Bridging the Gap between Cultural and Religious Practices and Cholera Epidemic Mitigation in Lusaka-Zambia
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659-678
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10.58578/aldyas.v5i2.9411
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Authors:
Chanda Armstrong1*, Kapepe Alfred2 
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Abstract
The cholera epidemic has remained a recurring public health challenge globally, across Africa, and in Zambia. This study aims to identify the gap between cultural and religious beliefs and practices and public health initiatives in cholera control, as well as to propose strategies for bridging this mitigation gap in response to the 2023–2025 cholera epidemic in Zambia. A qualitative case study design was employed, focusing on Lusaka District as the epicenter of the epidemic. The study involved 15 participants, consisting of five health workers, five religious leaders, and five community members from selected cholera-affected areas in Lusaka. Data were analyzed using the cultural theory of risk and religious coping theory. The findings indicate that cultural beliefs and practices, including communal eating, drinking, and gatherings as cultural observances, contributed to the spread of cholera. Religious beliefs and practices, such as reliance on healing through prayer over recommended medical treatment, the use of traditional medicine, and funeral rites involving the washing of corpses, also hindered efforts to combat the cholera epidemic in Lusaka District. The study concludes that addressing cholera requires stronger alignment between public health interventions and the cultural and religious contexts of affected communities. It recommends that religious organizations, faith communities, and health agencies work collaboratively to promote positive attitudes and behaviors that support epidemic mitigation. The study contributes by developing a Culture-Health Action-Based Framework to guide more culturally responsive and religion-sensitive cholera mitigation efforts.
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References
Ananya, M. (2009, November 12). Cholera Transmission, Spread, Prevention and Treatment. News-Medical.net. https://www.news-medical.net/health/Cholera-Transmission-Spread-Prevention-Treatment.aspx
BBC Bitesize. (2024). Case Study: Cholera. https://www.bbc.co.uk/bitesize/topics/zwqqm39/articles/zfvnf82#zbd4kty
Bracquemont, M., & Abdulkhaliq, Z. (2019, May 27). Involving Religious and Community Leaders in Addressing Cholera. UNICEF Yemen. https://www.unicef.org/yemen/stories/involving-religious-and-community-leaders-addressing-cholera
Che, E., Numfor, E., Lenhart, S., & Yakubu, A.-A. (2021). Mathematical modelling of the influence of cultural practices on cholera infections in Cameroon. Mathematical Biosciences and Engineering, 18(6), 8374–8391. https://doi.org/10.3934/mbe.2021415
Creswell, J. W. (2009). Research design: Qualitative, quantitative, and mixed methods approaches. SAGE Publications.
Douglas, M. (1985). Risk acceptability according to the social sciences. Russell Sage.
Douglas, M. (1992). Risk and blame: Essays in cultural theory. Routledge.
Douglas, M., & Wildavsky, A. B. (1982). Risk and culture: An essay on the selection of technical and environmental dangers. University of California Press.
Duarte, M., Moro, S., & Ferreira da Silva, C. (2022). Does cultural background influence the dissemination and severity of the COVID-19 pandemic? Heliyon, 8(2), Article e08907. https://doi.org/10.1016/j.heliyon.2022.e08907
DuBois, A. E., Sinkala, M., Kalluri, P., Makasa-Chikoya, M., & Quick, R. E. (2006). Epidemic cholera in urban Zambia: Land, soap and dried fish as protective factors. Epidemiology and Infection, 134(6), 1226–1230. https://doi.org/10.1017/s0950268806006273
Fox, C. A., Blanton, P. W., & Morris, M. L. (1998). Religious problem-solving styles: Three styles revisited. Journal for the Scientific Study of Religion, 37(4), 673–677. https://doi.org/10.2307/1388148
Ghosh, G. K. (2021). Significance of culture in shaping societal responses to pandemic assault. Annals of Reviews and Research, 6(5). https://doi.org/10.19080/arr.2021.06.555696
Grimaud, J., & Fedia, L. (2011). Community beliefs and fears during a cholera outbreak in Haiti. Intervention, 9(1), 26–34. https://doi.org/10.1097/wtf.0b013e3283453ef2
Innocent, A. U., Francisca, N., Adeniyi, A., David, O., Tajudeen, B., Sola, M., & Stella, S. (2015). A review of perception and myth on causes of cholera infection in endemic areas of Nigeria. African Journal of Microbiology Research, 9(9), 557–564. https://doi.org/10.5897/ajmr2015.7362
Kahan, D. M. (2012). Cultural cognition as a conception of the cultural theory of risk. In S. Roeser, R. Hillerbrand, P. Sandin, & M. Peterson (Eds.), Handbook of Risk Theory. Springer. https://doi.org/10.1007/978-94-007-1433-5_28
Malaeb, D., Sallam, M., Younes, S., Mourad, N., Dine, A., Obeid, S., Hallit, S., & Hallit, R. (2022). Knowledge, attitude, and practice of a sample of the Lebanese population regarding cholera. International Journal of Environmental Research and Public Health, 19, Article 16243. https://doi.org/10.3390/ijerph192316243
Mintz, E. D., & Guerrant, R. L. (2009). A lion in our village: The unconscionable tragedy of cholera in Africa. New England Journal of Medicine, 360(11), 1060–1063. https://doi.org/10.1056/nejmp0810559
Mintz, E. D., & Tauxe, R. V. (2013). Cholera in Africa: A closer look and a time for action. Journal of Infectious Diseases, 208(Suppl. 1), S4–S7. https://doi.org/10.1093/infdis/jit205
Msyamboza, K. P., Kagoli, M., M’bang’ombe, M., Sikhona, C. S., & Dzanjo, H. M. (2014). Cholera outbreaks in Malawi in 1998–2012: Social and cultural challenges in prevention and control. The Journal of Infection in Developing Countries, 8(6), 720–726. https://doi.org/10.3855/jidc.3506
Mwale, N., & Chita, J. (2020). The Catholic Church and epidemics: Safeguarding people’s wellbeing in the advent of the 2017/2018 cholera outbreak in Zambia. https://www.researchgate.net/publication/347414690
Ngwa, M. C., Young, A., Liang, S., Blackburn, J., Mouhaman, A., & Morris, J. G. (2017). Cultural influences behind cholera transmission in the Far North Region, Republic of Cameroon: A field experience and implications for operational level planning of interventions. The Pan African Medical Journal, 28. https://doi.org/10.11604/pamj.2017.28.311.13860
Nuhu, A., & Yusuf, K. M. (2018). The effect of religious conflicts in Northern Nigeria on public health outcomes: A case study of cholera outbreak. European Scientific Journal, ESJ, 14(30), 408. https://doi.org/10.19044/esj.2018.v14n30p408
Pargament, K. I. (1997). The psychology of religion and coping: Theory, research, practice. Guilford Press.
Pargament, K. I., Kennell, J., Hathaway, W., Grevengoed, N., Newman, J., & Jones, W. (1988). Religion and the problem-solving process: Three styles of coping. Journal for the Scientific Study of Religion, 27(1), 90–104. https://doi.org/10.2307/1387404
Schaetti, C., Ahmed, M. K., Said, M. A., Raymond, H., Chaignat, C.-L., & Weiss, M. G. (2010). Social and cultural features of cholera and shigellosis in peri-urban and rural communities of Zanzibar. BMC Infectious Diseases, 10, Article 339. https://doi.org/10.1186/1471-2334-10-339
Schaetti, C., Sundaram, N., Merten, S., Ali, S. M., Nyambedha, E. O., Lapika, B., Chaignat, C.-L., Hutubessy, R., & Weiss, M. G. (2013). Comparing sociocultural features of cholera in three endemic African settings. BMC Medicine, 11, Article 206. https://doi.org/10.1186/1741-7015-11-206
Tix, A. P., & Frazier, P. A. (1998). The use of religious coping during stressful life events: Main effects, moderation, and mediation. Journal of Consulting and Clinical Psychology, 66(2), 411–422. https://doi.org/10.1037//0022-006x.66.2.411
UNICEF. (2018). Involving Religious and Community Leaders in Addressing Cholera. https://www.unicef.org/yemen/stories/involving-religious-and-community-leaders-addressing-cholera
UNICEF. (2024). Zambia Cholera Flash Update. https://www.unicef.org/media/151161/file/Zambia-Cholera-23-January-2024.pdf
U.S. Mission Zambia. (2024, January 16). Health Alert: Cholera Outbreak (January 12, 2024). U.S. Embassy in Zambia. https://zm.usembassy.gov/health-alert-cholera-outbreak/
WHO Regional Office for Africa. (2024, January 20). Zambia races to curb fast-spreading cholera outbreak. https://www.afro.who.int/countries/zambia/news/zambia-races-curb-fast-spreading-cholera-outbreak
Wildavsky, A., & Dake, K. (1990). Theories of risk perception: Who fears what and why? Daedalus, 119(4), 41–60.
World Health Organization. (2022, March 30). Cholera. https://www.who.int/news-room/fact-sheets/detail/cholera
Yin, R. K. (2003). Case study research: Design and methods (3rd ed.). SAGE.
Zambia Ministry of Health. (2024). Press Statement on the Cholera Situation in Zambia. https://www.moh.gov.zm/?p=3480