Ndejjo Rawlance, Tibiita Ronald, Naggayi Gloria, Mugahi Richard, Kibira Simon P S
Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Independent Public Health and Research Consultant, Kampala, Uganda.
Heliyon. 2024 Jan 17;10(2):e24841. doi: 10.1016/j.heliyon.2024.e24841. eCollection 2024 Jan 30.
To support COVID-19 containment measures, several countries implemented quarantine protocols. This study determined the level of compliance to COVID-19 quarantine measures, associated factors, and lessons learnt in institutional quarantine management in Uganda.
This concurrent mixed methods study involved a cross-sectional survey among individuals who were in institutional quarantine and interviews with key informants, who were reached mostly through phone calls. Univariate, bivariate, and multivariable analysis were conducted to analyse quantitative data while qualitative data were analysed thematically with the aid of Atlas ti 7.
Compliance with quarantine measures at the individual level was moderate at 65.4 %. Factors associated with high compliance with measures were: older age (above 40 years) [APR = 1.30 (95 % CI: 1.04-1.63)], spending 14-15 days in quarantine [APR = 1.39 (95 % CI: 1.00-1.92)] and reporting a high Ministry of Health compliance [APR = 1.33 (CI: 1.11-1.58)]. The positive factors included the availability of guidelines, inspection of facilities and training of personnel. The challenges were related to long turnaround time for results and provision of personal protective equipment (PPE).
Efforts to improve training, supervision and inspection of facilities, and provision of adequate PPE would improve compliance with quarantine measures.
为支持新冠疫情防控措施，多个国家实施了检疫方案。本研究确定了乌干达机构检疫管理中对新冠检疫措施的遵守程度、相关因素及经验教训。
这项同步混合方法研究包括对处于机构检疫中的个人进行横断面调查，以及对关键信息提供者进行访谈，主要通过电话联系他们。对定量数据进行单变量、双变量和多变量分析，而定性数据借助Atlas ti 7进行主题分析。
个人层面遵守检疫措施的程度为中等，为65.4%。与高度遵守措施相关的因素有：年龄较大（40岁以上）[调整后风险比（APR）=1.30（95%置信区间：1.04 - 1.63）]、检疫14 - 15天[APR = 1.39（95%置信区间：1.00 - 1.92）]以及报告卫生部的高遵守率[APR = 1.33（置信区间：1.11 - 1.58）]。积极因素包括指南的可用性、设施检查和人员培训。挑战与结果周转时间长以及个人防护装备（PPE）的提供有关。
努力改善设施的培训、监督和检查以及提供充足的个人防护装备将提高对检疫措施的遵守程度。
