SCENARIO 1: CHOLERA IN BWAISE INFORMAL SETTLEMENT
Context:
Heavy rains have flooded Bwaise, a densely populated informal settlement in Kawempe Division. Standing water mixes with open sewage. Within 3 days, 15 cases of acute watery diarrhea are reported at Kalerwe Health Center. Laboratory confirms cholera.
Population characteristics:
- 50,000 residents in 2 square kilometers
- 60% rent single rooms (10-15 people per structure)
- Limited piped water (residents buy from vendors)
- Shared pit latrines (1 latrine per 50 people)
- 40% literacy rate
- Languages: Luganda (primary), some Swahili, English (limited)
- Livelihoods: Informal economy (casual labor, market vending, boda boda)
Current community perceptions (from rapid assessment):
- “Cholera is a curse from God”
- “Government only comes to demolish our homes, not help us”
- “We cannot afford to boil water—charcoal is expensive”
- “Health workers treated us badly during COVID”
RCCE challenges:
- Low trust in authorities
- Limited literacy (posters may not work)
- Water scarcity (can’t promote handwashing without providing water)
- Crowded conditions (isolation impossible)
- Misinformation spreading via WhatsApp
Your task:
- Identify 5 barriers to effective RCCE in this scenario
- Propose 3 RCCE solutions that are realistic for KCCA
- Explain ONE key insight about urban RCCE
SCENARIO 2: EBOLA PREPAREDNESS WITH CROSS-BORDER TRUCKERS
Context:
Ebola outbreak confirmed in DRC, 300 kilometers from Kampala. Uganda has successfully contained past Ebola cases, but risk remains high. Kampala is a transport hub—hundreds of truckers cross from DRC through Kampala daily, stopping at markets, lodges, and bars.
Population characteristics:
- 500-800 long-distance truckers passing through Kampala daily
- Routes: DRC → Uganda → Kenya, Tanzania, Rwanda
- Stay in Kampala 1-2 nights (lodges in Industrial Area, Nakawa)
- Primarily male, 25-50 years old
- Multiple languages (Swahili, French, Lingala, Kinyarwanda)
- High mobility (hard to reach with sustained messaging)
Current community perceptions:
- “Ebola is a DRC problem, not ours”
- “Health screenings delay us—we lose money”
- “Government just wants to quarantine us and take our trucks”
RCCE challenges:
- High mobility (truckers don’t stay long enough for follow-up)
- Multiple languages (materials must be multilingual)
- Mistrust (fear of quarantine and lost income)
- Limited access to health information on the road
- Informal lodges and bars (no surveillance)
Your task:
- Identify 5 barriers to effective RCCE for mobile populations
- Propose 3 RCCE solutions tailored to truckers
- Explain ONE key insight about RCCE for mobile/transient populations
SCENARIO 3: MPOX IN REFUGEE SETTLEMENT (MULTILINGUAL CHALLENGE)
Context:
A cluster of 8 suspected Mpox cases appears among Somali refugee families living in Makindye Division. Families are reluctant to seek testing. Rumors spread: “KCCA wants to arrest us because we are Somali” and “Mpox is a punishment for leaving Somalia.”
Population characteristics:
- 5,000 Somali refugees in Makindye (Kisenyi, Kabalagala)
- Primarily Somali-speaking (limited English, minimal Luganda)
- Arrived 2015-2022 (fleeing conflict)
- Islamic faith (mosques as gathering points)
- Tight-knit community (trust internal leaders more than government)
- Limited interaction with host community
Current community perceptions (from refugee leaders):
- “KCCA only comes to harass us about business licenses”
- “Mpox is stigmatizing—families will be ostracized”
- “We don’t trust government health workers”
- “Our traditional medicine is better”
RCCE challenges:
- Language barrier (Somali not widely spoken by KCCA staff)
- Low trust in authorities
- Cultural and religious factors
- Stigma (fear of being identified with Mpox)
- Insular community (outsiders not trusted)
Your task:
- Identify 5 barriers to effective RCCE with refugee/migrant communities
- Propose 3 RCCE solutions that respect cultural context
- Explain ONE key insight about inclusive RCCE for marginalized populations
SCENARIO 4: MARKET RUMORS ABOUT ORGAN HARVESTING
Context:
Following an Ebola awareness campaign in Nakasero Market, a rumor spreads: “Health workers are testing people for Ebola so they can harvest organs and sell them abroad.” Vendors refuse voluntary testing. Some verbally harass health workers.
Population characteristics:
- 2,000 vendors in Nakasero Market
- Diverse (Ugandan, Kenyan, Somali, Congolese)
- Long working hours (5am-8pm)
- Limited formal education
- High exposure risk (contact with customers, food handling)
Current community perceptions:
- “Government benefits from our fear”
- “International organizations pay for positive cases”
- “Ebola is created in laboratories to control us”
- “Health workers get money for every person they test”
RCCE challenges:
- Rumor has spread rapidly (within 48 hours)
- Vendors heard rumor from customers (external source)
- Low trust in health workers
- No existing rumor detection system
- Denial of health risks (“Ebola is not in Uganda yet, why test?”)
Your task:
Explain ONE key insight about addressing misinformation and distrust
Identify 5 barriers to rumor management in this scenario
Propose 3 RCCE solutions for rapid rumor response