Changes in social mixing and attitudes and practices to precautionary measures in a maturing COVID-19 pandemic in six communities in Sudan : a qualitative study

© 2024. The Author(s)..

INTRODUCTION: With low COVID-19 vaccination coverage, non-pharmaceutical interventions were critical to mitigating the COVID-19 pandemic in Sudan. We explored changes in social contact patterns, risk perception, attitudes, and practices toward protective measures during an evolving COVID-19 outbreak in six illustrative communities in Sudan.

METHODS: This qualitative study took place in six communities in five Sudanese states using focus group discussions with community members and non-participant structured observations in public spaces between March 2021 and April 2021. A total of 117 participants joined 24 group discussions. We used a two-stage thematic analysis.

RESULTS: The perceived importance of compliance with individual preventative measures among those who believe in COVID-19 was higher than observed compliance with behaviors in most study sites. Adherence was consistently low and mainly driven by enforced movement restrictions. As restrictions were lifted, social contacts outside the household resumed pre-COVID-19 levels, and risk perception and individual and institutional adherence to protective measures diminished. We identified an environment that is socially and economically unsupportive of preventive practices, compounded by widespread rumours, misinformation, and mistrust in the government-led response. However, we identified new social habits that can contribute to reducing COVID-19 transmission.

CONCLUSION: The unfavourable social and economic environment, coupled with the low visibility of the pandemic and pandemic response, has likely modulated the influence of higher risk perception on adopting precautionary behaviours by individuals. Governments and non-governmental actors should increase the visibility of the pandemic and pandemic response, enforce and incentivise infection control measures in public areas, promote emerging preventive social habits, and actively track and address rumours and misinformation related to COVID-19 and COVID-19 vaccines.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

BMC public health - 24(2024), 1 vom: 26. März, Seite 895

Sprache:

Englisch

Beteiligte Personen:

Ahmed, Salma A E [VerfasserIn]
AbuKoura, Rahaf [VerfasserIn]
Ahmed, Abd Elhameed [VerfasserIn]
Abdalla, Omama [VerfasserIn]
Hassan, Omnia Kamal [VerfasserIn]
Tom, Ahmed [VerfasserIn]
Eldirdiri, Ahmed [VerfasserIn]
Ismaeil, Drieg [VerfasserIn]
Zainalabdeen, Israa [VerfasserIn]
Nurelhuda, Nazik [VerfasserIn]
Ahmed, Aljaile [VerfasserIn]
Abdan, Afrah [VerfasserIn]
Dahab, Maysoon [VerfasserIn]
Abdelmagid, Nada [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
COVID-19 Vaccines
Journal Article
Non-pharmaceutical interventions
Participatory analysis
Resource-poor
Social distancing
Social mixing
Sudan

Anmerkungen:

Date Completed 28.03.2024

Date Revised 29.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12889-024-18274-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370219112