Musoke David, Nalinya Sarah, Lubega Grace Biyinzika, Deane Kevin, Ekirapa-Kiracho Elizabeth, McCoy David
Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
The Open University, Milton Keynes, UK.
Arch Public Health. 2024 Aug 6;82(1):117. doi: 10.1186/s13690-024-01337-x.
As a measure to slow down the transmission of Coronavirus disease (COVID-19), governments around the world placed their countries under various stringent lockdown measures. Uganda is one of the countries that had a strict lockdown in Africa. This qualitative study explored the social and economic impacts of the COVID-19 lockdown in both an urban (Kampala) and rural (Wakiso) setting in Central Uganda.
The study used focus group discussions (FGDs), household interviews, and key informant interviews (KIIs). 14 FGDs were conducted among several stakeholders including community health workers, health professionals, and members of the community. 40 household interviews were conducted among low, middle, and high-income households, while 31 KIIs were held among policy makers, non-governmental organisations, and the private sector. Data were analysed thematically in NVivo 2020 (QSR International).
Findings from the study are presented under six themes: family disruption; abuse of children's rights; disruption in education; food insecurity; impact on livelihoods; and violation of human rights. The study found that the COVID-19 lockdown led to family breakups, loss of family housing, as well as increased both caring responsibilities and gender-based violence especially towards females. Children's welfare suffered through increased child labour, sexual exploitation, and early marriages. The extended closure of schools led to delayed educational milestones, poor adaptation to home-based learning, and increased school drop-out rates. Increased food insecurity led to changes in feeding patterns and reduced food varieties. Livelihoods were negatively affected hence people depleted their savings and capital. Unlawful detention and beating by law enforcement officers increased during the lockdown.
Future pandemic planning needs to consider the consequences of lockdown on the social and economic wellbeing of communities hence put in place appropriate mitigation measures during and after the outbreak.
作为减缓冠状病毒病(COVID-19)传播的一项措施,世界各国政府对本国实施了各种严格的封锁措施。乌干达是非洲实施严格封锁的国家之一。这项定性研究探讨了COVID-19封锁对乌干达中部城市(坎帕拉)和农村(瓦基索)地区的社会和经济影响。
该研究采用了焦点小组讨论(FGD)、家庭访谈和关键信息人访谈(KII)。在包括社区卫生工作者、卫生专业人员和社区成员在内的多个利益相关者中进行了14次焦点小组讨论。在低收入、中等收入和高收入家庭中进行了40次家庭访谈,同时在政策制定者、非政府组织和私营部门中进行了31次关键信息人访谈。在NVivo 2020(QSR国际公司)中对数据进行了主题分析。
该研究的结果分为六个主题呈现:家庭破裂;儿童权利受侵犯;教育中断;粮食不安全;对生计的影响;以及人权侵犯。研究发现,COVID-19封锁导致家庭破裂、家庭住房丧失,同时照料责任增加,基于性别的暴力尤其是针对女性的暴力也有所增加。儿童福利受到影响,童工、性剥削和早婚现象增多。学校长期关闭导致教育里程碑推迟、对居家学习的适应不良以及辍学率上升。粮食不安全加剧导致饮食模式改变和食物种类减少。生计受到负面影响,人们耗尽了储蓄和资本。封锁期间执法人员的非法拘留和殴打行为增加。
未来的疫情防控规划需要考虑封锁对社区社会和经济福祉的影响,从而在疫情爆发期间及之后制定适当的缓解措施。