Challenges in Controlling SARS-CoV-2 in a Lower-middle Income Country and the Potential Unintended Effects due to Aggressive Restrictions

Lau, Lincoln Leehang; Wu, Peng; Go, Daryn Joy; Dodd, Warren; Yu, Charles

doi:10.20944/preprints202004.0130.v1

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…However, as of April 27, 2020, 7579 cases of COVID-19 have been confirmed with numbers continuing to exponentially increase [16]. Although the caseload has mostly been concentrated in the country' s capital region of Metro Manila, there is evidence of local transmission prior to the spike in cases, and the likely spread to surrounding regions threaten communities that have limited health system capacity [17].…”

Section: Viewpoints Research Theme 6: Covid-19 Pandemicmentioning

confidence: 99%

Knowledge, attitudes and practices of COVID-19 among income-poor households in the Philippines: A cross-sectional study

Lau¹,

Hung²,

Go³

et al. 2020

Journal of Global Health

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BackgroundThe presence of COVID-19 in low-and middle-income countries (LMICs) is raising important concerns about effective pandemic response and preparedness in the context of fragile health systems and the pervasiveness of misinformation. The objective of this study was to gain an understanding of how COVID-19 was perceived by households experiencing extreme poverty in the Philippines. MethodsThis study was conducted in partnership with International Care Ministries (ICM), a Philippine-based non-governmental organization (NGO) that runs a poverty-alleviation program called Transform targeted towards extreme low-income households. We integrated knowledge, attitudes, and practices (KAP) questions into ICM' s cross-sectional program monitoring and evaluation systems from February 20 through March 13, 2020. Frequencies and proportions were calculated to describe the respondents' responses, and the Kruskal-Wallis test and binomial logistic regression were undertaken to determine the socio-demographic characteristics associated with COVID-19 KAPs. ResultsIn total, 2224 respondents from 166 communities in rural, urban and coastal settings were surveyed. Although the survey was administered during the earlier stages of the pandemic, 94.0% of respondents had already heard of COVID-19. Traditional media sources such as television (85.5%) and radio (56.1%) were reported as the main sources of information about the virus. Coughing and sneezing were identified as a transmission route by 89.5% of respondents, while indirect hand contact was the least commonly identified transmission route, recognized by 72.6% of respondents. Handwashing was identified by 82.2% of respondents as a preventive measure against the virus, but social distancing and avoiding crowds were only identified by 32.4% and 40.6%, respectively. Handwashing was the most common preventive practice in response to COVID-19, adopted by 89.9% of respondents. A greater number of preventive measures were taken by those with more knowledge of potential transmission routes. ConclusionsThere is a need for targeted health education as a response strategy to COVID-19 in low-income settings, and it is important that strategies are contextually relevant. Understanding KAPs among populations experiencing extreme poverty will be important as tailored guidance for public health response and communication strategies are developed for LMICs.

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Section: Viewpoints Research Theme 6: Covid-19 Pandemicmentioning

confidence: 99%

Knowledge, attitudes and practices of COVID-19 among income-poor households in the Philippines: A cross-sectional study

Lau¹,

Hung²,

Go³

et al. 2020

Journal of Global Health

Self Cite

250

223

View full text Add to dashboard Cite

show abstract

“…1 Since then, it has been three weeks of turmoil and uncertainty especially in LMIC like the Philippines. 2 Most institutions worldwide have cancelled or minimized elective and non-emergent surgeries, cancer surgeries and other urgent ones were suggested to consider postponement or altering treatment plans for fear of COVID-19 infections during and after surgery. [3][4][5][6] Though surgical data are limited and rapidly evolving further to our own recommendations, the Philippine College of Surgeons and several international societies including the American College of Surgeons, Royal College of Surgeons, SAGES and many others have expressed succinct statements and recommendations that may or may not be applicable for our local setting.…”

Section: Introductionmentioning

confidence: 99%

PAHPBS Recommendations for Hepato-Pancreatico-Biliary Surgeries in the Time of the COVID-19 Pandemic

2020

Philipp J Surg Spec

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Challenges in Controlling SARS-CoV-2 in a Lower-middle Income Country and the Potential Unintended Effects due to Aggressive Restrictions

Abstract: In response to the COVID-19 pandemic,

Cited by 2 publications

References 6 publications

Knowledge, attitudes and practices of COVID-19 among income-poor households in the Philippines: A cross-sectional study

Knowledge, attitudes and practices of COVID-19 among income-poor households in the Philippines: A cross-sectional study

PAHPBS Recommendations for Hepato-Pancreatico-Biliary Surgeries in the Time of the COVID-19 Pandemic

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