ABSTRACT
BACKGROUND: Corona virus disease (COVID-19) continued with its notorious effects overwhelming health institutions. Thus, home-based identification and care for asymptomatic and mild cases of COVID-19 has been recommended. Therefore, the objective of this study was to assess the level of household readiness for caring asymptomatic and mild cases of COVID-19 at home. METHODS: A community-based cross-sectional study was conducted from March-June 2021 on randomly selected 778 households. Data entry and analysis were carried out using EpiData and SPSS version 25, respectively. Multivariable logistic regression was modeled to identify independent predictors of community readiness. RESULTS: Overall readiness of the community was very low (43.8%). Factors positively affecting household readiness were male household heads (AOR = 1.6; 95%CI: 1.05, 2.45), primary (AOR=2.0; CI:.62, 1.59) and higher (AOR = 1.90; 95%CI: 1.04, 3.45) educational level of the respondents, number of rooms within household (AOR = 1.22; CI: 1.03, 1.46), having additionally house (AOR = 2.61; CI: 1.35, 5.03), availability of single use eating utensils (AOR = 2.76; 95%CI: 1.66, 4.56), availability of community water supply (AOR = 8.21; 95% CI: 5.02, 13.43), and community participation and engagement (AOR = 2.81; 95% CI: 1.93, 4.08) in accessing transport, water and sanitation. CONCLUSIONS: The community was less prepared in terms of housing, infection prevention, water and sanitation. Considering alternative options including universal coverage of vaccine is important; designed behavioral change communications can enhance community participation and engagement in improving access to transport, water and sanitation to reduce risk of infections
Subject(s)
Humans , Asymptomatic Diseases , COVID-19 , Family Characteristics , Community-Acquired Infections , Ambulatory CareABSTRACT
El objetivo de estudio fue analizar la relación entre la participación y la preparación comunitaria frente al trabajo infantil, tomando como eje principal el contexto comunitario en una muestra intencionada de 76 mujeres y hombres miembros de una comunidad y 4 informantes clave de la localidad. Se aplicaron encuestas a los miembros de la comunidad, y se realizaron entrevistas semiestructuradas a los informantes clave. Se evaluó la estructura factorial y consistencia interna de las escalas, obteniéndose dimensiones específicas. Se analizó las variables a través de correlaciones y regresión lineal múltiple, encontrando modelos que explican la varianza de participación y preparación comunitaria entre el 15% al 46%. Las entrevistas situaron a la comunidad en un nivel de "negación/resistencia" al cambio frente al trabajo infantil. Así, los resultados sugieren la necesidad de problematizar esta temática desde la comunidad y las propuestas de intervención, pues si bien existe una participación activa en general, se mantiene una visión ambigua acerca del trabajo infantil, así como una baja disposición a actuar colectivamente frente a esta problemática.
The aim of the study was to analyze the relationship between community readiness and participation concerning child labor taking as the main axis the community context of a purposive sample of 76 men and women community members and 4 local key informants. Surveys were applied on community members and semi-structured interviews were conducted to local key informants. The factorial structure and internal consistency of the scales were evaluated, obtaining specific dimensions. The variables were analyzed by multiple linear regression and correlations, evidencing models that explain the variance of community readiness and participation between 15% and 46%. The interviews placed the community in a level of "deny/resistance" to change when facing child labor. Thus, the results suggest the need to problematize this subject from the community and intervention proposals, because although there is an active participation in general, an ambiguous view remains on child labor, as well as a low willingness to act collectively on this issue.