Exploring Barriers to Effective Implementation of Public Health Measures for Prevention and Control of COVID-19 Pandemic in Gamo Zone of Southern Ethiopia: Using a Modified Tanahashi Model

Negussie Boti Sidamo,1 Sultan Hussen,1 Tamiru Shibiru,2 Meseret Girma,1 Mulugeta Shegaze,1 Abera Mersha,3 Teshale Fikadu,1 Zeleke Gebru,1 Eshetu Andarge,1 Mustefa Glagn,1 Selamawit Gebeyehu,1 Bilcha Oumer,4 Gebremaryam Temesgen5 1School of Public Health, College of Medicine and Health Sciences, Arba...

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Main Authors: Boti Sidamo N, Hussen S, Shibiru T, Girma M, Shegaze M, Mersha A, Fikadu T, Gebru Z, Andarge E, Glagn M, Gebeyehu S, Oumer B, Temesgen G
Format: Article
Language:English
Published: Dove Medical Press 2021-03-01
Series:Risk Management and Healthcare Policy
Subjects:
Online Access:https://www.dovepress.com/exploring-barriers-to-effective-implementation-of-public-health-measur-peer-reviewed-article-RMHP
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author Boti Sidamo N
Hussen S
Shibiru T
Girma M
Shegaze M
Mersha A
Fikadu T
Gebru Z
Andarge E
Glagn M
Gebeyehu S
Oumer B
Temesgen G
author_facet Boti Sidamo N
Hussen S
Shibiru T
Girma M
Shegaze M
Mersha A
Fikadu T
Gebru Z
Andarge E
Glagn M
Gebeyehu S
Oumer B
Temesgen G
author_sort Boti Sidamo N
collection DOAJ
description Negussie Boti Sidamo,1 Sultan Hussen,1 Tamiru Shibiru,2 Meseret Girma,1 Mulugeta Shegaze,1 Abera Mersha,3 Teshale Fikadu,1 Zeleke Gebru,1 Eshetu Andarge,1 Mustefa Glagn,1 Selamawit Gebeyehu,1 Bilcha Oumer,4 Gebremaryam Temesgen5 1School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 2School of Medicine, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 3School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 4Department of Midwifery, College of Health Sciences, Arba Minch, Ethiopia; 5Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaCorrespondence: Negussie Boti SidamoSchool of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaEmail Hanehalid@gmail.comBackground: Since the occurrence of the COVID-19 pandemic, different public health measures have been implemented to prevent and control the further spread of the disease. However, barriers that influence the effective implementation of public health measures were not explore in Ethiopia especially in study Area. Therefore, this study tried to fill this gap by exploring the barriers to effective implementation of public health measures for prevention and control of the COVID-19 pandemic in the Gamo Zone of southern Ethiopia.Methods: The study employed a qualitative study with a phenomenology approach among purposely selected 30 individuals in the community and selected institutions. Key informant interview was used to collect the data. The data were transcribed verbatim and translated into the English language. The transcribed data were read several times to clearly understand the content for further analysis. The analysis of the data was conducted based on the modified Tanahashi framework.Results: The study identified different barriers under five main themes: accessibility, acceptability, availability, contact and use, and effective implementation of public health measures related to barriers. The main barriers to effective implementation of public health measures were resistance to change, negligence, lack of community engagement, insufficient training for front line workers, poor supportive supervision, poor law enforcement, and lack of continuous community awareness creation. Beside, acceptability related barriers like cultural and religious norms and availability related barriers like shortage of personal protective equipment and shortage of skilled health professional have also lion share barriers for implementation of the public health measures.Conclusion: The study identified different personal, institutional, and societal level barriers for effective implementation of public health measures for the COVID-19 pandemic. Therefore, proper and targeted continuous community awareness creation with further mandatory law enforcement activities should be implemented by the concerned bodies to mitigate individual and societal level barriers. In addition, the government with relevant stakeholders should give due attention to equip and protect the frontline professionals by availing the necessary logistic and provision of continuous capacity-building activities.Keywords: COVID-19, effective implementation, public health measures, modified Tanahashi model, barriers, Gamo zone
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spelling doaj.art-771149df3c894344aefe5141cd3caadf2022-12-21T20:26:12ZengDove Medical PressRisk Management and Healthcare Policy1179-15942021-03-01Volume 141219123263246Exploring Barriers to Effective Implementation of Public Health Measures for Prevention and Control of COVID-19 Pandemic in Gamo Zone of Southern Ethiopia: Using a Modified Tanahashi ModelBoti Sidamo NHussen SShibiru TGirma MShegaze MMersha AFikadu TGebru ZAndarge EGlagn MGebeyehu SOumer BTemesgen GNegussie Boti Sidamo,1 Sultan Hussen,1 Tamiru Shibiru,2 Meseret Girma,1 Mulugeta Shegaze,1 Abera Mersha,3 Teshale Fikadu,1 Zeleke Gebru,1 Eshetu Andarge,1 Mustefa Glagn,1 Selamawit Gebeyehu,1 Bilcha Oumer,4 Gebremaryam Temesgen5 1School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 2School of Medicine, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 3School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 4Department of Midwifery, College of Health Sciences, Arba Minch, Ethiopia; 5Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaCorrespondence: Negussie Boti SidamoSchool of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaEmail Hanehalid@gmail.comBackground: Since the occurrence of the COVID-19 pandemic, different public health measures have been implemented to prevent and control the further spread of the disease. However, barriers that influence the effective implementation of public health measures were not explore in Ethiopia especially in study Area. Therefore, this study tried to fill this gap by exploring the barriers to effective implementation of public health measures for prevention and control of the COVID-19 pandemic in the Gamo Zone of southern Ethiopia.Methods: The study employed a qualitative study with a phenomenology approach among purposely selected 30 individuals in the community and selected institutions. Key informant interview was used to collect the data. The data were transcribed verbatim and translated into the English language. The transcribed data were read several times to clearly understand the content for further analysis. The analysis of the data was conducted based on the modified Tanahashi framework.Results: The study identified different barriers under five main themes: accessibility, acceptability, availability, contact and use, and effective implementation of public health measures related to barriers. The main barriers to effective implementation of public health measures were resistance to change, negligence, lack of community engagement, insufficient training for front line workers, poor supportive supervision, poor law enforcement, and lack of continuous community awareness creation. Beside, acceptability related barriers like cultural and religious norms and availability related barriers like shortage of personal protective equipment and shortage of skilled health professional have also lion share barriers for implementation of the public health measures.Conclusion: The study identified different personal, institutional, and societal level barriers for effective implementation of public health measures for the COVID-19 pandemic. Therefore, proper and targeted continuous community awareness creation with further mandatory law enforcement activities should be implemented by the concerned bodies to mitigate individual and societal level barriers. In addition, the government with relevant stakeholders should give due attention to equip and protect the frontline professionals by availing the necessary logistic and provision of continuous capacity-building activities.Keywords: COVID-19, effective implementation, public health measures, modified Tanahashi model, barriers, Gamo zonehttps://www.dovepress.com/exploring-barriers-to-effective-implementation-of-public-health-measur-peer-reviewed-article-RMHPcovid-19effective implementationpublic health measuresmodified tanahashi modelbarriersgamo zone.
spellingShingle Boti Sidamo N
Hussen S
Shibiru T
Girma M
Shegaze M
Mersha A
Fikadu T
Gebru Z
Andarge E
Glagn M
Gebeyehu S
Oumer B
Temesgen G
Exploring Barriers to Effective Implementation of Public Health Measures for Prevention and Control of COVID-19 Pandemic in Gamo Zone of Southern Ethiopia: Using a Modified Tanahashi Model
Risk Management and Healthcare Policy
covid-19
effective implementation
public health measures
modified tanahashi model
barriers
gamo zone.
title Exploring Barriers to Effective Implementation of Public Health Measures for Prevention and Control of COVID-19 Pandemic in Gamo Zone of Southern Ethiopia: Using a Modified Tanahashi Model
title_full Exploring Barriers to Effective Implementation of Public Health Measures for Prevention and Control of COVID-19 Pandemic in Gamo Zone of Southern Ethiopia: Using a Modified Tanahashi Model
title_fullStr Exploring Barriers to Effective Implementation of Public Health Measures for Prevention and Control of COVID-19 Pandemic in Gamo Zone of Southern Ethiopia: Using a Modified Tanahashi Model
title_full_unstemmed Exploring Barriers to Effective Implementation of Public Health Measures for Prevention and Control of COVID-19 Pandemic in Gamo Zone of Southern Ethiopia: Using a Modified Tanahashi Model
title_short Exploring Barriers to Effective Implementation of Public Health Measures for Prevention and Control of COVID-19 Pandemic in Gamo Zone of Southern Ethiopia: Using a Modified Tanahashi Model
title_sort exploring barriers to effective implementation of public health measures for prevention and control of covid 19 pandemic in gamo zone of southern ethiopia using a modified tanahashi model
topic covid-19
effective implementation
public health measures
modified tanahashi model
barriers
gamo zone.
url https://www.dovepress.com/exploring-barriers-to-effective-implementation-of-public-health-measur-peer-reviewed-article-RMHP
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