Exploring the challenges of implementing COVID_19 guidelines: Experiences of commuters in the Copperbelt Province, Zambia.

Mwamba Kalungwe, Thamary Karonga, Claude Mwale, Niza Rean Simwanza, Lameck Mugala, Jessie Mwewa, Mathew Nyashanu

Abstract


Background: The first case of COVID-19 in Zambia was confirmed on the 18th of March 2020, to date 320, 412 people have been infected and 3983 Covid related deaths have been reported. In Zambia, public transport is mainly by road, dominated by intra-city minibuses. This mode of transport particularly involve serious human interaction and compliance with Covid -19 preventive measures, especially in urban areas had not been systematically evaluated.

Aims: To explore the challenges to compliance in implementing the recommended WHO COVID -19 guidelines in Copperbelt Province, Zambia.

Design: An explorative qualitative study.

Methods: Individual semi-structured interviews were conducted from February to April 2022 and, content analysis was used.

Results: The following 5 major themes emerged: “perception and experiences about Covid 19; knowledge of prevention guidelines; attitudes towards implementation of the prevention guidelines; accessibility and availability of protective equipment; and, accessibility and availability of transport.” Drivers and conductors experienced tremendous reduction in income due to restricted movements of passengers as well as social distancing which called for a reduction in the number of passengers in a particular bus, cost of face masks and hand sanitizers. This left them with no profit and most of them were retrenched. Passengers reported discomfort caused by the face masks which prevented some of them from breathing properly, while others reported impact on their business and restriction in movements. A section of respondents felt that Covid was a hoax therefore prevention guidelines were an infringement on them.

Conclusion: This study highlights the fact that creating an enabling environment for doing business is critical by ensuring Covid -19 prevention materials are subsidized or provided for free. In addition provision of loans to transporters to cushion the challenges are crucial. Furthermore there is need to maximize information dissemination to raise awareness and depoliticize the fight against Covid -19.


Keywords


Experiences, challenges, prevention measures, Covid-19, commuters, pandemic

Full Text:

PDF

References


Atri D, Siddiqi HK, Lang J, Nauffal V, Morrow DA, Bohula EA. COVID-19 for the Cardiologist: A Current Review of the Virology, Clinical Epidemiology, Cardiac and Other Clinical Manifestations and Potential Therapeutic Strategies. JACC Basic to Transl Sci. 2020.

Aylward, Bruce (WHO); Liang W (PRC). Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). WHO-China Jt Mission Coronavirus Dis 2020. https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf

BouDiab, S., & Werle, C. (2018). What motivates women to breastfeed in Lebanon: An exploratory qualitative analysis. Appetite, 123, 23-31.

Brown, M., & McCann, E. (2019). The views and experiences of families and direct care support workers regarding the expression of sexuality by adults with intellectual disabilities: A narrative review of the international research evidence. Research in developmental disabilities, 90, 80-91.

Chigbu, U. E., & Onyebueke, V. U. (2021). The COVID-19 pandemic in informal settlements:(re) considering urban planning interventions. The Town Planning Review, 92(1), 115-121.

Chipimo PJ, Barradas DT, Kayeyi N, et al. First 100 Persons with COVID-19 — Zambia, March 18–April 28, 2020. MMWR Morb Mortal Wkly Rep 2020;69:1547–1548. DOI:http://dx.doi.org/10.15585/mmwr.mm6942a5external icon.

Gericke, D., Burmeister, A., Löwe, J., Deller, J., & Pundt, L. (2018). How do refugees use their social capital for successful labor market integration? An exploratory analysis in Germany. Journal of vocational behavior, 105, 46-61.

Ghana Health Service. Ghana Health Service COVID-19 Situation update. 2020.

Gorbalenya AE, Baker SC, Baric RS, de Groot RJ, Drosten C, Gulyaeva AA, et al. The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nature Microbiology. 2020. pp. 536–544. JHU-CSSE. COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. 2020. 2020.Available: coronavirus.jhu.edu/map.html.

Liu Y, Gayle AA, Wilder-Smith A, Rocklo¨v J. The reproductive number of COVID-19 is higher compared to SARS coronavirus. J Travel Med. 2020; 27: 1–4.

Ministry of Health Zambia (2020) COVID-19 Clinical Guidance for Management of Patients with Coronavirus Disease 2019 (COVID-19). https://www.moh.gov.zm/?page_id=5317https

Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020; 102433.

Singh, R., & Adhikari, R. (2020). Age-structured impact of social distancing on the COVID-19 epidemic in India. arXiv preprint arXiv:2003.12055.

Van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble AWBet al. Aerosol and SurfaceStability of SARS-CoV-2 as Compared with SARS-CoV-1. New Engl J o f Med. 2020; 0–2. https://doi.org/10.1056/NEJMc2004973

World Health Organisation. Coronavirus disease(COVID-19) Pandemic. 2020.

World Health Organisation. Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations. Sci Br. 2020.

World Health Organization (WHO). Acute respiratory syndrome in Hong Kong Special Administration of China/Vietnam. 2003.

World Health Organization. Coronavirus disease (COVID-19) advice for public. 2020.

Wu C, Chen X, Cai Y, Xia J, Zhou X, Xu S, et al. Risk Factors Associated with Acute Respiratory Distress Syndrome and Death in Patients with Coronavirus Disease 2019 Pneumonia in Wuhan, China.JAMA Intern Med. 2020; 1–10.

Wu Z, McGoogan JM. Characteristics of and Important Lessons from the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72314 Cases from the Chinese Center for Disease Control and Prevention. JAMA—J Am Med Assoc. 2020; 323.

Zambia Institute for Policy Analysis and Research -ZIPAR, 2020. https://www.zipar.org.zm/

Ministry of transport and Communication Zambia (2019) National Transport policy. https://www.mtc.gov.zm

Glanz, K., Rimer, B.K. & Lewis, F.M. (2002). Health Behavior and Health Education. Theory, Research and Practice. San Fransisco: Wiley & Sons.

The Zambia National Public Health Institute. http://znphi.co.zm/wp-content/uploads/2020/05/ZNPHI-DESIGNS-pillers-scaled.jpg

Hills, S., Eraso, Y. Factors associated with non-adherence to social distancing rules during the COVID-19 pandemic: a logistic regression analysis. BMC Public Health 21, 352 (2021). https://doi.org/10.1186/s12889-021-10379-7

Thomas, F. M., Charlton, S. G., Lewis, I., & Nandavar, S. (2021). Commuting before and after COVID-19. Transportation Research Interdisciplinary Perspectives, 11, 100423.

Tirachini, A., & Cats, O. (2020). COVID-19 and public transportation: Current assessment, prospects, and research needs. Journal of Public Transportation, 22(1), 1.

Gettleman, J., & Schultz, K. (2020). Modi orders 3-week total lockdown for all 1.3 billion Indians. New York Times. Retrieved May 30, 2020, from https://www.nytimes.com/2020/03/24/world/ asia/india-coronavirus-lockdown.html

Jiang, F., Deng, L., Zhang, L., Cai, Y., Cheung, C. W., & Xia, Z. (2020). Review of the clinical characteristics of coronavirus disease 2019 (COVID-19). Journal of General Internal Medicine, 35, 1545–1549.

Anderson, R. M., Heesterbeek, H., Klinkenberg, D., & Hollingsworth, T. D. (2020). How will country based mitigation measures influence the course of the COVID-19 epidemic? The Lancet, 395 (10228), 931–934.

Zarrouk,Z,et al (2020).[ online] open research Africa.org.Available at:< https:// openresearch africa.org/articles/3-36 > [ Accessed 17 May 2022 ]

Yun-Jun Zheng.Q.( 2022).Predicting demand of COVID 19 prevention and control materials via co.Evolutionary Transfer-Learning [eeexplore.jee.org Retrieved 12 May 2022 from https:ieeexplore.ieee.org/abstract/document/9761800

Marra, A. D., Sun, L., & Corman, F. (2022). The impact of COVID-19 pandemic on public transport usage and route choice: Evidences from a long-term tracking study in urban area. Transport policy, 116, 258–268. https://doi.org/10.1016/j.tranpol.2021.12.009

Aloi, A., Alonso, B., Benavente, J., Cordera, R., Echaniz, E., Gonzalez, F., Ladisa, C.,

Lezama-Romanelli, R., Lopez-Parra, A., Mazzei, V., Perrucci, L., Prieto-Quintana, D.,

Rodriguez, A., Sanudo, R., 2020. Effects of the COVID-19 lockdown on urban

mobility: empirical evidence from the city of Santander (Spain). Sustainability 12,

https://doi.org/10.3390/su12093870 number: 9 Publisher: Multidisciplinary

Digital Publishing Institute




DOI: https://doi.org/10.23954/osj.v9i1.3401

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Open Science Journal (OSJ) is multidisciplinary Open Access journal. We accept scientifically rigorous research, regardless of novelty. OSJ broad scope provides a platform to publish original research in all areas of sciences, including interdisciplinary and replication studies as well as negative results.