Ebola Viral Disease in West Africa: A Threat to Global Health, Economy and Political Stability

Omoleke, Semeeh Akinwale; Mohammed, Ibrahim; Saidu, Yauba

In several rural settings in SSA, there is a wide array of cultural beliefs and practices that do not promote good health. Many cultures do not belief in the germ theory of infectious disease, instead, they ascribe illnesses to supernatural causes-evil forces, or work of enemies, including sorcery and witchcraft. 58, 59 Depending on the view, different communities have different cultural practices to address a particular disease. These include the institution of certain taboos, which restrict people from seeking care from health facilities, ritualistic practices to appease the gods and get rid of evil forces, or the use of charms, scarifications, amulets or oral portions to prevent illnesses caused by enemies. 60 As a result of these beliefs, health care is generally first sought from spiritual or traditional healers. A visit to a health facility only occurs as a last resort, if the illness does not resolve. 61 Even when rural people decide to visit a facility, their choices are often guided by many factors, including familiarity with the providers-people from their community, who speak their language, are known to them and treat them with respect.