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Experiences of persons in COVID-19 institutional quarantine in Uganda: a qualitative study

BACKGROUND: Quarantine has been adopted as a key public health measure to support the control of the Coronavirus disease (COVID-19) pandemic in many countries Uganda adopted institutional quarantine for individuals suspected of exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)...

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Autores principales: Ndejjo, Rawlance, Naggayi, Gloria, Tibiita, Ronald, Mugahi, Richard, Kibira, Simon P. S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7947936/
https://www.ncbi.nlm.nih.gov/pubmed/33706737
http://dx.doi.org/10.1186/s12889-021-10519-z
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author Ndejjo, Rawlance
Naggayi, Gloria
Tibiita, Ronald
Mugahi, Richard
Kibira, Simon P. S.
author_facet Ndejjo, Rawlance
Naggayi, Gloria
Tibiita, Ronald
Mugahi, Richard
Kibira, Simon P. S.
author_sort Ndejjo, Rawlance
collection PubMed
description BACKGROUND: Quarantine has been adopted as a key public health measure to support the control of the Coronavirus disease (COVID-19) pandemic in many countries Uganda adopted institutional quarantine for individuals suspected of exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to be placed in institutions like hotels and/or hostels of institutions for at least 14 days. This study explored experiences of individuals who underwent institutional quarantine in Uganda to inform measures to increase its effectiveness and reduce its associated negative impact. METHODS: We conducted a qualitative description study using in-depth interviews with 20 purposively selected individuals who had spent time in institutional quarantine facilities. These were mainly phone-based interviews that were audio recorded and transcribed verbatim. Electronic data coding was conducted using Atlas.ti 7 software. Thematic content analysis was used to synthesize the findings with similar codes grouped to form sub-themes and ultimately study themes. The findings are presented thematically with typical participant quotes. RESULTS: Study participants spent between 14 to 25 days in institutional quarantine. Four themes emerged describing the experiences of study participants during institutional quarantine, which determined whether participants’ experiences were positive or negative. These themes were: quarantine environment including facility related factors and compliance with COVID-19 measures; quarantine management factors of entity paying the costs, communication and days spent in quarantine; individual factors comprising attitude towards quarantine, fears during and post-quarantine and coping mechanisms; and linkage to other services such as health care and post-quarantine follow-up. CONCLUSION: The planning, management and implementation of the quarantine process is a key determinant of the experiences of individuals who undergo the measure. To improve the experience of quarantined individuals and reduce its associated negative impact, the pre-quarantine process should be managed to comply with standards, quarantined persons should be provided as much information as possible, their quarantine duration should kept short and costs of the process ought to be minimised. Furthermore, quarantine facilities should be assessed for suitability and monitored to comply with guidelines while avenues for access to healthcare for the quarantined need to be arranged and any potential stigma associated with quarantine thoroughly addressed. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-10519-z.
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spelling pubmed-79479362021-03-11 Experiences of persons in COVID-19 institutional quarantine in Uganda: a qualitative study Ndejjo, Rawlance Naggayi, Gloria Tibiita, Ronald Mugahi, Richard Kibira, Simon P. S. BMC Public Health Research Article BACKGROUND: Quarantine has been adopted as a key public health measure to support the control of the Coronavirus disease (COVID-19) pandemic in many countries Uganda adopted institutional quarantine for individuals suspected of exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to be placed in institutions like hotels and/or hostels of institutions for at least 14 days. This study explored experiences of individuals who underwent institutional quarantine in Uganda to inform measures to increase its effectiveness and reduce its associated negative impact. METHODS: We conducted a qualitative description study using in-depth interviews with 20 purposively selected individuals who had spent time in institutional quarantine facilities. These were mainly phone-based interviews that were audio recorded and transcribed verbatim. Electronic data coding was conducted using Atlas.ti 7 software. Thematic content analysis was used to synthesize the findings with similar codes grouped to form sub-themes and ultimately study themes. The findings are presented thematically with typical participant quotes. RESULTS: Study participants spent between 14 to 25 days in institutional quarantine. Four themes emerged describing the experiences of study participants during institutional quarantine, which determined whether participants’ experiences were positive or negative. These themes were: quarantine environment including facility related factors and compliance with COVID-19 measures; quarantine management factors of entity paying the costs, communication and days spent in quarantine; individual factors comprising attitude towards quarantine, fears during and post-quarantine and coping mechanisms; and linkage to other services such as health care and post-quarantine follow-up. CONCLUSION: The planning, management and implementation of the quarantine process is a key determinant of the experiences of individuals who undergo the measure. To improve the experience of quarantined individuals and reduce its associated negative impact, the pre-quarantine process should be managed to comply with standards, quarantined persons should be provided as much information as possible, their quarantine duration should kept short and costs of the process ought to be minimised. Furthermore, quarantine facilities should be assessed for suitability and monitored to comply with guidelines while avenues for access to healthcare for the quarantined need to be arranged and any potential stigma associated with quarantine thoroughly addressed. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-10519-z. BioMed Central 2021-03-11 /pmc/articles/PMC7947936/ /pubmed/33706737 http://dx.doi.org/10.1186/s12889-021-10519-z Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Ndejjo, Rawlance
Naggayi, Gloria
Tibiita, Ronald
Mugahi, Richard
Kibira, Simon P. S.
Experiences of persons in COVID-19 institutional quarantine in Uganda: a qualitative study
title Experiences of persons in COVID-19 institutional quarantine in Uganda: a qualitative study
title_full Experiences of persons in COVID-19 institutional quarantine in Uganda: a qualitative study
title_fullStr Experiences of persons in COVID-19 institutional quarantine in Uganda: a qualitative study
title_full_unstemmed Experiences of persons in COVID-19 institutional quarantine in Uganda: a qualitative study
title_short Experiences of persons in COVID-19 institutional quarantine in Uganda: a qualitative study
title_sort experiences of persons in covid-19 institutional quarantine in uganda: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7947936/
https://www.ncbi.nlm.nih.gov/pubmed/33706737
http://dx.doi.org/10.1186/s12889-021-10519-z
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