织因素作为促进者出现这种反应。在塞拉利昂，与会者确定了使用标准的操作程序和心理社会咨询，而在几内亚，卫生援助明显重要。政治意愿，增加资金，粮食援助以及较小程度，加强协调，被视为“最重要的”响应因素。 （3）所吸取的营养课程是多元化的，反映了营养政策，方案实施，社区活动和家庭行为的营养课程。疾病爆发对全球健康保障的资源受限环境中的群体构成了广泛的营养挑战，其中全球健康保障不是保证。应考虑应急营养准备，并告知豚鼠和塞拉利昂后埃博拉病毒背景下的基于循证的优先设定。

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