Assessment of Home Isolation Measures and Factors Associated with Adherence Among Patients During the Pandemic in Nepal: A CrossSectional Study
Introduction Housing status and behavioral practices of COVID-19 positives during home isolation are crucial to breaking the transmission chain and rapidly managing cases during emergencies. This study aimed to assess the home isolation status of COVID-19 patients in Nepal and determine f...
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Makhdoomi Printers
2025-02-01
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| Series: | Global Journal of Medicine and Public Health |
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| Online Access: | https://nicpd.ac.in/ojs-/index.php/gjmedph/article/view/4112 |
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| author | Lisasha Poudel Bikram Adhiakri1 , Deekshya Neupane Pranita Maharjan Tek Bahadur Pramita Shrestha Rashmi Maharjan Nishan Katuwal Brish Bahadur Shahi 3akhat Bhandari Rajeev Shrestha Biraj Man Karmacharya Archana Shrestha |
| author_facet | Lisasha Poudel Bikram Adhiakri1 , Deekshya Neupane Pranita Maharjan Tek Bahadur Pramita Shrestha Rashmi Maharjan Nishan Katuwal Brish Bahadur Shahi 3akhat Bhandari Rajeev Shrestha Biraj Man Karmacharya Archana Shrestha |
| author_sort | Lisasha Poudel |
| collection | DOAJ |
| description |
Introduction
Housing status and behavioral practices of COVID-19 positives during home isolation are crucial to breaking the
transmission chain and rapidly managing cases during emergencies. This study aimed to assess the home isolation
status of COVID-19 patients in Nepal and determine factors associated with adherence to home isolation measures.
Methods
A telephone-based cross-sectional study was conducted from January to May 2021 to assess the home isolation
status among 362 home-isolated COVID-19 patients in Karnali Province. Patients were interviewed to collect socio
demographic characteristics, COVID-19 symptoms, comorbid conditions, and household and behavioral
characteristics. Univariate and multivariate logistic regression analyses were done to determine the association of
the use of masks, social distance, and outside visits during home isolation with socio-demographic and household
characteristics. We reported adjusted odds ratios(aOR) with 95% confidence intervals.
Results:
Of the total, 15% did not have ventilation in their isolation rooms, and only about 30% used separate toilets during
isolation. More than half of the respondents staying at home in isolation were asymptomatic. About 29% of
respondents did not maintain a two-meter distance from their family members. About 76% always wore a mask in
front of their family members and 68% never went outside the house during home isolation. Females were more
likely to stay home during the isolation period (aOR:2.42; 95%CI:1.39-4.21). Young adults were more likely to wear
masks in front of family members(aOR:0.96;95%CI:0.94-0.99). Highly educated participants were more likely to
maintain distance during isolation (aOR:1.19;95% CI:1.10-1.28).
Conclusion
State and local authorities are recommended to develop specific measures to enhance the knowledge and practice
of the participant groups likely to exhibit low adherence to home isolation measures.
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| format | Article |
| id | doaj-art-be17c9552d674bb1a13b23787e771d95 |
| institution | Kabale University |
| issn | 2277-9604 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Makhdoomi Printers |
| record_format | Article |
| series | Global Journal of Medicine and Public Health |
| spelling | doaj-art-be17c9552d674bb1a13b23787e771d952025-02-09T16:49:07ZengMakhdoomi PrintersGlobal Journal of Medicine and Public Health2277-96042025-02-011306Assessment of Home Isolation Measures and Factors Associated with Adherence Among Patients During the Pandemic in Nepal: A CrossSectional StudyLisasha PoudelBikram Adhiakri1 ,Deekshya NeupanePranita MaharjanTek BahadurPramita ShresthaRashmi MaharjanNishan KatuwalBrish Bahadur Shahi3akhat BhandariRajeev ShresthaBiraj Man KarmacharyaArchana Shrestha Introduction Housing status and behavioral practices of COVID-19 positives during home isolation are crucial to breaking the transmission chain and rapidly managing cases during emergencies. This study aimed to assess the home isolation status of COVID-19 patients in Nepal and determine factors associated with adherence to home isolation measures. Methods A telephone-based cross-sectional study was conducted from January to May 2021 to assess the home isolation status among 362 home-isolated COVID-19 patients in Karnali Province. Patients were interviewed to collect socio demographic characteristics, COVID-19 symptoms, comorbid conditions, and household and behavioral characteristics. Univariate and multivariate logistic regression analyses were done to determine the association of the use of masks, social distance, and outside visits during home isolation with socio-demographic and household characteristics. We reported adjusted odds ratios(aOR) with 95% confidence intervals. Results: Of the total, 15% did not have ventilation in their isolation rooms, and only about 30% used separate toilets during isolation. More than half of the respondents staying at home in isolation were asymptomatic. About 29% of respondents did not maintain a two-meter distance from their family members. About 76% always wore a mask in front of their family members and 68% never went outside the house during home isolation. Females were more likely to stay home during the isolation period (aOR:2.42; 95%CI:1.39-4.21). Young adults were more likely to wear masks in front of family members(aOR:0.96;95%CI:0.94-0.99). Highly educated participants were more likely to maintain distance during isolation (aOR:1.19;95% CI:1.10-1.28). Conclusion State and local authorities are recommended to develop specific measures to enhance the knowledge and practice of the participant groups likely to exhibit low adherence to home isolation measures. https://nicpd.ac.in/ojs-/index.php/gjmedph/article/view/4112Keywords: COVID-19; home isolation; public health measures; Nepal |
| spellingShingle | Lisasha Poudel Bikram Adhiakri1 , Deekshya Neupane Pranita Maharjan Tek Bahadur Pramita Shrestha Rashmi Maharjan Nishan Katuwal Brish Bahadur Shahi 3akhat Bhandari Rajeev Shrestha Biraj Man Karmacharya Archana Shrestha Assessment of Home Isolation Measures and Factors Associated with Adherence Among Patients During the Pandemic in Nepal: A CrossSectional Study Global Journal of Medicine and Public Health Keywords: COVID-19; home isolation; public health measures; Nepal |
| title | Assessment of Home Isolation Measures and Factors Associated with Adherence Among Patients During the Pandemic in Nepal: A CrossSectional Study |
| title_full | Assessment of Home Isolation Measures and Factors Associated with Adherence Among Patients During the Pandemic in Nepal: A CrossSectional Study |
| title_fullStr | Assessment of Home Isolation Measures and Factors Associated with Adherence Among Patients During the Pandemic in Nepal: A CrossSectional Study |
| title_full_unstemmed | Assessment of Home Isolation Measures and Factors Associated with Adherence Among Patients During the Pandemic in Nepal: A CrossSectional Study |
| title_short | Assessment of Home Isolation Measures and Factors Associated with Adherence Among Patients During the Pandemic in Nepal: A CrossSectional Study |
| title_sort | assessment of home isolation measures and factors associated with adherence among patients during the pandemic in nepal a crosssectional study |
| topic | Keywords: COVID-19; home isolation; public health measures; Nepal |
| url | https://nicpd.ac.in/ojs-/index.php/gjmedph/article/view/4112 |
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