低资源环境下机构隔离的社会心理和经济风险:乌干达COVID-19大流行期间受影响者的经历

COVID Pub Date : 2023-09-18 DOI:10.3390/covid3090101
Esther K. Nanfuka, Agatha Kafuko, Rita Nakanjako, James T. Ssenfuuma, Florence Turyomurugyendo, Jingo Kasule
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引用次数: 0

摘要

机构隔离是用于控制2019冠状病毒病(COVID-19)传播的关键公共卫生措施之一。机构隔离与若干社会心理和经济风险有关。然而,由于这是在这些环境中控制疾病传播的一种相对较新的战略,因此对它对资源匮乏国家的受影响者构成的社会心理和经济风险知之甚少。这篇文章提供了在低资源环境下受影响的人所遇到的经济和社会心理风险的见解。对乌干达为控制COVID-19大流行而被隔离的20名成年人进行了叙述性访谈。被限制在机构隔离中的个人经历了一系列复杂的经济和社会心理风险,包括失去生计和/或收入、经济困难、恐惧、担忧、愤怒、孤独和耻辱。对特定风险的体验是由个人因素和环境因素之间的交集形成的。然而,对经济和社会问题的忽视以及制度隔离实施中的缺陷,深刻地促成了风险的发生。建立安全网,解决被隔离者及其家庭出现的经济不安全感问题,弥合机构隔离实施中的差距,可能有助于最大限度地减少乌干达和类似情况下相关的经济和社会心理风险。
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Psychosocial and Economic Risks of Institutional Quarantine in a Low-Resource Setting: Experiences of Affected Persons during the COVID-19 Pandemic in Uganda
Institutional quarantine was one of the key public health measures used to control the spread of the Corona Virus Disease 2019 (COVID-19). Institutional quarantine has been associated with several psychosocial and economic risks. However, little is known about the psychosocial and economic risks it poses to affected persons in low-resource countries since it is a relatively new strategy for controlling disease spread in these settings. This article provides insights into the economic and psychosocial risks encountered by affected persons in a low-resource context. Narrative interviews were conducted with 20 adults placed under institutional quarantine to contain the COVID-19 pandemic in Uganda. Individuals confined in institutional quarantine experienced an intricate range of economic and psychosocial risks including loss of livelihood and/or income, financial distress, fear, worry, anger, loneliness, and stigma. The experience of specific risks was shaped by an intersection between individual and contextual factors. However, disregard for economic and social issues and shortcomings in the implementation of institutional quarantine contributed profoundly to the occurrence of risks. Safety nets to address the emergent financial insecurities of quarantined individuals and their families and bridging gaps in the implementation of institutional quarantine may help to minimise the associated economic and psychosocial risks in Uganda and similar contexts.
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