Psychosocial Effects of Stakeholder Stigmatization in Response to Mpox in the Kailo Health Zone, Maniema Province, DRC.

Abstract

Introduction : In the Democratic Republic of the Congo (DRC), the resurgence of Mpox is accompanied by significant social stigmatization, driven by fear, misinformation, and traditional beliefs. This study examines the psychosocial consequences of such stigmatization among patients, their families, and healthcare professionals within the Kailo health zone (Maniema province). Methods : A qualitative phenomenological and descriptive approach was employed. Seventy (70) semi-structured interviews were conducted (62 patients and 8 healthcare workers), determined by theoretical saturation. The data were coded and analyzed through thematic analysis using ATLAS.ti software, within an ethical framework ensuring informed consent and confidentiality Results : Stigmatization manifests through extreme physical isolation, familial rejection, the dissolution of marital relationships, and moral judgments (such as being equated to a curse or divine punishment). Psychologically, patients experience anxiety, emotional distress, a loss of self-esteem, and the sensation of being "dehumanized" or viewed as "the living dead." Healthcare providers also encounter stigma by association, alongside demotivation and fear. Ignorance and cultural beliefs serve as the primary triggers, whereas coping strategies rely on community support and assistance from peers or survivors. Discussion : These findings confirm the existence of a vicious cycle in which the fear of infection evolves into harmful social exclusion, mirroring the dynamics observed with HIV or COVID-19. Public health isolation measures are frequently misinterpreted as forms of banishment. It is recommended that community education be strengthened, that survivors be integrated as awareness advocates, and that appropriate psychosocial support be provided to break this cycle. . .