Liberia

Breakthrough ACTION Liberia Peri-Urban Water Study Report 2021

This technical report from a 2021 study on peri-urban water access, quality, and use in Montserrado county was conducted by the Johns Hopkins University Center for Communications Programs and Save the Children.

The primary objectives of the study were to:

* Deepen understanding of the drivers and barriers to household water source selection in peri-urban communities of Montserrado, and
* Explore households preferences and practices related to storage, treatment and use in peri-urban communities of Montserrado County

During the Ebola outbreak in Liberia in 2015, the international community quickly created a series of wide-scale social behavior change communication campaigns, a typical approach in humanitarian aid. This resulted in campaigns that bombarded local populations with massive but poorly coordinated blasts of messaging on billboards, in print, on radio and TV, through health outreach workers and community organizations, via SMS and call-in hotlines.

In previous epidemics, rapidly expanding healthcare teams through community health workers (CHWs) has proven to be fundamental to an effective response. During recent Ebola virus disease (EVD) epidemics in the Democratic Republic of Congo (DRC) and west Africa, nations like Liberia, Sierra Leone, Guinea, Nigeria, and the DRC rapidly hired, trained, and equipped thousands of CHWs from communities affected by or at risk of Ebola.

Since 2015, Liberia has been rebuilding the country’s health system, which was devastated by a civil war that ended in 2003 and again by the Ebola epidemic that ended in 2015. But improvements in the remote clinics are a ways off.

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